Music Induced Tim 120809

8/14/2019 Music Induced Tim 120809

1/19

PAPARAN BISING PADAPAPARAN BISING PADA

PEKERJA MUSIKPEKERJA MUSIK

Ronny SuwentoRonny Suwento

PUSAT KESEHATAN TELINGA DAN GANGGUAN KOMUNIKASIDIVISI THT KOMUNITAS - Dept THT FKUI RSCM

WHO Collaborating Centre for Prevention of Deafness and Hearing Loss


2/19

PENGERTIAN BISINGPENGERTIAN BISING BISING : Suara yang tidak diharapkanBISING : Suara yang tidak diharapkan

MUSIK : Suara yang diinginkanMUSIK : Suara yang diinginkan

LAMABISING

INTENSITASPAPARAN

MUSIK vBISING

GANGGUAN PENDENGARAN / NOISE INDUCED HEARING LOSS
http://www.kapanlagi.com/selebriti/Slank/004.html


3/19

PERAN KOKLEA DALAM PROSESPERAN KOKLEA DALAM PROSES

MENDENGARMENDENGAR

Sensor suara yang masuk : distribusi frekuensi / nada ( dipilah pilah)

Mengubah energi akustik menjadi energi listrik, bisa dihantarkan ke

otak melalui saraf pendengaran


4/19

PENGARUH BISING TERHADAP ORGAN TELINGAPENGARUH BISING TERHADAP ORGAN TELINGA

Sel rambut luarkoklea


5/19

PENGARUH BISING TERHADAP KOKLEAPENGARUH BISING TERHADAP KOKLEAGambaran mikroskop elektronGambaran mikroskop elektron

Sel rambut luar koklea

( Sehat )

Sel rambut luar koklea

( Rusak )


6/19

DATA MANCANEGARADATA MANCANEGARA

WHO (1988) 8 -12 % penduduk dunia menerima dampak bisingWHO (1988) 8 -12 % penduduk dunia menerima dampak bising

DenmarkDenmark : TAB : 28 / 100.000 penduduk: TAB : 28 / 100.000 penduduk

USAUSA pekerja/ penduduk terpaparpekerja/ penduduk terpapar99 juta ( 1981)juta ( 1981) 3030 juta ( 1990)juta ( 1990)

Norwegia:Norwegia: TAB remaja 12 % (1981) menjadi 22 % (1988)TAB remaja 12 % (1981) menjadi 22 % (1988)

S puraS pura : 40 pekerja 5 disko, kerja 22.7 jam / minggu: 41.9 % TAB: 40 pekerja 5 disko, kerja 22.7 jam / minggu: 41.9 % TAB

Morioka - JapanMorioka - Japan ( 1993) :( 1993) :

37 remaja fans rock mengeluh telinga berdenging37 remaja fans rock mengeluh telinga berdenging

30 diantaranya TAB.30 diantaranya TAB.

INDONESIA ????INDONESIA ????


7/19

Occupational Safety and Health

Administration.(OSHA)

Daily Permissible Noise Level Exposure

1150.25

1100.5

10511021.5

1002

973

954926

908

Sound level ( dB)Hours per day


8/19

150 dBRock music peak

120 dBAmplifier rock106 dBTympani & bass drum

85 114 dBTrombone

90 106 dBFrench horn

90 -106 dBPiccolo

92 -103 dBFlute

85 -111 dBCello

82 92 dBViolin

75 85 dBChamber music, small auditorium

60 -70 dBNormal piano practice

Sound Levels of Music

Decibel (Loudness) Comparison Chart were taken from a study by Marshall Chasin ,Decibel (Loudness) Comparison Chart were taken from a study by Marshall Chasin ,

M.Sc., Aud(C), FAAA, Center for Human Performance & Health, Ontario, Canada.M.Sc., Aud(C), FAAA, Center for Human Performance & Health, Ontario, Canada.


9/19


10/19

High freq sounds of 2.000 4.000 Hz the most damaging

The incidence of hearing loss

Classical musicians 4 43 %,

Rock musicians 13 30 %.

80 -101 dBJazz, Blues, Country

83 -112 dBOrchestra

120 -130 dBRock, metal, pop

MUSIKUS

Pekerja musik rata-rata terpapar bising sekitar 4 8 jam/ hari.


11/19

OSHAOSHA : pekerja musik paparan bising: pekerja musik paparan bising

8 jam/ hari dilingkungan 85 dB8 jam/ hari dilingkungan 85 dB peraturan hearing conservationperaturan hearing conservation..Bising 90 dB berlakuBising 90 dB berlaku UU Hearing ProtectionUU Hearing Protection &&

upaya menurunkan kebisingan.upaya menurunkan kebisingan.

Nat. Institute on Deafness and other Communication DisordersNat. Institute on Deafness and other Communication Disorders(NIDCD) :(NIDCD) :

Bising 110 dB dlm waktu 1 menit : risiko gangguanBising 110 dB dlm waktu 1 menit : risiko gangguan

pendengaran menetap.pendengaran menetap.

Seseorang hanya boleh berada di lingkunganSeseorang hanya boleh berada di lingkungan 100 dB100 dB -- tanpa alattanpa alatpelindung pendengaranpelindung pendengaran selama selama 15 menit.15 menit.


12/19

PROTEKSI BISING UNTUK MUSIKUSPROTEKSI BISING UNTUK MUSIKUS

1. Ear piece Silicone

2. The attenuators : 3 levels ofattenuation (sound reduction): ER-9,ER-15, ER-25.

1

2


13/19

H.E.A.RH.E.A.R

( Hearing Education and Awareness of Rocker)( Hearing Education and Awareness of Rocker)

www. hear.netwww. hear.net

Pete TownshendPete Townshend(The WHO(The WHO) yang juga menjadi donatur forum) yang juga menjadi donatur forum

H.E.A.RH.E.A.R

Phil CollinsPhil Collins - organisasi PARTNER.- organisasi PARTNER.

2005 :2005 : Sound Partners Lifetime Achievement Award for Recording ArtsSound Partners Lifetime Achievement Award for Recording Arts

dari House Ear Institute ( Sentra penelitian pendengaran bergengsi didari House Ear Institute ( Sentra penelitian pendengaran bergengsi di

Amerika Serikat).Amerika Serikat).

Pete Townshend - 1970

Pete Townshend -2007


14/19

Kathy PeckKathy Peck, founder of S. Francisco-based grassroots nonprofit, founder of S. Francisco-based grassroots nonprofitHearing Education Awareness for Rockers (H.E.A.R.),Hearing Education Awareness for Rockers (H.E.A.R.),

To raise awareness for hearing after she experienced severe earTo raise awareness for hearing after she experienced severe ear

trauma at a single concert in the '80s when her band, The Contractions,trauma at a single concert in the '80s when her band, The Contractions,

opened for Duran Duran at a local arena.opened for Duran Duran at a local arena.

Since then, she has worked tirelessly to educate the public about theSince then, she has worked tirelessly to educate the public about thedangers of noise exposure and providedangers of noise exposure and provide

musicians and music fansmusicians and music fans

with hearing protection.with hearing protection.


15/19

MICHAEL MANN AND PHIL COLLINS HONORED FOR ACHIEVEMENTSMICHAEL MANN AND PHIL COLLINS HONORED FOR ACHIEVEMENTS

AT HOUSE EAR INSTITUTES GALA EVENT AT BEVERLY HILLS HOTELAT HOUSE EAR INSTITUTES GALA EVENT AT BEVERLY HILLS HOTEL

LOS ANGELES March 21, 2005 LOS ANGELES March 21, 2005 Michael MannMichael Mann will receive the will receive the Sound Partners LifetimeSound Partners LifetimeAchievement Award for FilmAchievement Award for Film , and, and Phil CollinsPhil Collins will receive the will receive the Sound Partners LifetimeSound Partners Lifetime

Achievement Award for Recording ArtsAchievement Award for Recording Arts at at

the House Ear Institutes 27th Annual Benefit Gala at the Beverly Hills Hotel on March 24,the House Ear Institutes 27th Annual Benefit Gala at the Beverly Hills Hotel on March 24,

2005.2005.

Florence Henderson will emcee the gala event, which will raise funds for the Institutes SoundFlorence Henderson will emcee the gala event, which will raise funds for the Institutes Sound

Partners hearing conservation program thatPartners hearing conservation program that raises public awareness about the importance ofraises public awareness about the importance of

protecting our hearing against the dangers of noise in our worldprotecting our hearing against the dangers of noise in our world. Hollywood Auction for. Hollywood Auction for

Hearing Health.Hearing Health.

Michael Manns highly acclaimed filmmaking career spans more than three decades and hasMichael Manns highly acclaimed filmmaking career spans more than three decades and has

earned him numerous awards and honors, including four Academy Award nominations :earned him numerous awards and honors, including four Academy Award nominations :TheThe

AviatorAviator.. CollateralCollateral (starring Tom Cruise and Jamie Foxx),(starring Tom Cruise and Jamie Foxx), Heat,Heat, The InsiderThe Insider, and, and Last of theLast of the

MohicansMohicans, which won an Academy Award for its sound work., which won an Academy Award for its sound work.


16/19

DET EKSI DI NIET EKSI DINIPEMERIKSAAN PENDENGARANPEMERIKSAAN PENDENGARAN

OTO ACOUSTIC EMISSION ( OAE)OTO ACOUSTIC EMISSION ( OAE)Koklea sehat ( PASS)Koklea sehat ( PASS)

Gangguan koklea ( REFERGangguan koklea ( REFER))


17/19

AUDIOMETRI NADA MURNIAUDIOMETRI NADA MURNI Ambang pendengaran ( suara terkecil dapat didengart)Ambang pendengaran ( suara terkecil dapat didengart)


18/19

MUSICIAN AND HEARING LOSSMUSICIAN AND HEARING LOSS

1. Pete Townshend ( gitaris The WHO)

2. Eric Clapton ( gitaris, penyanyi pop rock)

3. Phill Collins (drummer grup Genesis,penyanyi solo)

4. George Harrison( The Beatles)

5. Barbara Streisand, penyanyi, artis film6. Liberty Divito (drummer Billy Joel)

7. Engelbert Humperdinck, penyanyi pop

8. The Sting, penyanyi dan musisi

9. Lars Ulrich - drummer grup rock Metallica

10.James Hetfield - Metallica , rhythm guitar

.


19/19

PEMERIKSAAN TAMBAHANPEMERIKSAAN TAMBAHAN

TIMPANOMETRITIMPANOMETRI

Kondisi telinga tengah ( middle ear)Kondisi telinga tengah ( middle ear)

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Music Induced Tim 120809