Music Appreciation of Cochlear Implant Users versus Normal Hearing Individuals

Document Type : Original


Department of Cochlear Implant Center and Otorhinolaryngology, Amir-A'lam Hospital, Tehran University of Medical Sciences, Tehran, Iran.



Cochlear implants (CI) provides speech perception for patients with sensorineural hearing impairment; nonetheless, listening to music is a daunting challenge for them. The present study aimed to compare Iranian CI users and normal hearing (NH) controls in terms of musical habits and appreciation and investigate the possible effect of background variables.
Materials and Methods:
A total of  37 CI users who underwent surgery at least 18 months before the study and 59 NH listeners were enrolled in this study. The participants were assigned to two age groups: group A (patients ≥15 years old) and group B (patients <15 years old). They were asked to complete the questionnaires to assess their music engagement.
In group A, the mean score of music importance was significantly higher in CI users (8.7±2.1), as compared to that in NH subjects (5.8±2.3) (P=0.005). Participation in professional musical training and singing with music was not significantly different between the groups. In group B, the mean score of desire for music was not significantly different between CI users (8.2±1.8) and NH subjects (7.7±2.0). They participated in professional musical training and had a reaction to music almost equally. Singing with music was significantly less common in the CI group (CI 16[61.5%], NH (40[85.1%]) (P=0.023). Selected background variables had no significant effect on the music tendency and habits of CI users.
Iranian CI users tended to have a high level of music appreciation in both adult and children groups. Moreover, CI users and NH controls did not significantly differ in the importance of music, devoted time, participation in musical activities, and musical habits.


  1. Chanda ML and Levitin DJ. The neurochemistry of music. Trends Cogn Sci. 2013;17:179-193.
  2. Kuhn D. The effects of active and passive participation in musical activity on the immune system as measured by salivary immunoglobulin A (SIgA). J Music Ther. 2002;39:30-39.
  3. Särkämö T and Soto D. Music listening after stroke: beneficial effects and potential neural mechanisms. Ann N Y Acad Sci. 2012;1252:266-281.
  4. Bradt J, Dileo C, Magill L, et al. Music interventions for improving psychological and physical outcomes in cancer patients. Cochrane Database Syst Rev. 2016:Cd006911.
  5. Mudry A and Mills M. The early history of the cochlear implant: a retrospective. JAMA Otolaryngol Head Neck Surg. 2013;139:446-453.
  6. Gaylor JM, Raman G, Chung M, et al. Cochlear implantation in adults: a systematic review and meta-analysis. JAMA Otolaryngol Head Neck Surg. 2013;139:265-272.
  7. Crowson MG, Semenov YR, Tucci DL, et al. Quality of Life and Cost-Effectiveness of Cochlear Implants: A Narrative Review. Audiol Neurootol. 2017;22:236-258.
  8. Saraç ET, Batuk MO and Sennaroglu G. Evaluation of the quality of life in adults with cochlear implants: As good as the healthy adults? Am J Otolaryngol. 2019;40:720-723.
  9. Dritsakis G, van Besouw RM and O' Meara A. Impact of music on the quality of life of cochlear implant users: a focus group study. Cochlear Implants Int. 2017;18:207-215.
  10. Prevoteau C, Chen SY and Lalwani AK. Music enjoyment with cochlear implantation. Auris Nasus Larynx. 2018;45:895-902.
  11. Sorrentino F, Gheller F, Favaretto N, et al. Music perception in adult patients with cochlear implant. Hearing, Balance and Communication. 2020;18:3-7.
  12. Shirvani S, Jafari Z, Sheibanizadeh A, et al. Emotional Perception of Music in Children with Unilateral Cochlear Implants. Iranian Journal of Otorhinolaryngology. 2014;26:225-233.
  13. Jiam NT, Caldwell MT and Limb CJ. What Does Music Sound Like for a Cochlear Implant User? Otol Neurotol. 2017;38:e240-e247.
  14. Limb CJ and Roy AT. Technological, biological, and acoustical constraints to music perception in cochlear implant users. Hear Res. 2014;308:13-26.
  15. Fuller CD, Galvin JJ, 3rd, Maat B, et al. Comparison of Two Music Training Approaches on Music and Speech Perception in Cochlear Implant Users. Trends Hear. 2018;22:2331216518765379.
  16. Yang J, Liang Q, Chen H, et al. Singing Proficiency of Members of a Choir Formed by Prelingually Deafened Children With Cochlear Implants. J Speech Lang Hear Res. 2019;62:1561-1573.
  17. Migirov L, Kronenberg J and Henkin Y. Self-reported listening habits and enjoyment of music among adult cochlear implant recipients. Ann Otol Rhinol Laryngol. 2009;118:350-355.
  18. Looi V, Gfeller K and Driscoll V. MUSIC Appreciation And Training For Cochlear Implant Recipients: A Review. Semin Hear. 2012;33:307-334.
  19. Adams D, Ajimsha KM, Barberá MT, et al. Multicentre evaluation of music perception in adult users of Advanced Bionics cochlear implants. Cochlear Implants Int. 2014;15:20-26.
  20. Driscoll V, Gfeller K, Tan X, et al. Family involvement in music impacts participation of children with cochlear implants in music education and music activities. Cochlear Implants Int. 2015;16:137-146.
  21. Drennan WR, Oleson JJ, Gfeller K, et al. Clinical evaluation of music perception, appraisal and experience in cochlear implant users. Int J Audiol. 2015;54:114-123.
  22. Bruns L, Mürbe D and Hahne A. Understanding music with cochlear implants. Sci Rep. 2016;6:32026.
  23. Dritsakis G, van Besouw RM, Kitterick P, et al. A Music-Related Quality of Life Measure to Guide Music Rehabilitation for Adult Cochlear Implant Users. Am J Audiol. 2017;26:268-282.
  24. Gfeller K, Driscoll V and Schwalje A. Beyond Technology: The Interaction of Perceptual Accuracy and Experiential Factors in Pediatric Music Engagement. Otol Neurotol. 2019;40:        e290-e297.
  25. Stark T, Brockmeier SJ, Nopp P, et al. Correlation of speech and music appreciation in post-lingually deaf Combi 40/40+ cochlear implant users. Cochlear Implants Int. 2003;4 Suppl 1:68-69.
  26. Bruns L, Mürbe D and Hahne A. Understanding music with cochlear implants. Scientific Reports. 2016;6:32026.
  27. Gfeller K, Mallalieu RM, Mansouri A, et al. Practices and Attitudes That Enhance Music Engagement of Adult Cochlear Implant Users. Front Neurosci. 2019;13:1368.
  28. Jeddi Z, Jafari Z and Motasaddi Zarandy M. Effects of Parents’ Level of Education and Economic Status on the Age at Cochlear Implantation in Children. Iranian Journal of Otorhinolaryngology. 2012;24:7-14.