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The effects of personal listening device usage on vestibular function among healthy adolescents and young adults
Published online by Cambridge University Press: 03 October 2025
Abstract
Objective
Emerging reports show that personal listening device usage causes vestibular impairment. This study aims to investigate the effect of personal listening device usage on vestibular impairment.
Methods
Subjects between 13 and 25 years were recruited. Each subject underwent a personal listening device usage questionnaire and quantification of sound exposure level, followed by a series of vestibular tests. Statistical analyses were performed to identify the association between personal listening device characteristics, sound exposure level and vestibular function.
Results
A total of 131 participants were recruited, with a mean age of 20 ± 2.55 years. The mean duration of personal listening device usage per day was 5.53 ± 2.76 hours. Noise exposure from personal listening device usage was noted to cause more saccular damage in adolescents. A correlation was found between the preferred listening level, the 40-hour equivalent continuous exposure level (r = 0.406, p = 0.029) and the latency right p13 among adolescents.
Conclusion
Sound exposure levels among adolescents are higher than among young adults. Personal listening device usage resulted in saccular damage among adolescents.
Information
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- Copyright
- © The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.
Footnotes
Jeyasakthy Saniasiaya takes responsibility for the integrity of the content of the paper
References
Golz, A, Westerman, ST, Westerman, LM, Goldenberg, D, Netzer, A, Wiedmyer, T, et al. The effects of noise on the vestibular system. Am J Otolaryngol 2001;22:190–6CrossRefGoogle ScholarPubMed
Kumar, K, Vivarthini, CJ, Bhat, JS. Vestibular evoked myogenic potential in noise-induced hearing loss. Noise Health 2010;12:191–4CrossRefGoogle ScholarPubMed
Lin, FR, Ferrucci, L. Hearing loss and falls among older adults in the United States. Arch Intern Med 2012:172;369–71CrossRefGoogle ScholarPubMed
Stewart, CE, Holt, AG, Altschuler, RA, Cacace, AT, Hall, CD, Murnane, OD, et al. Effects of noise exposure on the vestibular system: a systematic review. Front Neurol 2020;11:593919CrossRefGoogle ScholarPubMed
Gioacchini, FM, Alicandri-Ciufelli, M, Kaleci, S, Magliulo, G, Re, M. Prevalence and diagnosis of vestibular disorders in children: a review. Int J Ped Otorhinolaryngol 2014;78:718–24CrossRefGoogle ScholarPubMed
Gale, J, and Forge, A. Anatomy of the cochlea and vestibular system: relating ultrastructure to function. In: Watkinson JC, Clarke RW, eds. Scott-Brown’s Otorhinolaryngology and Head and Neck Surgery. Roca Raton (FL): CRC press, 2018; 545–66CrossRefGoogle Scholar
Curthoys, IS, Grant, JW, Pastras, CJ, Fröhlich, L, Brown, DJ. Similarities and differences between vestibular and cochlear systems – a review of clinical and physiological evidence. Front Neurosci 2021;15:695179CrossRefGoogle ScholarPubMed
Sohmer, H, Elidan, J, Plotnik, M, Freeman, S, Sockalingam, R, Berkowitz, Z, et al. Effect of noise on the vestibular system-vestibular evoked potential studies in rats. Noise Health 1999;2:41–51Google ScholarPubMed
Hsu, WC, Wang, JD, Lue, JH, Day, AS, Young, YH. Physiological and morphological assessment of the saccule in guinea pigs after noise exposure. Arch Otolaryngol Head Neck Surg 2008;134:1099–106CrossRefGoogle ScholarPubMed
Dessai, TD, Bhat, RJ, Kumar, K. An exploratory study of cervical vestibular-evoked myogenic potential in users of personal listening devices. Noise Health 2023;25:158–64CrossRefGoogle ScholarPubMed
Hain, TC. Noise induced hearing and noise induced vestibular disturbance. In: https://dizziness-and-balance.com/disorders/hearing/noise.html [30 March 2025]Google Scholar
Tseng, CC, Young, YH. Sequence of vestibular deficits in patients with noise-induced hearing loss. Eur Arch Otorhinolaryngol 2013;270:2021–6CrossRefGoogle ScholarPubMed
Akin, FW, Murnane, OD, Tampas, JW, Clinard, C, Byrd, S, Kelly, JK. The effect of noise exposure on the cervical vestibular evoked myogenic potential. Ear Hear 2012;33:458–65CrossRefGoogle ScholarPubMed
Cassandro, E, Chiarella, G, Catalano, M, Gallo, LV, Marcelli, V, Nicastri, M, et al. Changes in clinical and instrumental vestibular parameters following acute exposition to auditory stress. Acta Otorhinolaryngol Ital 2003;23:251–6Google ScholarPubMed
Viola, P, Scarpa, A, Pisani, D, Petrolo, C, Aragona, T, Spadera, L, et al. Sub-clinical effects of chronic noise exposure on vestibular system. Transl Med UniSa 2020;22:19–23Google ScholarPubMed
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;18:104–12CrossRefGoogle ScholarPubMed
Liao, YH, Young, YH. Inner ear damage by firecracker trauma. Audiol Neurootol 2018;23:116–21CrossRefGoogle ScholarPubMed
Sulaiman, AH, Seluakumaran, K, Husain, R. Hearing risk associated with the usage of personal listening devices among urban high school students in Malaysia. Public Health 2013;127:710–15CrossRefGoogle ScholarPubMed
Isaradisaikul, S, Strong, D, Moushey, J, Gabbard, S, Ackley, S, Jenkins, H. Reliability of vestibular evoked myogenic potentials in healthy subjects. Otol Neurotol 2008;29:542–4CrossRefGoogle ScholarPubMed
Yilmaz, N, Ila, K, Soylemez, E, Ozdek, A. Evaluation of vestibular system with vHIT in industrial workers with noise-induced hearing loss. Eur Arch Otorhinolaryngol 2018;275:2659–65CrossRefGoogle ScholarPubMed
Liu, Y, Leng, Y, Zhou, R, Liu, J, Wang, H, Xia, K, et al. Discrepancies of video head impulse test results in patients with idiopathic sudden sensorineural hearing loss with vertigo and vestibular neuritis. Front Neurosci 2023;17:1102512CrossRefGoogle ScholarPubMed
Brodsky, JR, Cusick, BA, Kenna, MA, Zhou, G. Subjective visual vertical testing in children and adolescents. Laryngoscope 2016;126:727–31CrossRefGoogle ScholarPubMed
You, S, Kwak, C, Han, W. Use of personal listening devices and knowledge/attitude for greater hearing conservation in college students: data analysis and regression model based on 1009 respondents. Int J Environ Res Public Health 2020;17:2934CrossRefGoogle ScholarPubMed
Hodgetts, WE, Rieger, JM, Szarko, RA. The effects of listening environment and earphone style on preferred listening levels of normal hearing adults using an MP3 player. Ear Hear 2007;28:290–7CrossRefGoogle ScholarPubMed
Shim, H, Lee, S, Koo, M, Kim, J. Analysis of output levels of an MP3 player: effects of earphone type, music genre, and listening duration. J Audiol Otol 2018;22:140Google ScholarPubMed
Portnuff, CD, Fligor, BJ, Arehart, KH. Teenage use of portable listening devices: a hazard to hearing? J Am Acad Audiol 2011;22:663–77CrossRefGoogle ScholarPubMed
Henry, P, Foots, A. Comparison of user volume control settings for portable music players with three earphone configurations in quiet and noisy environments. J Am Acad Audiol 2012;23:182–91CrossRefGoogle ScholarPubMed
Breinbauer, HA, Anabalón, JL, Gutierrez, D, Cárcamo, R, Olivares, C, Caro, J. Output capabilities of personal music players and assessment of preferred listening levels of test subjects: outlining recommendations for preventing music-induced hearing loss. Laryngoscope 2012;122:2549–56CrossRefGoogle ScholarPubMed
Stewart, C, Yu, Y, Huang, J, Maklad, A, Tang, X, Allison, J, et al. Effects of high intensity noise on the vestibular system in rats. Hear Res 2016;335:118–27CrossRefGoogle ScholarPubMed
Wang, YP, Hsu, WC, Young, YH. Vestibular evoked myogenic potentials in acute acoustic trauma. Otol Neurotol 2006;27:956–61CrossRefGoogle ScholarPubMed
Wang, YP, Young, YH. Vestibular-evoked myogenic potentials in chronic noise-induced hearing loss. Otolaryngol Head Neck Surg 2007;137:607–11CrossRefGoogle ScholarPubMed
Hara, M, Kimura, RS. Morphology of the membrane limitans. Ann Otol Rhinol Laryngol 1993;102:625–30CrossRefGoogle ScholarPubMed
Akdogan, O, Selcuk, A, Take, G, Erdogan, D, Dere, H. Continuous or intermittent noise exposure, does it cause vestibular damage? An experimental study. Auris Nasus Larynx 2009;36:2–6CrossRefGoogle ScholarPubMed
Ostri, B, Eller, N, Dahlin, E, Skylv, G. Hearing impairment in orchestral musicians. Scand Audiol 1989;18:243–9CrossRefGoogle ScholarPubMed
Totilienė, M, Uloza, V, Lesauskaitė, V, Damulevičienė, G, Kregždytė, R, Kaski, D, Ulozienė, I. Impaired subjective visual vertical and increased visual dependence in older adults with falls. Front Aging Neurosci 2021;13:667608CrossRefGoogle ScholarPubMed
Li, F, Xu, J, Li, GR, Gao, R, Shang, CY, Tian, E, et al. The value of subjective visual vertical in diagnosis of vestibular migraine. Curr Med Sci 2021;41:654–60CrossRefGoogle ScholarPubMed
Das, S, Kalidoss, VK, Bakshi, SS, Ramesh, S. A cross-sectional study on the effect of chronic noise exposure on the vestibular function of traffic policemen and automobile drivers. Noise Health 2022;24:231–36CrossRefGoogle ScholarPubMed