“…The importance attributed to this disorder in terms of impacts for public health and society is that this term MIHL, resulting from the exposure to high loud music, is used to describe a condition similar to noiseinduced hearing loss (NIHL) (Morais et al, 2007). In fact, several studies showed that musicians are exposed to loud music in the course of orchestral ensembles (Laitinen et al, 2003;Lee et al, 2005;MacDonald et al, 2008;O'Brien et al, 2008;Jansen et al, 2009;Qian et al, 2011;Rodrigues et al, 2013Rodrigues et al, , 2014, individual pratice (O'Brien et al, 2013), and teaching activities (Behar et al, 2004), among other professional and nonprofessional musical activities . Exposure to these high sound levels was associated with hearing loss (Juman et al, 2004;Morais et al, 2007;Jansen et al, 2009;Schink et al, 2014), and other hearingloss-related symptoms such as tinnitus, hyperacusis, and diplacusis (Morais et al, 2007;Laitinen, 2005;Laitinen et al, 2008;Jansen et al, 2009).…”