TY - JOUR
T1 - Adapting to the Sound of Music - Development of Music Discrimination Skills in Recently Implanted CI Users
AU - Seeberg, Alberte Baggesgaard
AU - Trusbak Haumann, Niels
AU - Højlund, Andreas
AU - Andersen, Anne Sofie
AU - F. Faulkner, Kathleen
AU - Brattico, Elvira
AU - Vuust, Peter
AU - Petersen, Bjørn
PY - 2023/1
Y1 - 2023/1
N2 - Cochlear implants (CIs) are optimized for speech perception but poor in conveying musical sound features such as pitch, melody, and timbre. Here, we investigated the early development of discrimination of musical sound features after cochlear implantation. Nine recently implanted CI users (CIre) were tested shortly after switch-on (T1) and approximately 3 months later (T2), using a musical multifeature mismatch negativity (MMN) paradigm, presenting four deviant features (intensity, pitch, timbre, and rhythm), and a three-alternative forced-choice behavioral test. For reference, groups of experienced CI users (CIex; n = 13) and normally hearing (NH) controls (n = 14) underwent the same tests once. We found significant improvement in CIre's neural discrimination of pitch and timbre as marked by increased MMN amplitudes. This was not reflected in the behavioral results. Behaviorally, CIre scored well above chance level at both time points for all features except intensity, but significantly below NH controls for all features except rhythm. Both CI groups scored significantly below NH in behavioral pitch discrimination. No significant difference was found in MMN amplitude between CIex and NH. The results indicate that development of musical discrimination can be detected neurophysiologically early after switch-on. However, to fully take advantage of the sparse information from the implant, a prolonged adaptation period may be required. Behavioral discrimination accuracy was notably high already shortly after implant switch-on, although well below that of NH listeners. This study provides new insight into the early development of music-discrimination abilities in CI users and may have clinical and therapeutic relevance.
AB - Cochlear implants (CIs) are optimized for speech perception but poor in conveying musical sound features such as pitch, melody, and timbre. Here, we investigated the early development of discrimination of musical sound features after cochlear implantation. Nine recently implanted CI users (CIre) were tested shortly after switch-on (T1) and approximately 3 months later (T2), using a musical multifeature mismatch negativity (MMN) paradigm, presenting four deviant features (intensity, pitch, timbre, and rhythm), and a three-alternative forced-choice behavioral test. For reference, groups of experienced CI users (CIex; n = 13) and normally hearing (NH) controls (n = 14) underwent the same tests once. We found significant improvement in CIre's neural discrimination of pitch and timbre as marked by increased MMN amplitudes. This was not reflected in the behavioral results. Behaviorally, CIre scored well above chance level at both time points for all features except intensity, but significantly below NH controls for all features except rhythm. Both CI groups scored significantly below NH in behavioral pitch discrimination. No significant difference was found in MMN amplitude between CIex and NH. The results indicate that development of musical discrimination can be detected neurophysiologically early after switch-on. However, to fully take advantage of the sparse information from the implant, a prolonged adaptation period may be required. Behavioral discrimination accuracy was notably high already shortly after implant switch-on, although well below that of NH listeners. This study provides new insight into the early development of music-discrimination abilities in CI users and may have clinical and therapeutic relevance.
KW - auditory discrimination
KW - cochlear implants
KW - mismatch negativity
KW - music perception
KW - neural plasticity
KW - Cochlear Implantation
KW - Pitch Discrimination
KW - Auditory Perception/physiology
KW - Humans
KW - Music
KW - Pitch Perception
KW - Cochlear Implants
UR - http://www.scopus.com/inward/record.url?scp=85145430254&partnerID=8YFLogxK
U2 - 10.1177/23312165221148035
DO - 10.1177/23312165221148035
M3 - Journal article
C2 - 36597692
SN - 2331-2165
VL - 27
JO - Trends in Hearing
JF - Trends in Hearing
ER -