Noise exposure of musicians of a ballet orchestra Cheng Liang Qian1,2, Alberto Behar2, Willy Wong1,2 Edward Rogers Sr. Department of Electrical and Computer Engineering, 2Institute of Biomaterials and Biomedical Engineering, University of Toronto, Canada 1 Abstract With over 70 dancers and its own orchestra, The National Ballet of Canada ranks amongst the world’s top dance companies. It performs three seasons annually: fall, winter and summer, plus many shows of Tchaikovsky’s Nutcracker. The 70-strong orchestra plays an average of 360 hours/year including rehearsals and performances. Rehearsals are held at two locations: one in a ballet rehearsal room with little or no absorption, and the other in an acoustically treated location. Performances are held in the Four Seasons Centre for the Performing Arts in Toronto. The present survey was done at the request of the National Ballet, since the musicians complained of excessive sound levels and were concerned about possible hearing losses. The survey was performed using five dosimeters Quest Mod 300 during 10 performances of the ballet Romeo and Juliet by Sergei Prokofiev, deemed as the noisiest in the whole repertoire. Results of the survey indicate that the noise exposure levels from only the orchestra’s activities do not present risk of hearing loss. Exposure due to other musical activities was, however, not included. Keywords: Noise exposure, dosimetry, field measurement, musician, orchestra Introduction Musicians at the National Ballet of Canada’s orchestra were concerned about the high noise levels they were exposed to during performances and rehearsals. To assess the actual noise exposure and the risk of hearing loss, the management requested a study to be performed by the Sensory Communications Group at the University of Toronto. The Group has already performed two similar studies in the past on musicians from the Canadian Opera Company[1,2] and through these studies has an established measurement methodology. The present study consisted in the measurement and assessment of noise exposure of musicians during 10 performances of Sergei Prokofiev’s “Romeo and Juliet” – a particularly loud 3-hour ballet. This composition requires a relatively large, 70 player orchestra. Furthermore, the noise levels in the orchestra pit may be higher compared to an open symphonic stage, where symphonic orchestra performances and rehearsals typically take place. The Access this article online Quick Response Code: Website: www.noiseandhealth.org DOI: 10.4103/1463-1741.74002 PubMed ID: *** 59 higher levels are due to the enclosed space that increases the reverberant energy of the sound. The measurements are best representative of a pit musician’s noise exposures during actual live performances. Noise-induced hearing loss is the result of long exposures to high sound levels. Measurements of those levels are performed using noise dosimeters that integrate the noise levels for the entire duration of the event. The result is shown as Leq,t. 1Leq,t is the equivalent noise level during the time t, obtained using a 3 dB exchange rate When a measurement is performed for a duration different than 8 hours, the result has to be converted to the equivalent 8-hour exposure Leq,8 using the formula Leq,8 = Leq,t + 10 log(t/8)dBA (1) where t is the actual measurement duration (hours). Musicians at the National Ballet Company perform for 360 hours/year, as opposed to the usual 2000 hours/year (8 hours/ day) in the case of workers in other industry. For 2000 hours, Equation (1) becomes Leq,8 = Leq + 10 log(t/2000)dBA (2) Using t = 360 hours, Equation (2) becomes Leq,8 = Leq – 7.4dBA (3) Noise & Health, January-February 2011, 13:50,59-63 Qian, et al.: Noise exposure of musicians of a ballet orchestra Measurements Measurement Procedures Measurements were performed during 10 performances of the ballet “Romeo and Juliet” by Prokofiev. All performances were held at the Four Seasons Centre for the Performing Arts. Inaugurated in 2006, this is the first theater in Canada built specifically for opera and ballet. Presently, it is considered as one of the finest halls in the world. Approximately 15 minutes before the start of a performance, each designated musician was fitted with a dosimeter. The operator in charge of the test attached personally the microphone of the dosimeter to the collar of the musician (according to the instrument played, it was attached either to the left or the right side of the musician’s body). Then, the microphone cable was fixed to the back of the musician. This was done to avoid interfering with the musician’s performance, or creating a potential safety hazard. Measuring Instruments Five Quest Q-300 dosimeters were used during each performance. They were set to measure Leq following the guidelines in CSA Standard Z107.56-94.[3] Instruments were set up and calibrated in our laboratory using the manufacturer’s QuestSuite Application software. Dosimeter Locations The set-up consisted of dosimeters, each with a cabled microphone. Each dosimeter was clipped to the musician’s belt, with the microphone attached to the collar or shoulder seam of the musician’s shirt on the side chosen by the player. In the case of shoulder-borne instruments such as the violin, the microphone was attached to the right shoulder of the player. Since only five dosimeters were used, it was intended that the number of tests per instrument be approximately proportional to the number of players of this instrument. In addition, certain musicians were measured in more than one performance. Nevertheless, an even spatial coverage of the orchestra pit was achieved. Table 1 shows the total number of players for each instrument and the number of separate measurements performed on players of this group. Table 1: Number of tests performed during the study Instruments Violin 1 Violin 2 Violas Cellos Basses Flutes Oboe Clarinets Bassoons Trumpets Horns Trombones Tuba Percussion Total No. of players 1 9 7 7 4 3 3 4 3 4 6 3 1 4 69 No. of tests 5 5 6 6 3 3 2 3 3 2 3 3 1 5 50 Noise & Health, January-February 2011, Volume 13 The operator further kept a record of the following: the name of each of the five musicians tested on that particular day, their instruments, their locations on the floor plan and the start and end time of the testing. At the end of the performance, the operator followed the procedure of stopping the data collection, disconnecting the microphone, removing the dosimeter from the musician and recording the measured Leq from the dosimeter. Measurement Results Table 2 summarizes the results of the noise exposure measurements performed on the different musicians. All results are Leq,3 (dBA), i.e., the actual reading on each of the dosimeters after each performance. It can be seen that the numbers of measurements for the different musician groups vary between 2 and 6. As mentioned earlier, some musicians wore the dosimeters for more than one session. This was done to investigate the variation in Leq,3 across different performances. These particular results are underlined in the table. Table 2: Measurement results Instrument Measured Leq,3 Mean Leq,3a 1st violin 2nd violin Viola Cello Double bass Flute Oboe Clarinet Bassoon Trumpet French horn Trombone Tuba Percussion 86.9 87.2b 88.2 86.3 85.6 84.2 86.8 84.7 83.8 91.3c 84.9 84.9 85.7 87.8 86.5 89.1d 87.3 86.1 87.0 86.9 86.6 88.2 88.8 90.3 90.9 94.1 92.8 91.6 88.5 87.9 88.6 90.6 88.5 88.0 89.6 88.0 94.2 94.2 91.2 90.8 92.2 93.4 93.7 92.4 91.8 90.4 88.3 87.6 87.3 88.5 87 87 87 87 90 93 88 89 89 94 91 93 92 89 Values rounded up to the nearest integer; bUnderlined values indicate measurements repeated on same individual; cThis player was positioned next to the grand-piano, set at half-stand (see Figure 1 and discussion); dThis viola player wore dosimeter’s microphone once on the shoulder (first measurement) and once on a headband pointing down at their instrument a 60 Qian, et al.: Noise exposure of musicians of a ballet orchestra Figure 1: Instruments location in the orchestra pit The mean Leq,3 shown in the last column of the table corresponds to the energetic average of the measured values given by Equation (4). eq ,3i 1 N mean Leq.3 = 10 log ∑ 10 N i L / 10 (4) Figure 1 below represents the floor plan and the seating distribution of the players within the pit. A few of the musicians are located under an acoustically transparent overhang that is used as a safety net to stop objects (and even dancers) from falling into the pit. The end of the overhang is indicated by the curved line on the figure. Discussion Variations of noise exposures in the orchestra pit The variations of the noise exposure of musicians in the orchestra pit can be attributed to a combination of factors. These include the sound power of the instrument the musician is playing, of the instruments in the vicinity, the time variation aspects of the music, and of sound reflections from the limiting surfaces. A comparison of the sound exposure from different instruments is presented in Figure 2. Instruments are grouped by their location within the pit and ordered from lowest to highest mean sound exposure. The woodwinds are separated into flutes and the remaining woodwinds, as there was a significant (P < 0.001) difference in measured sound exposure levels between these subgroups. Since the string sections were also separated spatially [Figure 1], sections were divided into three subgroups: a) violins, b) viola and cello, and c) double bass. There were significant (P < 0.01) noise exposure level differences between double bass and all other string instruments. Furthermore, there was a surprising statistical difference (P < 0.05) between the sound level of the 1st violins and 2nd violin section even though these two sections are composed of the same instruments, located adjacent to each other. This difference may be best explained by the fact that the 1st violins were seated next to the pit wall, and were thus subjected to 61 Figure 2: Leq min, mean [see Equation (3)] and max of various instrument sections as grouped by location. Sections are ordered from lowest to highest mean sound exposures additional exposure from reflections from the nearby wall. This highlights the potential difference in sound exposure between pit orchestra and stage orchestra musicians. Variability within same instrument group and same musicians To estimate the variability within the same instrument and musician across multiple performances, a few musicians were measured more than once. In general, these repeated measurements yielded very similar Leq results (see underlined entries in Table 2). With the exception of one viola player and percussionist, the measurements were within 2 dB of one another, a difference well within measurement error. The data support the idea that professional orchestras are quite consistent (in terms of sound level at least) across several performances of the same work. This can also be inferred from the relative consistency (also within 2 dB range) of measurements within each instrument section when measured across performances. For future assessments, this suggests that a few measurements per instrument section can adequately characterize sound exposure over several performances of the same piece. The larger variability of sound exposure measured on the percussionist and viola player are easily explained. Percussionists, unlike other orchestra musicians, move quite dynamically between several different locations (playing several percussion instruments) during the performance, adding extra variability. One viola player represented an interesting case that illustrates the impact of the location of the dosimeter microphone. He was measured twice, first with the dosimeter microphone on the shoulder opposite their instrument. For the next measurement, he decided to wear the microphone on a headband pointing down at their viola. This yielded measurements of 86.5 and 89.1 dBA, respectively, with a difference representing roughly a doubling of the sound energy. This suggests that future studies should consider Noise & Health, January-February 2011, Volume 13 Qian, et al.: Noise exposure of musicians of a ballet orchestra making creative efforts to measure on the side of the body exposed to the higher levels, to obtain more conservative estimate of the sound exposure. Are these musicians at risk of hearing loss? The most important question addressed in the study is whether musicians are at increased risk of hearing loss after years of performance in orchestra pits. We used the ISO 1999:1990 threshold shift algorithm[4] to predict the noiseinduced permanent threshold shift (NIPTS) expected in an individual musician as a function of the exposure level (in Leq,8) and their percentile susceptibility to hearing damage. Though performances in the orchestra pit only occupy a portion of a musician’s time, they likely constitute the highest exposure levels due to the sheer number of instruments being played nearby. To arrive at a reasonable Leq,8 from the Leq,3 measured during performance, two additional assumptions must be made. Firstly, it is assumed that this piece of music is representative of the typical sound levels of performances. Prokofiev’s “Romeo and Juliet” is actually one of the loudest performances of ballet music, and so assessing general risk based on this piece may lead to erroneous conclusions. The second assumption is that other activities such as practice, other performances and/or teaching do not contribute significantly to the total level of exposure, relative to the exposure from performances. This may not be a fully valid assumption and cannot be easily verified without continuous dosimeter measurement of a musician throughout their daily activities. Musicians themselves need to be conscious of any other activities that might significantly increase their exposure, such as teaching group music classes. To compute Leq,8, the measured Leq needs to be adjusted [using Equation (2)] by −7.4 dB corresponding to 300 hours of performance compared to the 2000 hours of work assumed by Leq,8. After this adjustment, the Leq,8 of several instrument groups fall immediately to below 80 dBA, which is widely considered as presenting minimal risk. Two instrument groups, brass and flutes/piccolos, have higher exposures with mean Leq,8 of 85.4 and 85.6 dBA, respectively. For these players, the projected hearing loss (after a 40-year career in performance) due to exposure alone is calculated using the ISO1999:1990 algorithm[4] and is presented in Figure 3. It is easy to see that under the assumptions of this calculation, even the musicians in this group who have the highest vulnerability to noise are only expected to experience mild shifts (<10 dB) in hearing threshold. However, since hearing is typically more important to musicians than other individuals, musicians may still wish to Noise & Health, January-February 2011, Volume 13 Figure 3: Noise-Induced Permanent Threshold Shift (NIPTS) projections of musicians (playing brasses and flutes) measured at 93 dBA (Leq,8 = 85 dBA), after performing for 40 years. Each curve represents predictions for a different percentile resistance to hearing damage. For example, 50 percentile is the median and 90 percentile means top 10% resistance. All threshold shifts are mild and <10 dB even for the most susceptible part population reduce the risk of hearing loss. To this end, a reduction of 5 dB in sound exposure to approximately the same level as the remainder of the orchestra will minimize the risk for brass and flute players such that the predicted NIPTS is <3 dB. Some recommendations on providing this amount of noise exposure reduction are presented in Appendix-A. Conclusion The present work was an assessment of pit orchestra musicians’ risk of noise-induced hearing loss. We have highlighted several considerations for proper and efficient assessment of orchestra-related sound exposure, including the fact that the accuracy of the noise exposure measurement is within ±2 dB.The measurements done over one particularly loud ballet piece (Prokofiev’s “Romeo and Juliet”) indicate that musicians of the National Ballet of Canada Orchestra are, in general, not overexposed due to performances alone. The conservative assumption in this study was that the measured noise exposure applies to all orchestral activities of the musicians, including rehearsals and playing other pieces, while it actually represents the noisiest activity they are likely to partake in. Address for correspondence: Mr. Cheng Liang Qian, 1317-438 King St. West. Toronto, ON, Canada. E-mail: chengliang.qian@utoronto.ca 62 Qian, et al.: Noise exposure of musicians of a ballet orchestra Appendix-A Noise exposure controls for musicians Controls should be instituted whenever noise exposure levels are at or above safe limits. There are basically three types of controls: engineering, administrative and use of personal protective equipment. Engineering noise controls These should be considered as the first option. In the case of musicians in an orchestra, especially those seated in front of the wind instruments, there have been many attempts to implement engineering controls. The preferred approach has been installing barriers, more often behind the backs of the musician seated in front of the wind instruments. However, they have had very limited success. One of the reasons is the need that barriers be optically transparent so that the view of the musician is not impaired. This requirement limits the choice to the use of non-absorbent, highly reflective materials such as Plexiglas and similar. Being reflective, they increase the sound level generated by the instrument and received by the player. Also, to be effective, barriers have to be large, something not acceptable in a relatively small orchestra pit. Wind instruments are highly directional. Placing them higher than the rest of the musicians appears to improve the situation. This is the reason for the moderate success of the use of risers. However, this solution, usual in symphonic orchestra, tends to be unsuitable in the pit because of the relatively low ceiling. In an enclosed space, the use of sound absorbing material covering the exposed surfaces reduces the reflected sound energy and consequently can reduce the sound levels. This solution can hardly be applied in the pit. The ceiling is already highly absorptive (being partially open to the hall). Also, the relatively high density of the musicians increases significantly the total absorption. Only in case of musicians situated next to the walls of the pit (such as the outside 1st violinists), the use of sound absorbing material may reduce their noise exposure level. Administrative control measures They consist of reducing the duration of the exposure. In the present case, this will imply shorter playing times, something which is difficult to apply to musicians in an orchestra due to the requirements of their occupation. Alternatively, when it is feasible from a repertoire planning point of view, it may be worthwhile to balance a repertoire with louder and quieter performances to give musicians some recovery time. Use of personal protective equipment This is the only remaining exposure control, and the one that is easier to apply in theory. Unfortunately, musicians are reluctant to the use of protectors. The three most often quoted reasons are: a) lack of comfort, b) occlusion effect (when using plugs), and c) distortion of the perceived sound due to increasing attenuation of high frequencies. There is no single solution at the present time for the lack of comfort – this is a general complaint from users of every kind of personal protective equipment (PPE), such as hard hats, respirators, etc. Earplugs with custom-fitted ear molds do offer some degree of comfort by ensuring good fit. However, ear canals do change with aging and fit cannot be guaranteed after a number of years. The occlusion effect occurs when an object fills the outer portion of a person's ear canal. This person perceives "hollow" or "booming" echo-like sounds of his/her own voice. This effect can only be reduced by inserting the plugs deep in the ear canal, something that reduces the level of comfort even further. The sound attenuation of most hearing protectors is proportional to the frequency – there is higher attenuation at higher frequencies. The net result is that the music is perceived as “muffled” or lacking in clarity. This problem is resolved by the use of protectors known as “Fidelity” or “Musician” earplugs that have flat attenuations across the frequency range. Another advantage of these devices is that their attenuation is usually low to moderate (10–25 dB). Musicians do not need large attenuation since the noise exposure levels are not too high. Furthermore, some earplugs, particularly those with custom ear molds, include an interchangeable flat-attenuation filter which allows the musician to configure for the desired total attenuation. This allows a means of compensating for the difference between rehearsal and performance sound levels by switching between different filters. Hence, flat-attenuation ear plugs appear to be the most practical solution for reducing sound exposure of musicians. Players have to accept the relative lack of comfort and adapt to the sound of their instruments and the orchestra while wearing hearing protectors. This is especially important for musicians who play in loud instrument sections, in more than one orchestra, or teach playing to large groups. Players must themselves consciously consider the balance between the inconvenience associated with protection, and the risk of hearing loss. References 1. Lee J, Behar A, Kunov H, Wong W. Musicians’ noise exposure in orchestra pit. Applied Acoustics 2005;66:919-31. 2. MacDonald E, Behar A, Wong W, Kunov H. Noise Exposure of Orchestra Musicians. Canadian Acoustics 2008;36:11-6. 63 3. CSA Standard Z107.56-06. Procedures for the measurement of occupational noise exposure. Canadian Standards Association; 2006. 4. ISO Standard 1999:1990. Acoustics – Determination of occupational noise exposure and estimation of noise-induced hearing impairment. International Organization for Standardization; 1999. Source of Support: Nil, Conflict of Interest: None declared. Noise & Health, January-February 2011, Volume 13