Susceptibility to Postoperative Changes in Music Appreciation in Elderly Cochlear Implant Recipients

With the rise in life expectancy and the consequent increase in the elderly population, the use of cochlear implants (CI) in elderly patients with hearing loss is also increasing. The aim of this study was to investigate whether music appreciation in elderly CI users differs from that of non-elderly users. Forty-nine adult CI recipients participated in the study, and the Korean version of the Music Background Questionnaire was utilized preoperatively and postoperatively to evaluate music appreciation. The changes between the preoperative and postoperative values were compared after categorizing the participants into a non-elderly group (n = 31) and an elderly group (>= 65 years; n = 18). When compared to the non-elderly group, the elderly individuals exhibited a significant decrease in music listening times, without a significant change in the genre of music listened to following CI surgery. Moreover, the elderly group demonstrated significant decreases in music appreciation scores in terms of music quality and music elements, perceiving music as less natural, less clear, and more complex. They also exhibited significant changes in scores with respect to perception of rhythm, melody, timbre, and lyrics. This susceptibility to postoperative changes in music appreciation among elderly CI users should be considered in surgical counseling and music training programs.

Automated summary

With the increase in life expectancy and elderly population, there is a difference in music appreciation between elderly cochlear implant (CI) users and non-elderly users. Elderly CI users showed a decrease in music listening times and lower music appreciation scores in terms of music quality and elements after CI surgery. They also had significant changes in perception of rhythm, melody, timbre, and lyrics.