Can Older People Still Perceive Musical Notes Perfectly?

August 6, 2019

Can Older People Still Perceive Musical Notes Perfectly?

enjoy music at old ageThroughout life, music plays an important role in individuals’ everyday experiences.

Presbycusis or age-related hearing loss is common in elderly people that occur because of natural neurodegenerative processes. It affects the cochlear receptor cells and brain circuits that are involved in auditory perception. Clinically, older people may have high-frequency hearing loss on both sides and reduced ability to understand speech. Using a hearing aid is the best way to deal with hearing loss at old age. However, you may wonder, if the ability to differentiate different notation of music changes too.
​
Can you enjoy music at old age?

Even though aging is associated with a decline in both cognitive and auditory abilities, whether aging damages music perception remains controversial. The question is, do you enjoy the harmony of different musical notes?

Harmony is the process when two or more notes are played at the same time. It is composed of simultaneously occurring frequencies, pitches (tones, notes), or chords and this is analyzed by hearing. When two musical notes are compatible, the musical chord is pleasing and evokes a sense of resolution or “consonance."  A mix of different frequencies, on the other hand, might evoke a feeling of tension or “dissonance”. Harmony is a combination of this consonance and dissonance.

Even though anecdotal evidence suggests that harmony is enjoyed by the older population, interestingly, a study revealed that older listeners found consonant chords less pleasant compared to younger listeners and had less distinct neural representations of consonant and dissonant chords.  Which means that there may be age-related differences in perception which is likely to be related to differences in neural temporal coding.

Despite aging,  music perception is relatively spared. How does that happen?

Other studies, however, strongly suggest that the decline in music perception is relatively spared. Despite relying on auditory and cognitive abilities that tend to decline with age, it is likely that older adults engage in some form of a compensatory mechanism in the way the neurons in the brain processes music. Scientists have shown that the underlying mechanism to process music is very different between young and old but the ability to perceive it is similar.

Both could equally detect inconsistencies in music. Compared to the younger, the older person had reduced perception of amplitude but increased perception to detect out-of-key notes. This means that the perception of the tonal structure is preserved in older adults, despite aging.

old age hearing clarityMusic training and education are important factors

Evidence shows that if older individuals were musically trained, their perception of music was better than the untrained older individuals. Also, the level of education seemed to make a difference. Performance of temporal tasks, which includes enjoying musical notes, was better in highly educated older individuals.

This means that music training and education are important factors as they can slow the deterioration of music perception produced by age-related hearing loss.

Aging does not alter specificity to music

Further evidence on the age differences in music perception reveals that even though the young and old have differences in the perception of valence and arousal in music, there is no difference in perceiving musical notes. Valence means whether the music has a positive or negative effect, and arousal measures how calming or exciting the music is.

The study also found that there was no difference in perception of the quality of the music. This reiterates that with aging, music perception does not change.

If you are above 65, you may need a hearing aid due to aging, but you will still distinctly recognize and enjoy all the musical notes.

  1. Bones O, Plack CJ. Losing the Music: Aging Affects the Perception and Subcortical Neural Representation of Musical Harmony  J Neurosci. 2015 Mar 4; 35(9): 4071–4080. doi: 10.1523/JNEUROSCI.3214-14.2015
  2. Lagrois ME, Peretz I and Zendel BR. Neurophysiological and Behavioral Differences between Older and Younger Adults When Processing Violations of Tonal Structure in Music. 2018; Front. Neurosci.,  https://doi.org/10.3389/fnins.2018.00054
  3. Moreno-Gómez FN, Guillermo Véliz G. et al Music Training and Education Slow the Deterioration of Music Perception Produced by Presbycusis in the Elderly: 2017; Front. Aging Neurosci., https://doi.org/10.3389/fnagi.2017.00149
  4. Cohrdes C, Wrzus C and Wald-Fuhrmann M. “The sound of affect”: Age differences in perceiving valence and arousal in music and their relation to music characteristics and momentary mood: 2018; https://doi.org/10.1177/1029864918765613
 

 
"The Musician's Clinic!" 

The information provided in this article is not meant to be medical advice and is for educational purposes only. If you would like to learn more about this and other hearing-related topics, feel free to contact Tinnitus & Hearing Center of Arizona by clicking here or by calling 480-831-6159.

March 29, 2026
If you’ve ever thought about hearing aids and wondered, “How do I know they’re actually set up correctly for my ears?” you’re asking an excellent question.
March 27, 2026
New AI-Powered Hearing Aid Combines Premium Sound Quality and All-Day Rechargeability in Nearly Invisible Design
By alyssa brekken February 2, 2026
Anxiety can cause many ailments, including tinnitus. Meanwhile, tinnitus can worsen anxiety. The two together can fuel a vicious cycle, but there are ways to tame down each and help alleviate the tinnitus and anxiety relationship. The Vicious Cycle: How Tinnitus Fuels Anxiety Those who have or have had tinnitus will likely agree that the constant noise is hard to get relief from. For many, it can worsen anxiety, and for some, it can directly cause it. Unfortunately, tinnitus and mental health issues often feed on each other. When general anxiety elevates to a fight-or-flight response, it creates an elevation in heart rate and shortness of breath, which heightens tinnitus. Alone or together, tinnitus and anxiety often make it hard to relax, to fall asleep, and to stay asleep. For some, the combination of tinnitus and anxiety also leads to social avoidance and isolation. That worsens the anxiety and contributes to depression. Concern may grow that the tinnitus will never go away and that it may be a sign of something more serious. This can lead to insecurity about the future and a feeling of hopelessness. The Amplifier: How Anxiety Worsens Tinnitus Stress hormones, including adrenaline, cortisol, and epinephrine, affect the nervous system and can affect the auditory system itself, leading to a reduction of blood circulation in the ears. The overstimulation of the nervous system can also cause cell damage through a lack of oxygen, worsening tinnitus, and contributing to a loss of hearing. For those who experience panic attacks, both a temporary ringing and long-term tinnitus, along with a pulsating in the ear canals, may begin as a panic attack heightens. The sound and pulsations can contribute to anxiety and cause a fear of potential threats. As such, the tinnitus amplifies and becomes louder, more noticeable, and more irritating.
November 26, 2025
If you’re experiencing hearing loss, you have probably wondered whether you really need a prescription hearing aid or if you can just grab one from a big box store or the internet.
A man sitting on a sofa holds his temples, grimacing from a headache, with a motion blur effect.
By Allen Rohe November 10, 2025
Anxiety and tinnitus often go hand in hand. Explore the link between stress and ear ringing and learn how holistic treatment can bring relief.
A young man is posing against a plain white background, showing visible signs of toothache or jaw pa
By Allen Rohe November 4, 2025
Try these simple TMJ and neck exercises to relieve tinnitus symptoms naturally at home. Learn how physical therapy can support long-term tinnitus management.
Older man receiving an ear examination from an audiologist or doctor using an otoscope, highlighting
By alyssa brekken October 23, 2025
Wondering why tinnitus treatment isn't covered by insurance? Learn what most policies exclude, why it happens, and how you can still get effective care in Arizona.
Learn the key differences between misophonia, phonophobia, and hyperacusis. Discover how these audi
By SEO Salem October 16, 2025
Learn the key differences between misophonia, phonophobia, and hyperacusis. Discover how these auditory conditions relate to tinnitus and what treatments are available.
June 13, 2025
We’re still surprised how many people have outdated ideas about what hearing aids are like. It’s common for patients to come in expecting large, uncomfortable devices that distort sounds or make everything seem tinny or artificial. In fact, one of the first things many of our patients say is, “I can’t believe how natural everything sounds!” Or they might remark on how comfortable they are to wear. We love pleasantly surprising people!
What Is Misophonia?
By SEO Salem May 12, 2025
Curious about misophonia? Explore the causes, common triggers, symptoms, and treatment options for sound-triggered emotional responses from our Arizona audiologists.