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Updated: Feb 27, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Music perception improves in children with bilateral cochlear implants or bimodal devices
Melissa J Polonenko1, Sara Giannantonio2, Blake C Papsin1
1Archie's Cochlear Implant Laboratory, Department of Otolaryngology, The Hospital for Sick Children, Room 6D08, Toronto M5G 1X8, Canada.
Music perception in children with cochlear implants is challenging. Music training improves performance, but bilateral cochlear implant and bimodal users still lag behind normal-hearing peers.
Area of Science:
- Audiology
- Neuroscience
- Music Therapy
Background:
- Pediatric cochlear implantation aims to restore hearing.
- Music perception is a complex auditory skill that can be challenging for cochlear implant users.
- Bilateral hearing and music training are potential factors influencing music perception.
Purpose of the Study:
- To assess music perception in pediatric cochlear implant users.
- To investigate the impact of bilateral hearing (bilateral cochlear implants or bimodal devices) on music perception.
- To determine the effect of music training on music perception in children with and without cochlear implants.
Main Methods:
- Utilized the Montreal Battery of Evaluation of Musical Ability test.
- Tested 26 bilateral cochlear implant users, 8 bimodal users, and 16 normal-hearing children.
- Recorded response accuracy and reaction time using an iPad application.
Main Results:
- Bilateral cochlear implant and bimodal users showed lower accuracy and slower reaction times compared to normal-hearing children.
- Music training significantly improved speed and accuracy for all participants, irrespective of hearing status.
- Reaction time improved with age, musical training duration, and residual hearing in implant users.
Conclusions:
- Bilateral cochlear implants and bimodal devices present ongoing music perception challenges for pediatric users.
- Music training is beneficial but does not fully compensate for hearing impairment and device limitations.
- Further research is needed to address music perception difficulties in pediatric cochlear implant users.
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