SLPOtherEar and hearing2017

Benefits of Music Training for Perception of Emotional Speech Prosody in Deaf Children With Cochlear Implants.

Arla Good, Karen A Gordon, Blake C Papsin and 4 others

PMID 28085739

WHAT IT FOUND

The emotion improvement in children with cochlear implants who received piano training was not clearly different from painting, though the piano group improved on voice-only emotion scores.

The piano group also improved rhythm, melody contour, and incidental memory scores. Nine children were in each group.

Key findings

01Over training, the music group significantly improved on melody contour, rhythm, and incidental memory, but not on scale detection.

02Emotion identification improved over time overall, but the change over time did not differ significantly between music and art groups; the music group showed a significant within-group time effect and the art group did not.

03On voice-only emotion trials, the music group improved significantly, especially between mid- and post-training, while the art group did not improve.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

Only 18 children completed the study, so the sample was small. Assignment was not fully randomized: families could choose a training location, and location determined group assignment; only 6 participants without a location preference were fully randomized. The amount of home practice was not recorded, so the dose of training actually received is uncertain. Music lessons included theory, song learning, vocal rehearsal, and home practice, so the study does not identify which component produced the gains. There was no long-term follow-up, so it is unclear whether any gains persisted after training ended. For emotional prosody, the change over time was not significantly different between music and art groups, so the within-group improvement in the music group cannot be treated as a clear advantage over painting. The authors note possible test-retest familiarity effects, especially for audiovisual emotion trials. All participants were enrolled in oral communication school programs, so the results may not apply to children with cochlear implants who use other communication approaches.

The easy way to misread this

Do not conclude that piano training is proven to improve emotional prosody in children with cochlear implants. The music group improved on voice-only emotion scores, but the change over time was not significantly different from the painting group, and the study had only 18 completed participants.

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