Impact of Music Therapy on Speech Intelligibility in Noise With Cochlear Implants
NCT ID: NCT06734897
Last Updated: 2025-11-25
Study Results
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Basic Information
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RECRUITING
NA
30 participants
INTERVENTIONAL
2025-06-11
2027-02-28
Brief Summary
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Detailed Description
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Music therapy is one of the approaches that can assist users with achieving better performance in situations of difficult listening comprehension such as speech perception in noisy environments. One such music therapy concept developed in Heidelberg is based on the parallelism of language and music, whereby targeted training using musical parameters such as rhythm, pitch and timbre can have an impact on the ability to perceive speech. At present, the fact that music therapy can help improve speech intelligibility is primarily based on research with normal hearing listeners.
Nowadays, cochlear implant technology has the primary goal to restore functional hearing and speech perception in people with bilateral severe-to-profound sensorineural hearing loss. Good results will be achieved by post lingually deafened CI users regarding the understanding of open-set sentences presented in quiet. But our surroundings are rarely quiet. Therefore, the goal of good rehabilitation must be to ensure that CI users also can cope well in our noisy environment. Music therapy is thus intended to be the crucial piece in the puzzle that enables such understanding in noisy situations.
This study aims to investigate the benefits of music therapy for cochlear implant users in terms of their speech intelligibility performance in noise. This is an explorative study to determine suitable parameters such as the time point of starting the music.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Group A
Group A will begin six months of music therapy immediately after cochlear implantation.
music therapy after Cochlear Implantation
The music therapy is specially designed for the rehabilitation of CI-patients. It focuses on learning to distinguish different sound sources, especially when they occur at the same time. Training involves familiarization with different aspects of music such as rhythm, melody, and pitch while at the same time also getting to know the sound of different musical instruments, including singing. The training is also aimed at learning to concentrate on spoken instructions while the music is going on. This latter aim is fundamental to the goal of this study and plays a central role in the therapy.
Group B
Group B is the delayed group and will start music therapy six months after group A.
music therapy after Cochlear Implantation
The music therapy is specially designed for the rehabilitation of CI-patients. It focuses on learning to distinguish different sound sources, especially when they occur at the same time. Training involves familiarization with different aspects of music such as rhythm, melody, and pitch while at the same time also getting to know the sound of different musical instruments, including singing. The training is also aimed at learning to concentrate on spoken instructions while the music is going on. This latter aim is fundamental to the goal of this study and plays a central role in the therapy.
Group C
Group C won't receive any music therapy and serves as a control group.
no music therapy after Cochlear Implantation
Group C consists of persons who do not receive any music therapy after Cochlear Implantation.
Interventions
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music therapy after Cochlear Implantation
The music therapy is specially designed for the rehabilitation of CI-patients. It focuses on learning to distinguish different sound sources, especially when they occur at the same time. Training involves familiarization with different aspects of music such as rhythm, melody, and pitch while at the same time also getting to know the sound of different musical instruments, including singing. The training is also aimed at learning to concentrate on spoken instructions while the music is going on. This latter aim is fundamental to the goal of this study and plays a central role in the therapy.
no music therapy after Cochlear Implantation
Group C consists of persons who do not receive any music therapy after Cochlear Implantation.
Eligibility Criteria
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Inclusion Criteria
2. Patients who undergo a new CI Implantation
3. Patients who speak German as their main language
Exclusion Criteria
18 Years
85 Years
ALL
No
Sponsors
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Armina Kreuzer
OTHER
Responsible Party
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Armina Kreuzer
Dr. tech.
Locations
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Lucerne Cantonal Hospital
Lucerne, Canton of Lucerne, Switzerland
Countries
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Central Contacts
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References
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Looi V, Gfeller K, Driscoll V. MUSIC APPRECIATION AND TRAINING FOR COCHLEAR IMPLANT RECIPIENTS: A REVIEW. Semin Hear. 2012 Nov 1;33(4):307-334. doi: 10.1055/s-0032-1329222. Epub 2012 Nov 19.
Lima JP, Iervolino SMS, Schochat E. Musical and temporal auditory skills in cochlear implant users after music therapy. Codas. 2018 Nov 12;30(6):e20180006. doi: 10.1590/2317-1782/20182018006. English, Portuguese.
Hutter E, Grapp M, Argstatter H. [Music therapy in adults with cochlear implants : Effects on music perception and subjective sound quality]. HNO. 2016 Dec;64(12):880-890. doi: 10.1007/s00106-016-0279-7. German.
Hey M, Bohnke B, Mewes A, Munder P, Mauger SJ, Hocke T. Speech comprehension across multiple CI processor generations: Scene dependent signal processing. Laryngoscope Investig Otolaryngol. 2021 Jun 15;6(4):807-815. doi: 10.1002/lio2.564. eCollection 2021 Aug.
Haumann S, Muhler R, Ziese M, von Specht H. [Discrimination of musical pitch with cochlear implants]. HNO. 2007 Aug;55(8):613-9. doi: 10.1007/s00106-006-1485-5. German.
Gfeller K, Woodworth G, Robin DA, Witt S, Knutson JF. Perception of rhythmic and sequential pitch patterns by normally hearing adults and adult cochlear implant users. Ear Hear. 1997 Jun;18(3):252-60. doi: 10.1097/00003446-199706000-00008.
Dincer D'Alessandro H, Boyle PJ, Portanova G, Mancini P. Music perception and speech intelligibility in noise performance by Italian-speaking cochlear implant users. Eur Arch Otorhinolaryngol. 2022 Aug;279(8):3821-3829. doi: 10.1007/s00405-021-07103-x. Epub 2021 Oct 1.
Amann E, Anderson I. Development and validation of a questionnaire for hearing implant users to self-assess their auditory abilities in everyday communication situations: the Hearing Implant Sound Quality Index (HISQUI19). Acta Otolaryngol. 2014 Sep;134(9):915-23. doi: 10.3109/00016489.2014.909604. Epub 2014 Jun 30.
Digeser F, Hast A, Hessel H, Hoppe U (2008): Einfluss von Obertönen auf die Frequenzdiskrimination bei Cochlear Implant Trägern
Wagener KC, Kühnel V, Kollmeier B (1999b) Entwicklung und Evaluation eines Satztests für die deutsche Sprache III: Evaluation des Oldenburger Sprachtests. Z Audiol 38:86-95.
Wagener KC, Kühnel V, Kollmeier B (1999a) Entwicklung und Evaluation eines Satztests für die deutsche Sprache I: Design des Oldenburger Satztests. Z Audiol 38:4-15.
Schuppert M, Munte TF, Wieringa BM, Altenmuller E. Receptive amusia: evidence for cross-hemispheric neural networks underlying music processing strategies. Brain. 2000 Mar;123 Pt 3:546-59. doi: 10.1093/brain/123.3.546.
Schauwecker N, Patro A, Holder JT, Bennett ML, Perkins E, Moberly AC. Cochlear Implant Qualification in Noise Versus Quiet: Do Patients Demonstrate Similar Postoperative Benefits? Otolaryngol Head Neck Surg. 2024 May;170(5):1411-1420. doi: 10.1002/ohn.677. Epub 2024 Feb 14.
Parbery-Clark A, Strait DL, Anderson S, Hittner E, Kraus N. Musical experience and the aging auditory system: implications for cognitive abilities and hearing speech in noise. PLoS One. 2011 May 11;6(5):e18082. doi: 10.1371/journal.pone.0018082.
Patel AD. Why would Musical Training Benefit the Neural Encoding of Speech? The OPERA Hypothesis. Front Psychol. 2011 Jun 29;2:142. doi: 10.3389/fpsyg.2011.00142. eCollection 2011.
Petersen B, Mortensen MV, Gjedde A, Vuust P. Reestablishing speech understanding through musical ear training after cochlear implantation: a study of the potential cortical plasticity in the brain. Ann N Y Acad Sci. 2009 Jul;1169:437-40. doi: 10.1111/j.1749-6632.2009.04796.x.
Mirza S, Douglas SA, Lindsey P, Hildreth T, Hawthorne M. Appreciation of music in adult patients with cochlear implants: a patient questionnaire. Cochlear Implants Int. 2003 Jun;4(2):85-95. doi: 10.1179/cim.2003.4.2.85.
McDermott HJ. Music perception with cochlear implants: a review. Trends Amplif. 2004;8(2):49-82. doi: 10.1177/108471380400800203.
Related Links
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PMID: 24975453
PMID: 34596714
PMID: 9201460
PMID: 34401506
PMID: 30462748
PMID: 15497033
PMID: 18792140
PMID: 19673820
PMID: 21747773
PMID: 21589653
PMID: 38353294
PMID: 10686177
Other Identifiers
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Musiktherapie_Erwachsene
Identifier Type: -
Identifier Source: org_study_id
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