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Evaluation of hearing protection device effectiveness for musicians
Kathryn Crawford1, Krista Willenbring2, Faryle Nothwehr3
1Department of Occupational and Environmental Health, University of Iowa, Iowa City, IA, USA.
International Journal of Audiology
|February 10, 2022
Summary
Custom uniform attenuation earplugs (UAEs) offered the most consistent hearing protection for musicians, though all tested devices showed significant variability. Fit-testing is crucial for effective sound reduction.
Area of Science:
- Audiology
- Occupational Health
- Music Performance
Background:
- Musicians are exposed to high sound levels, necessitating effective hearing protection.
- Musicians' hearing protection device (HPD) choices are influenced by comfort, effectiveness, and musicality.
Purpose of the Study:
- To evaluate the personal sound attenuation and user perceptions of three HPD types for musicians: foam earplugs, non-custom uniform attenuation earplugs (UAEs), and custom UAEs.
- To compare the consistency and effectiveness of different HPDs in reducing sound exposure for musicians.
Main Methods:
- A mixed-methods study involving 24 musicians.
- Audiometric testing to measure hearing levels with and without HPDs across various frequencies.
- Surveys over six months to assess HPD usage frequency and user perceptions.
Main Results:
- Significant variability in sound attenuation was found across all HPD types.
- Custom UAEs provided the most consistent attenuation across frequencies.
- Musician preferences varied based on instrument and activity; custom UAEs were initially preferred but usage declined over time.
Conclusions:
- Fit-testing is essential for optimizing HPD fit and effectiveness.
- Combining objective performance data with subjective user feedback is key to recommending suitable HPDs for musicians.
- Further research is needed to address the declining usage rates of preferred HPDs.

