music hearing loss

Musicians should not retire on my watch!

 

Recently there have been news reports about famous musicians who can no longer perform their music and choose to retire. By hook or by crook, that should not happen!  There are a multitude of strategies and technologies that can extend anyone’s playing and singing career.

I recently saw a few hard of hearing clients with high frequency sensori-neural hearing losses who were considering giving up music. One was a young vocal music student at a local college and the other was nearer to the end of his playing career. They were contemplating “retirement” for different reasons.

Courtesy of www.Ultimate-Guitar.com

The music student was studying vocal and considered herself to be a soprano.  She was having difficulty passing the “ear training” classes at her college which is a requirement for all music programs.  This involves identifying musical intervals such as thirds or fifths on the piano keyboard.  She had cochlear dead regions down to 1500 Hz which is surprisingly low for someone who has relatively good hearing acuity up to 1000 Hz.

A quick and simple solution for her turned out to be having the musical intervals played in a lower octave- one where she had better cochlear function; in her case being in the octave below middle C.  This proved to be much easier and after some training this music student was better able to identify the intervals even up to an octave or two above middle C (just above 250 Hz) and obtained a score of 84%.  Previously the best she could obtain for higher octave intervals was in the low 20% region.  Much of the “audiology intervention” was to contact the school and explain the situation.  It can be difficult to explain cochlear dead regions to a school administrator, but it’s amazing how flexible educational institutions can be if there is clear and consistent information provided.

Courtesy of www.TheStrad.com

In addition, this student is investigating the possibility with her vocal coach of becoming an alto or alto-soprano, effectively bringing her singing range down a fraction of an octave.  This is analogous to a hard of hearing violinist deciding to play the slightly larger viola which has more of its sound energy in a lower, hopefully healthier cochlear region.

The other client is in his 70s, has a gradual high frequency sensori-neural hearing loss which is most likely related to his music exposure as well as the effects of presbycusis.  He plays jazz on the saxophone, and like the violin family of instruments, there are a range of saxophones from the soprano to baritone.

Unlike the last client, this musician’s issues are mostly related to his lack of hearing the band leader’s instructions- such as “II, V, I turnaround in G starting at section 12”.  Even though Jazz is known for its apparent improvisation and breaking some of the rules of classical music theory, there are well-defined deviations that can still assist the musician.   For example, the “II, V, I turnaround” is a jazz standard that students of jazz learn the first day of classes.  There isn’t a “II, V, VI turnaround” so some of what the band leader says is highly predictable.

In well-defined band set-ups, the band leader may be in the same location on stage, whereas in other settings, they may be all over the place.  For some playing environments, it would be a good idea to place a remote microphone clipped to the band leader’s lapel or even a Smartphone which communicates with Bluetooth to the hard of hearing musician’s hearing aids, on their music stand.  But for other situations, this may not be a valid technical solution.

And in most cases, the hard of hearing musician can simply lean over to his stand partner and ask which section and key they are starting at.

There are a wealth of technical innovations such as using a personal equalizer on stage with a microphone that communicates with hearing aids, or in-ear monitors either hard wired or via Bluetooth transmission.  Not everyone has a Richard Einhorn or a Larry Revit in their office to advise on some of the creative technologies but I would refer anyone who is interested to a 2014 special issue of Hearing Review where Richard and Larry shared what has worked for them.

Courtesy of www.acousticengineering.wordpress.com

We now have technologies that are clinically available that were not as readily available in 2014, such as our Smartphone’s ability to provide frequency equalization and remote reception via Bluetooth.  Hard of hearing musicians can, within limits, adjust gain in the lower, mid, or higher frequency regions quickly on their Smartphones.  Not only would this be useful to improve monitoring and communication within a band, but can be used to improve the quality of amplified music-slight mid-range boosts and high frequency cuts may make the music sound warmer. 

Other than ensuring that the maximum output (OSPL90) is set properly, I would fully support providing musicians with the ability to further being able to adjust elements of their personal amplification. The October, 2018 issue of Hearing Review will be an issue that summarizes some of the solutions that many hard of hearing musicians have successfully used to continue playing music.

The Association of Adult Musicians with Hearing Loss (AAMHL) is a nonprofit that provides support for musicians seeking ways to continue making music despite (significant) hearing loss.   In 2016, AAMHL published a book that focuses on strategies deaf and hard of hearing musicians and composers can use to continue their musical lives.

About Marshall Chasin

Marshall Chasin, AuD, is a clinical and research audiologist who has a special interest in the prevention of hearing loss for musicians, as well as the treatment of those who have hearing loss. I have other special interests such as clarinet and karate, but those may come out in the blog over time.

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