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Longitudinal music perception performance of postlingual deaf adults with cochlear implants using acoustic and/or electrical stimulation  

Chang, Son A (Soree Rehabilitation Center, Soree Ear Clinic, Graduate Program of Speech-Language Pathology, Yonsei University College of Medicine)
Shin, Sujin (Department of Communication Sciences and Disorders, University of Redlands)
Kim, Sungkeong (Soree Rehabilitation Center, Soree Ear Clinic)
Lee, Yeabitna (Soree Rehabilitation Center, Soree Ear Clinic)
Lee, Eun Young (Soree Rehabilitation Center, Soree Ear Clinic)
Kim, Hanee (Soree Rehabilitation West Center, Soree Ear Clinic)
Shin, You-Ree (Soree Ear Clinic)
Chun, Young-Myoung (Soree Ear Clinic)
Publication Information
Phonetics and Speech Sciences / v.13, no.2, 2021 , pp. 103-109 More about this Journal
In this study, we investigated longitudinal music perception of adult cochlear implant (CI) users and how acoustic stimulation with CI affects their music performance. A total of 163 participants' data were analyzed retrospectively. 96 participants were using acoustic stimulation with CI and 67 participants were using electrical stimulation only via CI. The music performance (melody identification, appreciation, and satisfaction) data were collected pre-implantation, 1-year, and 2-year post-implantation. Mixed repeated measures of ANOVA and pairwise analysis adjusted by Tukey were used for the statistics. As result, in both groups, there were significant improvements in melody identification, music appreciation, and music satisfaction at 1-year, and 2-year post-implantation than a pre-implantation, but there was no significant difference between 1 and 2 years in any of the variables. Also, the group of acoustic stimulation with CI showed better perception skill of melody identification than the CI-only group. However, no differences found in music appreciation and satisfaction between the two groups, and possible explanations were discussed. In conclusion, acoustic and/or electrical hearing devices benefit the recipients in music performance over time. Although acoustic stimulation accompanied with electrical stimulation could benefit the recipients in terms of listening skills, those benefits may not extend to the subjective acceptance of music. These results suggest the need for improved sound processing mechanisms and music rehabilitation.
music perception; music appreciation; music satisfaction; cochlear implant; electro-acoustic stimulation;
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1 Brockmeier, S. J., Peterreins, M., Lorens, A., Vermeire, K., Helbig, S., Anderson, I., Skarzynski, H., ... Kiefer, J. (2010). Music perception in electric acoustic stimulation users as assessed by the Mu. SIC test. In P. van de Heyning, & A. K. Punte (Eds.), Cochlear implants and hearing preservation (Vol. 67, pp. 70-80). Berlin, Germany: Karger Publishers.
2 Drennan, W. R., Oleson, J. J., Gfeller, K., Crosson, J., Driscoll, V. D., Won, J. H., Elizabeth, S. A., & Rubinstein, J. T. (2015). Clinical evaluation of music perception, appraisal and experience in cochlear implant users. International Journal of Audiology, 54(2), 114-123.   DOI
3 Dunn, C. C., Walker, E. A., Oleson, J., Kenworthy, M., Van Voorst, T., Tomblin, J. B., Haihong, J., ... Gantz, B. J. (2014). Longitudinal speech perception and language performance in pediatric cochlear implant users: the effect of age of implantation. Ear and Hearing, 35(2), 148-160.   DOI
4 Galvin, J. J., III, Fu, Q. J., & Shannon, R. V. (2009). Melodic contour identification and music perception by cochlear implant users. Annals of the New York Academy of Sciences, 1169(1), 518-533.   DOI
5 Gantz, B. J., Turner, C., Gfeller, K. E., & Lowder, M. W. (2005). Preservation of hearing in cochlear implant surgery: advantages of combined electrical and acoustical speech processing. The Laryngoscope, 115(5), 796-802.   DOI
6 Gfeller, K. (2016). Music-based training for pediatric CI recipients: a systematic analysis of published studies. European Annals of Oto-rhino-laryngology, Head and Neck Diseases, 133(Suppl. 1), S50-S56.   DOI
7 Looi, V., McDermott, H., McKay, C., & Louise, H. (2008). Music perception of cochlear implant users compared with that of hearing aid users. Ear and Hearing, 29(3), 421-434.   DOI
8 Hargreaves, D. J., & North, A. C. (2010). Experimental aesthetics and liking for music. In P. N. Juslin, & J. A. Sloboda (Eds.), Handbook of music and emotion: Theory, research, and applications (pp. 515-546). Oxford, UK: Oxford University Press.
9 Kang, R., Nimmons, G. L., Drennan, W., Longnion, J., Ruffin, C., Nie, K., Won, J. H., ... Rubinstein, J. (2009). Development and validation of the University of Washington Clinical Assessment of Music Perception test. Ear and Hearing, 30(4), 411-418.   DOI
10 Kuznetsova, A., Brockhoff, P. B., & Christensen, R. H. B. (2017). lmerTest package: tests in linear mixed effects models. Journal of Statistical Software, 82(13), 1-26.
11 Gfeller, K. E., Olszewski, C., Turner, C., Gantz, B., & Oleson, J. (2006). Music perception with cochlear implants and residual hearing. Audiology and Neurotology, 11(Suppl. 1), S12-S15.
12 Tyler, R. S., Dunn, C. C., Witt, S. A., & Noble, W. G. (2007). Speech perception and localization with adults with bilateral sequential cochlear implants. Ear and Hearing, 28(2), 86S-90S.   DOI
13 Gfeller, K., & Lansing, C. R. (1991). Melodic, rhythmic, and timbral perception of adult cochlear implant users. Journal of Speech, Language, and Hearing Research, 34(4), 916-920.   DOI
14 An, Y. H., Choi, B. Y., Kim, J. B., Choi, J. W., Park, M. K., Han, G. C., Cheon, B. C., ... Cho, Y. S. (2019). Translation and linguistic validation of Korean version of musical background questionnaire. Korean Society of Otorhinolaryngology-Head and Neck Surgery, 62(12), 686-698.   DOI
15 Bae, S. C., Shin, Y. R., & Chun, Y. M. (2019). Cochlear implant surgery through round window approach is always possible. Annals of Otology, Rhinology, and Laryngology, 128(suppl. 6), 38S-44S.   DOI
16 Looi, V., & She, J. (2010). Music perception of cochlear implant users: a questionnaire, and its implications for a music training program. International Journal of Audiology, 49(2), 116-128.   DOI
17 Migirov, L., Dagan, E., & Kronenberg, J. (2009). Surgical and medical complications in different cochlear implant devices. Acta Oto-Laryngologica, 129(7), 741-744.   DOI
18 Mirza, S., Douglas, S. A., Lindsey, P., Hildreth, T., & Hawthorne, M. (2003). Appreciation of music in adult patients with cochlear implants: a patient questionnaire. Cochlear Implants International, 4(2), 85-95.   DOI
19 R Core Team (2020). R: A language and environment for statistical computing. [Computer software]. Vienna, Austria: R Foundation for Statistical Computing. Retrieved from
20 Xu, L., Zhou, N., Chen, X., Li, Y., Schultz, H. M., Zhao, X., & Han, D. (2009). Vocal singing by prelingually-deafened children with cochlear implants. Hearing Research, 255(1-2), 129-134.   DOI
21 Yoon, Y. S., Shin, Y. R., Kim, J. M., Coltisor, A., & Chun, Y. M. (2019). Optimizing maps for electric acoustic stimulation users. Cochlear Implants International, 20(3), 106-115.   DOI
22 Yuba, T., Itoh, T., & Kaga, K. (2009). Unique technological voice method (the YUBA method) shows clear improvement in patients with cochlear implants in singing. Journal of Voice, 23(1), 119-124.   DOI
23 Gantz, B. J., & Turner, C. (2004). Combining acoustic and electrical speech processing: Iowa/Nucleus hybrid implant. Acta Otolaryngologica, 124(4), 344-347.   DOI
24 Kong, Y. Y., Cruz, R., Jones, J. A., & Zeng, F. G. (2004). Music perception with temporal cues in acoustic and electric hearing. Ear and Hearing, 25(2), 173-185.   DOI
25 Chang, S., Tyler, R. S., Dunn, C. C., Ji, H., Witt, S. A., Gantz, B., & Hansen, M. (2010). Performance over time on adults with simultaneous bilateral cochlear implants. Journal of the American Academy of Audiology, 21(1), 35-43.   DOI
26 Collister, L. B., & Huron, D. (2008). Comparison of word intelligibility in spoken and sung phrases. Empirical Musicology Review, 3(3), 109-125.   DOI
27 Gfeller, K., Christ, A., Knutson, J., Witt, S., & Mehr, M. (2003). The effects of familiarity and complexity on appraisal of complex songs by cochlear implant recipients and normal hearing adults. Journal of Music Therapy, 40(2), 78-112.   DOI
28 Nakata, T., Trehub, S. E., Mitani, C., Kanda, Y., Shibasaki, A., & Schellenberg, E. G. (2005). Music recognition by Japanese children with cochlear implants. Journal of Physiological Anthropology and Applied Human Science, 24(1), 29-32.   DOI
29 Galvin, J. J., III, Fu, Q. J., & Nogaki, G. (2007). Melodic contour identification by cochlear implant listeners. Ear and Hearing, 28(3), 302.   DOI
30 Gantz, B. J., & Turner, C. W. (2003). Combining acoustic and electrical hearing. The Laryngoscope, 113(10), 1726-1730.   DOI
31 Grieco-Calub, T. M., & Litovsky, R. Y. (2010). Sound localization skills in children who use bilateral cochlear implants and in children with normal acoustic hearing. Ear and Hearing, 31(5), 645-656.   DOI
32 Kiefer, J., Pok, M., Adunka, O., Sturzebecher, E., Baumgartner, W., Schmidt, M., Tillein, J., ... Gstoettner, W. (2005). Combined electric and acoustic stimulation of the auditory system: results of a clinical study. Audiology and Neurotology, 10(3), 134-144.   DOI
33 Yitao, M., & Li, X. (2013). Music and cochlear implants. Journal of Otolaryngology, 8(1), 32-38.
34 Looi, V., Gfeller, K., & Driscoll, V. D. (2012). Music appreciation and training for cochlear implant recipients: a review. Seminars in Hearing, 33(4), 307-334.   DOI
35 McDermott, H. J., & Looi, V. (2004). Perception of complex signals, including musical sounds, with cochlear implants. International Congress Series, 1273, 201-204.   DOI
36 Wright, R., & Uchanski, R. M. (2012). Music perception and appraisal: cochlear implant users and simulated cochlear implant listening. Journal of the American Academy of Audiology, 23(5), 350-365.   DOI