Development and validation of an efficient and safe loud music exposure paradigm

Eleftheria Iliadou, Konstantinos Pastiadis, Dimitrios Dimitriadis, Chris Plack, Athanasios Bibas

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To develop a time-efficient music exposure and testing paradigm, that safely creates temporary cochlear dysfunction that could be used in future temporary threshold shift (TTS) studies.
Method: A 30-min audio compilation of pop-rock music tracks was created. Adult volunteers with normal hearing were then exposed to this music material monaurally through headphones for 30 min at 97 dB A or 15 min at 100 dB A. Levels were measured from the ear of a manikin and are considered to provide an equivalent daily noise dose based on a 3-dB exchange. We assessed the changes in their hearing, by means of distortion product otoacoustic emission (DPOAE) testing, and standard and extended high-frequency pure-tone audiometry before and after exposure. There were 17 volunteers in total. In a first trial, eight volunteers [four females; median age = 31 years (IQR = 4.25)] were included. Although TTS was observed in all eight participants for at least one frequency, a large variation in affected frequencies was observed. To address this issue, the audio material was further remastered to adjust levels across the different frequency bands. Fourteen adults [nine newly recruited and five from the first trial; seven females; median age = 31 years (IQR = 5)] were exposed to the new material.
Results: All but 2 out of 17 participants presented clinically significant TTS or decrease in DPOAE amplitude in at least one frequency. Statistically significant average TTS of 7.43 dB was observed at 6kHz. There were statistically significant average DPOAE amplitude shifts of -2.55 dB at 4 kHz, -4.97 dB at 6 kHz, and -3.14 dB at 8 kHz. No participant presented permanent threshold shift.
Conclusions: A monaural music paradigm was developed and shown to induce statistically significant TTS and DPOAE amplitude shifts, without evidence of permanent loss. This realistic and time-efficient paradigm may be considered a viable option for experimental studies of temporary music-induced hearing loss.
Original languageEnglish
JournalJournal of Speech, Language, and Hearing Research
Volume67
Issue number2
Early online date31 Jan 2024
DOIs
Publication statusPublished - 12 Feb 2024

Keywords

  • music1
  • temporary threshold shift2
  • hearing loss3
  • noise4
  • otoacoustic emissions5

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