How Professional and Amateur Musicians Can Decrease the Odds of Future Hearing Loss

What do Phil Collins, Jeff Beck, Eric Clapton, and Ludwig van Beethoven have in common, besides all being musicians? They all suffered permanent hearing loss, directly as a result of playing their music.

I often work with musicians who have experienced hearing damage as a result of their longtime love of playing music. Exposure to loud music causes noise-induced hearing loss (NIHL), which can produce a temporary ringing in the ears (tinnitus); if you continue to expose yourself to the loud music, the condition can become permanent.

The hearing loss can happen to any musician, whether they play in a rock band, in a symphony orchestra, in a chamber music group, or just play at home when rehearsing. Hearing loss can occur when exposed to any sound over 85 decibels (dB) in volume for prolonged lengths of time. An electric guitar played onstage generates 120dB, but a violin can produce 103dB, and thus cause almost as much hearing loss. In fact, audiologists researching hearing loss in musicians have found that overexposure to sound while rehearsing adds up to more hours than they spend on stage performing.

Fortunately, there is something you can do to protect your hearing – invest in a pair of earplugs; not the cheap foam earplugs you find in drugstores, but high-quality musicians earplugs. Such earplugs were invented over 20 years ago by a company called Etymotic Research, and their design is still used by most of the manufacturers of specialized earplugs for musicians. What makes them better than the cheap foam earplugs is that they allow you to hear music and speech accurately, at all frequencies, just at lowered volumes.

You can find universal-fit musicians earplugs in most stores that sell musical instruments, starting at about $15 a pair. But for the musicians I see – whether they play professionally or just for fun – I recommend custom-molded musicians earplugs with Etymotic filters, because of the greater protection they provide. Comfortable even with extended wear for long periods of time, custom-molded earplugs block undesirable sound allowing the music to come through undistorted and without damaging hearing. They are also more expensive than the universal-fit earplugs, but when you consider that hearing damage is irreversible, the investment is more than worth it.

Can Your Hearing Have an Effect on Your Ability to Process Touch?

Those born deaf will process the feeling of touch in a different manner than those born with normal levels of hearing. Findings reveal an early loss in senses can affect an individual’s brain development. It tacks on to the increasing list of new information confirming the impact of any influences from the outside world and experiences that help mold the brain as it develops.
Researcher shows that those born without hearing use their auditory cortex for processing feelings of touch and their visual stimuli far more than those of the hearing population do. Since the developing cortex of those with significant hearing problems is unexposed to any sound stimuli, it ends up adapting and taking on additional tasks for processing information.

Research shows exactly how the brain can rewire itself in the most dramatic of ways. It is of extreme interest to those currently studying the multisensory processing throughout the brain. Previous research shows that those born without hearing are more adept at processing motion and their peripheral vision. Those born with a hearing impairment may end up processing vision in different areas of the brain, especially when it comes to the auditory areas surrounding the primary cortex. No one has been able to tackle whether touch and vision are processed in a different manner when the individual was born without hearing. Due to the experimental settings, it can be extremely hard to produce the type of stimuli needed to find the answer to this question.

Dr. Karns and all of her colleagues developed one of the most unique apparatuses around that enables the user to wear them much like headphones as the patient was put into an MRI scanner. A flexible piece of tubing was connected into a compressor within a separate room, which then delivered small puffs of air directly above the individual’s right eyebrow and below their right eye on the cheek. Brief flashes of light were sent through an optic cable that was mounted beneath the air nozzle. The functional MRI helped measure the reaction of the stimuli at the base of the auditory cortex within the person’s temporal lobe, in addition to other areas of the brain.

Researchers were able to take advantage of the already diagnosed perceptual illusion in those who can hear, which is known as the double flash induced by auditory responses. This allows a singular flash of light along with at least two auditory events to be perceived as if here were multiple light flashes. In the experiment, researchers used the double air puffs as a stimulus for replacing that of the auditory stimulus; however, they kept the one flash of light instead of adding in multiples. The individual’s were also subjected to that of tactile stimuli as well as that of light stimuli on separate occasions and times without the stimuli in an attempt to establish a base for brain activities.

Hearing individuals that were given more than one puff of air and a single flash of light reported only seeing one flash. When the ones without hearing were exposed to identical circumstances, they reported seeing multiple flashes of light. As the scientists looked at the brain activity of those without their hearing, they noticed the activity was far greater within the cortex. However, not all of the brains responded in the same manner or to the same extent. Individuals who are deaf accompanied by the highest degree of activity also had the highest level of response in terms of illusion.

This study proves to be helpful to those without hearing on numerous levels. If vision and touch are interacting more within the deaf population, touch might be useful for the deaf population in learning how to read or compute math problems. It also proves beneficial in helping clinicians improve upon an individual’s hearing quality after getting a cochlear implant, especially among those who received an implant after the age of three. Since these children have been without auditory input since they were born, many will struggle with speech and comprehension due to the way in which their auditory cortex is taking on the other senses. All of these changes can make it more difficult for the cortex to recover the auditory functions after their implants. Knowing how to measure the cortex and how much of it is being ran by the other sensory processors will help provide the necessary input into the types of programs needed for retraining the brain and devoting the necessary capacities to processing auditory signals.

7 Signs You May Have Hearing Loss

In most cases, hearing loss doesn’t happen all at once. In fact, hearing loss can occur so gradually that you may not even notice a change in your hearing until the loss is severe.

If you’re concerned about your own hearing or that of a loved one, consider these common signs of hearing loss:

1. Others complain that the TV or radio is too loud or others seem to be enjoying the TV at a volume too low for you to hear.

2. You pretend to follow conversations that you don’t really hear. Often, out of embarrassment, people with hearing loss act as though they understand a conversation, but their participation is limited or seems out of rhythm with others.

3. You have a particularly hard time hearing women and children speak. This may indicate a problem hearing higher frequencies.

4. You become frequently annoyed because people don’t speak clearly.

5. You often ask people to repeat themselves.

6. Background noises like those in a busy restaurant make it too difficult for you to conduct a conversation with your companion.

7. The volume on your phone is set on high but you still can’t hear the person you’re talking to.

If you or someone you know is experiencing signs of hearing loss, contact an audiologist for a hearing test. Today’s hearing aids are discrete and there are many options available for treating hearing loss. With the help of a hearing specialist you can improve your life and communication with those you love.

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