Noise-Induced Balance Loss? Rethinking Clinical Implications of Noise Exposure

2019 ◽  
Vol 4 (6) ◽  
pp. 1418-1422
Author(s):  
Bre Myers ◽  
J. Andrew Dundas
Keyword(s):  
Vestibular System ◽  
Noise Exposure ◽  
Balance Control ◽  
Scope Of Practice ◽  
Hearing Conservation ◽  
Exposed Population ◽  
Auditory Systems ◽  
Current Article ◽  
Balance Loss ◽  
Cross System

Purpose The primary aim of the current article is to provide a brief review of the literature regarding the effects of noise exposure on the vestibular and balance control systems. Although the deleterious effects of noise on the auditory system are widely known and continue to be an active area of research, much less is known regarding the effects of noise on the peripheral vestibular system. Audiologists with working knowledge of how both systems interact and overlap are better prepared to provide comprehensive care to more patients as assessment of both the auditory and vestibular systems has been in the audiologists' scope of practice since 1992. Method A narrative review summarizes salient findings from the archival literature. Results Temporary and permanent effects on vestibular system function have been documented in multiple studies. Hearing conservation, vestibular impairment, and fall risk reduction may be more intimately related than previously considered. Conclusions A full appreciation of both the vestibular and auditory systems is necessary to address the growing and aging noise-exposed population. More cross-system studies are needed to further define the complex relationship between the auditory and vestibular systems to improve comprehensive patient care.

Vocal Performance Teachers and Hearing Loss

2015 ◽  
Vol 16 (1) ◽  
pp. 15-24
Author(s):  
Vance Gunnell ◽  
Jeff Larsen
Keyword(s):  
Hearing Loss ◽  
Otoacoustic Emissions ◽  
Noise Exposure ◽  
Vocal Performance ◽  
Occupational Noise ◽  
Hearing Conservation ◽  
Occupational Noise Exposure ◽  
Distortion Product ◽  
Hearing Thresholds ◽  
Performance Teachers

Hearing thresholds and distortion product otoacoustic emissions were measured for teachers of vocal performance who were gathered for a national conference. Results showed mean audiometric thresholds to be consistent with noise induced hearing loss, more than what would be expected with normal aging. Years of instruction and age were considered as factors in the hearing loss observed. It was concluded that hearing conservation should be initiated with this group to help raise awareness and protect them from hearing loss due to occupational noise exposure.

scholarly journals Case Study in a Working Environment Highlighting the Divergence between Sound Level and Workers’ Perception towards Noise

2020 ◽  
Vol 17 (17) ◽  
pp. 6122
Author(s):  
Chun-Yip Hon ◽  
Illia Tchernikov ◽  
Craig Fairclough ◽  
Alberto Behar
Keyword(s):  
Noise Exposure ◽  
Health And Safety ◽  
Sound Level ◽  
Working Environment ◽  
Noise Levels ◽  
Hearing Conservation ◽  
Attitudes And Perceptions ◽  
Noise Measurements ◽  
Survey Responses ◽  
Excessive Noise

Excessive noise levels are a prevalent issue in food processing operations and, although there have been numerous studies on occupational noise, no single study has used a concurrent mixed-methods approach. Employing this study design allows for an understanding of the level of convergence (similarity) between measured noise levels and workers’ attitudes and perceptions towards noise. This, in turn, allows for the identification of potential challenges with respect to the implementation of hearing conservation efforts. In this study, spot noise measurements were collected using a sound level meter. One-on-one interviews were conducted with workers to determine attitudes and perceptions towards noise in their workplaces. Subsequently, the results of the noise measurements (quantitative data) were integrated with the survey responses (qualitative data) to identify convergence. The majority of the noise measurements were found to exceed 85 dBA—the criterion mandated by the local occupational health and safety legislation. Although all study participants felt that it was noisy in the workplace, a large proportion of respondents indicated that the noise was not bothersome. With workers’ perception being contradictory to the measured noise levels, it is a challenge to implement hearing conservation measures unless changes are made to raise the awareness of the risks associated with excessive noise exposure.

Field Monitoring of Otoacoustic Emissions During Noise Exposure: Pilot Study in Controlled Environment

2017 ◽  
Vol 26 (3S) ◽  
pp. 352-368 ◽  
Author(s):  
Vincent Nadon ◽  
Annelies Bockstael ◽  
Dick Botteldooren ◽  
Jérémie Voix
Keyword(s):  
Hearing Loss ◽  
Pilot Study ◽  
Otoacoustic Emissions ◽  
Ambient Noise ◽  
Noise Exposure ◽  
High Temporal Resolution ◽  
Noise Induced Hearing Loss ◽  
Conservation Programs ◽  
Hearing Conservation ◽  
Hearing Status

Purpose In spite of all the efforts to implement workplace hearing conservation programs, noise-induced hearing loss remains the leading cause of disability for North American workers. Nonetheless, an individual's susceptibility to noise-induced hearing loss can be estimated by monitoring changes in hearing status in relation to the level of ambient noise exposure. The purpose of this study was to validate an approach that could improve workplace hearing conservation practices. The approach was developed using a portable and robust system designed for noisy environments and consisted of taking continuous measurements with high temporal resolution of the health status of the inner ear using otoacoustic emissions (OAEs). Method A pilot study was conducted in a laboratory, exposing human subjects to industrial noise recordings at realistic levels. In parallel, OAEs were measured periodically using the designed OAE system as well as with a commercially available OAE system, used as a reference. Results Variations in OAE levels were analyzed and discussed along with the limitations of the reference and designed systems. Conclusions This study demonstrates that the monitoring of an individual's OAEs could be useful in monitoring temporary changes in hearing status induced by exposure to ambient noise and could be considered as a new tool for effective hearing conservation programs in the workplace.

A Review of Gunshot Noise as Factor in Hearing Disorders

2019 ◽  
Vol 105 (6) ◽  
pp. 904-911 ◽  
Author(s):  
Ewa Skrodzka ◽  
Andrzej Wicher ◽  
Roman Gołe¸biewski
Keyword(s):  
Hearing Loss ◽  
Hair Cells ◽  
Impulse Noise ◽  
Noise Exposure ◽  
Single Shot ◽  
Negative Consequences ◽  
Mean Values ◽  
Sport Training ◽  
Wide Range ◽  
Auditory Systems

The impulse noise produced by personal weapons (guns, rifles, shotguns) during military activity, and while people engage in sport, training and hunting, is a threat to the auditory systems of soldiers, civilians, policemen, hunters, forest officers, sportspeople and bystanders not actively engaged in professional or recreational firing. An overview of noise levels generated by different types of weapon is provided, and potential short-term and long-term consequences for the human auditory system are described. The mean values of LC, peak sound pressure level during the shot, at the shooter's ears, for various types of weapons are approximately 160 dB SPL. These are levels that can cause permanent, irreversible negative effects on hearing (hearing loss, tinnitus, etc.) even as a result of a single shot being fired. One of the largest groups of weapon users in Poland (about 120 thousand) are hunters and field masters. They are not obligated by any regulations to protect their auditory systems from impulse noise. This means that this group of firearm users is at particularly high risk of hearing damage. On the basis of the literature review, it is shown that hearing exposure to high-level impulse noise such as a gunshot can result in such consequences as damage to the middle ear and destruction of the outer/inner hair cells in the cochlea. Especially difficult to diagnose is 'hidden hearing loss', i.e. damage to the synaptic connections between the hair cells of the inner ear and the auditory nerve fibres, which is not reflected in the results of basic audiometric testing and can cause hearing problems many years after impulse noise exposure. The wide range of negative consequences of gunfire noise clearly indicates the need for the hearing of the shooters to be protected.

scholarly journals Occupational Exposure to Noise and Age-related Hearing Loss in an Elderly Population of Southern Italy

2020 ◽  
Vol 13 (1) ◽  
pp. 69-74 ◽  
Author(s):  
Luigi De Maria ◽  
Antonio Caputi ◽  
Rodolfo Sardone ◽  
Enza Sabrina Silvana Cannone ◽  
Francesca Mansi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Occupational Exposure ◽  
Elderly Population ◽  
Noise Exposure ◽  
Exposed Population ◽  
Age Related ◽  
Age Dependent ◽  
Occupationally Exposed ◽  
Age Related Hearing Loss

Background: Age-Related Hearing Loss (ARHL) is a gradual and irreversible age-dependent decline in auditory function. There is still no consensus on the long-term functional effects of noise exposure on ARHL. Objective: This study aimed to compare the prevalence of ARHL in an elderly population occupationally exposed to noise in a non-exposed population. Methods: The population was divided into two groups: a group of 482 subjects professionally exposed to noise for over 10 years and a group of 1129 non-exposed subjects. Among the exposed subjects, a subgroup of 298 who worked for over 10 years in the glassware industry was selected. All the participants underwent a thorough otorhinolaryngological examination. Results: The presence of ARHL was found in 81% of exposed subjects and in 4% of non-exposed subjects. In the sub-group of glassware workers, the prevalence was 88%. The statistical analysis showed a significant association between previous occupational exposure to noise and ARHL (OR = 1.09; 95% CI = 1.067-1.124; p = 0.0012) and between exposure to the glassware industry and ARHL (OR = 1.89; 95% CI = 1.78-1.96; p = 0.006). Conclusion: Consistent with recent studies, we found a significantly higher prevalence of ARHL among workers exposed to noise; however, further studies are needed to support these findings.

Noise-Induced Hearing Loss in Professional Orchestral Musicians

2013 ◽  
Vol 38 (2) ◽  
pp. 223-234 ◽  
Author(s):  
Małgorzata Pawlaczyk-Łuszczyńska ◽  
Małgorzata Zamojska ◽  
Adam Dudarewicz ◽  
Kamil Zaborowski
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Noise Induced Hearing Loss ◽  
Occupational Risk Factors ◽  
Threshold Levels ◽  
Exposed Population ◽  
Orchestral Musicians ◽  
The Impact

Abstract The overall purpose of this study was to assess hearing status in professional orchestral musicians. Standard pure-tone audiometry (PTA) and transient-evoked otoacoustic emissions (TEOAEs) were per- formed in 126 orchestral musicians. Occupational and non-occupational risk factors for noise-induced hearing loss (NIHL) were identified in questionnaire inquiry. Data on sound pressure levels produced by various groups of instruments were also collected and analyzed. Measured hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to ISO 1999 (1990). Musicians were exposed to excessive sound at weekly noise exposure levels of for 81-100 dB (mean: 86.6±4.0 dB) for 5-48 years (mean: 24.0±10.7 years). Most of them (95%) had hearing corresponds to grade 0 of hearing impairment (mean hearing threshold level at 500, 1000, 2000 and 4000 Hz lower than 25 dB). However, high frequency notched audiograms typical for noise-induced hearing loss were found in 35% of cases. Simultaneously, about 35% of audiograms showed typical for NIHL high frequency notches (mainly occurring at 6000 Hz). When analyzing the impact of age, gender and noise exposure on hearing test results both PTA and TEOAE consistently showed better hearing in females vs. males, younger vs. older musicians. But higher exposure to orchestral noise was not associated with poorer hearing tests results. The musician’s audiometric hearing threshold levels were poorer than equivalent non-noise-exposed population and better (at 3000 and 4000 Hz) than expected for noise-exposed population according to ISO 1999 (1990). Thus, music impairs hearing of orchestral musicians, but less than expected from noise exposure.

scholarly journals Environmental Noise and Annoyance in Adult Population of Skopje: A Cross-Sectional Study

2009 ◽  
Vol 60 (3) ◽  
pp. 349-355 ◽  
Author(s):  
Gordana Ristovska ◽  
Dragan Gjorgjev ◽  
Aziz Polozhani ◽  
Mihail Kočubovski ◽  
Vladimir Kendrovski
Keyword(s):  
Noise Exposure ◽  
Road Traffic ◽  
Adult Population ◽  
Environmental Noise ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Night Time ◽  
Cross Sectional ◽  
Exposed Population ◽  
Exposure Indicators

Environmental Noise and Annoyance in Adult Population of Skopje: A Cross-Sectional StudyThe aim of this study was to identify noise exposure indicators during day and night in the city of Skopje and to see if there is an association between these noise exposure indicators and annoyance. We have performed noise measurements and interviewed 510 adult subjects, using a questionnaire, prepared according to the ISO/TS-15666 standard. Average noise level over the day (Lday) was (62±6.45) dB(A) and over night (Lnight) (56±6.52) dB(A). Thirteen percent of subjects reported a high level, and 33.5% moderate level of annoyance. The most annoying noise sources were construction activities (34% of the subjects), road traffic (24%), and leisure/entertainment activities (18%). We found a significant association between exposure to Lday in the range 61 dB(A) to 65 dB(A) and annoyance in the exposed population (chi-square = 86.14; p<0.001; Spearman's R=0.45; p<0.05). During the night time annoyance was reported with exposure to Lnight above 46 dB(A). Levels of annoyance in Macedonia are similar to levels in developed European countries. Differences are in the source of noise. This study has shown that environmental noise is a significant hazard in urban environments, and assessment of annoyance may prove a useful tool for town planners and public health policy makers.

scholarly journals How Can Low-Frequency Noise Exposure Interact with the Well-Being of a Population? Some Results from a Portuguese Municipality

2019 ◽  
Vol 9 (24) ◽  
pp. 5566 ◽  
Author(s):  
Juliana Araújo Alves ◽  
Lígia Torres Silva ◽  
Paula Remoaldo
Keyword(s):  
Urban Areas ◽  
Noise Exposure ◽  
Low Frequency ◽  
Noise Pollution ◽  
Well Being ◽  
Sound Level ◽  
Frequency Noise ◽  
Low Frequency Noise ◽  
Sound Levels ◽  
Exposed Population

Noise pollution is the second most harmful environmental stressor in Europe. Portugal is the fourth European country most affected by noise pollution, whereby 23.0% of the population is affected. This article aims to analyze the effects of exposure to low frequency noise pollution, emitted by power poles and power lines, on the population’s well-being, based on a study of “exposed” and “unexposed” individuals in two predominantly urban areas in north-western Portugal. To develop the research, we used sound level (n = 62) and sound recording measurements, as well as adapted audiometric test performance (n = 14) and surveys conducted with the resident population (n = 200). The sound levels were measured (frequency range between 10 to 160 Hz) and compared with a criterion curve developed by the Department for Environment, Food and Rural Affairs (DEFRA). The sound recorded was performed 5 m away from the source (400 kV power pole). Surveys were carried out with the “exposed” and “unexposed” populations, and adapted audiometric tests were performed to complement the analysis and to determine the threshold of audibility of “exposed” and “unexposed” volunteers. The “exposed” area has higher sound levels and, consequently, more problems with well-being and health than the “unexposed” population. The audiometric tests also revealed that the “exposed” population appears to be less sensitive to low frequencies than the “unexposed” population.

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