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CC BY-NC-ND 4.0 · Annals of Otology and Neurotology 2021; 4(01): 011-015
DOI: 10.1055/s-0041-1735384
Original Article

Comparison of Saccular Function in Nonmusicians and Violinists Using cVEMP: A Pilot Study

Eva Eadle D’Souza
1   Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
,
Krishna Yerraguntla
1   Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India
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Abstract

Introduction Human auditory and vestibular systems change due to noise exposure. Professional musicians are often subjected to loud music and longer durations as part of their practice. Although the effects of music have been explored extensively on the auditory system, it is important to understand changes in the vestibular system also. The current study is aimed to compare cervical vestibular evoked myogenic potential (cVEMP) findings in nonmusicians and violinists to understand if there are any changes in the P1 and N1 latencies and absolute amplitudes in the violinists’ groups because of their exposure to violin music.

Materials and Methods Twelve participants (6 nonmusicians and 6 violinists) of both genders were included in the study. Pure tone audiometry and distortion product otoacoustic emissions (DPOAEs) were performed on all the participants. cVEMP P1 and N1 latencies and absolute amplitudes were obtained, and overall mean differences were compared within and between groups.

Results Pure tone average and DPOAE were within the normal range between and within the groups. Results indicate that P1 and N1 absolute amplitudes and latencies were slightly prolonged in the violinists’ group; however, the mean difference was not statistically significant. Comparison of mean absolute amplitudes and latencies between the ears in the violinists’ group showed longer latencies and greater absolute amplitudes in the left ear of violinists as compared with the right ear. In the study, the violinists’ group consisted of participants who had an average daily exposure of about one-and-a-half hours and had an experience of playing the instrument for more than 5 years.

Conclusion cVEMP is useful in detecting early changes in the saccule that may occur due to noise exposure. It can be concluded that, even before a clinically detectable hearing loss or vestibular damage, changes in saccule are observed with the help of cVEMP and should be included in the audiovestibular test for early identification.

Keywords

cervical vestibular evoked myogenic potentials (cVEMP) - early identification - music - noise-induced hearing loss (NIHL) - sacculocollic pathway - violin


Publication History

Article published online:
08 September 2021

© 2021. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Chasin M. Musicians and the prevention of hearing loss. In: Audio Engineering Society Conference: 2018 AES International Conference on Music Induced Hearing Disorders. Audio Engineering Society; 2018
    Google Scholar
  • 2 Reybrouck M, Podlipniak P, Welch D. Music and noise: same or different? what our body tells us. Front Psychol 2019; 10: 1153 DOI: 10.3389/fpsyg.2019.01153.
    CrossrefPubMedGoogle Scholar
  • 3 Moussavi-Najarkola SA, Khavanin A, Mirzaei R, Salehnia M, Muhammadnejad A, Akbari M. Noise-induced outer hair cells’ dysfunction and cochlear damage in rabbits. Iran Red Crescent Med J 2012; 14 (10) 647-656 https://pubmed.ncbi.nlm.nih.gov/23285417
    PubMedGoogle Scholar
  • 4 Le TN, Straatman LV, Lea J, Westerberg B. Current insights in noise-induced hearing loss: a literature review of the underlying mechanism, pathophysiology, asymmetry, and management options. J Otolaryngol Head Neck Surg 2017; 46 (01) 41 DOI: 10.1186/s40463-017-0219-x.
    CrossrefPubMedGoogle Scholar
  • 5 Mangabeira-Albernaz PL, Covell WP, Eldredge DH. Changes in the vestibular labyrinth with intense sound. Laryngoscope 1959; 69: 1478-1493
    CrossrefPubMedGoogle Scholar
  • 6 Manabe Y, Kurokawa T, Saito T, Saito H. Vestibular dysfunction in noise induced hearing loss. Acta Otolaryngol Suppl 1995; 519: 262-264
    CrossrefPubMedGoogle Scholar
  • 7 Basner M, Babisch W, Davis A. et al. Auditory and non-auditory effects of noise on health. Lancet 2014; 383 (9925) 1325-1332
    CrossrefPubMedGoogle Scholar
  • 8 Raghunath G, Suting LB, Maruthy S. Vestibular symptoms in factory workers subjected to noise for a long period. Int J Occup Environ Med 2012; 3 (03) 136-144
    PubMedGoogle Scholar
  • 9 Oosterveld WJ, Polman AR, Schoonheyt J. Noise-induced hearing loss and vestibular dysfunction. Aviat Space Environ Med 1980; 51 (08) 823-826
    PubMedGoogle Scholar
  • 10 Ogido R, Costa EA, Machado Hda C. [Prevalence of auditory and vestibular symptoms among workers exposed to occupational noise]. Rev Saude Publica 2009; 43 (02) 377-380
    PubMedGoogle Scholar
  • 11 Singh NK, Sasidharan CS. Effect of personal music system use on sacculocollic reflex assessed by cervical vestibular-evoked myogenic potential: a preliminary investigation. Noise Health 2016; 18 (81) 104-112
    CrossrefPubMedGoogle Scholar
  • 12 Emami SF. Acoustic sensitivity of the saccule and daf music. Iran J Otorhinolaryngol 2014; 26 (75) 105-110
    PubMedGoogle Scholar
  • 13 McBride D, Gill F, Proops D, Harrington M, Gardiner K, Attwell C. Noise and the classical musician. BMJ 1992; 305 (6868) 1561-1563
    CrossrefPubMedGoogle Scholar
  • 14 Rensing N, Schemmann H, Zalpour C. Musculoskeletal demands in violin and viola playing: a literature review. Med Probl Perform Art 2018; 33 (04) 265-274
    CrossrefPubMedGoogle Scholar
  • 15 1–1999 AS. Maximum permissible ambient noise levels for audiometric test rooms. . New York Acoust Soc Am. Published online 1999
    Google Scholar
  • 16 Olusanya BO, Davis AC, Hoffman HJ. Hearing loss grades and the International Classification of Functioning, Disability and Health. Bull World Health Organ 2019; 97 (10) 725-728
    CrossrefPubMedGoogle Scholar
  • 17 Stewart CE, Holt AG, Altschuler RA. et al. Effects of noise exposure on the vestibular system: a systematic review. Front Neurol 2020; 11: 593919 https://www.frontiersin.org/article/10.3389/fneur.2020.593919
    CrossrefPubMedGoogle Scholar
  • 18 Murofushi T, Matsuzaki M, Mizuno M. Vestibular evoked myogenic potentials in patients with acoustic neuromas. Arch Otolaryngol Head Neck Surg 1998; 124 (05) 509-512
    CrossrefPubMedGoogle Scholar
  • 19 Madappa M, Mamatha NM. Vestibular Evoked Myogenic Potential (VEMP) in Individuals with Noise Induced Hearing Loss (NIHL). . PART-A Audiol. Published online 2010:109. Accessed on August 14 at: https://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2010;volume=12;issue=48;spage=191;epage=194;aulast=Kumar
    Google Scholar
  • 20 Akin FW, Murnane OD, Proffitt TM. The effects of click and tone-burst stimulus parameters on the vestibular evoked myogenic potential (VEMP. J Am Acad Audiol 2003; 14 (09) 500-509 quiz 534–535
    Article in Thieme ConnectPubMedGoogle Scholar
  • 21 Lie A, Skogstad M, Johannessen HA. et al. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health 2016; 89 (03) 351-372
    CrossrefPubMedGoogle Scholar
  • 22 Shin S-A, Lyu A-R, Jeong S-H, Kim TH, Park MJ, Park Y-H. Acoustic trauma modulates cochlear blood flow and vasoactive factors in a rodent model of noise-induced hearing loss. Int J Mol Sci 2019; 20 (21) 5316 DOI: 10.3390/ijms20215316.
    CrossrefPubMedGoogle Scholar
  • 23 Sazgar AA, Dortaj V, Akrami K. Akrami S, Karimi Yazdi AR. Saccular damage in patients with high-frequency sensorineural hearing loss. Eur Arch Otorhinolaryngol 2006; 263 (07) 608-613
    CrossrefPubMedGoogle Scholar
  • 24 Osei-Lah V, Ceranic B, Luxon LM. Clinical value of tone burst vestibular evoked myogenic potentials at threshold in acute and stable Ménière’s disease. J Laryngol Otol 2008; 122 (05) 452-457
    CrossrefPubMedGoogle Scholar
  • 25 Curthoys IS, Vulovic V. Vestibular primary afferent responses to sound and vibration in the guinea pig. Exp Brain Res 2011; 210 (3-4) 347-352
    CrossrefPubMedGoogle Scholar