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Noise-Induced Hearing Loss in Professional Orchestral Musicians

Treść / Zawartość
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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
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.
Rocznik
Strony
223--234
Opis fizyczny
Bibliogr. 29 poz., tab., wykr.
Twórcy
  • Department of Physical Hazards, Nofer Institute of Occupational Medicine Sw. Teresy 8, 91-348, Łódz, Poland
autor
  • Department of Physical Hazards, Nofer Institute of Occupational Medicine Sw. Teresy 8, 91-348, Łódz, Poland
  • Department of Physical Hazards, Nofer Institute of Occupational Medicine Sw. Teresy 8, 91-348, Łódz, Poland
  • Department of Physical Hazards, Nofer Institute of Occupational Medicine Sw. Teresy 8, 91-348, Łódz, Poland
Bibliografia
  • 1. Axelsson A., Lindgren F. (1981), Hearing in classical musicians, Acta Otolaryngology Suppl., 377, 3-74.
  • 2. Directive 2003/10/EC of European Parliament and of the Council of 6 February 2003 on the minimum healt hand safety requirements regarding the exposure of workers to the risks arising from physical agents (noise) (17th individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC), Off J Eur Comm. 2003;L42/38.
  • 3. Dudarewicz A., Pawlaczyk-Łuszczyńska M., Zamojska M., Zaborowski K. (2013), Does exposure to sounds during individual rehearsals increase the risk of the hearing loss in the orchestral musicians? (prepared for the XVI International Conference on Noise Control).
  • 4. Dudarewicz A., Toppila E., Pawlaczyk-Łuszczyńska M., Śliwińska-Kowalska M. (2010), The influence of selected risk factors on the hearing threshold level of noise-exposed employees, Archives of Acoustics, 35, 3, 131-142.
  • 5. Emmerich E., Rudel L., Richter F. (2008), Is the audiologic status of professional musicians a reflection of the noise exposure in classical orchestral music?, European Archives of Oto-Rhino-Laryngology, 265, 7, 753-758.
  • 6. ISO, International Standard ISO 1999: Acoustics – Determination of occupational noise exposure and estimation of noise-induced hearing impairment, Geneva, 1990.
  • 7. ISO, International Standard ISO 9612: Acoustics – Determination of occupational noise exposure – Engineering method, Geneva, 2009.
  • 8. Jansen E.J., Helleman H.W., Dreschler W.A., de Laat J.A. (2009), Noise induced hearing loss and other hearing complaints among musicians of symphony orchestras, International Archives of Occupational and Environmental Health, 82, 2, 153-164.
  • 9. Jansson E., Karlsson K. (1983), Sound levels recorded within symphony orchestra and risk criteria for hearing loss, Scandinavian Audiology, 12, 3, 215-221.
  • 10. Kähäri K.R., Axelsson A., Hellström P.A., Zachau G. (2001), Hearing development in classical orchestral musicians. A follow-up study, Scandinavian Audiology, 30, 3, 141-149.
  • 11. Karlsson K., Lundquist P.G., Olaussen T. (1983), The hearing of symphony orchestra musicians, Scandinavian Audiology, 12, 4, 257-264.
  • 12. Laitinen H. (2005), Factors affecting the use of hearing protectors among classical music players, Noise and Health, 7, 26, 21-29.
  • 13. Laitinen H., Toppila E., Olkinuora P., Kuisma K. (2003), Sound exposure among the Finnish National Opera personnel, Applied Occupational and Environmental Hygiene, 18, 3, 177-182.
  • 14. Meijer A.G.W., Wit H.P., TenVergert E.M. (2003), Reliability and validity of the modified Amsterdam Inventory for Auditory Disability and Handicap, International Journal of Audiology, 42, 4, 220-226.
  • 15. O’Brien I., Wilson W., Bradley A. (2008), Nature of orchestral noise, Journal of the Acoustical Society of America, 124, 2, 926-939.
  • 16. Obeling L., Poulsen T. (1999), Hearing ability in Danish symphony orchestra musicians, Noise Health, 1, 2, 43-49.
  • 17. Ostri B., Eller N., Dahlin E., Skylv G. (1989), Hearing impairment in orchestral musicians, Scandinavian Audiology, 18, 4, 243-249.
  • 18. Pawlaczyk-Łuszczyńska M., Dudarewicz A., Zamojska M., Śliwińska-Kowalska M. (2011), Evaluation of sound exposure and risk of hearing impairmentin orchestral musicians, Int. Journal of Occupational Safety and Ergonomics, 17, 3, 255-269.
  • 19. PKN, Polish Standard PN-ISO 1999: Acoustics – Determination of occupational noise exposure and estimation of noise-induced hearing impairment, Warszawa, 2000 [in Polish].
  • 20. PKN, Polish Standard PN-N-01307: Noise. Permissible values of noise in the workplace. Requirements relating to measurements, Warszawa, 1994 [in Polish].
  • 21. Pyykko I., Toppila E., Zou J., Erna K. (2007), Individual susceptibility to noise-induced hearing loss, Audiol. Med., 5, 1, 41-53.
  • 22. Royster J.D., Royster L.H., Killion M.C. (1991), Sound exposures and hearing thresholds of symphony orchestra musicians, Journal of Acoustical Society of America, 89, 6, 2793-2803.
  • 23. Śliwińska-Kowalska M., Dudarewicz A., Kotyło P., Zamysłowska-Szmytke E., Pawlaczyk Łuszczyńska M., Gajda-Szadkowska A. (2006), Individual susceptibility to noise-induced hearing loss : Choosing an optimal method of retrospective classification of workers into noise-susceptible and noise resistant groups, International Journal of Occupational and Environmental Health, 19, 4, 235-245.
  • 24. Teie P.U. (1998), Noise-induced hearing loss and symphony orchestra musicians: risk factors, effects, and management, Maryland Medical Journal, 47, 1, 13-18.
  • 25. Toppila E., Koskinen H., Pykko I. (2011), Hearing loss among classical-orchestra musicians, Noise and Health, 13, 50, 45-50.
  • 26. Toppila E., Pyykko I., Starck J. (2001), Age and noise-induced hearing loss, Scandinavian Audiology, 30, 236-244.
  • 27. WHO Grades of hearing impairment, Retrieved March 19, 2013 from http://www.who.int/pbd/deafness/hearingimpairmentgrades/en/index.html
  • 28. Zamojska M., Pawlaczyk-Łuszczyńska M., Dudarewicz A., Zaborowski K. (2013), Assessment of exposure to excessive sounds and hearing status in students enrolled in academic music education (prepared for presentation during the XVI International Conference on Noise Control NOISE CONTROL 2013).
  • 29. Zhao F., Manchaiah V.K., French D., Price S.M. (2010), Music exposure and hearing disorders: an overview, Int. Journal of Audiology, 49, 1, 54-64.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-9d05250f-fc70-4f67-ba07-d516f1a96b7f
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