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Updated: Apr 19, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Interplay between singing and cortical processing of music: a longitudinal study in children with cochlear implants
Ritva Torppa1, Minna Huotilainen2, Miika Leminen3
1Cognitive Brain Research Unit, Cognitive Science, Institute of Behavioural Sciences, University of Helsinki Helsinki, Finland ; Finnish Centre for Interdisciplinary Music Research, University of Helsinki Helsinki, Finland.
Singing may improve auditory skills in children with cochlear implants (CIs). CI singers showed better brain responses to sound changes than non-singers, suggesting singing aids auditory perception and attention development.
Area of Science:
- Neuroscience
- Auditory Neuroscience
- Developmental Neuroscience
Background:
- Informal music activities like singing may enhance auditory perception and attention.
- Children with cochlear implants (CIs) often exhibit differences in auditory processing compared to normal-hearing (NH) peers.
Purpose of the Study:
- To investigate the accuracy and development of music-related sound change detection in children with CIs and NH.
- To determine if singing facilitates auditory perception and attention in children with CIs.
Main Methods:
- Recorded auditory event-related potentials (MMN and P3a) in children aged 4-13 years (CI and NH groups) at two time points.
- Assessed responses to changes in piano tone pitch, timbre, duration, and gaps.
- Compared neural responses between CI singers, CI non-singers, and NH children.
Main Results:
- CI children showed degraded discrimination and attention shift compared to NH children (smaller/later timbre P3a, later pitch P3a).
- Duration MMN increased over time only in the NH group; response pattern development differed between CI and NH groups for duration and gap changes.
- CI singers exhibited enhanced or rapidly developing P3a responses across all sound change types, unlike CI non-singers.
Conclusions:
- Singing appears to augment the development of neural networks for attention and improve neural discrimination in children with CIs.
- The findings highlight an interplay between MMN, P3a, brain development, cochlear implantation, and singing.
- Further research is needed to confirm singing's benefits for auditory perception and attention in children with CIs.
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