SPHR 2108 Lecture Notes - Lecture 23: Hyperacusis, Tinnitus, Hair Cell

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Noise-Induced Hearing Loss
What is it?
Causes
Sources of exposure to loud noise:
Heavy traffic noise
Music louder than 65 dB on headphones/at concerts
Noisy workplace
Air traffic controllers
Car factories
Auto shops
Occupational excessive noise exposure in the workplace
Legal standards and guidelines for employers to protect workers’ ears & provide a safe
environment.
Causes
Length of exposure:
May occur gradually over many years of exposure
Maximum losses typically occur after 10-15 years of chronic exposure
Continuous noise is more damaging than intermittent noise
Symptoms
Clients do not notice symptoms until it is either too late or symptoms are causing
issues/discomfort.
Increasing the volume on their television or radio
Muffled/distorted sounds
Saying “what?” or “huh?” during normal conversation
Difficulty understanding speech
Especially in noisy environments
Higher frequency speech sounds are harder to hear
Symptoms Continued….
Hyperacusis
Tinnitus
Children may experience academic and social challenges
Participation in conversation is difficult and, can lead to social isolation.
Prevalence and Populations
-At least 10 million adults in the US (under the age of 70) and approximately 40 million adults
worldwide have features that suggest noise-induced hearing loss
-17% of teens (between the ages of 12-19) have features suggestive of NIHL
-Genetic factors may make some individuals more susceptible than others
-NIHL is more prevalent in males, smokers, and certain races
-One is more at risk if he/she has a poor diet, diabetes, cardiovascular diseases, and/or
concomitant exposure to carbon dioxide/hydrogen cyanide
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Document Summary

Music louder than 65 db on headphones/at concerts. Occupational excessive noise exposure in the workplace. Legal standards and guidelines for employers to protect workers" ears & provide a safe environment. May occur gradually over many years of exposure. Maximum losses typically occur after 10-15 years of chronic exposure. Continuous noise is more damaging than intermittent noise. Clients do not notice symptoms until it is either too late or symptoms are causing issues/discomfort. Increasing the volume on their television or radio. Saying what? or huh? during normal conversation. Higher frequency speech sounds are harder to hear. Children may experience academic and social challenges. Participation in conversation is difficult and, can lead to social isolation. At least 10 million adults in the us (under the age of 70) and approximately 40 million adults worldwide have features that suggest noise-induced hearing loss. 17% of teens (between the ages of 12-19) have features suggestive of nihl.

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