Department of Otorhinolaryngology, Hospital Universitario La Paz. IdiPAZ Research Institute, Paseo de la Castellana 261, 28046, Madrid, Spain.
Biomedical Research Networking Centre on Rare Diseases (CIBERER), Institute of Health Carlos III (CIBERER-U761), Madrid, Spain.
Eur Arch Otorhinolaryngol. 2024 Feb;281(2):629-638. doi: 10.1007/s00405-023-08121-7. Epub 2023 Jul 22.
Music perception is one of the greatest challenges for cochlear implant (CI) users. The aims of this study were: (i) to evaluate the music perception of CI users using the online Meludia music training program as music testing platform, (ii) to compare performance among three age groups, and (iii) to compare CI users with their normal hearing (NH) peers.
138 individuals participated, divided between children (6-10 y), adolescents (11-16 y), and adults (≥ 17 y). Five music perception tasks were evaluated: Rhythm, Spatialization, Stable/unstable, Melody, and Density. We also administered the music related quality of life (MuRQoL) questionnaire for adults, and a music questionnaire for pediatric population (6-16 y) (MuQPP).
A significantly higher percentage of the adolescent CI users completed the five tasks compared to the other age groups. Both pediatric and adolescent CI users had similar performance to their NH peers in most categories. On the MuRQoL, adult NH listeners reported more music exposure than CI users (3.8 ± 0.6 vs 3.0 ± 0.6, p < 0.01), but both groups reported similar levels of perceived music importance (3.4 ± 0.7 vs 3.2 ± 1.1, p = 0.340). On the MuQPP, pediatric CI users who scored highly on music perception also had higher reported questionnaire scores (54.2 ± 12.9 vs 40.9 ± 12.1, p = 0.009).
Meludia can be used to evaluate music perception and to use for music training in CI users of all ages. Adolescents had the highest performance in most musical tasks. Pediatric CI users were more similar to their NH peers. The importance of music in adult CI users was comparable to their NH peers.
音乐感知是人工耳蜗(CI)使用者面临的最大挑战之一。本研究的目的是:(i)使用在线 Meludia 音乐训练程序作为音乐测试平台评估 CI 用户的音乐感知能力,(ii)比较三个年龄组的表现,(iii)比较 CI 用户与正常听力(NH)同龄人。
共有 138 人参与,分为儿童(6-10 岁)、青少年(11-16 岁)和成人(≥17 岁)。评估了五项音乐感知任务:节奏、立体感、稳定/不稳定、旋律和密度。我们还为成年人提供了音乐相关生活质量(MuRQoL)问卷和针对儿科人群(6-16 岁)的音乐问卷(MuQPP)。
青少年 CI 用户完成五项任务的比例明显高于其他年龄组。在大多数类别中,儿童和青少年 CI 用户的表现与 NH 同龄人相似。在 MuRQoL 中,成年 NH 听众比 CI 用户报告了更多的音乐接触(3.8±0.6 与 3.0±0.6,p<0.01),但两组报告的音乐重要性感知水平相似(3.4±0.7 与 3.2±1.1,p=0.340)。在 MuQPP 中,音乐感知得分高的儿科 CI 用户报告的问卷得分也较高(54.2±12.9 与 40.9±12.1,p=0.009)。
Meludia 可用于评估 CI 用户的音乐感知能力,并可用于所有年龄段 CI 用户的音乐训练。青少年在大多数音乐任务中的表现最高。儿科 CI 用户与 NH 同龄人更为相似。成年 CI 用户对音乐的重视程度与 NH 同龄人相当。