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Hearing Disorders: HELP
Articles by Lee R. Bartel
Based on 2 articles published since 2010
(Why 2 articles?)

Between 2010 and 2020, Lee Bartel wrote the following 2 articles about Hearing Disorders.
+ Citations + Abstracts
1 Clinical Trial Musical Rehabilitation in Adult Cochlear Implant Recipients With a Self-administered Software. 2017

Smith, Leah / Bartel, Lee / Joglekar, Samidha / Chen, Joseph. ·*Department of Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre †Department of Music ‡Department of Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada. ·Otol Neurotol · Pubmed #28806336.

ABSTRACT: OBJECTIVE: The goal of this study was to determine if a self-administered computer-based rehabilitation program could improve music appreciation and speech understanding in adults who have a cochlear implant (CI). STUDY DESIGN: Prospective study. SETTING: Tertiary adult CI program. PATIENTS: Twenty-one postlingually deafened cochlear implant users between the ages of 27 and 79 years were recruited. INTERVENTIONS(S): A self-administered music rehabilitative software was designed to help improve the perception of musical patterns of increasing complexity, as well as pitch and timbre perception, premised on focused and divided attention. All participants completed a diagnostic music test before and after rehabilitative training, including tests of pitch and timbre perception and pattern identification with increasing levels of difficulty. Speech data in quiet and noise was also collected both pre- and post-training. Participants trained for a minimum of 3.5 hours a week, for 4 weeks. MAIN OUTCOME MEASURE(S): Mean changes in music perception and enjoyment as well as speech perception (IEEE sentence test in quiet and noise). RESULTS: Post-training diagnostic test scores, as compared with pretraining scores, indicated significant improvements in musical pattern perception. Tests of speech perception in quiet and in noise were significantly improved in a subset of this cohort. All of the training participants thought that the training helped to improve their recognition skills, and found the program to be beneficial. CONCLUSION: Despite the limitations of current CI technology, the results of this study suggest that auditory training can improve music perception skills, and possibly speech intelligibility, lending further support to rehabilitation being an integral part of the postimplantation paradigm.

2 Article Qualitative case studies of five cochlear implant recipients' experience with music. 2011

Bartel, Lee R / Greenberg, Simon / Friesen, Lendra M / Ostroff, Jodi / Bodmer, Daniel / Shipp, David / Chen, Joseph M. ·University of Toronto, Ontario, Canada. lbartel@chass.utoronto.ca ·Cochlear Implants Int · Pubmed #21756456.

ABSTRACT: Cochlear implantation has revolutionized the management of those who suffer from severe-to-profound hearing loss because many patients now achieve excellent speech understanding with objective testing. Nevertheless, speech understanding in noisy conditions and music appreciation remain significant challenges to cochlear implant (CI) users. Music appreciation is an extremely complex experience that is difficult to quantify through a conventional outcome study. This paper aims at documenting the experience of five CI patients with regard to music appreciation using qualitative techniques. This information was obtained through a semi-structured interview process. The interviews were then transcribed and analysed using a constant comparative method of qualitative description. The results together with medical case records were used to identify emerging themes. The common themes that evolved were: musical background, the experience of receiving the implant, current experience with music, attention, musical prediction ability, internal hearing, hedonic vs. critical listening, determination, and timbre perception. By documenting their experiences in this manner, novel insights into the patient perspective are provided that are unique to the literature. These descriptions will aid clinicians and researchers who work in the area of cochlear implantation to better understand the needs of their patients.