Magele Astrid, Wirthner Bianca, Schoerg Philipp, Ploder Marlene, Sprinzl Georg Mathias
University Clinic St. Poelten, Department of Otorhinolaryngology, Head & Neck Surgery, Dunant-Platz 1, 3100 St. Poelten, Austria.
Karl Landsteiner Institute of Implantable Hearing Devices, 3100 St. Poelten, Austria.
J Pers Med. 2022 Mar 11;12(3):443. doi: 10.3390/jpm12030443.
Cochlear implantation (CI) and the accompanying rehabilitation has become a routine procedure in hearing restoration. Literature is sparse on elderly CI recipients focusing on the issue of age and their inclined auditory resolution, taking their diminished cognitive function into account, which requires adaptation of rehabilitation programs to overcome habituation.
This study aims to show that a few adjustments in the therapy program towards age, mental, physical and auditory condition significantly improve music perception and overall auditory benefit, hence normal communication and social interactions can be found.
Subjects implanted with a CI 65 years or older were compared to age-matched normal hearing subjects. Questionnaires were administered before and after ten music therapy sessions, to evaluate the participant's music habits, the perception of sound quality and self-awareness and hearing implant satisfaction.
The greatest benefit was seen in participants' gain in self-confidence and enjoyable music perception. Not only did the amount of listening to music increase, but also the impression of sound quality changed from poor up to good/very good sound quality.
The music therapy was well accepted and resulted in beneficial subjective as well as objective outcomes towards hearing and music impression, hence improved quality of life.
人工耳蜗植入（CI）及随之而来的康复治疗已成为听力恢复的常规程序。关于老年人工耳蜗植入受者，考虑到其认知功能减退，关注年龄及其听觉分辨率倾向的文献较少，这就需要调整康复计划以克服习惯化。
本研究旨在表明，针对年龄、心理、身体和听觉状况对治疗方案进行一些调整，可显著改善音乐感知和总体听觉获益，从而实现正常的交流和社交互动。
将65岁及以上接受人工耳蜗植入的受试者与年龄匹配的听力正常受试者进行比较。在十次音乐治疗前后进行问卷调查，以评估参与者的音乐习惯、音质感知、自我认知和对听力植入设备的满意度。
参与者在自信心增强和获得愉悦的音乐感知方面获益最大。不仅听音乐的时间增加了，而且音质印象也从差变为良好/非常好。
音乐治疗得到了很好的接受，并在听力和音乐印象方面产生了有益的主观和客观结果，从而改善了生活质量。
