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Updated: Oct 22, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
An evaluation of music perception, appreciation, and overall music enjoyment in prelingual paediatric cochlear
Kranti Bhavana1, Sangam2, Shamshad3
1Department of Otorhinolaryngology, All India Institute of Medical Sciences, Patna, India.
Introduction:
This study was aimed to evaluate the speech abilities, music habits, ability to perceive and enjoy music in prelingual paediatric cochlear implantees between the age group (18-84 months). Testing paediatric CI recipients for their music habits is challenging. This study offers some unique yet simplified tools to test musical parameters in paediatric CI recipients.
Material Methods:
Twenty-seven paediatric CI recipients who had received at least one year of auditory verbal therapy post-implantation were selected. They were tested for their speech abilities using the CAP (Category of Auditory Performance) and SIR (Speech Intelligibility Ratings) score. Music habits (Musicality Rating Scale/MRS), music perception (Pitch, timbre, melody) and music enjoyment (Subjective Assessment of Music Enjoyment/SAME) were assessed using various tools. All these parameters were compared with age and sex-matched controls who had normal hearing.
Results:
Simple pitch discrimination, timbre recognition, and melody identification was observed in 29.60%, 37.03%, and 37.03% of implantees, respectively, compared to 88.88%, 81.48% and 88.88%, in normal-hearing children. The mean scores of CAP, SIR and MRS in cochlear implant users who perceived pitch timbre and melody differed significantly from those who did not. The mean SAME score of the normal-hearing group [4.37 ± 0.74] differs significantly from the paediatric cochlear implant user group [2.59 ± 1.47]. (p < .000).
Conclusion:
This study offers some novel, simplified tools to assess music habits in paediatric cochlear implantees. These can be utilized in low resource settings and can be helpful for rehabilitationists training these children.
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