Hearing loss among among classical musicians needs, means and attitudes

Noise is usually defined either unwanted sound or sound that is harmful to the hearing. Earlier studies have shown that musicians are exposed to sound levels that can be harmful to hearing, and thus music can be considered as noise. Studies have also shown that musicians have hearing problems due to prolonged music exposure. This is also the case among classical musicians. According to the new noise directive, hearing conservation programs directed to entertainment sector are needed. However the needs and attitudes of the classical music players are not understood in many perspectives. In this study, the total annual noise exposure including personal rehearsals has been measured and evaluated for the first time. The problems experienced with hearing protective devices, hearing symptoms (self-evaluated hearing loss, tinnitus, hyperacusis and diplacusis), and stress and their interaction were identified and quantified in two countries among large symphony orchestras. The results showed that the use of a hearing protective device was poor, especially in personal rehearsals. The musicians with hearing loss used more often a hearing protective device. All hearing symptoms were related to stress and reduced work satisfaction. Hearing loss was measured with audiometer among a volunteer group. The hearing loss correlated with music exposure but was smaller than predicted by the standard ISO 1999-1990. Room acoustics was improved in a project involving small classrooms for music students. The classrooms correspond to personal rehearsal facilities for musicians. The improvement in room acoustics was minor, but had a beneficial effect on job satisfaction. The thesis provides means to implement personal protection, technical means and training in hearing conservation programs for classical music players.