Do I Need Ear Plugs?

foxsfiresides

What do the following famous artists all have in common?

  • seriestoshare-logo-01Pete Townshend
  • Roger Daltrey
  • Neil Young
  • Barbra Streisand
  • Eric Clapton
  • John Densmore
  • Anthony Kiedis
  • Ozzy Osbourne

Answer? According to AARP (see this article), all of the above celebrities have serious hearing loss, audio difficulties, or been diagnosed with “tinnitus” or “buzzing in the ears.”

Music students, teachers, musicians, or family members who go to music performances: Have you ever noticed humming in your ears? Did you recently attend a rock concert or had a indoor rehearsal of your school’s marching band? This could mean you were recently exposed to excessive levels of loud sound (musical or noise) which may eventually lead to future, long-term, and permanent damage to your hearing!

This article is a comprehensive look at “hearing conservation” for all practitioners of the Performing Arts… “food for thought” to review and reflect on your own “safe habits” of sound consumption!

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First, I would like to reprint a portion of an “ear-opening” flier thankfully shared by an expert in the field:  Dr. Catherine Palmer of the UPMC Musicians’ Hearing Center (Pittsburgh, Pennsylvania).

Hearing Protection for Young Musicians

UPMCWe would not consider allowing our youth to play football without a helmet, work in chemistry lab or shop class without eye protectors. Yet everyday, we allow our children to participate in school-sponsored instrumental music activities without hearing protection.

Loud sounds are the number one cause of permanent hearing loss and this type of hearing loss is 100 percent preventable. The result of noise exposure is ringing in the ears (tinnitus) and permanent hearing loss. By the time people realize that they have permanent hearing loss, they have significant damage to the inner ear. Hearing loss impacts individuals across life activities – social, school, work, and home. School age children are the fastest growing population of noise-exposed individuals suffering permanent hearing loss.

Background

Day in and day out, music students (e.g., band and orchestra members) and their instructors are being exposed to potentially damaging levels of noise during practices and performances. Hearing loss is a function of exposure time, the average noise level, and peak level of very loud sounds. The chart below illustrates the levels of sound produced by the various instruments played in schools. Alone or together, musicians often are exceeding safe limits of noise during practice and performance.

Musical Levels

Musical Levels

I recommend perusing the entire website of the UPMC Musicians’ Hearing Center here and view Dr. Palmer’s video on noise-induced hearing loss.

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After a few additional online searches, I found numerous quotes from supportive research, articles, and links.

Surveys of universities reveal that more than 60% of band members suffer from tinnitus, or ringing in their ears, and more than 50% suffer from Noise-induced hearing loss. According to the World Health Organization, loss of hearing has escalated over the past 20 years and shows no sign of slowing down.

Band members have an increased risk for hearing loss as they have spent a majority of their young lives playing loud instruments near each other and during this time they have been exposed to horribly dangerous and irresponsible decibel levels without being warned about the lifelong pain and discomfort that they may potentially face due to playing in the band. Most musical instruments used in marching bands produce sound levels ranging from 92 – 126 dB as shown below will if unregulated or protected against cause irreparable hearing loss and may have already caused you tinnitus (rdistortioninging in the ears).  — Big Ear (#9)

As I understand it, the problem is two-fold: exceeding the safe decibel-levels of sound and the length of time you are exposed to these dangerous dosages without protection.

According to NIOSH, any level higher than 85 decibels (dB) for a cumulative period of 8 hours is damaging to the hearing mechanism and requires hearing protection. As the decibel level increases, the safe duration decreases. This means that a jazz band playing at 100 dB is safe for about 15 minutes before hearing damage ensues. —  BandDirectorsTalkShop (#10)

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Professional musicians may be at significant risk, according to many research studies, including one documented by the University of Toronto and the National Ballet Orchestra of Canada.

For the study published this month in the [January 2011] journal Noise and Health, a team from the University of Toronto’s sensory communications group attached microphones to the musicians’ shoulders — as close to their ears as possible — with a wire connecting them to a bulky box at their waist that recorded the “dose” of noise. To avoid under-estimating the risk, they chose performances of Sergei Prokofiev’s Romeo and Juliet, the loudest ballet the company performs, then extrapolated the results across the full season of shows and rehearsals.

Some of the National Ballet musicians were exposed to levels as high as 94 decibels, equivalent to the sound of an electric drill. Interestingly, the flute and piccolo players absorbed the loudest noise, followed by brass instruments, and the double bass. The violins had the quietest experience, according to the study. —  National Post (#7)

For young musicians, I have recommended the specially discounted Etymotic’s ER-20 ear plugs, which seem to offer a practical way to help protect hearing during rehearsals and performances. The company that makes them offers an interesting article about their “adopt a band” program here and a “slide rule” tool (pictured below) to help predict measurements of dangerous levels and time exposures to loud sounds here.

Know the Risk

There seems to be some debate about sound distortion with the use of these ear plugs. The cheap yellow foam plugs may cause alteration of the music’s intensity and timbre. Personally, I have noticed few problems with the ER-20s, although you may “hear” of conflicting viewpoints on hearing/comfort/distortion issues in the media.

This is the chasm between audiologists and musicians. We [Etymotic] think we’ve found the answer and the technology, and the musicians are telling us, no, not yet. This outlines the importance of collaboration between audiologists, hearing health care providers, and musicians to find what works. —  Ascent Hearing (#11)

The bottom line, if you want to protect your hearing, you will have to use them regularly.

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Also from the University of South Carolina Marching Band and Big Ear (#11), here are a few tips on conserving your hearing in a band rehearsal. Starting right now, you can “monitor and adjust” any excessively high sound exposure and dangers to your health!

  1. If you feel any sensation in your ears, speak up. Your section leaders and band directors are across-the-board caring people with a healthy appreciation for music and those who make it, so don’t ever feel like you are being bothersome if you talk to them about pain in your ears.
  2. Notice the times of your rehearsal when the music peaks and prepare yourself by having a cheap pair of foam earplugs to stick in for that overwhelmingly loud duration.
  3. Distance yourself from an unruly player. If there is a member of your band who is known to let off an extra loud trumpet, piccolo, alto sax, or drum solo after you finish a song, try to distance yourself from the blast zone and be aware of your surroundings.
  4. Hand-in-hand with tip number 3, talk to that person about their habit and politely ask them to be mindful of their fellow musicians around them.
  5. If you are taking any medication, talk to your doctor or school nurse about the specific medications interaction with decibel levels as there are hundreds of medications that can damage your inner ear hair cells and cause you permanent hearing damage.
  6. In the same light, if you hear the word ototoxic followed by the name of a medication you are taking, speak to your doctor and band director immediately.
  7. If you hear for any reason at all ringing in your ears, address the sensation immediately with your section leader or band director.

The final authority on noise-induced hearing loss comes from the United States Department of Health and Human Services, National Institutes of Health, a good online resource posted here.

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For our South Hills Junior Orchestra players, we are selling the ETY-20 ear plugs (discounted by UPMC for only $6/pair). Last year (2018-2019), I made sure my piccolo players had a set, and will strongly encourage the purchase of these by all of my brass and percussion instrumentalists, especially those who participate in their school marching band programs.

PKF

 

References

  1. “Teen Musicians: ‘Uncool’ Earplugs May Save Your Hearing” https://www.seattletimes.com/life/wellness/teen-musicians-uncool-earplugs-may-save-your-hearing/
  2. “Musicians in an Orchestra May Be Exposed to Unhealthy Sound Levels” https://www.noisyplanet.nidcd.nih.gov/have-you-heard/orchestra-musicians-unhealthy-sound-levels
  3. “Protect Your Hearing When You Play a Musical Instrument” https://www.noisyplanet.nidcd.nih.gov/have-you-heard/musicians-face-higher-risk-of-hearing-loss
  4. “Incidence and Relative Risk of Hearing Disorders in professional Musicians” https://oem.bmj.com/content/oemed/71/7/472.full.pdf
  5. “School Band Performances Causing Hearing Loss” https://www.hearhereindy.com/school-bands
  6. “Musicians and Hearing Loss: What You Need to Know” https://www.signiausa.com/blog/musicians-hearing-loss/
  7. “Orchestral Musicians Face Unhealthy Sounds: Study” https://nationalpost.com/news/orchestral-musicians-face-unhealthy-sound-levels-study#ixzz1ApNlDV42
  8. “Turn It Up? Musicians Run Far Higher Risk of Hearing Loss” https://www.nbcnews.com/health/health-news/turn-it-musicians-run-far-higher-risk-hearing-loss-n93981
  9. “Why Do I Need Hearing Protection?” https://www.bigearinc.com/university-of-south-carolina-marching-band-hearing-protection/
  10. “Conserving Your Earsight” — https://banddirectorstalkshop.com/2017/11/24/hearing-protection-for-band-directors/
  11. “Musicians, from School Bands to Symphonies, Risk Hearing Loss” — https://www.ascenthearingsimivalley.com/musicians-from-school-bands-to-symphonies-risk-hearing-loss/
  12. “Noise-Induced Hearing Loss” — https://www.nidcd.nih.gov/health/noise-induced-hearing-loss
  13. “List of Rockers with Hearing Loss Grows” — https://www.aarp.org/health/conditions-treatments/info-2018/musicians-hearing-loss.html
  14. “Musicians’ Hearing Center” — https://www.upmc.com/services/ear-nose-throat/services/hearing-and-balance/audiology/musicians-hearing

 

hi-res logo 2018The mission of South Hills Junior Orchestra, which rehearses and performs at the Upper St. Clair High School in Pittsburgh, PA, is to support and nurture local school band and orchestra programs, to develop knowledge, understanding, performance skills, and an appreciation of music, to increase an individual member’s self-esteem and self-motivation, and to continue to advance a life-long study of music. Members of the Orchestra learn, grow, and achieve positions of leadership to serve their fellow members.

(For more information about SHJO, please visit www.shjo.org.)

All Fox’s Fireside blog-posts are free and available to share with other music students, parents, directors, and supporters of the arts.

Click here for a printable copy of Do I Need Earplugs?

Other “Fox’s Firesides” are available at https://paulfox.blog/foxs-firesides/.

Photo credits (in order) from Pixabay.com

 

© 2019 Paul K. Fox

Stress, Burnout, & Stage Fright in College

Resources for Music and Music Education Majors

Increasingly,  in some parts of the country there are new shortages of qualified, experienced, skilled, and engaging public and private school teachers, even in the fields of Performing Arts. (For examples, see https://www.washingtonpost.com/news/answer-sheet/wp/2017/08/28/teacher-shortages-affecting-every-state-as-2017-18-school-year-begins/?utm_term=.c599b1d39405.)

At the same time, although it may not seem to be hustle-and-bustle-1738072_1920_geraltdocumented to a great extent, stress, burnout, and stage fright have become real concerns for music education majors completing their coursework, juries/recitals/concerts, methods exams, student teaching, and other field experiences. This may be affecting statistics on college enrollments, graduation rates, and job placements!

It would seem we should be recruiting more music educators (not losing them as “failed” music/music education majors). Where should we look for answers to this problem?

“Burnout is fatigue and diminished interest caused by long-term stress. It is characterized by emotional exhaustion, depersonalization, and lack of personal accomplishment. In the university music atmosphere, stress and burnout are prevalent accepted as part of the culture. Symptoms and causes of general stress and burnout have been well researched, but much less has been presented on college musicians’ burnout, let alone how to deal with it.” — Helen Orzel

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The purpose of this blog-post is to share studies, surveys, and articles of research on the causes for stress and “drop-outs” of music and music educator majors, along with proposals of remedies for reducing college student anxiety and recommendations for alleviating the problem of attrition.

An overview of collegiate performance anxiety elucidates numerous emotional triggers:

  1. anxiety-2019928_1920_WokandapixCollege funding
  2. Academic pressures: acquiring new knowledge, understandings, skills, etc.
  3. Competition (both in self-perception of achievement and in relation to peers)
  4. Trends in seeking perfectionism
  5. Coping with being away from home
  6. Sleep deprivation
  7. Challenges with personal relationships
  8. Development of new strategies and systems of personal organization and time management

If you find additional sources or statistics, please pass them on. Click on the above comment link so we can add them to this discussion.

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College Student Stress

The best summary I have found on this subject is from the recently released Fall 2018 issue of the state journal of the Pennsylvania Music Educators Association (PMEA) – PMEA News. (For full access, become a member of PMEA.) Read the article on page 52, “Music Major Anxiety – Causes and Coping” by Kevin Shorner-Johnson, National Association for Music Education (NAfME) Society for nafme_society_research_music_edMusic Teacher  Education (SMTE) PA State Chair and Director of Music Education at Elizabethtown College. He talks about anxiety as “the leading mental health issue among adolescents and college students,” and examines the stressors of academic expectations, time management, “perfectionism,” and amygdala and cortex-rooted stress disorders, as well as cultivating practices of self-care and coping skills.

Shorner-Johnson recommends the book, Rewire Your Anxious Brain: How to Use the Neuroscience of Fear to End Anxiety, Panic, and Worry by Catherine Pittman and Elizabeth Karle (2015).

“Pittman and Karle provide beautiful guides and checklists that may assist students in building coping skills such as deep breathing, progressive muscle relaxation, meditation, prayer, yoga, exercise, and chanting. Coping strategies can allow us to enter into tension, getting to know origins and triggers, and transforming anxieties into new forms of centered awareness. Like music, coping strategies are skills that can only be cultivated through practice. When we practice self-care, we rewire associated connections and empower new responses.”  — Kevin Shorner-Johnson

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For a comprehensive survey on the stressors of music majors, peruse the illuminating thesis of H.J. Orzel (2010) “Undergraduate Music Student Stress and Burnout.” She states that her study has a two-fold purpose:

  • Examine sources of stress and burnout for undergraduate music students, and
  • Examine existing methods of controlling stress and burnout.
  • This information can also be a tool for college music students needing
    help with stress and burnout.

“A college musician’s environment can significantly influence stress levels. Environmental stressors include overworked professors unable to provide support,
competitive peers, lack of resources such as practice space or counseling services,
overburdened schedules, and high standards and expectations set by institutions…
Developing and maintaining a healthy lifestyle can help reduce the effects of environmental stress, promoting resilience.” — Helen Orzel

In her conclusion, she mentions these possible strategies to alleviate stress:

  1. stress-391657_1920_geraltLearning to “manage your burdens,” class schedules, assignments, calendar, etc.
  2. Improvement of personal time management towards greater work/life balance
  3. Development of coping skills for new environments
  4. Exploration of new practice venues and study routines
  5. Allocation of more time with supportive peers
  6. Learning to make manageable choices, setting of limitations and reasonable expectations for making future commitments
  7. Practice of relaxation, slow breathing, and meditation exercises
  8. Strategies for reduction of performance anxiety and “stage fright”
  9. Reflection on and rehash of personal mission, goals, and motivations, and “what first inspired them to pursue music”

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H. Christian Bernard II from the State University of New York at Fredonia offers his research-based article Contemplative Practices in Music Teacher Education, describing efforts to incorporate contemplative studies within a music curriculum (Sarath 2006), mindfulness instruction on the music listening experiences (Diaz 2013), mindfulness-based stress reduction intervention instruction (Shapiro, Schwartz, and Bonner 1998), short-term meditation practices on attention and self-regulation (Tang lonely-1510265_1920_PoseMuse2009), “deep listening” as “a way of hearing in which we are fully present with what is happening in the moment” (Barbezat and Bush 2014), contemplative movement activities including methodologies of Orff, Kodaly, Dalcroze, and Gordon adapted for other music teaching contexts (Benedict, 2010), walking meditation, tai chi ch’uan, yoga, and labyrinth walking (Center for Contemplative Mind in Society, 2016), contemplative reading, writing, and other self-help practices.

“Contemplation is not the opposite of thinking but its complement. It is not the emptying of the mind of thoughts but the cultivation of awareness of thoughts within the mind. Through contemplation, the mind is open to itself.”                                               — D.P. Barbezat and M. Bush.

“Utilizing contemplative practices including meditation, reading and writing, movement, and listening can offer students and teachers opportunities for meaningful experiences while simultaneously reducing levels of stress and anxiety. While mindfulness is a prerequisite for all contemplative practices, this secular and academic application goes beyond deepening of awareness and compassion to also include deepening of thinking and learning. Care should be used when selecting resources and activities, as the use of contemplative practices should always serve as an aid to, not a replacement for, effective music teaching and learning.”   — H. Christian Bernard II

Bernard also provides an excellent bibliography for further study, and has also written many other related articles:

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Burnout

An outstanding series of YouTube video presentations dives into what “five different research studies have to say about burnout and the undergraduate music education major, and the implications these studies have for students, professors, and administrators when it comes to managing the stress often associated with this degree.” As a requirement for her graduate music psychology class, Meghan Johnson presented “Burnout and the Undergraduate Music Education Major: Surviving the Stress” in 2010:

Additional resources regarding pre- and in-service music teacher burnout:

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Performance Anxiety

Dr. Natalie Ozeas, formerly Professor and Head of Music Education at Carnegie-Mellon University (CMU), shares a new local initiative for addressing the problem of stage fright by Anne Jackovic Moskal, a member of the Pittsburgh Benedum Orchestra and solfege teacher at the CMU School of Music.

“The text that I use for my class is Musician’s Yoga by Mia Olson. We work a lot with meditation, especially focused towards the music we are currently working on. We practice by either listening to recordings or simply thinking of the whole work in their mind and how to continuously breath through it. The thought is that they will be able to move past anxious moments in performances and feel the constant breath instead. Additionally, we take meditation walks and practice the same method. Some of these methods are addressed in this book. We also have a physical practice to reinforce breathing through challenges. However, a significant part is to stretch, repair, restore, and strengthen our bodies from the damage of long practice sessions.”                            — Anne Jackovic Moskal

There are a myriad of sources on the web geared to performers for lessening stage fright, including blogposts like “A Few Things Every Musician Should Know About Stage Fright” by Noa K Kageyama from BulletproofMusician.

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NAfME members have free access to numerous articles on performance anxiety. Several articles published in the Music Educators Journal (MEJ) include “Stress in the Lives of Music Students” by David J. Sternbach (January 2008), “The Other Side of Stage Fright” by Donald L. Hamann (April 1985), and “Stage Fright – Its Cause and Cure” by Rowland W. Dunham (1953).

“To help your students reduce stress, address the ways they critique their practice and prepare for performance… Excessive self-criticism in practicing can be a predisposing factor for performance anxiety.” — David J. Sternbach

nafme“When musicians think about performing, they eventually think about performance anxiety — ‘stage fright.’ Performance anxiety can be defined as a physical and mental deviation from a ‘normal state’ and is perhaps one of the most misunderstood areas of performance practice… A reduction in anxiety levels especially with musicians with extensive formal training may actually diminish performance quality. For musicians with low mastery skills, the prudent approach would seem to be to undertake more formal training.” — Donald L. Hamann

“Here is the cure for stage fright. If you have strength of mind and a conscientious determination, you can walk onto the stage for a solo with almost the same certainty you have in practicing. There is the added and thrilling incentive now of an audience. By ignoring what you may fancy to be their opinion of you — which does not matter anyway — you have a new angle: giving emotional joy, spiritual nobility, or dramatic stimulation.With an honest artistic outlook, stage fright goes out the window. In its place you have the pleasure of adding something to he lives of your listeners.”               — Rowland W. Dunham

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Additional resources on stage fright and other anxiety issues:

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Finally, even though there is so much more to cover, a good “coda” on the subject of stress in music school might be to look at the article “Reality 101” by Gary C. Mortenson in the December 1991 issue of Music Educators Journal. Citing the University of Massachusetts student Erin Martin’s column “Real World 101: A Needed Course” in the October 1990 issue of U. — The National College Newspaper, college students could use help in areas not traditionally included in undergraduate curriculum:

  1. hurry-2119711_1920_TeroVesalainenJob placement
  2. Financial planning
  3. Raising a family
  4. Stress management

Mortenson creates several excellent “mock scenarios” fostering critical thinking and problem solving of teacher-student relationships, teacher-parent relationships, and criticism and stress that are issues in every teaching career.

“Life would be much easier if we could learn to handle real-world problems before we have to face them on our own.” — Erin Martin

“Teaching requires the ability to manage a variety of challenging situations. It is as complex and changeable as the society we live in. In college, future teachers assimilate a great deal of information that prepares them to share knowledge with their students. No one, however, can teach all of the skills needed to make complex decisions on all possible future real-life circumstances. These must ultimately be arrived at on an individual basis according to one’s own instincts and conscience. By giving more thought to how the problems and issues that confront students, parents, and colleagues will affect us, however, we can better equip ourselves to respond in an intelligent way to these challenges.” — Gary C. Mortenson

UPDATE (January 3, 2019)

Just after the release of this blog-post, the timely article “The Mindful Music Educator – Strategies for Reducing Stress and Increasing Well-being” by Dana Arbaugh Varona came out in the NAfME Music Educators Journal, Volume 5 Issue 2, 2018. (See https://journals.sagepub.com/doi/full/10.1177/0027432118804035.) You must be a member of NAfME to read the December 2018 issue in its entirety.

UPDATE (June 30, 2021)

Grace Jackson, Community Manager of OnlineTherapy.com, reached out to us to offer an excellent article on “Addiction Treatment – What Families Need to Know,” providing comprehensive information and helpful resources for handling substance abuse issues. Although this is not the focal point of this blogpost, for many, addiction causes significant problems leading to anxiety, depression, poor physical and mental health, loss of productivity (and even death). We felt it needed to be shared here and on the “Care” subcategory of this website.

PKF

© 2018, 2019, 2021 Paul K. Fox

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Photo credits in order from Pixabay.com: “stress” by TheDigitalArtist, “hustle and bustle” by geralt, “people” by tweetyspics, “anxiety” by Wokandapix, “woman” by Comfreak, “stress-2883638” by geralt, “stress-391657” by geralt, “woman” by Pexels, “lonely” by PoseMuse, “stress-22670” by geralt, “cello” by enbuscadelosdragones0, “trumpeter” by klimkin, “marching-band” by skeeze, “hug” by markzfilter, “hurry” by TeroVesalainen, and “laptop” by JESHOOTScom.