The journey from playful musical exploration in childhood to an adult identity as a skilled musician is likely to be problematic for people with hearing impairments. Although a number of subjective accounts have been published, there is a lack of empirical research in the area. In this study, twelve musicians with hearing impairments were interviewed about their musical background, hearing loss and experiences of interactive music making. A thematic network analysis was performed on the verbatim transcripts. Musical families were shown to facilitate positive, early, influential experiences helping individuals to develop musical selfefficacy. These themes were found to operate independently of the challenges posed by a hearing impairment and in spite of negative music-making experiences. Dynamic listening styles were identified, ranging from full reliance on hearing to discriminate and even non-auditory attending. The development of listening styles was found to be crucial in negotiating problems in auditory perception caused by physiological changes in hearing level and the distorting effects of hearing aids.
Presentation of music as vibration to the skin has the potential to facilitate interaction between musicians with hearing impairments and other musicians during group performance. Vibrotactile thresholds have been determined to assess the potential for vibrotactile presentation of music to the glabrous skin of the fingertip, forefoot and heel. No significant differences were found between the thresholds for sinusoids representing notes between C1 and C6 when presented to the fingertip of participants with normal hearing and with a severe or profound hearing loss. For participants with normal hearing, thresholds for notes between C1 and C6 showed the characteristic U-shape curve for the fingertip, but not for the forefoot and heel. Compared to the fingertip, the forefoot had lower thresholds between C1 and C3, and the heel had lower thresholds between C1 and G2; this is attributed to spatial summation from the Pacinian receptors over the larger contactor area used for the forefoot and heel. Participants with normal hearing assessed the perception of high-frequency vibration using 1s sinusoids presented to the fingertip and were found to be more aware of transient vibration at the beginning and/or end of notes between G4 and C6 when stimuli were presented 10dB above threshold, rather than at threshold. An average of 94% of these participants reported feeling continuous vibration between G4 and G5 with stimuli presented 10dB above threshold. Based on the experimental findings and consideration of health effects relating to vibration exposure, a suitable range of notes for vibrotactile presentation of music is identified as being from C1 to G5. This is more limited than for human hearing but the fundamental frequencies of the human voice, and the notes played by many instruments, lie within it. However, the dynamic range might require compression to avoid the negative effects of amplitude on pitch perception.
Objective: Two studies explored hearing-aid user and audiologist experiences of hearing-aid use and fitting for music in the UK. Design and sample: One-hundred-seventy-six hearing-aid users (age range: 21-93 years; mean: 60.56 years) answered a 4-item questionnaire on music listening difficulties and discussions about music in clinic. 99 audiologists (age range: 22-71 years; mean: 39.18 years) answered a 36-item questionnaire on the frequency and type of discussions, training received, and strategies for optimizing hearing aids for music. Closed and open-ended questions were included. Results: Sixty seven percent of hearing-aid users reported some degree of difficulty listening to music with hearing aids, and 58% had never discussed music in clinic. 50% of audiologists surveyed asked 1 in 5 (or fewer) patients about music and 67% had never received music-specific training. Audiologist training on music was significantly associated with confidence in providing advice, confidence in programming hearing aids for music, and programming hearing aids for music for a greater number of patients. Conclusions: Hearing-aid users' and audiologists' experiences of music remain mixed. In the absence of formalised training in optimizing hearing aids for music, there is a need for systematic research relating fitting strategies to clinical outcomes and the development of guidelines for audiologist training.
Musicians’ hearing has received increased attention due to the rising prevalence of hearing loss among general and musical populations. This paper reports results of a national survey exploring professional musicians’ awareness of, and perceptions surrounding, their hearing health, and associated help-seeking behavior including attitudes towards hearing protection. Professional musicians ( N = 693) took part, the majority being orchestral or instrumental musicians. Forty percent of the sample had experienced hearing loss or other hearing issues and many attributed hearing problems to their musical careers. Fifty percent of the musicians were worried about noise at work; however, less than a third had taken a hearing test. Reasons for having a test included subsidized tests and experiencing symptoms of hearing loss or tinnitus, while reasons for not having a test included a lack of awareness about options. Data revealed an on-going tension between a concern to protect hearing and the perceived negative outcomes of wearing protection during musical performance, and highlighted the need for more in-depth research into the experiences of musicians in high-risk instrumental groups (e.g., amplified/band musicians, brass, percussion). Providing advice to musicians about the risks of noise-induced hearing loss (NIHL) prior to experiencing symptoms of hearing loss or tinnitus will support improved protection behavior.
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