For Those About to Rock

Author(s):  
Jennifer Tufts

Loud music and noisy hobbies are part of our cultural landscape. These activities can be enjoyed with minimal risk to hearing if a few commonsense guidelines are followed. Educating clients about risks and protective strategies will empower them to make informed decisions about their hearing health that best reflect their values and priorities. In this article, the author covers essential information to avoiding noise-induced hearing loss, writing in easily accessible language to better help clinicians convey this information to their clients.

2019 ◽  
Vol 30 (07) ◽  
pp. 619-633 ◽  
Author(s):  
Kamakshi V. Gopal ◽  
Liana E. Mills ◽  
Bryce S. Phillips ◽  
Rajesh Nandy

AbstractRecreational noise–induced hearing loss (RNIHL) is a major health issue and presents a huge economic burden on society. Exposure to loud music is not considered hazardous in our society because music is thought to be a source of relaxation and entertainment. However, there is evidence that regardless of the sound source, frequent exposure to loud music, including through personal audio systems (PAS), can lead to hearing loss, tinnitus, difficulty processing speech, and increased susceptibility to age-related hearing loss.Several studies have documented temporary threshold shifts (TTS) (a risk indicator of future permanent impairment) in subjects that listen to loud music through their PAS. However, there is not enough information regarding volume settings that may be considered to be safe. As a primary step toward quantifying the risk of RNIHL through PAS, we assessed changes in auditory test measures before and after exposure to music through the popular iPod Touch device set at various volume levels.This project design incorporated aspects of both between- and within-subjects and used repeated measures to analyze individual groups.A total of 40 adults, aged 18–31 years with normal hearing were recruited and randomly distributed to four groups. Each group consisted of five males and five females.Subjects underwent two rounds of testing (pre- and postmusic exposure), with a 30-min interval, where they listened to a playlist consisting of popular songs through an iPod at 100%, 75%, 50%, or 0% volume (no music). Based on our analysis on the Knowles Electronic Manikin for Acoustic Research, with a standardized 711 coupler, it was determined that listening to the playlist for 30 min through standard earbuds resulted in an average level of 97.0 dBC at 100% volume, 83.3 dBC at 75% volume, and 65.6 dBC at 50% volume. Pure-tone thresholds from 500–8000 Hz, extended high-frequency pure tones between 9–12.5 kHz, and distortion product otoacoustic emissions (DPOAE) were obtained before and after the 30-min music exposure. Analysis of variance (ANOVA) was performed with two between-subjects factors (volume and gender) and one within-subjects factor (frequency). Change (shift) in auditory test measures was used as the outcome for the ANOVA.Results indicated significant worsening of pure-tone thresholds following music exposure only in the group that was exposed to 100% volume at the following frequencies: 2, 3, 4, 6 and 8 kHz. DPOAEs showed significant decrease at 2000 and 2822 Hz, also only for the 100% volume condition. No significant changes were found between pre- and postmusic exposure measures in groups exposed to 75%, 50%, or 0% volume conditions. Follow-up evaluations conducted a week later indicated that pure-tone thresholds had returned to the premusic exposure levels.These results provide quantifiable information regarding safe volume control settings on the iPod Touch with standard earbuds. Listening to music using the iPod Touch at 100% volume setting for as little as 30 min leads to TTS and worsening of otoacoustic emissions, a risk for permanent auditory damage.


2020 ◽  
Vol 5 (3) ◽  
pp. 684-698
Author(s):  
Sharon Beamer ◽  
Catherine Gagne ◽  
Nutan Chada ◽  
Hina Mehta ◽  
Sheila Piper ◽  
...  

Purpose The combination of effective hearing health education and hearing protection establishes a strong foundation of hearing loss prevention efforts in the military; however, it is not clear which elements of the educational materials used in hearing loss prevention programs are the most effective in preventing noise-induced hearing loss. To explore this question, a cohort of Excellence in Government Fellowship participants and the Army Hearing Program conducted a preliminary study examining two hearing health education materials. Method A convenience sample of active duty personnel reviewed a hearing health education Technical Guide and video, developed by the military for hearing conservation programs. A “pre- and posteducation” questionnaire was administered to assess the participants' knowledge regarding hearing protection, causes of noise-induced hearing loss, effects of noise on hearing, noise exposure both on and off duty, and satisfaction with educational materials provided during the session. Results Short-term learning effects from the educational materials was achieved for some knowledge-based items (> 10% change from pre-education to posteducation), particularly for questions related to the effect of noise-induced hearing loss on ability to hear speech or hear at a distance. Thirty five percent of study participants reported using hearing protection in hazardous noise 75%–100% of the time. Primary reason for not using hearing protection was comfort. Conclusions Despite hearing loss prevention efforts in the military, hearing loss and tinnitus (ringing in the ears) continue to be prevalent service-connected disabilities among veterans. This study offers some insights regarding current hearing loss prevention understanding and practices for a group of active duty U.S. military personnel. Results from this study can inform future improvements in military hearing loss prevention education.


2018 ◽  
Vol 66 (8) ◽  
pp. 412-412
Author(s):  
Susan A. Randolph

Noise-induced hearing loss is a chronic illness that develops gradually over time. Occupational health nurses can intervene in meaningful ways to promote best practices to prevent hearing loss.


2008 ◽  
Vol 23 (4) ◽  
pp. 147-154
Author(s):  
Douglas T Owens

Noise-induced hearing loss (NIHL) is a major health problem that affects an estimated 16.1% of American adults, but for musicians, the onset of noise-induced, or any type of hearing loss, can be a career-changing event. The potential for dangerous sound pressure levels in musical environments has been documented in numerous studies, with exposures in both short and long durations shown to be harmful. Yet, in theory, NIHL is completely preventable. This review discusses basic information concerning the hearing mechanism and NIHL, audiometry, standards, protective strategies, and terminology. It aims to provide a general understanding of these processes as they relate to musicians and other performing artists.


Author(s):  
Nasim Alnuman ◽  
Talha Ghnimat

Action to prevent noise-induced hearing loss is necessary, especially because many causes of permanent hearing loss are preventable. The aim of this study is to identify and raise awareness of the effect of loud sounds on hearing and effective ways to protect ears among young adults in Jordan. Using non-probability and convenience sampling, 245 students (113 female and 132 males, aged 21.5 years ± 2.18) from three universities participated in the study and filled the questionnaire completely. The questionnaire consisted of 19 questions targeting hearing health. The answers were analyzed statistically, and comparisons were made using the t-test. Hearing loss was regarded as an important issue by 64.1% of the participants. Among the participants, 58% already suffered from at least one hearing symptom, even though only 9.8% used earplugs to protect their hearing. After receiving information on noise-induced hearing loss, 56.3% were likely or somewhat likely to use earplugs in the future (p < 0.01). This indicates that education and knowledge have a strong influence on student attitudes. It is obvious that the awareness of noise-induced hearing loss among adults in Jordan is very low. The authorities, policymakers, media, and educational institutes should recognize their responsibility in raising the awareness of the danger of loud music among young adults.


Author(s):  
Martin Pienkowski

High sound levels capable of permanently damaging the ear are experienced not only in factories and war zones but in concert halls, nightclubs, sports stadiums, and many other leisure environments. This review summarizes evidence that loud music and other forms of “leisure noise” are common causes of noise-induced hearing loss, tinnitus, and hyperacusis, even if audiometric thresholds initially remain within clinically normal limits. Given the huge global burden of preventable noise-induced hearing loss, noise limits should be adopted in a much broader range of settings, and education to promote hearing conservation should be a higher public health priority.


2004 ◽  
Vol 10 (1) ◽  
pp. 20-21
Author(s):  
Alan W. Langman ◽  
Iris B. Langman

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