Behavioral and electrophysiological findings of central auditory processing in children and adolescents undergoing musical training.
Bruna de Franceschi Schirmer Gindri, Tainara Milbradt Weich Wagner, Ana Cláudia Figueiredo Frizzo and 1 others
PMID 42054180WHAT IT FOUND
Music training in children was mostly linked to better sound discrimination, better speech understanding in noise and changes in brain responses to sound.
One two-week programme for 11 adolescent cochlear implant users changed nothing. Only seven studies, all observational.
Key findings
01Six of the seven included studies reported benefits from musical training, including better sound discrimination, better understanding of speech in background noise, and changes in the brain's responses to sound.
02The one exception was a 20-hour programme delivered over six days and two weeks to 11 prelingual deaf adolescents who used cochlear implants: neither the behavioural tests nor the brain responses improved, and the authors blamed the short training period.
03The seven studies were too few and too varied in training programme, population and outcome measures to combine statistically, so the authors compared the results descriptively rather than pooling them.
STILL TO COME
How it was doneWhat they foundWhat it means for SLPs
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What it does not show
Only seven studies met the inclusion criteria and they could not be pooled, so the review gives no combined estimate of how much musical training changes auditory processing. The search deliberately excluded terms for central auditory processing, which the authors acknowledge may have kept relevant studies out of the review. Nearly all the studies compared children who were already learning music with children who were not, and nobody was assigned at random, so differences in schools, families or motivation could explain the results. Training programmes, durations, age groups, assessment tools and populations varied so much that the authors describe direct comparison between studies as difficult. Several studies reported only brain-response measures and did no behavioural testing, so it is unclear whether the neural changes made any difference to everyday listening. Sample sizes were small in places, as few as 11 adolescents in one study, and every study used a convenience sample. Two checklist items were marked 'not reported' for all seven studies: whether different amounts of musical training were compared against the outcome, and whether the people assessing outcomes were blinded to which group each child was in.
Declared interests
The authors state under funding and conflicts of interest that there is no financial support to declare.
The easy way to misread this
Do not read this as proof that music lessons improve children's auditory processing. Most included studies compared children who were already learning music with children who were not, so their schools and families may differ in other ways too, and the review could not combine the results into a single estimate. Music may still help, but this paper does not show that it does.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →