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Int Arch Otorhinolaryngol 2014; 18(02): 122-127
DOI: 10.1055/s-0034-1368140
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Vestibular Findings in Military Band Musicians

Bianca Simone Zeigelboim
1   Department of Speech-Language Pathology, Undergraduate Course and Communication Disorders Graduate Course at Universidade Tuiuti do Paraná—UTP, Curitiba, PR, Brazil
,
Crislaine Gueber
2   Department of Speech-Language Pathology, UTP, Curitiba, Paraná, Brazil
,
Thanara Pruner da Silva
3   Department of Surgery, Hospital das Clinicas, Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil
,
Paulo Breno Noronha Liberalesso
4   Pequeno Principe Hospital and the Digital EEG Laboratory at the Hospital da Cruz Vermelha, Curitiba, Paraná, Brazil
,
Claudia Giglio de Oliveira Gonçalves
1   Department of Speech-Language Pathology, Undergraduate Course and Communication Disorders Graduate Course at Universidade Tuiuti do Paraná—UTP, Curitiba, PR, Brazil
,
João Henrique Faryniuk
2   Department of Speech-Language Pathology, UTP, Curitiba, Paraná, Brazil
,
Jair Mendes Marques
1   Department of Speech-Language Pathology, Undergraduate Course and Communication Disorders Graduate Course at Universidade Tuiuti do Paraná—UTP, Curitiba, PR, Brazil
,
Ari Leon Jurkiewicz
1   Department of Speech-Language Pathology, Undergraduate Course and Communication Disorders Graduate Course at Universidade Tuiuti do Paraná—UTP, Curitiba, PR, Brazil
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Publikationsverlauf

05. Juni 2013

02. Dezember 2013

Publikationsdatum:
28. Februar 2014 (online)

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Abstract

Introduction Exposure to music is the subject of many studies because it is related to an individual's professional and social activities.

Objectives Evaluate the vestibular behavior in military band musicians.

Methods A retrospective cross-sectional study was performed. Nineteen musicians with ages ranging from 21 to 46 years were evaluated (average = 33.7 years and standard deviation = 7.2 years). They underwent anamnesis and vestibular and otolaryngologic evaluation through vectoelectronystagmography.

Results The most evident otoneurologic symptoms in the anamnesis were tinnitus (84.2%), hearing difficulties (47.3%), dizziness (36.8%), headache (26.3%), intolerance to intense sounds (21.0%), and earache (15.7%). Seven musicians (37.0%) showed vestibular abnormality, which occurred in the caloric test. The abnormality was more prevalent in the peripheral vestibular system, and there was a predominance of irritative peripheral vestibular disorders.

Conclusion The alteration in vestibular exam occurred in the caloric test (37.0%). There were changes in the prevalence of peripheral vestibular system with a predominance of irritative vestibular dysfunction. Dizziness was the most significant symptom for the vestibular test in correlation with neurotologic symptoms. The present study made it possible to verify the importance of the labyrinthine test, which demonstrates that this population should be better studied because the systematic exposure to high sound pressure levels may cause major vestibular alterations.

Keywords

music - noise effects - dizziness - vestibular function tests - electronystagmography
 

  • References

  • 1 Amorim RB, Lopes AC, Santos KTP, Melo ADP, Lauris JRP. Alterações auditivas da exposição ocupacional em músicos. Int Arch Otorhinolaryngol 2008; 12 (3) 377-383
    Google Scholar
  • 2 Gonçalves CGO, Lacerda ABM, Zocoli AMF, Oliva FC, Almeida SB, Iantas MR. Percepção e o impacto da música na audição de integrantes da banda militar. Rev Soc Bras Fonoaudiol 2009; 14 (3) 515-520
    CrossrefGoogle Scholar
  • 3 Namuur FABN, Fukuda Y, Onishi ET, Toledo RN. Avaliação auditiva em músicos da Orquestra Sinfônica Municipal de São Paulo. Braz J Otorhinolaryngol 1999; 65 (5) 390-395
    Google Scholar
  • 4 Schmidt JM, Verschuure J, Brocaar MP. Hearing loss in students at a conservatory. Audiology 1994; 33 (4) 185-194
    CrossrefGoogle Scholar
  • 5 Kähäri KR, Axelsson A, Hellström PA, Zachau G. Hearing assessment of classical orchestral musicians. Scand Audiol 2001; 30 (1) 13-23
    Google Scholar
  • 6 Mendes MH, Morata TC. Exposição profissional à música: uma revisão. Rev Soc Bras Fonoaudiol 2007; 12 (1) 63-69
    Google Scholar
  • 7 Kähärit K, Zachau G, Eklöf M, Sandsjö L, Möller C. Assessment of hearing and hearing disorders in rock/jazz musicians. Int J Audiol 2003; 42 (5) 279-288
    CrossrefPubMedGoogle Scholar
  • 8 Ogido R, Costa EA, Machado HdaC. Prevalência de sintomas auditivos e vestibulares em trabalhadores expostos a ruído ocupacional. Rev Saude Publica 2009; 43 (2) 377-380
    CrossrefGoogle Scholar
  • 9 Stumieks DL, George R, Lord SR. Balance disorders in the elderly. Clin Neurophysiol 2008; 38 (6) 467-478
    CrossrefGoogle Scholar
  • 10 Okamoto VA, Santos VP. Outros efeitos do ruído no organismo. In: Santos VP, , ed. Ruído, riscos e prevenção. São Paulo, Brazil: Hecitec; 1996: 89-91
    CrossrefGoogle Scholar
  • 11 Mendes MH, Morata TC, Marques JM. Aceitação de protetores auditivos pelos componentes de banda instrumental e vocal. Braz J Otorhinolaryngol 2007; 73 (6) 785-792
    Google Scholar
  • 12 Teixeira CS, Körbes D, Rossi AG. Ruído e equilíbrio: aplicação da posturografia dinâmica em indústria gráfica. Rev CEFAC 2011; 13 (1) 92-101
    CrossrefGoogle Scholar
  • 13 Forti S, Filipponi E, Di Berardino F, Barozzi S, Cesarani A. The influence of music on static posturography. J Vestib Res 2010; 20 (5) 351-356
    Google Scholar
  • 14 Hartman BT. An exploratory study of the effects of disco music on the auditory and vestibular systems. J Aud Res 1982; 22 (4) 271-274
    Google Scholar
  • 15 Shulman A. Vestibular test battery correlates and tinnitus in proceedings of the II International Tinnitus Seminar. J Laryngol Otol 1984; 9: 181-183
    Google Scholar
  • 16 Mangabeira-Albernaz PL, Ganança MM, Pontes PAL. Modelo operacional do aparelho vestibular. In: Mangabeira-Albernaz PL, Ganança MM, , eds. Vertigem. 2nd ed. São Paulo, Brazil: Moderna; 1976: 29-36
    Google Scholar
  • 17 Fukuda Y. Zumbido e suas corelações otoneurológicas. In: Ganança M, , ed. Vertigem tem cura?. São Paulo, Brazil: Lemo; 1998: 171-176
    Google Scholar
  • 18 Jastreboff PJ, Sasaki CT. An animal model of tinnitus: a decade of development. Am J Otol 1994; 15 (1) 19-27
    Google Scholar
  • 19 Sanchez TG, Zonato AJ, Bittar RSM, Bento RF. Controvérsias sobre a fisiologia do zumbido. Int Arch Otorhinolaryngol 1997; 1 (1) 2-8
    Google Scholar
  • 20 Ganança MM, Caovilla HH, Gazzola JM, Ganança CF, Ganança FF. Betahistine in the treatment of tinnitus in patients with vestibular disorders. Braz J Otorhinolaryngol 2011; 77 (4) 499-503
    CrossrefGoogle Scholar
  • 21 Órfão CAS, Bonaldi LV, Lemos M, Floriano SL. Achados vestibulares em portadores de zumbido. Int Arch Otorhinolaryngol 2001; 5 (4) 1-4
    Google Scholar
  • 22 Henry JÁ, Dennis KC, Schechter MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 2005; 48 (5) 1204-1235
    CrossrefGoogle Scholar
  • 23 Carrick FR, Oggero E, Pagnacco G. Posturographic changes associated with music listening. J Altern Complement Med 2007; 13 (5) 519-526
    CrossrefGoogle Scholar
  • 24 Cassandro E, Chiarella G, Catalano M , et al. Changes in clinical and instrumental vestibular parameters following acute exposition to auditory stress. Acta Otorhinolaryngol Ital 2003; 23 (4) 251-256
    Google Scholar
  • 25 Van Eyck M. Sound-produced labyrinthine trauma. Arch Otolaryngol 1974; 100 (6) 465-466
    CrossrefGoogle Scholar
  • 26 Mehlenbacher A, Capehart B, Bass D, Burke JR. Sound induced vertigo: superior canal dehiscence resulting from blast exposure. Arch Phys Med Rehabil 2012; 93 (4) 723-724
    CrossrefGoogle Scholar
  • 27 Mendes MH, Koemler LA, Assencio-Ferreira VL. A prevalência de perda auditiva induzida pelo ruído em músicos de banda instrumental. Rev CEFAC 2002; 4 (3) 179-185
    Google Scholar