Abstract
The sound in classical orchestral music is louder than noise emissions allowed by national rules in industry. We wanted to assess the audiologic status of professional musicians at different ages of their careers and to look for a coherence of declined hearing ability and the sound emissions in order to substantiate advices for hearing protection and occupational medicine in musicians. Data from questionnaires (anamnestic data on sound exposure in profession and leisure times, use of hearing protection, self-evaluation of hearing function and hearing deficits), audiometric data and amplitudes of OAE were evaluated from 109 professional musicians aged 30–69 years from three major German orchestras and from 110 students of an academy of music (aged 11–19 years). Sound emissions of the whole orchestra and of single instruments/instrument groups were measured at the orchestra stages and pits during rehearsals and performances. None of the musicians was engaged in noisy hobbies and only a few used hearing protectors regularly. More than 50% of the musicians had a hearing loss of 15 dB(A) and more. Highest losses were found among the strings and the brass players. DPOAE amplitudes coincidently declined with the duration of performing music in the orchestras. Professional musicians aged older than 60 years had a significantly greater hearing loss at 4 and 6 kHz than those aged 30–39 years. Among the strings in one orchestra a dominant hearing deficit in the left ears was observed. Musicians need the same health care for their hearing as workers in noisy industry. A better education on the hearing hazards (use of hearing protectors) as well as sound protection in the rehearsal rooms is necessary. Hearing loss in professional musicians should be accepted as an occupational disease.
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References
Arnold GE, Miskolczy-Fodor F (1960) Pure-tone thresholds of professional pianists. Arch Otolaryngol 71:938–947
Dieroff HG (1994) Lärmschwerhörigkeit. Fischer, Jena/Stuttgart
Emmerich E, Richter F, Hagner H, Giessler F, Gehrlein S, Dieroff HG (2002) Effects of music in a discotheque on audiometric results and central acoustic evoked neuromagnetic responses. Int Tinnitus J 8:13–19
Emmerich E, Rudel L, Grosch J, Huonker R, Richter F (2005) Assessment of hearing ability in orchestral musicians: is classical music hazardous to the inner ear? (abstract). Soc Neurosci Abstr 31:282.2
Fligor BJ, Cox LC (2004) Output levels of commercially available portable compact disc players and the potential risk to hearing. Ear Hear 25:513–527
Florentine M, Hunter W, Robinson M, Ballou M, Buus S (1998) On the behavioral characteristics of loud-music listening. Ear Hear 19:420–428
Hagberg M, Thiringer G, Brandstrom L (2005) Incidence of tinnitus, impaired hearing and musculoskeletal disorders among students enrolled in academic music education—a retrospective cohort study. Int Arch Occup Environ Health 78:575–583
Hetu R, Fortin M (1995) Potential risk of hearing damage associated with exposure to highly amplified music. J Am Acad Audiol 6:378–386
ISO 1999 (1990) Acoustics—determination of occupational noise exposure and estimation of noise-induced hearing impairment. International Organization for Standardization, Geneva
Juman S, Karmody CS, Simeon D (2004) Hearing loss in steelband musicians. Otolaryngol Head Neck Surg 131:461–465
Kahari KR, Axelsson A, Hellstrom P, Zachau G (2001a) Hearing assessment of classical orchestral musicians. Scand Audiol 30:13–23
Kahari KR, Axelsson A, Hellstrom PA, Zachau G (2001b) Hearing development in classical orchestral musicians. A follow-up study. Scand Audiol 30:141–149
Kaharit K, Zachau G, Eklof M, Sandsjo L, Moller C (2003) Assessment of hearing and hearing disorders in rock/jazz musicians. Int J Audiol 42:279–288
Laitinen HM, Toppila EM, Olkinuora PS, Kusima K (2003) Sound exposure among the Finnish National Opera personnel. Appl Occup Environ Hyg 18:177–182
Lee PC, Senders CW, Gantz BJ, Otto SR (1985) Transient sensorineural hearing loss after overuse of portable headphone cassette radios. Otolaryngol Head Neck Surg 93:622–625
Lipsius P (2004) Quantifizierung von Belastung und Beanspruchung des menschlichen Gehörs durch Industrielärm als Grundlage der Entwicklung mechatronischer Lärmpräventionssysteme. Dissertation, Faculty of Mechanical Engineering, Technische Universität Ilmenau, Germany
Liu S, Hayden GF (2002) Maladies in musicians. South Med J 95:727–734
McBride D, Gill F, Proops D, Harrington M, Gardiner K, Attwell C (1992) Noise and the classical musician. BMJ 305:1561–1563
Ostri B, Eller N, Dahlin E, Sklyv G (1989) Hearing impairment in orchestral musicians. Scand Audiol 18:243–249
Palin SL (1994) Does classical music damage the hearing of musicians? A review of the literature. Occup Med 44:130–136
Schmuziger N, Patscheke J, Probst R (2006) Hearing in nonprofessional pop/rock musicians. Ear Hear 27:321–330
Teie PU (1998) Noise-induced hearing loss and symphony musicians: risk factors, effects, and management. Md Med J 47:13–18
Westmore GA, Eversden ID (1981) Noise-induced hearing loss and orchestral musicians. Arch Otolaryngol 107:761–764
Zuskin E, Schachter EN, Kolcic I, Polasek O, Mustajbegovic J, Arumugam U (2005) Health problems in musicians—a review. Acta Dermatovenerol Croat 13:47–251
Acknowledgments
The authors thank the Berufsgenossenschaft (BGN) Nahrungsmittel und Gaststätten (Employer’s Liability Insurance Association) for the support. We thank Mr. J. Grosch for his help in the dosimetric recordings.
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Emmerich, E., Rudel, L. & Richter, F. Is the audiologic status of professional musicians a reflection of the noise exposure in classical orchestral music?. Eur Arch Otorhinolaryngol 265, 753–758 (2008). https://doi.org/10.1007/s00405-007-0538-z
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DOI: https://doi.org/10.1007/s00405-007-0538-z