
Reducing Sound-Induced Hearing Loss in Athletic Trainers and Performers to Whom They Provide Healthcare
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Abstract:
Athletic trainers who work with musicians and other entertainment artists are routinely exposed to high sound levels as an occupational hazard. Marching band facilities, concert halls, and a variety of theater spaces are examples of venues where performing arts ATs may practice. Studies of musicians establish that sound levels in these environments are high and hearing loss is likely. Nonetheless, even under ideal circumstances of education and complimentary hearing protection provision, protection of hearing in musicians is far from universal. In addition, for athletic trainers who work with marching bands, sound levels to which they are exposed far exceed recommended daily dosages, in spite of the ATs not being embedded within a band. Overall, then, sound levels present a substantial risk of hearing loss to those in many performing arts environments. Methods to both measure and reduce individual sound exposure will be presented.
Learning Objectives:
- Participants will be able to describe the risks to hearing inherent in music and other performing arts venues.
- Participants will be able to interpret research literature in the field of sound exposure and sound-induced hearing loss.
- Participants will be explain the purpose and use of a personal noise dosimeter.
- Participants will be able to differentiate among hearing protection devices for their suitability in preserving hearing.
- Participants will be able to select an appropriate hearing protection device for themselves and performers with whom they work.
Level:
Essential
CEUs:
1.5 Category A
Keywords: hearing loss, sound-induced, hearing protection
On-Demand (Enhanced Access) Course Expiration:
Courses registered for after February 5, 2025, must be completed by December 31, 2025, at 11:59 p.m. CST.
For full details, refer to the expiration policy on our FAQ page.

Jeffrey A. Russell, PhD, ATC
Jeff Russell is not your everyday athletic trainer. Rather than working with athletes who compete in sports, Dr. Russell works with another type of athlete — performing artists. In late 2001, a dancer came to him asking for help with an injury. After he cared for her, word spread that he would help address injuries related to all performers at the university where he was working at the time. As a result of that initial encounter many years ago, he now fills a much-needed niche caring for performing artists, a group of individuals who typically do not receive the same health care as traditional athletes, but who have just as many demands placed on their bodies.
The Clinic for Science and Health in Artistic Performance (SHAPe Clinic) is a facility at Ohio University where licensed athletic trainers who have the specialized equipment and knowledge to treat performing arts injuries offer their services to injured performing artists. They also provide health and wellness advice to their clientele. The patients include dancers, musicians, actors, theater production personnel and members of OHIO’s Marching 110. In addition to the clinic, SHAPe provides on-site health care for dance concerts, physical theater performances and Marching 110 football game and parade performances. Because of the countless hours performing artists spend dancing, acting or playing an instrument, it is crucial for these students to have a place where they can receive health care designed especially for them.
In addition to providing treatment for artists, SHAPe maintains active research and education agendas led by Russell. From his lab come studies about the biomechanics of artistic movement and the demands placed on the body by performing arts. In 2018 he published the first scientific article devoted to head injuries in theater personnel. Through two international, transdisciplinary research groups he is expanding that research to the film and television entertainment industry—including stunt performers and commercial dancers—with key topics like injuries, health care access, and mental health. Injuries in these artistic populations are extremely prevalent, but the artists do not receive the level of health care they need or deserve. Notably, virtually all of Russell’s research is community-engaged research where members of the stunt and commercial dance populations serve as co-investigators in the studies.
Russell’s career started in sports medicine and orthopaedics. Once he changed his field to performing arts medicine, he received his Ph.D. in Dance Medicine and Science from the University of Wolverhampton in central England. Following that he worked at the University of California, Irvine, where he taught science classes to dancers to help them understand the movement of their bodies and how to stay healthy with the rigors of dance. At UC Irvine, he also started a clinic to provide treatments for injured dancers and studied the ankles of ballet dancers using magnetic resonance imaging, a research focus in which he is still involved. After four years there, Russell was hired by Ohio University to implement his knowledge of performing arts medicine and develop a program to address the health and health care needs of performing artists.
Russell is an Associate Editor of the Journal of Dance Medicine & Science. In addition, he also is on the Board of Directors for the Performing Arts Medicine Association, the Council on Practice Advancement's Performing Arts Committee within the National Athletic Trainers’ Association, the Founders’ Board of the Bridge Dance Project, and the Advisory Panel of Youth Protection Advocates in Dance.
Mentoring students and young professionals is an investment Russell holds very close. He offers many hours of his time to equip the next generation of leaders for success in performing arts medicine, athletic training, and related fields. Several of his graduate students who worked as athletic trainers in the SHAPe Clinic are now employed in key positions in the performing arts medicine field.