Wirecutter Study Finds Children’s Headphones Do Not Conform to Volume Limit

​Parents who think that volume-restricting headphones could replace their supervision over children's listening habits should think again. The Wirecutter (http://ift.tt/q7HpKK), a gadgets reviewing site, found that nearly half of 30 sets of children's headphones claiming to keep volume at or under 85 dB did not live up to that promise.

With the help of experts from the WHO, CDC, and NIDCD, Wirecutter conducted two tests, first with a sample of thumping music and then with pink noise, on 30 sets of headphones with an iPod Touch. The first test found that half of the headphones exceeded 85 dB, with the loudest ones going up to 114 dB; while the second test found one-third went over the safety standard, with the loudest pair delivering sounds over 108 dB. Wirecutter also asked a group of children ranging from 3 to 11 years old to try on each model and compile a "hate list" of ones they would never use.

Staff at the website chose the Puro BT2200 from Puro Sound Labs as their favorite. The Bluetooth headphones remain within the safe listening levels when used properly, and they were the top pick among all kid panelists. Audiologist Brian Fligor, ScD, cautions that parents shouldn't let their guards down even with safe headphones when speaking to The New York Times: "Eight-five decibels isn't some magic threshold below which you're perfectly safe and above which your ears bleed."

Published: 1/23/2017 8:07:00 AM

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Wirecutter Study Finds Children’s Headphones Do Not Conform to Volume Limit

​Parents who think that volume-restricting headphones could replace their supervision over children's listening habits should think again. The Wirecutter (http://ift.tt/q7HpKK), a gadgets reviewing site, found that nearly half of 30 sets of children's headphones claiming to keep volume at or under 85 dB did not live up to that promise.

With the help of experts from the WHO, CDC, and NIDCD, Wirecutter conducted two tests, first with a sample of thumping music and then with pink noise, on 30 sets of headphones with an iPod Touch. The first test found that half of the headphones exceeded 85 dB, with the loudest ones going up to 114 dB; while the second test found one-third went over the safety standard, with the loudest pair delivering sounds over 108 dB. Wirecutter also asked a group of children ranging from 3 to 11 years old to try on each model and compile a "hate list" of ones they would never use.

Staff at the website chose the Puro BT2200 from Puro Sound Labs as their favorite. The Bluetooth headphones remain within the safe listening levels when used properly, and they were the top pick among all kid panelists. Audiologist Brian Fligor, ScD, cautions that parents shouldn't let their guards down even with safe headphones when speaking to The New York Times: "Eight-five decibels isn't some magic threshold below which you're perfectly safe and above which your ears bleed."

Published: 1/23/2017 8:07:00 AM

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Wirecutter Study Finds Children’s Headphones Do Not Conform to Volume Limit

​Parents who think that volume-restricting headphones could replace their supervision over children's listening habits should think again. The Wirecutter (http://ift.tt/q7HpKK), a gadgets reviewing site, found that nearly half of 30 sets of children's headphones claiming to keep volume at or under 85 dB did not live up to that promise.

With the help of experts from the WHO, CDC, and NIDCD, Wirecutter conducted two tests, first with a sample of thumping music and then with pink noise, on 30 sets of headphones with an iPod Touch. The first test found that half of the headphones exceeded 85 dB, with the loudest ones going up to 114 dB; while the second test found one-third went over the safety standard, with the loudest pair delivering sounds over 108 dB. Wirecutter also asked a group of children ranging from 3 to 11 years old to try on each model and compile a "hate list" of ones they would never use.

Staff at the website chose the Puro BT2200 from Puro Sound Labs as their favorite. The Bluetooth headphones remain within the safe listening levels when used properly, and they were the top pick among all kid panelists. Audiologist Brian Fligor, ScD, cautions that parents shouldn't let their guards down even with safe headphones when speaking to The New York Times: "Eight-five decibels isn't some magic threshold below which you're perfectly safe and above which your ears bleed."

Published: 1/23/2017 8:07:00 AM

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2016 News on Tinnitus

One of the most common service-related health conditions of veterans is tinnitus, or uncontrollable ringing in the ears. Yet, they are not alone. Over 50 million Americans experience this condition. While it is a common otic issue, little is known about its treatment.

Based on the most recent studies, The American Academy of Otolaryngology has introduced a new set of guidelines for dealing with this condition. Comprised of an impressive group of ear, nose, and throat doctors, this group claims that tinnitus diminishes on its own in the majority of patients. However, approximately 20% of patients require some form of medical intervention (http://ift.tt/12v6sEp).

Furthermore, some interesting 2016 news on tinnitus further addresses that there is no distinct cure for this medical condition. For patients who have had this condition for less than six months, it is rare for this to continue unresolved. Modest improvements can be made via the use of hearing aids and sound therapies (http://ift.tt/2cUYVre).

For some patients the effects of tinnitus can be so unrelenting that it may lead to mood disorders, such as depression or anxiety. In conjunction with treatment for the effects of tinnitus, consultations with a psychology or psychologist may be beneficial. The routine prescription of medications for treating tinnitus and underlying conditions is not recommended, due to a lack of proof of efficacy.

More importantly some crucial 2016 news on tinnitus identifies potential causes for this ongoing condition. According to a study done by researchers at UCLA common causes of tinnitus include possible cochlear or other nervous system disorder, prolonged exposure to recreational or occupational activities, and secondary causes (http://ift.tt/2j7DToZ).

Despite the condition of tinnitus being costly, annoying, and a hindrance, it can also be a sign of a more serious underlying problem. Common tinnitus definitions include the following:

– Primary Tinnitus: Hearing loss associated with sensorineural hearing loss or another unperceived issue.
– Secondary Tinnitus: Associated with a specified underlying condition or an organic problem.
– Recent Onset Tinnitus: Hearing loss reported by the patient as lasting less than six months.
– Persistent Tinnitus: Lasting six months or longer.
– Bothersome Tinnitus: Process during which patient is seeking therapy or solutions.
– Nonbothersome Tinnitus: Does not have a significant impact on an agent, but which curiosity is peaked (http://ift.tt/2jSHaN5).

Despite recent studies identified in 2016 news on tinnitus, no cure has been found. Ongoing therapy is the best route for symptom alleviation.

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Is Serial Electroneuronography Indicated Following Temporal Bone Trauma?.

Objective: Contemporary guidelines advise facial nerve (FN) decompression within 2 weeks of temporal bone trauma if a single electroneuronography (ENoG) demonstrates more than 90% degeneration of the FN. We report a case series demonstrating the potential of serial ENoG to guide FN management more than 2 weeks following injury. Patients: Adults with traumatic temporal bone fractures and resultant ipsilateral FN paresis. Intervention: Serial ENoG followed by observation or decompression of the FN. Main Outcome Measure: House-Brackmann (HB) graded FN function. Results: Nine cases of blunt temporal bone trauma resulting in ispilateral FN paralysis were identified and reviewed. Two patients were women, and average age at the time of trauma was 30 years (range, 17-52). Immediate paralysis occurred in four cases, while five were delayed. A single ENoG was performed in seven patients and was predictive of final function in six, while one patient had an initially reassuring ENoG but did not obtain full recovery of FN function (HB 4). Two patients underwent serial ENoG on a weekly basis which, while initially reassuring, demonstrated declining FN function on subsequent testing. Decompression was performed in both patients with excellent recovery of FN function (HB1 and HB2). Conclusions: The majority of ENoGs performed within 2 weeks of temporal bone trauma provide sufficient prognostic data for treatment decisions; however, in selected cases, a single ENoG may not adequately predict long-term FN outcomes. For patients failing to improve with observation alone, serial ENoG may capture declining FN function, identifying patients that may benefit from late decompression. Copyright (C) 2017 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart Company

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Subdural Hematoma: A Rare Adverse Complication From Bone-Anchored Hearing Aid Placement.

Objective: Bone-anchored hearing aids (BAHA) are bone conduction hearing aids commonly implantated by Ear, Nose, and Throat surgeons. We present the first documented case of a subdural hematoma secondary to primary fixation of a BAHA. Patient: We present a 65-year-old male patient undergoing a left sided BAHA for bilateral chronic ear infections and difficulty wearing conventional hearing aids. The procedure was uneventful, however, the patient developed a postoperative large acute left temporoparietal intracerebral hematoma associated with an ipsilateral acute subdural hematoma. This required emergency transfer to the local tertiary neurosurgical center for a left decompressive craniotomy and evacuation of the hematoma. Results: The patient required a prolonged stay on an intensive care unit and was eventually discharged to the community for on-going neurological rehabilitation. Conclusion: This is a rare and devastating complication BAHA surgery. Otologist, general ENT surgeons, and neurosurgeons should be aware of this life-threatening complication of BAHA surgery. Copyright (C) 2017 by Otology & Neurotology, Inc. Image copyright (C) 2010 Wolters Kluwer Health/Anatomical Chart Company

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CDC to Release New Vital Signs Report on Non-Occupational Noise-Induced Hearing Loss

Ways You Can Participate

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Change in the natural head-neck orientation momentarily altered sensorimotor control during sensory transition

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Isabelle Xu, Simon Laurendeau, Normand Teasdale, Martin Simoneau
Achilles tendon vibration generates proprioceptive information that is incongruent with the actual body position; it alters the perception of body orientation leading to a vibration-induced postural response. When a person is standing freely, vibration of the Achilles tendon shifts the internal representation of the verticality backward thus the vibration-induced postural response realigned the whole body orientation with the shifted subjective vertical. Because utricular otoliths information participates in the creation of the internal representation of the verticality, changing the natural orientation of the head-neck system during Achilles tendon vibration could alter the internal representation of the earth vertical to a greater extent. Consequently, it was hypothesized that compared to neutral head-neck orientation, alteration in the head-neck orientation should impair balance control immediately after Achilles tendon vibration onset or offset (i.e., sensory transition) as accurate perception of the earth vertical is required. Results revealed that balance control impairment was observed only immediately following Achilles tendon vibration offset; both groups with the head-neck either extended or flexed showed larger body sway (i.e., larger root mean square scalar distance between the center of pressure and center of gravity) compared to the group with the neutral head-neck orientation. The fact that balance control was uninfluenced by head-neck orientation immediately following vibration onset suggests the error signal needs to accumulate to a certain threshold before the internal representation of the earth vertical becomes incorrect.



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Reliability and comparison of trunk and pelvis angles, arm distance and center of pressure in the seated functional reach test with and without foot support in children

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Sandra Radtka, Jacqueline Zayac, Krystyna Goldberg, Michael Long, Rustem Ixanov
This study determined test-retest reliability of trunk and pelvis joint angles, arm distance and center of pressure (COP) excursion for the seated functional reach test (FRT) and compared these variables during the seated FRT with and without foot support. Fifteen typically developing children (age 9.3±4.1years) participated. Trunk and pelvis joint angles, arm distance, and COP excursion were collected on two days using three-dimensional motion analysis and a force plate while subjects reached maximally with and without foot support in the anterior, anterior/lateral, lateral, posterior/lateral directions. Age, weight, height, trunk and arm lengths were correlated (p<0.01) with maximum arm distance reached. Maximum arm distance, trunk and pelvis joint angles, and COP with and without foot support were not significant (p<0.05) for the two test periods. Excellent reliability (ICCs>0.75) was found for maximum arm distance reached in all four directions in the seated FRT with and without foot support. Most trunk and pelvis joint angles and COP excursions during maximum reach in all four directions showed excellent to fair reliability (ICCs>0.40–0.75). Reaching with foot support in all directions was significantly greater (p<0.05) than without foot support; however, most COP excursions and trunk and pelvic angles were not significantly different. Findings support the addition of anterior/lateral and posterior/lateral reaching directions in the seated FRT. Trunk and pelvis movement analysis is important to examine in the seated FRT to determine the specific movement strategies needed for maximum reaching without loss of balance.



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Effect of total knee replacement surgery and postoperative 12 month home exercise program on gait parameters

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Heikkilä Anneli, Sevander-Kreus Nina, Häkkinen Arja, Vuorenmaa Mirja, Salo Petri, Pamilo Konsta, Ylinen Jari
ObjectiveTo evaluate the effects of surgery and a postoperative progressive home exercise program on gait parameters among individuals operated with total knee arthroplasty.DesignSingle blinded randomized controlled trial.Subjects108 patients (84 females, 24 males, mean age 69 years).InterventionsPatients were equally randomized into an exercise group (EG) and control group (CG). The 12-months progressive home exercise program starting two months postoperatively was compared to usual care.MethodsGait analysis was performed using the Gaitrite electronic walkway system. In addition, knee extension and flexion strength were measured by a dynamometer preoperatively, and pain on visual analog scale (VAS) at two months and 14 months postoperatively.ResultsAt the 12–month follow-up, maximal gait velocity (p=0.006), cadence (p=0.003) and stance time (p=0.039) showed a greater increase among EG than CG. All the other gait parameters improved among both groups, but with not statistically discernible difference between groups. Weak correlations were found between changes in maximal gait velocity and the knee extension (r=−0.31, p=0.002), flexion strength (r=0.28, p=0.004) and pain during loading (r=−0.27, p=0.005) values.ConclusionThe intervention produced statistically significant changes in maximal gait velocity, cadence and stance times in the exercise group compared to controls. Although the average change was small it is of importance that biggest changes occurred in those with low performance.



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Change in the natural head-neck orientation momentarily altered sensorimotor control during sensory transition

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Isabelle Xu, Simon Laurendeau, Normand Teasdale, Martin Simoneau
Achilles tendon vibration generates proprioceptive information that is incongruent with the actual body position; it alters the perception of body orientation leading to a vibration-induced postural response. When a person is standing freely, vibration of the Achilles tendon shifts the internal representation of the verticality backward thus the vibration-induced postural response realigned the whole body orientation with the shifted subjective vertical. Because utricular otoliths information participates in the creation of the internal representation of the verticality, changing the natural orientation of the head-neck system during Achilles tendon vibration could alter the internal representation of the earth vertical to a greater extent. Consequently, it was hypothesized that compared to neutral head-neck orientation, alteration in the head-neck orientation should impair balance control immediately after Achilles tendon vibration onset or offset (i.e., sensory transition) as accurate perception of the earth vertical is required. Results revealed that balance control impairment was observed only immediately following Achilles tendon vibration offset; both groups with the head-neck either extended or flexed showed larger body sway (i.e., larger root mean square scalar distance between the center of pressure and center of gravity) compared to the group with the neutral head-neck orientation. The fact that balance control was uninfluenced by head-neck orientation immediately following vibration onset suggests the error signal needs to accumulate to a certain threshold before the internal representation of the earth vertical becomes incorrect.



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Reliability and comparison of trunk and pelvis angles, arm distance and center of pressure in the seated functional reach test with and without foot support in children

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Sandra Radtka, Jacqueline Zayac, Krystyna Goldberg, Michael Long, Rustem Ixanov
This study determined test-retest reliability of trunk and pelvis joint angles, arm distance and center of pressure (COP) excursion for the seated functional reach test (FRT) and compared these variables during the seated FRT with and without foot support. Fifteen typically developing children (age 9.3±4.1years) participated. Trunk and pelvis joint angles, arm distance, and COP excursion were collected on two days using three-dimensional motion analysis and a force plate while subjects reached maximally with and without foot support in the anterior, anterior/lateral, lateral, posterior/lateral directions. Age, weight, height, trunk and arm lengths were correlated (p<0.01) with maximum arm distance reached. Maximum arm distance, trunk and pelvis joint angles, and COP with and without foot support were not significant (p<0.05) for the two test periods. Excellent reliability (ICCs>0.75) was found for maximum arm distance reached in all four directions in the seated FRT with and without foot support. Most trunk and pelvis joint angles and COP excursions during maximum reach in all four directions showed excellent to fair reliability (ICCs>0.40–0.75). Reaching with foot support in all directions was significantly greater (p<0.05) than without foot support; however, most COP excursions and trunk and pelvic angles were not significantly different. Findings support the addition of anterior/lateral and posterior/lateral reaching directions in the seated FRT. Trunk and pelvis movement analysis is important to examine in the seated FRT to determine the specific movement strategies needed for maximum reaching without loss of balance.



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Effect of total knee replacement surgery and postoperative 12 month home exercise program on gait parameters

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Heikkilä Anneli, Sevander-Kreus Nina, Häkkinen Arja, Vuorenmaa Mirja, Salo Petri, Pamilo Konsta, Ylinen Jari
ObjectiveTo evaluate the effects of surgery and a postoperative progressive home exercise program on gait parameters among individuals operated with total knee arthroplasty.DesignSingle blinded randomized controlled trial.Subjects108 patients (84 females, 24 males, mean age 69 years).InterventionsPatients were equally randomized into an exercise group (EG) and control group (CG). The 12-months progressive home exercise program starting two months postoperatively was compared to usual care.MethodsGait analysis was performed using the Gaitrite electronic walkway system. In addition, knee extension and flexion strength were measured by a dynamometer preoperatively, and pain on visual analog scale (VAS) at two months and 14 months postoperatively.ResultsAt the 12–month follow-up, maximal gait velocity (p=0.006), cadence (p=0.003) and stance time (p=0.039) showed a greater increase among EG than CG. All the other gait parameters improved among both groups, but with not statistically discernible difference between groups. Weak correlations were found between changes in maximal gait velocity and the knee extension (r=−0.31, p=0.002), flexion strength (r=0.28, p=0.004) and pain during loading (r=−0.27, p=0.005) values.ConclusionThe intervention produced statistically significant changes in maximal gait velocity, cadence and stance times in the exercise group compared to controls. Although the average change was small it is of importance that biggest changes occurred in those with low performance.



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Change in the natural head-neck orientation momentarily altered sensorimotor control during sensory transition

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Isabelle Xu, Simon Laurendeau, Normand Teasdale, Martin Simoneau
Achilles tendon vibration generates proprioceptive information that is incongruent with the actual body position; it alters the perception of body orientation leading to a vibration-induced postural response. When a person is standing freely, vibration of the Achilles tendon shifts the internal representation of the verticality backward thus the vibration-induced postural response realigned the whole body orientation with the shifted subjective vertical. Because utricular otoliths information participates in the creation of the internal representation of the verticality, changing the natural orientation of the head-neck system during Achilles tendon vibration could alter the internal representation of the earth vertical to a greater extent. Consequently, it was hypothesized that compared to neutral head-neck orientation, alteration in the head-neck orientation should impair balance control immediately after Achilles tendon vibration onset or offset (i.e., sensory transition) as accurate perception of the earth vertical is required. Results revealed that balance control impairment was observed only immediately following Achilles tendon vibration offset; both groups with the head-neck either extended or flexed showed larger body sway (i.e., larger root mean square scalar distance between the center of pressure and center of gravity) compared to the group with the neutral head-neck orientation. The fact that balance control was uninfluenced by head-neck orientation immediately following vibration onset suggests the error signal needs to accumulate to a certain threshold before the internal representation of the earth vertical becomes incorrect.



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Reliability and comparison of trunk and pelvis angles, arm distance and center of pressure in the seated functional reach test with and without foot support in children

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Sandra Radtka, Jacqueline Zayac, Krystyna Goldberg, Michael Long, Rustem Ixanov
This study determined test-retest reliability of trunk and pelvis joint angles, arm distance and center of pressure (COP) excursion for the seated functional reach test (FRT) and compared these variables during the seated FRT with and without foot support. Fifteen typically developing children (age 9.3±4.1years) participated. Trunk and pelvis joint angles, arm distance, and COP excursion were collected on two days using three-dimensional motion analysis and a force plate while subjects reached maximally with and without foot support in the anterior, anterior/lateral, lateral, posterior/lateral directions. Age, weight, height, trunk and arm lengths were correlated (p<0.01) with maximum arm distance reached. Maximum arm distance, trunk and pelvis joint angles, and COP with and without foot support were not significant (p<0.05) for the two test periods. Excellent reliability (ICCs>0.75) was found for maximum arm distance reached in all four directions in the seated FRT with and without foot support. Most trunk and pelvis joint angles and COP excursions during maximum reach in all four directions showed excellent to fair reliability (ICCs>0.40–0.75). Reaching with foot support in all directions was significantly greater (p<0.05) than without foot support; however, most COP excursions and trunk and pelvic angles were not significantly different. Findings support the addition of anterior/lateral and posterior/lateral reaching directions in the seated FRT. Trunk and pelvis movement analysis is important to examine in the seated FRT to determine the specific movement strategies needed for maximum reaching without loss of balance.



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via IFTTT

Effect of total knee replacement surgery and postoperative 12 month home exercise program on gait parameters

Publication date: March 2017
Source:Gait & Posture, Volume 53
Author(s): Heikkilä Anneli, Sevander-Kreus Nina, Häkkinen Arja, Vuorenmaa Mirja, Salo Petri, Pamilo Konsta, Ylinen Jari
ObjectiveTo evaluate the effects of surgery and a postoperative progressive home exercise program on gait parameters among individuals operated with total knee arthroplasty.DesignSingle blinded randomized controlled trial.Subjects108 patients (84 females, 24 males, mean age 69 years).InterventionsPatients were equally randomized into an exercise group (EG) and control group (CG). The 12-months progressive home exercise program starting two months postoperatively was compared to usual care.MethodsGait analysis was performed using the Gaitrite electronic walkway system. In addition, knee extension and flexion strength were measured by a dynamometer preoperatively, and pain on visual analog scale (VAS) at two months and 14 months postoperatively.ResultsAt the 12–month follow-up, maximal gait velocity (p=0.006), cadence (p=0.003) and stance time (p=0.039) showed a greater increase among EG than CG. All the other gait parameters improved among both groups, but with not statistically discernible difference between groups. Weak correlations were found between changes in maximal gait velocity and the knee extension (r=−0.31, p=0.002), flexion strength (r=0.28, p=0.004) and pain during loading (r=−0.27, p=0.005) values.ConclusionThe intervention produced statistically significant changes in maximal gait velocity, cadence and stance times in the exercise group compared to controls. Although the average change was small it is of importance that biggest changes occurred in those with low performance.



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Comparison of single-microphone noise reduction schemes: can hearing impaired listeners tell the difference?

.


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Comparison of single-microphone noise reduction schemes: can hearing impaired listeners tell the difference?

.


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Computer-based cognitive training program may help patients with severe tinnitus

In a study published online by JAMA Otolaryngology-Head & Neck Surgery, researchers evaluated the effect of a cognitive training program on tinnitus.

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Comparison of single-microphone noise reduction schemes: can hearing impaired listeners tell the difference?

.


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Computer-based cognitive training program may help patients with severe tinnitus

In a study published online by JAMA Otolaryngology-Head & Neck Surgery, researchers evaluated the effect of a cognitive training program on tinnitus.

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Comparison of single-microphone noise reduction schemes: can hearing impaired listeners tell the difference?

.


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Computer-based cognitive training program may help patients with severe tinnitus

In a study published online by JAMA Otolaryngology-Head & Neck Surgery, researchers evaluated the effect of a cognitive training program on tinnitus.

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Comparison of single-microphone noise reduction schemes: can hearing impaired listeners tell the difference?

.


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