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Updated: Feb 13, 2026
06:04
Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
862
Music Appreciation after Cochlear Implantation in Adult Patients: A Systematic Review
Phoebe E Riley1, Douglas S Ruhl2,3, Macario Camacho4
11 Uniformed Services University Health Systems, Walter Reed Army Medical Center, Bethesda, Maryland, USA.
Summary
Cochlear implants (CIs) enhance speech perception but often diminish music appreciation. Adults with CIs struggle with pitch and timbre, highlighting rhythm and lyrics as key enjoyment factors.
Area of Science:
- Audiology
- Neuroscience
- Rehabilitation Medicine
Background:
- Cochlear implants (CIs) significantly improve speech understanding for individuals with severe to profound hearing loss.
- Despite speech benefits, many CI users report decreased music enjoyment and perception post-implantation.
Purpose of the Study:
- To systematically review English-language literature on music enjoyment and perception in adult cochlear implant recipients.
- To identify key factors influencing music appreciation and challenges faced by CI users.
Main Methods:
- A systematic literature search was conducted across PubMed/MEDLINE, Scopus, Embase, and Cochrane Library databases.
- Studies published up to May 2017 were screened using PRISMA guidelines, focusing on music perception parameters like pitch, timbre, and lyrical content.
- Eighteen studies met inclusion criteria after screening 508 articles.
Main Results:
- Music appreciation studies employed heterogeneous outcome measures, complicating direct comparisons.
- Rhythm and lyrical content emerged as crucial elements for music enjoyment among CI users.
- Patients with CIs demonstrated significant difficulties in perceiving musical pitch and timbre.
Conclusions:
- Rhythm and lyrics are vital for music enjoyment in cochlear implant users, despite challenges with pitch and timbre perception.
- A standardized, validated outcome-measuring tool is needed to assess music appreciation in adult CI recipients.
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