音乐疗法在听障儿童康复中的应用研究进展

郑惠萍; 施心雨; 肖永涛

doi:10.3969/j.issn.1672-4933.2026.04.008

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音乐疗法在听障儿童康复中的应用研究进展

听力学教育与听觉言语康复 | 更新时间：2026-09-22

- 音乐疗法在听障儿童康复中的应用研究进展
- Research Progress on the Application of Music Therapy to Rehabilitation of Children with Hearing Impairment
- 中国听力语言康复科学杂志 2026年24卷第4期页码：368-371
- 作者机构：
  
  1.浙江中医药大学杭州 310053
  2.杭州南粟科技有限公司杭州 311121
- 作者简介：
  
  郑惠萍在读硕士中级技师；研究方向：听力与言语康复
  肖永涛，E-mail：20131011@zcmu.edu.cn
- 基金信息：
  
  浙江省尖兵领雁计划项目“基于高灵敏度声学传感器的全植入式人工听觉假体研发”(2025C01108);浙江中医药大学重点支撑计划项目资助“人工耳蜗术后儿童情绪韵律的特征及干预策略研究”(2023JKZDZC09)
- DOI：10.3969/j.issn.1672-4933.2026.04.008
  中图分类号： G762
- 收稿：2026-03-05，
  
  修回：2026-05-22，
  
  录用：2026-06-30，
  
  纸质出版：2026-07-15
- 稿件说明：
移动端阅览
郑惠萍,施心雨,肖永涛.音乐疗法在听障儿童康复中的应用研究进展[J].中国听力语言康复科学杂志,2026,24(04):368-371.

ZHENG Hui-ping,SHI Xin-yu,XIAO Yong-tao.Research Progress on the Application of Music Therapy to Rehabilitation of Children with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):368-371.
郑惠萍,施心雨,肖永涛.音乐疗法在听障儿童康复中的应用研究进展[J].中国听力语言康复科学杂志,2026,24(04):368-371. DOI： 10.3969/j.issn.1672-4933.2026.04.008.

ZHENG Hui-ping,SHI Xin-yu,XIAO Yong-tao.Research Progress on the Application of Music Therapy to Rehabilitation of Children with Hearing Impairment[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2026,24(04):368-371. DOI： 10.3969/j.issn.1672-4933.2026.04.008.

摘要

人工耳蜗和助听器等听觉补偿技术帮助越来越多听障儿童获得稳定的听觉输入，为其听觉言语康复奠定基础。然而，受听觉编码方式、残余听力、植入或配戴年龄、康复经验及家庭支持等因素影响，康复后的儿童在音乐的音高、音色、节奏及言语情感韵律等精细听觉加工方面仍存在不足，表现为音高辨别、声调识别、言语感知、歌唱和情绪理解能力受限，尤其对以声调变化区分语义的汉语儿童，其沟通交流和社会适应受到持续影响。音乐兼具节奏、旋律、音高、力度、情绪和互动等多重属性，能够通过听觉—运动耦合、节律同步、多感官反馈和情绪调节等途径激活与语言加工相关的神经网络，促进听觉感知、言语节律、声调加工、表达沟通及社会情绪发展。近年来，奥尔夫音乐教学、达尔克罗兹律动、柯达伊声乐游戏、可视音乐训练、音乐音符训练及旋律轮廓识别训练等方法逐渐应用于听障儿童康复，规律、持续且符合年龄特点和听觉能力水平的音乐活动可在一定程度上改善听障儿童的听觉言语能力、音乐感知能力、情绪行为和社会交往表现。本文从音乐疗法的定义、生理学基础、干预形式及存在的问题等方面进行综述，重点梳理不同音乐干预在听障儿童康复中的应用特点与作用方向，结合汉语声调语言特点分析音乐训练对声调感知和言语理解的潜在价值，以期为汉语听障儿童听觉言语康复方案的设计、疗效评估和后续研究提供参考。

Abstract

Hearing devices such as cochlear implants and hearing aids have enabled an increasing number of children with hearing loss to obtain stable auditory input

thereby laying the foundation for auditory-verbal rehabilitation. However

due to factors such as signal coding strategies

residual acoustic hearing

age at implantation and device fitting

rehabilitation experience

and family support

some children still exhibit deficits in fine-grained auditory processing

including pitch

timbre

rhythm

and affective prosody. These deficits may manifest as limited abilities in pitch discrimination

lexical tone perception

speech perception

singing

and emotional understanding. This is particularly important for Mandarin-speaking children

as Mandarin Chinese relies on lexical tone contrasts to distinguish word meanings; consequently

their communication and social adjustment may be persistently affected. Music involves multiple attributes

including rhythm

melody

pitch

dynamics

emotion

and interaction. Through auditory-motor coupling

rhythmic synchronization

multisensory feedback

and emotional regulation

music may activate neural networks related to language processing

thereby promoting auditory perception

speech rhythm

lexical tone processing

expressive communication

and socio-emotional development. In recent years

approaches such as Orff Schulwerk

Dalcroze Eurhythmics

Kodály-based singing games

visualized music training

pitch/note discrimination training

and melodic contour identification training have gradually been applied in the rehabilitation of children with hearing loss. Existing studies suggest that regular and sustained music-based activities tailored to children's age-related characteristics and auditory ability levels may

to some extent

improve their auditory and speech-language abilities

musical perception

emotional behavior

and social interaction. This paper provides a comprehensive review of music therapy and music-based interventions

covering their definitions

physiological foundations

major intervention forms

and existing challenges. It focuses on the application characteristics and therapeutic directions of various music interventions in the rehabilitation of children with hearing loss. Furthermore

by integrating the linguistic features of Mandarin Chinese

this paper examines the potential value of music training for lexical tone perception and speech comprehension

with the aim of providing a reference for the design of auditory-verbal rehabilitation programs

the evaluation of intervention efficacy

and future research involving Mandarin-speaking children with hearing loss.

关键词

Keywords

references

朱晶 , 卢晓月 . 音乐教育对听障儿童心理健康的影响 [J ] . 中国听力语言康复科学杂志 , 2019 , 17 ( 6 ): 459 - 461 .

Torppa R , Huotilainen M . Why and how music can be used to rehabilitate and develop speech and language skills in hearing-impaired children [J ] . Hearing Research , 2019 , 380(c):108- 122 .

吴芃 , 陶云 , 胡宏安 . 听力障碍儿童的语言发展研究进展 [J ] . 中国康复理论与实践 , 2019 , 25 ( 6 ): 704 - 708 .

杜向阳 , 李寿欣 . 听力障碍儿童与正常儿童认知方式的比较研究 [J ] . 中国特殊教育 , 2002 ,( 1 ): 33 - 36 .

Welch GF , Saunders J , Edwards S , et al . Using singing to nurture children's hearing? A pilot study [J ] . Cochlear Implants International , 2015 , 16 ( Suppl 3 ): 63 - 70 .

Nakata T , Trehub SE , Kanda Y . Effect of cochlear implants on children's perception and production of speech prosody [J ] . Journal of the Acoustical Society of America , 2012 , 131 ( 2 ): 1307 - 1314 .

张芳 , 史泱 . 学龄前不同助听方式听障儿童和健听儿童情感语调识别能力比较 [J ] . 听力学及言语疾病杂志 , 2019 , 27 ( 1 ): 69 - 71 .

Geretsegger M , Mössler KA , Bieleninik Ł , et al . Music therapy for people with schizophrenia and schizophrenia-like disorders [J ] . Cochrane Database Syst Rev , 2017 , 5 ( 5 ): CD004025 .

邵丽 , 王庭槐 . 音乐治疗的现况与进展 [J ] . 中国康复医学杂志 , 2009 , 24 ( 10 ): 959 - 962 .

Menon V , Levitin DJ . The rewards of music listening: response and physiological connectivity of the mesolimbic system .[J ] . Neuroimage , 2005 , 28 ( 1 ): 175 - 184 .

Dastgheib SS , Riyassi M , Anvari M , et al . Music Training Program: A Method Based on Language Development and Principles of Neuroscience to Optimize Speech and Language Skills in Hearing-Impaired Children [J ] . Iran J Otorhinolaryngol , 2013 , 25 ( 71 ): 91 - 95 .

Hyde KL , Lerch J , Norton A , et al . Musical training shapes structural brain development [J ] . J Neurosci , 2009 , 29 ( 10 ): 3019 - 3025 .

Dittinger E , Chobert J , Ziegler JC , et al . Fast Brain Plasticity during Word Learning in Musically-Trained Children [J ] . Frontiers in Human Neuroscience , 2017 ( 11 ): 233 - 233 .

Thaut MH , McIntosh GC , Hoemberg V . Neurobiological foundations of neurologic music therapy: rhythmic entrainment and the motor system [J ] . Frontiers in psychology , 2015 ,( 5 ): 1185 - 1185 .

Rusowicz J , Szczepańska-Gieracha J , Kiper P . Neurologic music therapy in geriatric rehabilitation: A systematic review [C ] . Healthcare , 2022 , 10 ( 11 ): 2187 .

Mendez MCL , Garcia LF , Gonzalez MTD . Effectiveness of rhythmic training on linguistics skill development in deaf children and adolescents with cochlear implants: A systematic review [J ] . International journal of pediatric otorhinolaryngology , 2023 ,( 169 ): 111561 .

赵双玉 , 王飞 . 奥尔夫节奏训练法在听障儿童康复教育中的初步应用研究 [J ] . 教育界 , 2011 ,( 6 ): 73 - 74 .

王滔 , 徐雪梅 . 奥尔夫音乐教学法提高人工耳蜗植入幼儿言语听辨能力的实验研究 [J ] . 中国特殊教育 , 2015 ,( 6 ): 29 - 34 .

高照勤 , 韩治国 , 安秀蓉 , 等 . 奥尔夫音乐干预联合绘本训练对听障儿童的影响 [J ] . 中国听力语言康复科学杂志 , 2022 , 20 ( 2 ): 130 - 132 .

Cason N , Hidalgo Céline , Isoard F , et al . Rhythmic Priming Enhances Speech Production Abilities: Evidence From Prelingually Deaf Children [J ] . Neuropsychology , 2015 , 29 ( 1 ): 102 - 107 .

陈硕 . 音乐训练对聋哑儿童康复作用的调查 [J ] . 乐器 , 2009 , 38 ( 4 ): 30 - 33 .

闫征 , 王艺菱 , 刘晓明 . 听障儿童律动干预研究 [J ] . 名汇 , 2020 , 2 ( 21 ): 69 - 71 .

Innes-Brown H , Marozeau JP , Storey CM , et al . Tone, rhythm, and timbre perception in school-age children using cochlear implants and hearing aids [J ] . J Am Acad Audiol , 2013 , 24 ( 9 ): 789 - 806 .

闫莉枞 , 刘艳玲 , 马钰 , 等 . 听力障碍儿童音乐治疗的研究进展 [J ] . 中国康复理论与实践 , 2020 , 26 ( 2 ): 215 - 218 .

Hao S , Wang Q , Zhang Y , et al . The effect of different visual feedback interfaces of music training games on speech rehabilitation in hearing-impaired children: An fNIRS study [J ] . Neuroscience Letters , 2024 ,( 843 ): 138010 .

黄昭鸣 , 李立勤 , 金野 . 特殊需要儿童可视音乐干预的原理与方法 [J ] . 中国听力语言康复科学杂志 , 2008 , 6 ( 6 ): 67 - 69 .

钟丽瑜 , 余瑾 , 杨海芳 . 音乐治疗在听障儿童康复中的应用和展望 [J ] . 中国听力语言康复科学杂志 , 2016 , 14 ( 3 ): 224 - 226 .

刘里里 , 罗薇 , 张晶 , 等 . 音乐教育对3～4岁听障儿童听觉、言语能力发展的影响研究 [J ] . 中国听力语言康复科学杂志 , 2012 , 10 ( 3 ): 202 - 205 .

周静 , 沈晓丽 , 陈雪芬 , 等 . 音乐疗法对语前聋患儿人工耳蜗植入术后听觉言语康复的效果 [J ] . 听力学及言语疾病杂志 , 2014 , 22 ( 6 ): 639 - 642 .

李健鹰 , 李广盛 , 汪贺媛 , 等 . 音乐音符训练提高助听器配置青少年的音符听辨能力的临床研究 [J ] . 中国现代医学杂志 , 2011 , 21 ( 21 ): 2665 - 2667 .

Fu QJ , Galvin JJ , Wang X , et al . Benefits of Music Training in Mandarin-Speaking Pediatric Cochlear Implant Users [J ] . J Speech Lang Hear Res , 2015 , 58 ( 1 ): 163 - 169 .

Good A , Gordon KA , Papsin BC , et al . Benefits of Music Training for Perception of Emotional Speech Prosody in Deaf Children With Cochlear Implants [J ] . Ear Hear , 2017 , 38 ( 4 ): 455 - 464 .

余菲 , 唐小林 , 唐京梅 , 等 . 音乐训练用于人工耳蜗植入儿童听觉言语康复训练效果分析 [J ] . 听力学及言语疾病杂志 , 2018 , 26 ( 2 ): 176 - 180 .

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