Auditory Processing Disorder and Noise-Cancelling Headphones
The discussion around the potential link between prolonged noise-cancelling headphone use and auditory processing disorder (APD) raises important questions for us as Audiologists. While these headphones provide clear benefits (reducing noise exposure and preventing hearing damage), their prolonged use may affect the brain’s ability to process complex auditory environments as suggested in this article.
This is particularly concerning in young people, whose auditory pathways are still developing and haven’t yet reached maturation. More research is most definitely needed to determine whether excessive noise isolation could contribute to deficits in auditory scene analysis and speech perception in noisy settings.
The Importance of APD Diagnosis and Treatment
The increasing number of young adults experiencing difficulties in noisy environments despite normal hearing tests highlights the need for improved awareness and assessment of APD. Current NHS resources for APD diagnosis are limited, with long waiting times and a lack of standardized guidelines for adults.
Expanding access to APD assessments and integrating more audiologists trained in this condition into public healthcare systems would be beneficial for differential diagnosis and treatment thereof.
Auditory Training and Rehabilitation
The mention of “speech in noise” training and auditory discrimination exercises is encouraging, as these interventions can significantly improve auditory processing abilities. Assistive listening devices, such as low-gain hearing aids and FM systems, can also be valuable tools, but accessibility remains a challenge, particularly for adults outside of educational settings.
Pindrop Hearing allows trials of such devices for patients who are struggling with their auditory processing abilities in specific environments. We have seen great success from the use of low-gain hearing aids and FM systems for our patients.
Find out more about our uditory Processing Disorder Diagnostic assessment Here.
Balancing Technology Use and Natural Auditory Stimulation
Audiologists should emphasise the importance of balanced listening environments. While noise-cancelling headphones have their place, users (especially younger individuals) should be encouraged to integrate periods of natural listening into their daily routines. It’s not good to shut yourself off entirely from the natural world.
Utilizing transparency modes or semi-open headphone designs may help maintain the brain’s ability to filter and prioritize sound. For example, Apple’s AirPods offer a ‘transparency’ option in your Bluetooth settings with less noise cancellation.
Final Thoughts from Me
While the potential link between noise-cancelling headphone use and APD is not yet fully understood, caution and moderation are advisable when it comes to the use of these headphones.
Raising awareness about APD, expanding research, and improving access to diagnostic and rehabilitative services are crucial steps in supporting individuals who experience difficulties processing sound in everyday life. If you or a family member are concerned about your hearing, please do seek out an assessment at your audiologist.
Christina Kourie BA, MA, RHAD
Clinical Audiologist, Pindrop Hearing
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