Sud Parul, Munjal Sanjay Kumar, Panda Naresh, Mohanty Manju
Speech and Hearing Unit, Department of Otolaryngology, Post-Graduate Institute of Medical Education and Research, 4th Floor, New OPD, Chandigarh, 160012 India.
Department of Otolaryngology, Max Superspeciality Hospital, Mohali, Punjab India.
Indian J Otolaryngol Head Neck Surg. 2025 Jul;77(7):2461-2466. doi: 10.1007/s12070-025-05513-5. Epub 2025 May 14.
The present study aimed to understand the music perception and speech perception skills of pediatric cochlear implant (CI) recipients and the effect of age on the music perception skills of cochlear implant users.
The aided word recognition score (WRS) was calculated using the Picture Speech Identification (PSI) test for Children in Hindi. The short version of the Montreal Battery of Evaluation of Musical Abilities in Childhood (MBEMA) was administered to assess music perception abilities in children.
Musical melodies were computer-generated with a duration of 3-4 s. Each trial consisted of a target and a comparison melody separated by a 1.5 ms silent interval. The listener's task was to decide whether the target melody and comparison melody were the same or different at the end of each presentation. All test stimuli were presented on a laptop using free-field speakers in a sound-treated room.
The normal-hearing subjects performed significantly better than the CI recipients on all three subtests of music perception ( <.001). Kendall's tau-b correlation suggests a strong positive correlation between melody, rhythm perception, and memory with word recognition. Age was not found to be a significant predictor of music perception.
Decoding music into its essential rhythm, melody, and timbre elements is a valuable approach for understanding cochlear implant-mediated music perception. Professionals can understand the fundamental aspects of musical perception and identify the areas in which implant users experience great difficulty.
本研究旨在了解小儿人工耳蜗(CI)植入者的音乐感知和言语感知技能,以及年龄对人工耳蜗使用者音乐感知技能的影响。
使用印地语儿童图片言语识别(PSI)测试计算助听单词识别分数(WRS)。采用儿童期音乐能力评估蒙特利尔电池组(MBEMA)的简短版本来评估儿童的音乐感知能力。
音乐旋律由计算机生成,时长为3 - 4秒。每次试验包括一个目标旋律和一个比较旋律,中间间隔1.5毫秒的静音间隔。听众的任务是在每次呈现结束时判断目标旋律和比较旋律是否相同。所有测试刺激均在隔音室中使用笔记本电脑通过自由场扬声器呈现。
在音乐感知的所有三个子测试中,听力正常的受试者表现明显优于人工耳蜗植入者(P <.001)。肯德尔tau - b相关性表明旋律、节奏感知和记忆与单词识别之间存在强正相关。未发现年龄是音乐感知的显著预测因素。
将音乐解码为其基本的节奏、旋律和音色元素是理解人工耳蜗介导的音乐感知的一种有价值的方法。专业人员可以了解音乐感知的基本方面,并确定植入用户遇到极大困难的领域。