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www.bjorl.org

Brazilian

Journal

of

OTORHINOLARYNGOLOGY

ORIGINAL

ARTICLE

Elaboration

of

an

instrument

to

evaluate

the

recognition

of

Brazilian

melodies

in

children

Maria

Fernanda

Capoani

Garcia

Mondelli

a,∗

,

Ivan

dos

Santos

José

b

,

Maria

Renata

José

b

,

Natália

Barreto

Frederigue

Lopes

a

aUniversidadedeSãoPaulo(USP),FaculdadedeOdontologiadeBauru,DepartamentodeFonoaudiologia,Bauru,SP,Brazil bUniversidadedeSãoPaulo(USP),FaculdadedeOdontologiadeBauru,ProgramadePós-Graduac¸ãoemFonoaudiologia,Bauru, SP,Brazil

Received16January2018;accepted28May2018 Availableonline30June2018

KEYWORDS Hearing; Hearingaids; Music; Child Abstract

Introduction:Thereisevidencepointingtotheimportanceoftheevaluationofmusical percep-tionthroughobjectiveandsubjectiveinstruments.InBrazil,thereisashortageofinstruments thatevaluatesmusicalperception.

Objective:To develop an instrument to evaluate the recognition of traditional Brazilian melodiesandinvestigatetheperformanceofchildrenwithtypicalhearing.

Methods:The study was carried out after approval of the research ethics committee (1.198.607). The instrument was developedin software format with website access, using thelanguagesPHP5.5.12,Javascript,Cascadestylesheetsand‘‘HTML5’’;database‘‘MYSQL 5.6.17’’onthe‘‘Apache2.4.9’’server.FifteenmelodiesofBrazilianfolksongswererecorded inpianosynthesizedtimbre,with12secondspermelodyreproductionandfoursecondintervals betweenthem.Atotalof155schooledchildren,agedeightto11years,ofbothsexes,with typicalhearingparticipatedinthestudy.Thetestwasperformedinasilentroomwithsound stimuliamplifiedbyasoundboxat65dBNA,positionedat0azimuth,andatonemeterfrom theparticipant,thenotebookwasusedforchildrentoplaywithonthescreenonthetitleand illustrationofthemelodytheyrecognizedtheywerelisteningto.Theresponseswererecorded ontheirowndatabase.

Pleasecitethisarticleas:MondelliMF,JoséIS,JoséMR,LopesNB.ElaborationofaninstrumenttoevaluatetherecognitionofBrazilian

melodiesinchildren.BrazJOtorhinolaryngol.2019;85:690---7.

Correspondingauthor.

E-mail:mfernandamondelli@hotmail.com(M.F.Mondelli). PeerReviewundertheresponsibilityofAssociac¸ãoBrasileirade OtorrinolaringologiaeCirurgiaCérvico-Facial.

https://doi.org/10.1016/j.bjorl.2018.05.011

1808-8694/©2018Associac¸˜aoBrasileiradeOtorrinolaringologiaeCirurgiaC´ervico-Facial.PublishedbyElsevierEditoraLtda.Thisisanopen accessarticleundertheCCBYlicense(http://creativecommons.org/licenses/by/4.0/).

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Results:The instrument titled ‘‘Evaluation of recognition of traditional melodies in children’’ can be run on various devices (computers, notebooks, tablets, mobile phones) and operating systems (Windows, Macintosh, Android, Linux). Access:

http://192.185.216.17/ivan/home/login.php by login and password. The most easily recognizedmelody was‘‘Cai,caibalão’’ (89%)andtheleastrecognizedwas‘‘Capelinhade melão’’(25.2%).Theaveragetimetoperformthetestwas315.

Conclusion: Thedevelopmentandapplicationofthesoftwareprovedeffectiveforthestudied population.Thisinstrumentmaycontributetotheimprovementofprotocolsfortheevaluation ofmusicalperceptioninchildrenwithhearingaidand/orcochlearimplantsusers.

© 2018 Associac¸˜ao Brasileira de Otorrinolaringologia e Cirurgia C´ervico-Facial. Published by Elsevier Editora Ltda. This is an open access article under the CC BY license (http:// creativecommons.org/licenses/by/4.0/). PALAVRAS-CHAVE Audic¸ão; Aparelhosauditivos; Música; Crianc¸a

Criac¸ãodeuminstrumentoparaavaliaroreconhecimentodemelodiasbrasileirasem

crianc¸as

Resumo

Introduc¸ão: Háevidênciasqueapontamparaaimportânciadaavaliac¸ãodapercepc¸ãomusical atravésde instrumentosobjetivos esubjetivos. NoBrasil, háescassez deinstrumentosque avaliemapercepc¸ãomusical.

Objetivo: Desenvolveruminstrumentoparaavaliaroreconhecimentodemelodiastradicionais brasileiraseinvestigarodesempenhodecrianc¸ascomaudic¸ãotípica.

Método: Oestudofoidesenvolvidoapósaprovac¸ãodocomitêdeéticaempesquisa(1.198.607). Oinstrumentofoidesenvolvidoemformatodesoftwarecomacessoao site,comas lingua-gens deprogramac¸ãoPHP5.5.12,Javascript,CascadeStyleSheetseHTML5bancodedados MYSQL 5.6.17no servidorApache 2.4.9.Quinze melodias decanc¸ões folclóricas brasileiras foramgravadascomtimbresintetizadoempiano,com12segundosdereproduc¸ãodamelodia equatrosegundosdeintervaloentreelas.Participaramdoestudo155crianc¸as,alfabetizadas, entreoitoe11anos,deambosossexos,comaudic¸ãotípica.Otestefoifeitoemsalasilenciosa comestímulosonoroamplificadoporumacaixasonoraa65dBNA,posicionadaa0azimutee aummetrodoparticipanteeonotebookfoiusadopara queascrianc¸asbrincassem natela comotítuloeailustrac¸ãodamelodiaqueelesreconheceramqueouviam.Asrespostasforam registradasemseuprópriobancodedados.

Resultados: Oinstrumentointitulado‘‘Avaliac¸ãodoreconhecimentodemelodiastradicionais em crianc¸as’’podeserexecutadoemváriosdispositivos(computadores,notebooks,tablets, telefones celulares) esistemas operacionais (Windows,Macintosh, Android,Linux). Acesse:

http://192.185.216.17/ivan/home/login.phpatravésdeloginesenha.Amelodia mais facil-mentereconhecidafoi‘‘Caicaibalão’’(89%)eamenosreconhecidafoi‘‘Capelinhademelão’’ (25,2%).Otempomédioparafazerotestefoide315.

Conclusão:Odesenvolvimentoeaplicac¸ãodosoftwaresemostrarameficazesparaapopulac¸ão estudada.Esseinstrumentopodecontribuirparaoaprimoramentodeprotocolosdeavaliac¸ão dapercepc¸ãomusicalem crianc¸as usuáriasdeprótesesauditivase/ou usuáriasdeimplante coclear.

© 2018 Associac¸˜ao Brasileira de Otorrinolaringologia e Cirurgia C´ervico-Facial. Publicado por Elsevier Editora Ltda. Este ´e um artigo Open Access sob uma licenc¸a CC BY (http:// creativecommons.org/licenses/by/4.0/).

Introduction

Sensory deprivation has lasting repercussions on brain developmentandbehavioral outcomes.1,2 In childrenwith

hearingloss,deprivationisnegativelycorrelatedwithneural development,2 as well as perceptual, linguistic and

cog-nitive abilities.1,3---5 As the development and organization

of cortical auditory pathways critically depends on sen-soryexperience.6,7therestorationofauditoryfunctionwith

amplification devices is insufficient for children to hear correctly.Deafchildren shouldlearntointerpret auditory signalstocreate meaningfulrepresentations ofsoundand listeningstrategies.8

Access to speech perception is possible through the digital technology of sound amplification devices such as HearingAids(HA)andCochlearImplant(CI).InBrazil,the acquisitionoftheseresourcescanbeperformedinHearing HealthServices accredited by the UnifiedHealth System.

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Thebasicfunctionofthesedevicesistoamplifythesound tomaximizethespeechspectrumavailabletotheuser,to improvespeechaudibility.Oneoftheintendedeffectsisto improvethedevelopmentofspeechandlanguage.9

The linkbetween languageand music skills, and their overlapping processes, is of great interest. Music and language have common characteristics: both systems are composedofdiscreteelements(phonemesandnotes), orga-nized in temporal and hierarchical structures (words and chords), depend on the auditory processing of complex acoustic elements, and transmit rich meanings.10 Studies

haveshownagreatoverlapinthebrainregionsinvolvedin theprocessingofmusicandlanguageatcorticallevels11,12

andsubcortical.13 Thesesimilarities,bothinprocessesand

in brain networks, can subjugate the effects of transfer-ringfromonedomaintoanotherinthenormalpopulation. Thus,trainingwithonetypeofmaterial(e.g.,music)should improveitsefficiencytoprocessothertypesofstimuli,such aslanguage.14,15

However,the perception of music is unsatisfactory for usersofsoundamplificationdevices;musicplaysa funda-mentalroleintheestablishmentofcommunicativeabilities, sinceitisapowerfultoolfortransmittingemotion, identify-ingemotionalcluesandisanimportantpartofhumansocial andcommunicationdevelopment.16

Music comprises numerous harmonics that varyin fre-quency over a wide range; musical melodies, even with asingleinstrument, arecomposedof a seriesof complex tones.17 Ourperceptionofmusicisthereforeinfluencedby

thewaytheauditorysystem encodesandretainsacoustic information.18

Oneofthesalientfeaturesofsoundrelevanttomusicis tom.19 Besides thetoneorthemelody,themusicdepends

ontherhythm.Behavioralstudiesdemonstratethatrhythm andtonecanbeperceivedseparately,20 butthattheyalso

interact21increatingamusicalperception.

Currently,CI users and,to acertain extent, HA users, struggle with complex auditory perceptual tasks, partic-ularly those requiring perceptual tuning22 and melodic

contour.23Accordingtoarecentstudy24astandardizedand

accurateassessmentofmusicalperceptionskillswouldoffer newopportunitiestoinvestigatenonverbalauditoryabilities suchastimbre,rhythm,andmelodiccontour.

Severaltestsweredesigned forthemusical perception testinCIusers,includingbatteriessuchasthePrimary Mea-suresinMusicalAudience,MusicExcerptRecognitionTest, andPercussionDrumand MusicalAssessment ofIowa.25---27

Manyofthesetests,whileprovidingimportantinformation onvariousaspectsofmusicalperception,requirehoursto complete,requiretheassistanceof trainedpersonneland wouldbedifficulttoadministerinatypicalclinical environ-ment.Studiesatvariousinstitutionsusedifferentmelodies intheirrecognitiontasks,andthesamemelodycanbe pre-sentedinvaryingways,fromtheuseofdifferentinstruments andpitchregisterstotheuseof simplemelodiclinesand actualrecordings.Manyoftheserecordingscontain rhyth-mic clues that can contribute to melody recognition.28,29

Researchers30 demonstratedthatCIusersperformed

signi-ficantlybetter onfamiliar melody recognitiontasks when rhythmiccueswereavailable. The lackof standardization inthetestofmusicalperceptionalsoimpedestheabilityto comparetheresultsofpatientsindifferentinstitutions.

The audiologypracticeguide31 statesthat assessments

ofamplificationdevicesshouldbeperformedtoverifythe child’sperformanceinauditorytaskswiththeuseofthem by means of speech-in-noise test and measurementswith probe microphone,however inrelation tomusic, there is noBraziliantestthat evaluatesthemusical recognitionof HA/CIusers.

Thehypothesisofthestudyisthatthisapplicationcanbe usedtoperformtheevaluationoftheamplificationdevices, beinganinstrumentofeasyapplication.

The objective of the study was the development and validationof aninstrumenttoevaluatetherecognition of melodiesinschoolchildrenwithnormalhearing.

Methods

The research initiated after approval of the Ethics Com-mittee in Research (n◦ 46839315.7.0000.5417). According totheethicalpreceptsofresearchwithhumanbeings,the participantsandthoseresponsiblewereclarifiedaboutthe fundamentals,objectives andproceduresof theresearch, aswellasaboutthebenefitsandabsenceofhealthriskand abouttheconfidentialityrelatedtothedataobtained.

Thetransversal,descriptiveandobservationalresearch wasdevelopedintwostages:creationandvalidationofthe instrument.

Development

The instrument was developed by a team composed of programmer, design and musician, after being given the specifications bythe researchteam.We usedPHP5.5.12, Javascript,CascadeStyleSheets(CCS)andHTML5;database MYSQL5.6.17, on theApache 2.4.9 server. The computer program is authorizedfor academic and/or research pur-poses only, andmay beusedondifferent devicessuchas computer,notebook,tabletsandmobilephones.

Themelodieswererecordedwithsynthesizedpianotone, standardized withvaryingtemposaccording toeachsong, similarintensity,toneaccordingtothescoreand reproduc-tionof12seachandpauseoffoursecondsbetweenthem.

Theformofresponsetothestimulusofthemelodieswas bytouchingthescreen,thetestwasorganizedsothatthe childperformsaprevioustrainingtounderstandtheactivity. Themelodiesareperformed inarandomway,randomized bytheprogramitself,amplifiedbyanAltoTruesonicTS115A soundboxwithintensityof65dBNA.

The recognition of the music depends on specific fac-torsof theculture,32 inthisway,the melodiesconsidered

mostpopularinBrazilwereselected:‘‘Atireiopaunogato; Bate o sino; Boi da cara preta; Brilha, brilha estrelinha; Cai, caibalão;Capelinha de melão;Caranguejo; Escravos deJó;Marcha,soldado;Nananenê;Noitefeliz;Óciranda, ócirandinha;Ocravo;ParabénsavocêeSambalelê’’.

Toidentifythemelodies,ascreenwascreatedwiththe namesassociatedwithfiguresthatrefertothetitle.

After completion, the test itself generates a results sheet,whereit ispossibletocheckthecorrect,incorrect andunansweredalternatives,aswellasthedurationofthe testapplication.Thesystemstorestheinformation.

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Table1 Distributionofthenumberofchildrenaccording toage. Age n % 8 38 24.5 9 43 27.7 10 39 25.2 11 35 22.6 Total 155 100 n,number. Instrumentvalidation

Participants in the study of children’s music were invited toparticipatein the study,children withnormal hearing, whoattendedtheMunicipalCoexistenceCenters and par-ticipatedinchildren’smusicclassesatthisplace.Thedata collectiontookplaceinthecentersof coexistence during theschoolhours.

The children whoparticipated metthefollowing inclu-sioncriteria:

Attend the municipal convention center in the evening period;

Signatureof the freeand informedconsent formby the parentsandendorsementbythechildren;

Meatoscopywithoutindicationofpresenceofforeignbody and/orexcessofcerúmen;

Hearing within normality standards after screening (AAA).33

In the auditory screening, it was considered as a ‘‘pass/fail’’ criterion, and the child would pass if it responded toat leasttwoofthethreetonesemitted33 at

20dBNAforthefrequenciesof1000,2000and4000Hzand 30dBNAfor500Hzinbothears.

Theroomwheretheprocedureswereperformedwasthe school’squietestthenoiselevelwasmonitoredthroughout the collection by means of instantaneous readings per-formed throughtheNoiSeeprogram, installedontheiPad and maintainedbetween 28 and 49dB NPS. No noise was recordedthatexceededthevaluesallowedbyANSI-S 3.1-1991.Duringtherecreationperiods,thecollectiondidnot occur,duetoenvironmentalnoise.

After theconsentof thoseresponsible,the procedures wereperformed,allonthesameday,inthefollowingorder: Meatoscopy:toevaluatethe conditionsoftheexternal auditory canaland tympanicmembrane. Iftherewas any obstructionthatcouldinterferewiththeresults,thechild wasreferredtotheotorhinolaryngologistforevaluationand conduct.

Auditory screening: performed using the Pediatric Audiometer(PA5)---Interacousticswithspecificheadset,the 0.50kHz, 1kHz, 2kHz and 4kHz thresholds were investi-gatedforbothearsseparately.

Tympanometry:performedusingtheTitan--- Interacous-ticsequipment,aimingtoverifythetympano---ossicularand middleearconditions.

Evaluation of the recognition of melodies: the child remainedseated,positionedat0◦azimuthonemeterfrom

Acessar a Avaliaçäo Login Login Cadastrar Usuário Senha Entrar ******

Seu usuário é para efetuar o login ao sistema e não poderá ser alterado.

Conheça a A valiação SAMBA LELA 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 SAMBA LELA BRILHA BRILHA ESTRELINHABRILHA BRILHA ESTRELINHA CARANGUEJO CARANGUEJO

O CRAVO BRIGOU COM A ROSA O CRAVO BRIGOU COM A ROSA ATIREI O PAU NO GATO ***

***

CIRANDA CIRANDINHA CIRANDA CIRANDINHA ESCRAVOS DE Jo ESCRAVOS DE Jo MARCHA SOLDADO MARCHA SOLDADO NANA NENA

ACERTOS ERROS NÃO RESPONDIDAS

13/15 14 13 12 11 10 9 8 7 6 5 4 3 2 1 0

ACERTOS [13] ERROS [0] NÃO RESPONDIDAS [2]

0/15 2/15

TEMPO DAS RESPOSTAS NANA NENA 00.01:24 00.00:05 00.00:03 00.00:13 00.00:06 00.00:04 00.00:05 00.00:05 00.00:05 00.00:05 00.00:05 00.00:05 00.00:05 Atirei o pau no gato Marcha soldado Cal cal balão Capelinha de melão o cravo brigou

com a rosa Nana Nenê

Escravos de Jó Ciranda Cirandinha Brilha Bril estrelinha Caranguejo Bot da cara preta Samba Lelê Bate osino

ARMTC - Avaliação do Reconhecimento de Melodias Tradicionais em Crianças ARMTC - Avaliação do Reconhecimento de Melodias Tradicionais em Crianças

Parabéns á você

00.00:09

NR NR BOI DA CARA PRETA BOI DA CARA PRETA

BATE O SINO BATE O SINO CAI CAI BALAO CAI CAI BALAO

NOITE FELIZ NOITE FELIZ PARABANS A VOCA PARABANS A VOCA

CAPELINHA DE MELAO

a)

b)

c)

05:59:24 As 06:02:01 - TEMPO TOTAL: 00:02:37 RESPOSTA

CANÇÂO TEMPO DE REAÇÂO

Figure1 Instrumentstartscreen (A),Evaluation screen(B) andResponsescreen(C).

thesoundboxandwasinstructedtotouchthescreenwhen he recognized the melody he was listening to. The data referring to the number of correct answers, errors and absenceofanswers;reactiontimeforeachresponse;total timeof evaluationandgraphof evaluationwereobtained bythebankofanswersofthetestitself.

The testsused for statisticalanalysis were:Chi-square test,forvariables,music,sexandage;AnalysisofVariance andTukeyforthevariablesreactiontime,genderandage. Quantitativevariableswererepresentedbymean,median, standarddeviationandminimumandmaximumvalues.Inall tests,thelevelofrejectionoftheadoptednullhypothesis was5%(p<0.05).

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Table2 Distributionofthefrequency oferrorsand cor-rectnessineachsonginthetotalsampledchildren. Melodies Right answersn (%) Wrong answersn (%) M1---Atireiopaunogato 90(58.1) 65(41.9) M2---Bateosino 102(65.8) 53(34.2) M3---Boidacarapreta 123(79.4) 32(20.6) M4---Brilha,brilhaestrelinha 72(46.5) 83(53.5) M5---Cai,caibalão 138(89.0) 17(11.0) M6--- Capelinhademelão 39(25.2) 116(74.8) M7--- Caranguejo 123(79.4) 32(20.6) M8--- EscravosdeJó 122(78.7) 33(21.3) M9---Marchasoldado 109(70.3) 46(29.7) M10---Nananenê 83(53.5) 72(46.5) M11---Noitefeliz 83(53.5) 72(46.5) M12---Óciranda,ócirandinha 67(43.2) 88(56.8) M13---Ocravo 122(78.7) 33(21.3) M14---Parabénsavocê 110(71.0) 45(29.0) M15---Sambalelê 99(63.9) 56(36.1) n,number;M,melody.

Results

Atotalof155childrenparticipatedinthestudy,49%female and51%male.

ThedistributionbyagegroupisshowninTable1. Accord-ingtotheproposedobjective,theinstrument‘‘Evaluation of the Recognition of Traditional Melodies in Children’’ wasdeveloped.Fig.1(A---C)illustratesthesoftwareaccess screen, the evaluation screen composed of the images corresponding to the melodies and the results screen, respectively.The instrumentapplication can beaccessed:

http://srv60.teste.website/∼ivan/home/login.php, with loginandpassword.

Themosteasilyrecognizedmelodiewas‘‘Cai,caibalão’’ (89%)andtheleastrecognizedwas‘‘Capelinhademelão’’ (25.2%).Thefrequencydistributionoferrorsandcorrectness forthetotalsampledchildrenisshowninTable2.

Accordingtothepercentageofrecognition,themelodies werethusordered(highesttolowest):‘‘Caranguejo’’,‘‘Boi dacarapreta’’,‘‘Ocravo’’,‘‘EscravosdeJó’’,‘‘Parabéns avocê’’,‘‘Marchasoldado’’,‘‘Bateosino’’,‘‘Sambalelê’’, ‘‘Atirei o pau no gato’’, ‘‘Nana nenê’’, ‘‘Noite feliz’’, ‘‘Brilha,brilhaestrelinha’’e‘‘Ciranda,cirandinha’’.

Table3showsthedistributionandcorrelationof errors andcorrectnessineachsongaccordingtoage.

Themeantimetoperformthetestwas315.Reaction timeineachsonginthetotalnumberofchildrensampled isshowninTable4.

Discussion

Inviewofthescarcityofinstrumentsthatevaluatethe abil-ityofmusicalrecognition,itwasobservedthenecessityof theelaborationof‘‘EvaluationofRecognitionofTraditional MelodiesinChildren’’,toassistintheinterventionprocess ofchildrenwithhearingdifficulties(Fig.1(A---C)).

Fromthe earliest childhoodsongs to the ever-present popularmusicofadolescence,musicplaysanimportantrole inthelivesofchildren.Becauseofthediffusionofmusicin allknowncultures,childrenwillexperienceitinavariety ofwaysdaily.34

Theinstrumentwasperformedbymeansofmelodies gen-eratedin apiano,according toresearchcarried out35 the

performances of pianos provided less acoustic clues than theoriginalrecordings, however,whenthecomplexsignal is simplified and reduced to the melody reproduced in a piano synthesized,theability toidentifymusic aswellas rating,decreases.Inthisway,theresultsindicatethe pos-itivevaluethatchildrengivetomusic,eveninthefaceof limitedmusicalinformation.36

Accordingtotheresultsobtained,itwaspossibleto ver-ifythat‘‘Cai,caibalão’’wasthemelodymostrecognized bythechildren(Table2),followedby‘‘Boidacarapreta’’, ‘‘Caranguejo’’,‘‘EscravosdeJó’’,‘‘OCravo’’,‘‘Parabéns a você’’ and ‘‘Marcha Soldado’’, with a recognition per-centage superior to 70% of correct.The previous musical experienceinchildren’smusiceducationclassesmayhave beenacontributingfactortotheresultsobtained.Authors37

verifiedinastudywith5year-oldchildren,dividedintotwo groups (with or without classes music), that the children enrolledinmusicclassesperformedbetterinataskof musi-calappreciation in relationtothose whohadnoprevious musicalknowledge.

Melodieswereselectedforthisstudythatwerepartof themusicalrepertoireobservedinthedailylifeofthe chil-drenduringmusicalizationclasses.Itispossibletosuggest that during the test application, the children could rec-ognize themelody andnot knowthe titleof the sameor recognizethemelodywithatitledifferentfromtheone pro-posedinthetest. Astudy38 wascarriedoutthatobtained

the recognition of all students in 27 of the 285 Brazilian folk melodiesselected for thestudy conducted with chil-dren from 5 to12 yearsof age in the Courseof Children MusicalizationoftheSchoolofMusicoftheStateUniversity ofMinasGerais.Thesameauthorobservedthatduringthe processofcollectingthesongsandelaboratingthetest of recognitionof melodiestherewassimilaritybetween sev-eralsongs,whichinsomecasespresentedidenticalmelody, butdifferenttitles;inothercases,thesametitles,with dif-ferentversions.Thesedifficultiesfoundinthefolksongbook wereanobstacleforthechildrentoidentifythesongsonly bytitle.Besidesthefactthatthechildcouldrecognizethe melodyandnotknowthetitleofit.

Hypothetically,theobserveddifficulties38mayhavebeen

factors that also influenced the process of recognizing melodiesofthepresentstudy.Inanotherstudy39withgroups

of7and11year-oldchildren,itwasfoundthattheincrease in thenumber of errorswasinverselyproportional tothe decreaseinreactiontimeforvisualcuespresentedto chil-dren.

Concerningthecorrelationbetweentheerrorsand cor-rectnessaccordingtoage(Table3),asignificantdifference wasobservedonlyinthemelodies‘‘Noitefeliz’’(p<0.002) and ‘‘Parabénsa você’’(p<0.019) alsorevealed that the 9year-oldshadagreaternumberofhitsinrelation tothe perceptionofthesongs.

Thedifferencebetweenthereceptionofthestimulusand thetimeeachindividualneedtoinitiateamotorresponseis

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Table3 Distributionandcorrelationoferrorsandcorrectnessineachsongaccordingtoage.

8yearsold 9yearsold 10yearsold 11yearsold p

RA,n(%) WA,n(%) RA,n(%) WA,n(%) RA,n(%) WA,n(%) RA,n(%) WA,n(%)

M1 22(57.9) 16(42.1) 19(44.2) 24(55.8) 24(61.5) 15(38.5) 25(71.4) 10(28.6) 0.104 M2 27(71.1) 11(28.9) 23(53.5) 20(46.5) 25(64.1) 14(35.9) 27(77.1) 08(22.9) 0.144 M3 31(81.6) 07(18.4) 32(74.4) 11(25.6) 34(87.2) 05(12.8) 26(74.3) 09(25.7) 0.430 M4 14(36.8) 24(63.2) 19(44.2) 24(55.8) 22(56.4) 17(43.6) 17(48.6) 18(51.4) 0.374 M5 32(84.2) 06(15.8) 39(90.7) 04(9.3) 36(92.3) 03(7.7) 31(88.6) 04(11.4) 0.691 M6 07(18.4) 31(81.6) 11(25.6) 32(74.4) 12(30.8) 27(69.2) 09(25.7) 26(74.3) 0.664 M7 28(73.7) 10(26.3) 33(76.7) 10(23.3) 36(92.3) 03(7.7) 26(74.3) 09(25.7) 0.141 M8 31(81.6) 07(18.4) 34(79.1) 09(20.9) 30(76.9) 09(23.1) 27(77.1) 08(22.9) 0.957 M9 26(68.4) 12(31.6) 32(74.4) 11(25.6) 27(69.2) 12(30.8) 24(68.6) 11(31.4) 0.922 M10 21(55.3) 17(44.7) 23(53.5) 20(46.5) 19(48.7) 20(51.3) 20(57.1) 15(42.9) 0.898 M11 11(28.9) 27(71.1) 29(67.4) 14(32.6) 20(51.3) 19(48.7) 23(65.7) 12(34.3) 0.002a M12 15(39.5) 23(60.5) 19(44.2) 24(55.8) 14(35.9) 25(64.1) 19(54.3) 16(45.7) 0.418 M13 25(65.8) 13(34.2) 35(81.4) 08(18.6) 35(89.7) 04(10.3) 27(77.1) 08(22.9) 0.077 M14 21(55.3) 17(44.7) 28(65.1) 15(34.9) 32(82.1) 07(17.9) 29(82.9) 06(17.1) 0.019a M15 20(52.6) 18(47.4) 27(62.8) 16(37.2) 28(71.8) 11(28.2) 24(68.6) 11(31.4) 0.321 M,melody;RA,rightanswers;WA,wronganswers.

a Statisticallysignificant.

Table4 Reactiontimeineachsongintotalsampledchildren.

Melody n Average(SD) Minimun Maximun

M1---Atireiopaunogato 137 11.27(3.278) 03 25

M2---Bateosino 145 10.46(3.732) 03 22

M3---Boidacarapreta 151 9.64(3.932) 03 38

M4---Brilha.brilhaestrelinha 136 11.40(3.522) 04 26

M5---Cai,caibalão 149 8.64(3.029) 03 17

M6---Capelinhademelão 132 11.79(3.952) 02 22 M7---Caranguejo 146 8.75(3.531) 03 20 M8---EscravosdeJó 143 10.17(2.886) 03 18 M9---Marchasoldado 147 9.52(3.348) 03 25 M10---Nananenê 137 11.36(3.623) 04 30 M11---Noitefeliz 127 10.22(3.473) 03 23 M12---Óciranda,ócirandinha 131 11.18(2.924) 05 23 M13---Ocravo 149 9.72(3.405) 02 28 M14---Parabénsavocê 143 10.08(3.495) 03 21 M15---Sambalelê 136 10.26(3.402) 03 20 SD,standarddeviation.

called‘‘reactiontime’’.40Todeterminethespeedofmotor

responses, a measure based on the sum of two compo-nentshasbeen used,acentral one,called reactiontime, and another peripheral, called ‘‘time of movement’’.41

In relation toperformance, the lower the reaction time, the greater theefficiency of thecentral mechanisms and processes.42

The reaction time for each melody in all the partici-pantsof the researchwas verified(Table 4),and through theanalysisitwasconcludedthatthesong‘‘Cai,caibalão’’ presented thelowest average in relationtothe time fac-tor8.64s, then camethe song‘‘Caranguejo’’with8.75s, shortlyafter,‘‘Marchasoldado’’with9.52s.Thesongwith the longest reaction time onaverage was‘‘Capelinha de melão’’with11.79s.

Coincidentally, thesongs in whichthe childrenshowed theshortestreaction timewerethosewithgreater recog-nition by the sample, in this way, it suggests that this resulthasinfluenceduetothepreviousknowledgeofthese songs. This data agrees with reports43 that individuality

in response time between individuals may be associated withenvironmentalfactorsandexperiencesacquiredduring life.

Inadditiontobeinganinstrumentfortheevaluationof soundamplificationdevices,theEvaluationofRecognition ofTraditionalMelodiesinChildrenmaybeusedin therapeu-ticmusical training interventionsto AID in improvements inneural time,processing speed,auditory work, auditory attention, speech-to-noise comprehension, and auditory sceneanalysisandcognition.44Inthisway,researchisbeing

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conducted with the ‘‘Evaluation of Recognition of Tradi-tionalMelodiesinChildren’’withdifferentobjectives.

Conclusions

The development and application of the software proved effectivefor the studied population.This instrumentmay contributetotheimprovementof protocolsforthe evalu-ationofmusical perception inchildren withHAand/orCI users.

Conflicts

of

interest

Theauthorsdeclarenoconflictsofinterest.

References

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