Clin Exp Otorhinolaryngol.  2021 Feb;14(1):15-28. 10.21053/ceo.2020.00101.

Efficacy of Music Training in Hearing Aid and Cochlear Implant Users: A Systematic Review and Meta-Analysis

• Shukor NFA
• Lee J
• Seo YJ
• Han W

• KMID: 2512878
• DOI: http://doi.org/10.21053/ceo.2020.00101

Abstract

This study aimed to evaluate the efficacy of music training on the improvement of musical perception among hearing-impaired listeners using a systematic review and meta-analysis. Article search was conducted from five databases, Scopus, ScienceDirect, Web of Knowledge, CINAHL, and PubMed. A total of 186 participants from 10 studies investigating the music training effects on individuals fitted with hearing assistive devices and outcome measurements were included. The meta-analysis showed standardized mean difference as a measure of the effect size, in musical improvement between the preand post-training. Although the funnel plot yielded an asymmetrical graph, the Egger’s regression showed no significant publication bias. Interestingly, subgroup analysis showed that the training effect was greater in children than in adults. With a necessity of longer training period to significantly improve their musical perception, cochlear implant only users had better effect compared to bi-modal users with both cochlear implant and hearing aids. However, the difference in the training effect between the users with and without previous musical experience was nonsignificant. The present study concludes that auditory music training brings hearing-impaired listeners into better musical perception while informing that training effects differ depending on age, duration of the training, and the type of hearing device used.

Keyword

Hearing Loss; Rehabilitation; Auditory Training; Music Perception

Figure

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  Fig. 1. Flow diagram of studies selected for the systematic review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. PICOS, participants, interventions, comparisons, outcomes, and study design.

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  Fig. 2. Forest plot of a pooled analysis of all 10 included studies (A), and a funnel plot of standard errors by the standardized difference (std diff) in means yielded an asymmetrical graph, indicating potential publication bias (B). MCI, melodic contour identification; CI, confidence interval.

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  Fig. 3. Subgroup analysis. Effect sizes according to age group (A), hearing device (B), previous musical experience (C). CI, confidence interval; std diff, standardized difference; MCI, melodic contour identification. Subgroup analysis. Effect sizes according to the duration of music training (D). CI, confidence interval; std diff, standardized difference; MCI, melodic contour identification.

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