Frosolini Andrea, Franz Leonardo, Badin Giulio, Mancuso Antonio, de Filippis Cosimo, Marioni Gino
Maxillofacial Surgery Unit, Department of Medical Biotechnologies, University of Siena, Siena, Italy.
Phoniatrics and Audiology Unit, Department of Neuroscience DNS, University of Padova, Treviso, Italy.
Int J Audiol. 2024 Nov 29:1-9. doi: 10.1080/14992027.2024.2428421.
Research on Cochlear implant (CI) outcomes has been mainly focused on verbal communication, whereas music perception has been less extensively explored. This study evaluated a music rehabilitation program, based on the mobile phone app Meludia (Meludia, France) to improve quality of life (QoL) and verbal perception in CI patients.
In this non-randomised clinical trial, the experimental group underwent 16 Meludia sessions, while controls did not receive any music-specific rehabilitation. Patient-reported outcome (PRO) measures, including the MUSQUAV questionnaire and NCIQ domains, were utilised alongside Matrix speech perception tests (which measure speech understanding in noise).
Forty patients with CI were considered: experimental group (21 patients) and control group (19 patients).
Significant improvements ( = 0.017, and < 0.001) in music-related PRO (MUSQUAV), and general CI PRO measures (NCIQ), respectively, were found in the experimental group. No significant differences were found in Matrix speech perception tests post-rehabilitation. Overall, 57% of participants in the experimental group reported subjective improvements in music perception.
This study showed the potential of home-based music rehabilitation in enhancing QoL for CI patients, supporting the possibility of implementing specific musical training programs in audiological care. Larger, randomised, controlled trials are necessary for further characterisation of this topic.
人工耳蜗（CI）植入效果的研究主要集中在言语交流方面，而音乐感知方面的探索则较少。本研究评估了一项基于手机应用程序Meludia（法国Meludia公司）的音乐康复计划，以改善CI患者的生活质量（QoL）和言语感知能力。
在这项非随机临床试验中，实验组接受了16次Meludia治疗，而对照组未接受任何特定的音乐康复治疗。使用了患者报告结局（PRO）指标，包括MUSQUAV问卷和NCIQ领域，同时还进行了矩阵言语感知测试（用于测量噪声中的言语理解能力）。
纳入40例CI患者，分为实验组（21例）和对照组（19例）。
实验组在与音乐相关的PRO（MUSQUAV）和CI总体PRO指标（NCIQ）方面分别有显著改善（ = 0.017， < 0.001）。康复后矩阵言语感知测试未发现显著差异。总体而言，实验组57%的参与者报告音乐感知有主观改善。
本研究表明家庭音乐康复在提高CI患者生活质量方面具有潜力，支持在听力学护理中实施特定音乐训练计划的可能性。需要进行更大规模的随机对照试验来进一步阐明这一主题。
