基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究

王海华; 邢亚静

doi:10.3969/j.issn.1672-4933.2024.06.020

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基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究

康复教育 | 更新时间：2026-07-11

- 基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究
- A Rehabilitation Study on Tone Perception Ability of Pre-lingual Deaf Children with Cochlear Implantation Using Music Therapy Strategy Based on Sensory Perceptual Development
- 中国听力语言康复科学杂志 2024年22卷第6期页码：645-649
- 作者机构：
  
  1.聊城大学音乐与舞蹈学院聊城 252000
  2.中国听力语言康复研究中心北京 100029
- 作者简介：
  
  王海华博士副教授；研究方向：音乐治疗学
  邢亚静，E-mail：1093225940@qq.com
- 基金信息：
  
  教育部人文社会科学研究规划基金项目《我国听障儿童音调感知能力障碍干预的临床神经音乐治疗学研究》(24YJAZH154)
- DOI：10.3969/j.issn.1672-4933.2024.06.020
  中图分类号： G494
- 收稿：2024-09-25，
  
  纸质出版：2024-11-15
- 稿件说明：
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王海华,邢亚静.基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究[J].中国听力语言康复科学杂志,2024,22(06):645-649.

WANG Hai-hua,XING Ya-jing.A Rehabilitation Study on Tone Perception Ability of Pre-lingual Deaf Children with Cochlear Implantation Using Music Therapy Strategy Based on Sensory Perceptual Development[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):645-649.
王海华,邢亚静.基于感知觉发展的音乐治疗策略对语前聋人工耳蜗植入儿童音调感知能力的康复研究[J].中国听力语言康复科学杂志,2024,22(06):645-649. DOI： 10.3969/j.issn.1672-4933.2024.06.020.

WANG Hai-hua,XING Ya-jing.A Rehabilitation Study on Tone Perception Ability of Pre-lingual Deaf Children with Cochlear Implantation Using Music Therapy Strategy Based on Sensory Perceptual Development[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2024,22(06):645-649. DOI： 10.3969/j.issn.1672-4933.2024.06.020.

摘要

目的

探究儿童感知觉共同发展原理指导下的音乐治疗策略对语前聋人工耳蜗植入（CI）儿童音调感知能力的康复效果。

方法

选取68名3～9岁单侧人工耳蜗植入、首次开机调试距本研究间隔时间不少于6个月的儿童，分为干预组和对照组，干预组基于视觉、听觉、触觉、本体觉和前庭觉等感知觉共同发展原理进行音乐治疗策略，共干预24次。对照组采用传统康复训练方法。

结果

在单双音节测试、音调感知能力、儿童社交焦虑量表（social anxiety scale for children，SASC）和听力植入体儿童生活质量问卷（children using hearing implants quality of life，CuHIQol）的家长期待这4项测试中，干预组儿童训练后得分较对照组得分明显提高（

为0.009、0.018、0.010和0.006），训练效果优于对照组。

结论

基于感知觉共同发展原理的音乐治疗训练能够显著提高CI儿童语音音调、语言感知、听觉等方面能力，有效改善生活质量。此方法不仅有助于CI儿童的心理建设、自信心树立和社交状态改善，还能缓解家长在儿童成长过程中的心理压力和焦虑。

Abstract

Objective

To explore the rehabilitation effect of music therapy strategies guided by the principle of co-development of sensory perceptual abilities in children with pre-lingual hearing loss and cochlear implantation (CI) on tone perception ability.

Method

A total of 68 children aged 3 to 9 years old who underwent unilateral cochlear implantation were selected. They were divided into an intervention group and a control group

with an interval of no less than 6 months between the first start-up and debugging of the cochlear implant. Based on the principle of co development of sensory perception

such as visual

auditory

tactile

proprioceptive and vestibular senses

a music therapy strategy was constructed for control group for 24 training sessions.The control group received traditional rehabilitation training methods.

Result

In the four tests of monosyllabic and disyllabic tests

speech perception ability

social anxiety scale for children (SASC)

and children using hearing implants quality of life questionnaire (CuHIQol)

parents' expectations were significantly improved in the training group after training compared to the control group (p-values of 0.009

0.018

0.010

and 0.006

respectively)

and the training effect was better than that of the control group.

Conclusion

Music therapy training based on the principle of co-development of sensory perception can significantly improve CI children's speech tone

language perception

auditory and other abilities

effectively improving their quality of life. This method not only helps with the psychological construction

self-confidence building

and social status improvement of CI children

but also alleviates the psychological pressure and anxiety of parents during their children's growth process.

关键词

Keywords

references

罗琼鹏 , 彭馨葭 . 语言学 [M ] . 南京 : 南京大学出版社 , 2019 . 53 .

白学海 . 儿童音乐教育中"身体之维"的理论意蕴与实践路径 [J ] . 中国妇幼保健 , 2020 , 57 ( 3 ): 138 - 144 .

Eren B , Deniz J , Duzkantar A . The effectiveness of embedded teaching through the most-to-least prompt-ing procedure in concept teaching to children with au-tism within Orff-based music activitie [J ] . Educational Sciences:Theory and Practice , 2013 , 13 ( 3 ): 1877 - 1885 .

易海燕 , 刘巧云 . 人工耳蜗植入儿童与健听儿童音位对比式听觉别能力的比较研究 [J ] . 中国听力语言康复科学杂志 , 2017 , 15 ( 4 ): 278 - 281 .

Wiefferink CH , Rieffe C , Ketelaar L , et al . Emotion understanding in deaf children with a cochlear implant [J ] . Deaf Stud Deaf Educ , 2013 , 18 ( 2 ): 175 - 186 .

王娜娜 , 刘华 , 申卫东 , 等 . 人工耳蜗植入对语前聋患儿听觉言语康复和声调的影响 [J ] . 中国听力语言康复科学杂志 , 2020 , 18 ( 6 ): 478 - 481 .

Hinderink JB , Krabbe PF , Van DBP . Development and application of ahealth-related quality-of-life instrument for adults with cochlear implants: the Nijmegen cochlear implant questionnaire [J ] . Otolaryngology-Head and Neck Surgery , 2000 , 123 ( 6 ): 756 - 765 .

Raat H , Essink-Bot ML . Reliability and validity of the short form of the child health questionnaire for parents (CHQ-PF28) in large random school based and general population samples [J ] . Epidemiol Community Health , 2005 , 59 ( 1 ): 75 - 82 .

刘晋宣 , 汪梅梅 , 司武亮 , 等 . 语速及语料对学龄前人工耳蜗植入儿童音调的影响 [J ] . 中国听力语言康复科学杂志 , 2017 , 15 ( 1 ): 51 - 56 .

周嵌 , 古鑫 , 刘博 . 人工耳蜗使用者音乐音调感知的研究 [J ] . 国际耳鼻咽喉头颈外科杂志 , 2019 , 43 ( 4 ): 193 - 199 .

王国民 , 朱川 , 袁文化 , 等 . 汉语语音清晰度测试字表的建立和临床应用研究 [J ] . 上海口腔医学 , 1995 , 4 ( 3 ): 125 - 127 .

La Greca AM , Dandes SK , Wick P , et al . Development of the Social Anxiety Scale for Children [J ] . Behavior Therapy , 1988 , 19 ( 4 ): 469 - 476 .

Hind SE , Davis A , Nikolopoulos TP . Children using hearing implants quality of life (CUHIQol): Development and validation of a new questionnaire [J ] . International Journal of Pediatric Otorhinolaryngology , 2003 , 67 ( 1 ): 1 - 10 .

Looi V , Wong Y , Loo JHY . The Effects of Training on Music Perception and Appreciation for Cochlear Implant Recipients [J ] . 2016 , 26 ( 4 ): 155 - 167 .

Moore DR , Amitay S . Auditory Training: Rules and Applications [J ] . Semin Hear , 2007 , 28 ( 2 ): 99 - 109 .

Boothroyd A . Adapting to changed hearing: the potential role of formal training [J ] . Journal of the American Academy of Audiology , 2010 , 21 ( 9 ): 601 - 611 .

Shahin AJ . Neurophysiological Influence of Musical Training on Speech Perception [J ] . Frontiers in Psychology , 2011 , 2 ( 6 ): 126 - 127 .

Musacchia G , Sams M , Skoe E , et al . Musicians have enhanced subcortical auditory and audiovisual processing of speech and music [J ] . Proceedings of the National Academy of Sciences of the United States of America , 2007 , 104 ( 40 ): 15894 - 15898 .

Musacchia G , Strait D , Kraus N . Relationships between behavior, brainstem and cortical encoding of seen and heard speech in musicians and non-musicians [J ] . Hearing Research , 2008 , 241 ( 1-2 ): 34 - 42 .

Lee T , Yu S , Yuan M , et al . The effect of enhancing temporal periodicity cues on Cantonese tone recognition by cochlear implantees [J ] . International Journal of Audiology , 2014 , 53 ( 8 ): 546 - 557 .

Chi YL , Mcmahon CM , Looi V , et al . Melodic Contour Training and Its Effect on Speech in Noise, Consonant Discrimination, and Prosody Perception for Cochlear Implant Recipients [J ] . Behavioural Neurology , 2015 ,2015( 2015 ): 869 - 879 .

Yucel E , Sennaroglu G , Belgin E , et al . The family oriented musical training for children with cochlear implants: Speech and musical perception results of two-year follow-up [J ] . International Journal of Pediatric Otorhinolaryngology , 2009 , 73 ( 7 ): 1043 - 1052 .

See RL , Driscoll VD , Gfeller K , et al . Speech intonation and melodic contour recognition in children with cochlear implants and with normal hearing [J ] . Otology & neurotology , 2013 , 34 ( 3 ): 490 - 498 .

Patel AD . Can nonlinguistic musical training change the way the brain processes speech? The expanded OPERA hypothesis [J ] . Hearing Research , 2014 , 308 ( 4 ): 98 - 108 .

Patel AD . Why would Musical Training Benefit the Neural Encoding of Speech The OPERA Hypothesis [J ] . Frontiers in Psychology , 2011 , 2 ( 142 ): 142 - 157 .

Qian Jie Fu , Meimei Zhu , Xiaosong Wang . Development and validation of the Mandarin speech perception test [J ] . The Journal of the Acoustical Society of America , 2011 , 129 ( 6 ): 267 - 267 .

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