Systematic investigation of factors contributing to music perception by cochlear implant users

Abstract

Cochlear implant (CI) devices afford many profoundly deaf individuals worldwide partially restored hearing ability. Although CI users achieve remarkable speech perception with contemporary multichannel CI devices, their music perception ability is generally unsatisfactory. Improved CI-mediated music perception ability requires that the underlying constraints hindering processing of music-relevant information need to be identified and understood. This study puts forward a systematic approach, informed by the neurocognitive mechanisms underlying music perception in normal hearing (NH), for investigating implant-mediated music perception. Psychoacoustical experiments were used to explore the extent to which music-relevant information delivered to the central auditory system following peripheral electrical stimulation supports music perception. Task-specific stimuli and test procedures were developed to assess perception of pitch, rhythm and loudness information, both as separate and in combined form, in sound-field listening conditions. CI users’ unsuccessful judgement of the musical character of short, novel single-voice melodies suggests that insufficient information reaches the central auditory processing system to effect a unified musical percept. This is despite sound field frequency discrimination behaviour being better than had been expected and rhythm perception ability with regard to short tone sequences of varying pitch and rhythmic complexity being comparable to that of NH listeners. CI listeners also performed similarly to NH listeners during pitch-dependent loudness perception tasks. Within the framework of a hierarchical, modular processing system underlying music perception, it appears that early pitch processing deficits propagate throughout the music processing system to exert an overriding inhibitory perceptual effect. The outcomes of this study not only underline the importance of delivering sufficient pitch information to the electrically stimulated auditory system but also show that music perception in CI-mediated hearing should be investigated and understood as the outcome of an integrated perceptual system.