SLPOtherJournal of speech, language, and hearing research : JSLHR2019

Singing Proficiency of Members of a Choir Formed by Prelingually Deafened Children With Cochlear Implants.

Jing Yang, Qi Liang, Haotong Chen and 2 others

PMID 31021668

WHAT IT FOUND

Ten children with cochlear implants in an intensive 21-month choir, who also had daily speech training, home practice, prior speech therapy, and volunteer tutorials, sang pitch and tempo similarly to eight normal-hearing children on most measures.

This is not proof of benefit.

Key findings

01The choir children with cochlear implants sang pitch contours and pitch deviations similarly to the normal-hearing children.

02They sang much more accurately than children with cochlear implants in earlier studies.

03Within the choir, younger age and a shorter time between implantation and start of singing training were associated with better pitch accuracy.

STILL TO COME

How it was doneWhat they foundWhat it means for SLPs

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What it does not show

The sample was very small: 10 children with cochlear implants and 8 normal-hearing children. The choir members were selected by convenience because their families could commit to travel and time, not by measured singing or speech ability. There was no randomised comparison and no pretraining singing data from the choir, so the study cannot show that music training caused the high proficiency. The children received several supports together: prior speech-language rehabilitation, weekly group music training, daily speech training by caregivers, and daily home practice supervised by caregivers with volunteer online tutorials. The normal-hearing controls were trained differently: they had only 2 weeks of individual training on the target song, while the choir members had 21 months of intensive training. The comparison with earlier cochlear implant groups used different songs and different analysis conditions, so some of the difference may be due to method rather than training. The study measured singing output only; it did not measure music perception, pitch perception, tone perception, speech perception, academic performance, or self-esteem. The hearing aid, age, and implant-timing associations are based on very small numbers and were reported with caution.

Declared interests

The study was supported, in part, by an NIH grant. The supplied text does not report author conflicts.

The easy way to misread this

Do not conclude that singing training alone caused the children's high proficiency or that it will improve hearing, speech, or school performance. The children also received prior speech-language rehabilitation, daily speech training, caregiver-supervised home practice, and volunteer online tutorials, and the study had no randomised control or perceptual outcomes.

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