SLPOtherEar and hearing2020

Music Is More Enjoyable With Two Ears, Even If One of Them Receives a Degraded Signal Provided By a Cochlear Implant.

David M Landsberger, Katrien Vermeire, Natalia Stupak and 4 others

PMID 31469701

WHAT IT FOUND

Experienced single-sided deafened cochlear implant users rated music more enjoyable when hearing it through both ears than through their normal-hearing ear alone.

The implant ear alone scored low, but adding its degraded signal raised enjoyment.

Key findings

01Music presented only through the cochlear implant was rated very low: 22 for Ring of Fire and 11.24 for Rhapsody in Blue.

02Adding the cochlear implant to the normal-hearing ear raised ratings above the normal-hearing ear alone: 131 for Ring of Fire and 115 for Rhapsody in Blue.

03For normal-hearing listeners, hearing the same unprocessed song in both ears was rated 162 for Ring of Fire and 156 for Rhapsody in Blue, relative to 100 for one ear.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The cochlear implant findings come from a small lab group: 12 participants were tested, and one was excluded. The outcome was personal enjoyment on a slider, not communication, speech, or real-world listening. Only two song segments were used, Ring of Fire and Rhapsody in Blue, so the result may not apply to other music. The participants had one normal or near-normal ear and a cochlear implant in the other ear, so the findings may not generalize to cochlear implant users without acoustic hearing. In normal-hearing listeners, a noise vocoder was used to imitate a cochlear implant, and the paper states that a vocoder does not accurately represent the sound quality of an implant. Four of 13 normal-hearing participants in experiment 3 were excluded because they did not rate the hidden reference between 90 and 110. Familiarity with the songs was not formally collected, and one song had English lyrics while some participants were native Flemish speakers. The benefit in implant users was seen only in experienced users, and the paper does not know whether newly implanted users would show the same effect. Testing took 2 to 4 hours per subject, so ratings may have been affected by fatigue.

Declared interests

The article is listed as supported by NIH and non-U.S. government research support. The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that cochlear implants make music enjoyable for all implant users. The implant-only ratings were very low, and the improvement was measured only when the implant was used together with a normal-hearing ear in a lab. Do not use the normal-hearing two-ear result as proof that a cochlear implant will improve communication or participation.

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The study

Participants
12 single-sided deafened cochlear implant users in experiment 1, with one excluded; 9 normal-hearing listeners in experiment 2; 13 normal-hearing listeners in experiment 3, with four excluded and 9 analyzed
Certainty of evidence
Low

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Cite

David M Landsberger, Katrien Vermeire, Natalia Stupak, et al. Music Is More Enjoyable With Two Ears, Even If One of Them Receives a Degraded Signal Provided By a Cochlear Implant. Ear and hearing. 2020.

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