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Participants who had received moderate amounts of musical training exhibited the fastest neural responses, suggesting that even limited training in childhood can preserve sharp processing of speech sounds and increase resilience to age-related decline in hearing.
These findings suggest attention-dependent processing of a mistuned harmonic is enhanced in older musicians and provides further evidence that age-related decline in hearing abilities are mitigated by musical training.
The reduced frequency range for binaural hearing became significant in middle age, before decline in hearing sensation and the morphology of cortical responses, which became apparent only in the older subjects.
More direct evidence from studies of experiments with animals and humans, however, suggests that we may have to alter the very concept of what we mean by hearing loss, and that current tests - particularly pure-tone audiometry which measures our ability to perform "pin-drop" hearing - may not be sufficient to pick up the early signs of a decline in hearing function.
Nonetheless, therapy for all patients with a sudden decline in hearing is similar and usually treatment entails the prompt use of corticosteroids.
Neither group showed evidence of decline in hearing during the 4 years of continuous observation.
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These results suggest that although hearing loss and cognitive decline are related, even in hearing aid users, the association may not apply across all cognitive domains.
Epidemiological data suggest that nearly 1 in 25 older adults develops a hearing impairment each year [ 4] and that almost one in two persons with hearing impairment shows a decline in their hearing over a 5-year period [ 5].
This effect translated into a significant 7% absolute reduction in hearing loss, from 20%, among those known to have had early childhood ear discharge, and about a 1% absolute (17% relative) decline, from 6.5%to5.4%4%, in hearing loss from all causes.
In a study of those who do keep playing, published this summer, researchers found that as musicians age, they experience the same decline in peripheral hearing, the functioning of the nerves in their ears, as nonmusicians.
Except for a slight decline in her hearing and eyesight, Ewen is in good health, thanks to a lifetime of staying active.
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