Thursday, 23 May 2019
Saturday, 2 March 2019
Helping musicians to preserve their precious hearing.
Helping musicians to preserve their precious hearing.
•Hearing
testing at first enrolment in music.
•Use of
isolating custom ear phones (softer material)
•Wear both ear
pieces always (one only is more dangerous listeners increases volume
dangerously)
•Noise peak
limiting devices (use personal monitor system with peak limiter),
no vent in the ear phone (additional noise)
•Seek help if
early warning signs eg. ringing
noise, temporary reduction in hearing after performing.
•Reduce number
of times you are exposed & keeping volume level
low.
Research in Music Noise Exposure
Rock and jazz
music is loudest .
Rock Music
Noise exposure 120-130dBA
75% of
Rock/Jazz Musicians had hearing loss (Kahari et al 2003)
4-58% of
musicians have some mild hearing loss (Axelson et al 1981)
Source :Chasin Marshall 2009 Hearing loss in musicians
Dangers regarding the ear and hearing.
Dangers regarding the ear and hearing.
Ringing noise
in the ears(tinnitus).
üPerceiving
sounds at normal listening levels as too loud leading to fear of sounds.
üPerceiving two
“different” sounds in a tone instead of single pitch.
üSensing sounds
as increasing in loudness from very quiet to too loud at an abnormally fast
rate
üDizzines - loss of
body balance
üPermanent
Noise Induced hearing loss
WORLD HEARING DAY, 3RD MARCH. HEAR BETTER CENTRE.
EARLY HEARING DETECTION AND INTERVENTION.
MUSICIANS EDUCATION CORNER
Wanjohi Z W
Team Leader
Consultant Audiologist.
vThe musicians
primary focus is performance.
vConsideration
for hearing preservation is secondary.
vThe musicians
want to hear with precision what they are.
vMusicians are
in it either as:
-hobby
-entertainment (self and public)
-career/profession
vPoor use of
personal In –the –Ear Monitoring (IEM) can enhance ear and damage
HEARING AND LISTENING MILESTONES IN CHILDREN
WORLD HEARING DAY 3rd
MARCH 2019
HEAR BETTER
CENTRE-PUBLIC HEARING HEALTH.
YOU CAN DO SOMETHING
TODAY TO HELP DETECT HEARING LOSS EARLY IN A CHILD. LOOK AT THE MILESTONES
BELOW AND HELP A PARENT TO MONITOR HER CHILD’S SPEECH AND LANGUAGE DEVELOPMENT.
HEARING AND LISTENING
MILESTONES IN CHILDREN
(Palmer and Mormer
1989)
0-28 days: Child startles to loud sound.
Pays attention to voice
and music
Parent’s voice quietens
child
1-4 months: Looks for the source of sound.
Enjoys parent’s voice.
Pays attention to
objects that generate noise.
Can imitate sounds e.g.
“aa” “ee” “oo”
4- 8 months:
Can shake objects to make sounds.
Can respond to simple
words e.g. “bye, bye”
Learning to recognize
own name.
Plays with objects that
make noise.
Enjoys music etc.
8-12 months: Pays attention to the television set.
Identifies the source of
a sound or voice.
Understands “NO” and
responds.
Enjoys songs and games
where voice is used.
Responds to verbalized
games e.g. see, wow!
1 year: Dances to music.
Answers to name call.
Pays attention to book.
2 years: Listens on phone, listen to story in
a group; dances to music
3 years: Can talk and listen on phone.
Follow and sings with
music.
Can follow recorded
voice message.
Pays attention to verbal
warnings.
Thursday, 28 February 2019
WHY USE HEARING AIDS?
WHY DO PEOPLE WITH HEARING IMPAIRMENT
FAIL TO USE HEARING AIDS?
1.
Cost.
-
Too
expensive especially the modern digital programmable.
-
Consider
the gain from getting one (quality of life) against the cost of hearing aid.
-
Technology
is improving at high cost to the consumer.
-
Remember
“cheap can be very expensive in the long run”! Used hearing aids do more harm
in young children.
2.
No qualified Professional Services.
-
On
top of losing the critical window of speech and language development, they
reject hearing aids of low quality and poor fit never to give a second chance!
-
Make
sure your diagnosis has been accurately made by a qualified audiologist or a
health professional supervised by an experienced audiologist.
-
Ensure
hearing fitting is done by or under an experienced audiologist especially in a
child.
-
You
may demand to see the clinician qualifications
3.
Hearing aids ate too delicate.
-
Hearing
aids like other electronics do break down easily.
-
People
with hearing loss require high performing hearing aids for best results.
-
Do
not accept to be fitted with a second hand hearing aid unless there is a
manufacturer’s endorsement of its performance.
-
Each
new hearing aid carries a manufacturer’s warranty for a year in case of
nonperformance due to a factory fault.
-
Learn
how to troubleshoot and maintain your hearing aids.
-
Get
it serviced at your health care service provider.
4.
Bad report or experience about
hearing aids.
-
Learn
from those telling you of bad experience. However do not stop there. Give
yourself a try as they did. After all you are not there and you might perform
better.
-
It
is known that people with “bad” experience draw comfort and strength from
others with “bad” experience. This is paradoxical.
5.
Fear of the unknown.
-
Many
people with problem even beyond hearing loss live in this “valley of
Indecision”.
-
Connect
with positive users of hearing aids and contact hearing health professionals
for balanced opinion.
6.
Negative image projection.
-
Visible
hearing aids e.g. behind the ear call for some attention.
-
Miniaturized
behind the ear hearing aids intend to reduce visibility.
-
Even
further the In The Ear reduces this and the completely In The Canal (CIC)
hearing aids works out the miracle of concealment!
-
It
is with notice that mild and moderate hearing impairment can be addresses by
the invisible and not so visible hearing aids.
-
The
moderate and severe hearing loss require the larger and more visible hearing
aids (BTE) so as to be more effective.
-
Young
children should be provided with behind the ear so as to monitor performance.
-
It
in a dilemma between image and impact of hearing loss, work out real losses to
hearing impairment against potential gain due to use of a behind the ear
hearing aid.(communication book-balancing), ther DECIDE.
HEARING AND LISTENING MILESTONES IN CHILDREN
HEARING AND LISTENING MILESTONES IN
CHILDREN
(PALMER
AND Mormer 1989)
0-28 days: Child startles to loud sound.
Pays attention to voice
and music
Parent’s voice quietness
child
1-4 months: Looks for the source of sound.
Enjoys parent’s voice.
Pays attention to
objects that generate noise.
Can imitate sounds e.g.
“aa” “ee” “oo”
4- 8 months:
Can shake objects to make sounds.
Can respond to simple
words e.g. “bye, bye”
Learning to recognize
own name.
Plays with objects that
makes noise.
Enjoys
music etc.
8-12 months: Pays attention to the television set.
Identifies the source of
a sound or voice.
Understands “NO” and
responds.
Enjoys songs and games
where voice is used.
Respond to verbalized
games e.g. see, wow!
1 year: Dances to music.
Answers to name call.
Pays attention to book.
2 years: Listens on phone, listen to story in
a group; dances to music
3 years: Can talk and listen on phone.
Follow and sings with
music.
Can follow recorded
voice message.
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