Simplified hearing protector ratings—an international comparison

A computer was programmed to model the distributions of dB(A) levels reaching the ears of an imaginary workforce wearing hearing protectors selected on the basis of either octave band attenuation values or various simplified ratings in use in Australia, Germany, Poland, Spain or the U.S.A. Both multi-valued and single-valued versions of dB(A) reduction and sound level conversion ratings were considered. Ratings were compared in terms of precision and protection rate and the comparisons were replicated for different samples of noise spectra (N = 400) and hearing protectors (N = 70) to establish the generality of the conclusions. Different countries adopt different approaches to the measurement of octave band attenuation values and the consequences of these differences were investigated. All rating systems have built-in correction factors to account for hearing protector performance variability and the merits of these were determined in the light of their ultimate effects on the distribution of dB(A) levels reaching wearers' ears. It was concluded that the optimum rating is one that enables the dB(A) level reaching wearers to be estimated by subtracting a single rating value from the dB(C) level of the noise environment, the rating value to be determined for a pink noise spectrum from mean minus one standard deviation octave band attenuation values with further protection rate adjustments being achieved by the use of a constant correction factor.     

Design of a pulse generator and shock tube for measuring hearing protector attenuation of high-amplitude impulsive noise

The effectiveness of hearing protectors against high amplitude impulse noise levels remains the subject of research with objective testing techniques using acoustic test fixtures offering the only realistic method of providing rapid performance data for protector design and qualification. The work presented in this paper examines a prototype test method based on a shock tube and acoustic test fixture for the evaluation of protectors against high-level impulsive noise where established real ear attenuation at threshold methods would be impractical to apply. The results show that the system is capable of producing controlled repeatable high amplitude pressure pulses of variable duration for testing hearing protection devices in a grazing wave type test. A series of pilot tests illustrate how the system can have a sufficient self-insertion loss to reject flanking noise and allow the measurement of protector attenuations of up to 45 dB with little corruption from flanking noise.     

Risk factors for hearing loss at different frequencies in a population of 47,388 noise-exposed workers.

Weighted regression analysis was applied to determine the dependence of the hearing thresholds of 47,388 noise-exposed workers on age, sex, noise immission level, ear disease, head injury, tinnitus, hearing protector usage, and audiometric frequency in the range from 0.5 to 6 kHz. It could be shown that the hearing thresholds at any frequency are dominated by the age of the worker and that women, after equivalent exposure conditions, hear better than men. The relative effects of sex, noise immission level, ear diseases, tinnitus, and hearing protector usage are related to the audiometric frequency. Users of hearing protectors at the last audiometric investigation hear worse than nonusers. Hearing protector usage is strongly related with the hearing threshold in the low-frequency range. The noise immission level does not noticeably affect the hearing threshold below 3 kHz. The most important frequency of the noise immission level is as expected 4 kHz. For 4 kHz, it was shown that the variables age, noise immission level, tinnitus, head injuries, and ear diseases act in a good approximation additively on the pure-tone hearing threshold.     

Is real-ear attenuation at threshold a function of hearing level?

In the course of measuring the real-ear attenuation at threshold (REAT) of experimenter-inserted E-A-R foam earplugs on 100 subjects, a statistically significant correlation was observed between attenuation and hearing level (for normal listeners, HTL less than or equal to 20 dB) at test frequencies from 2-8 kHz. Listeners with more sensitive hearing obtained better protection. The relationship was most robust at 6 and 8 kHz. For hearing levels greater than 20 dB, attenuation appeared independent of hearing level. A hypothesis was developed to explain the relationship for the normal listeners, based upon the fact that the high-frequency attenuation of the earplug was nearly bone-conduction limited. The hypothesis suggested that the attenuation of a hearing protector that provided substantially lower protection would not exhibit the same relationship. Data for such a device were collected for 70 subjects, and indeed demonstrated reduced correlation between attenuation and hearing level. Implications of the results of the experiments are discussed with regard to hearing level requirements for hearing protector attenuation test subjects, utilization of hearing-impaired listeners to measure REAT at suprathreshold (with respect to normal listeners) sound pressure levels, and linearity of hearing protector attenuation as a function of sound level.     

A field study to assess the effects of wearing hearing protectors on the perception of warning sounds in an industrial environment

A field study has been performed which assessed the effectiveness of two warning sounds under realistic factory conditions. The thirty subjects were press operators who were involved in their regular work activities during the course of the experiment. The noise levels at their work stations were in the range 85 to 95 dB(A). The warning sound, plus four other irrelevant sounds, each at one of five different intensities, were presented via a loudspeaker in random order and at random time intervals (mean inter-stimulus interval, 30 s; range, 10 to 50 s). The influence of the factors hearing level and age of the subjects and use of hearing protection were investigated.The results showed significant differences between the intentional and incidental warning sounds investigated. Whilst the perception of the intentional horn warning sound was unaffected by the hearing sensitivity of the subjects and the wearing of hearing protectors, these two factors had a significant effect on the perception, as a warning, of the clinking sound of metal components. Subjects classified as having a substantial hearing loss perceived, on average, 18 percent fewer clinking sounds than those subjects with normal hearing or a mild hearing loss and, when wearing hearing protectors, the subjects overall perceived, on average, 9 percent fewer clinks. It is of note that the results of the field study differ from those of earlier laboratory-based experiments in finding that the distinctive intentional warning sound was not entirely reliable as a warning, even at levels substantially above its masked threshold, and in observing more than double the adverse effect of wearing hearing protection.     

Methods of measuring the attenuation of hearing protection devices

The published literature describing three real-ear-attenuation-at-threshold (REAT), nine above-threshold, and four objective methods of measuring hearing protector attenuation is reviewed and analyzed with regard to the accuracy, practicality, and applicability of the various techniques. The analysis indicates that the REAT method is one of the most accurate available techniques since it assesses all of the sound paths to the occluded ear and, depending upon the experimenter's intention, can reflect actual in-use attenuation as well. An artifact in the REAT paradigm is that masking in the occluded ear due to physiological noise can spuriously increase low-frequency (less than or equal to 500 Hz) attenuation, although the error never exceeds approximately 5 dB, regardless of the device, except below 125 Hz. Since the preponderance of available data indicates that attenuation is independent of sound level for intentionally linear protectors, the use of above-threshold procedures to evaluate attenuation is not a necessity. An exception exists in the case of impulsive noises, for which the existing data are not unequivocal with regard to hearing protector response characteristics. Two of the objective methods (acoustical test fixture and microphone in real ear) are considerable time savers. All objective procedures are lacking in their ability to accurately determine the importance of the flanking bone-conduction paths, although some authors have incorporated this feature as a post-measurement correction. The microphone in real-ear approach is suggested to be one of the most promising for future standardization efforts and research purposes, and the acoustical test fixture technique is recommended (with certain reservations) for quality control and buyer acceptance testing.     

Selection of hearing protectors

A method for selection of hearing protectors based on attenuation and comfort is presented. For the attenuation, the data provided by the manufacturer are used after being derated. A protector is selected when its attenuation is higher than the measured (or calculated) noise exposure minus the criterion level set by regulations or legislation. When large numbers of workers are involved, group noise exposure and associated standard deviation are to be used.Comfort is assessed by using a specially developed questionnaire. Protectors are distributed to ten workers who have to wear them during an entire shift. The questionnaire is completed prior to and after wearing the protectors.     

Sound exposures and hearing thresholds of symphony orchestra musicians

To assess the risk of noise-induced hearing loss among musicians in the Chicago Symphony Orchestra, personal dosimeters set to the 3-dB exchange rate were used to obtain 68 noise exposure measurements during rehearsals and concerts. The musicians' Leq values ranged from 79-99 dB A-weighted sound pressure level [dB(A)], with a mean of 89.9 dB(A). Based on 15 h of on-the-job exposure per week, the corresponding 8-h daily Leq (excluding off-the-job practice and playing) ranged from 75-95 dB(A) with a mean of 85.5 dB(A). Mean hearing threshold levels (HTLs) for 59 musicians were better than those for an unscreened nonindustral noise-exposed population (NINEP), and only slightly worse than the 0.50 fractile data for the ISO 7029 (1984) screened presbycusis population. However, 52.5% of individual musicians showed notched audiograms consistent with noise-induced hearing damage. Violinists and violists showed significantly poorer thresholds at 3-6 kHz in the left ear than in the right ear, consistent with the left ear's greater exposure from their instruments. After HTLs were corrected for age and sex, HTLs were found to be significantly better for both ears of musicians playing bass, cello, harp, or piano and for the right ears of violinists and violists than for their left ears or for both ears of other musicians. For 32 musicians for whom both HTLs and Leq were obtained, HTLs at 3-6 kHz were found to be correlated with the Leq measured.     

Effects of hearing protector devices on speech intelligibility

The purpose of this study was to determine the influence of hearing protection devices (HPDs) on the understanding of speech in young adults with normal hearing, both in a silent situation and in the presence of ambient noise. The experimental research was carried out with the following variables: five different conditions of HPD use (without protectors, with two earplugs and with two earmuffs); a type of noise (pink noise); 4 test levels (60, 70, 80 and 90 dB[A]); 6 signal/noise ratios (without noise, +5, +10, zero, −5 and −10 dB); 5 repetitions for each case, totalling 600 tests with 10 monosyllables in each one. The variable measure was the percentage of correctly heard words (monosyllabic) in the test. The results revealed that, at the lowest levels (60 and 70 dB), the protectors reduced the intelligibility of speech (compared to the tests without protectors) while, in the presence of ambient noise levels of 80 and 90 dB and unfavourable signal/noise ratios (0, −5 and −10 dB), the HPDs improved the intelligibility. A comparison of the effectiveness of earplugs versus earmuffs showed that the former offer greater efficiency in respect to the recognition of speech, providing a 30% improvement over situations in which no protection is used. As might be expected, this study confirmed that the protectors' influence on speech intelligibility is related directly to the spectral curve of the protector's attenuation.     

Comparisons of frequency selectivity in simultaneous and forward masking for subjects with unilateral cochlear impairments

Two experiments are described in which frequency selectivity was estimated, in simultaneous and forward masking, for each ear of subjects with moderate (25-60 dB HL) unilateral cochlear hearing losses. In both experiments, the signal level was fixed for a given ear and type of masking (simultaneous or forward), and the masker level was varied to determine threshold, using an adaptive, two-alternative forced-choice procedure. In experiment I, the masker was a noise with a spectral notch centered at the signal frequency (either 1.0 or 1.5 kHz); threshold was determined as a function of notch width. Signal levels were chosen so that the noise level required at threshold for a notch width of zero was similar for the normal and impaired ear of each subject in both simultaneous and forward masking. The function relating threshold to notch width had a steeper slope for the normal ear than for the impaired ear of each subject. For the normal ears, these functions were steeper in forward masking than in simultaneous masking. This difference was interpreted as resulting from suppression. For the impaired ears, significant differences in the same direction were observed for three of the five subjects, but the differences were smaller. In experiment II, psychophysical tuning curves (PTCs) were determined in the presence of a fixed notched noise centered at the signal frequency (1.0 kHz). For the normal ears, the PTCs were sharper in forward masking than in simultaneous masking. For the impaired ears, the PTCs were similar in simultaneous and forward masking, but those in forward masking tended to be sharper at masker frequencies far removed from the signal frequency. Overall, the results suggest that suppression is reduced, but not completely absent in cases of moderate cochlear hearing loss.     

Measurement of the attenuation characteristics of nonlinear hearing protective devices using the auditory brain stem response

The purpose of this study was to determine the feasibility of using the auditory brain stem response (ABR) as a method of measuring the attenuation characteristics of nonlinear hearing protective devices. Sound field ABRs were recorded from seven normal hearing subjects with and without hearing protection. Three hearing protectors (two nonlinear and one linear) were evaluated. Test stimuli, consisting of 4000-Hz tone pips, were presented in a sound field. Linearity and the amount of attenuation for each hearing protector were derived by comparing the protected and unprotected latency-intensity functions for wave I of the ABR. Results indicate that the ABR may be used effectively to measure the attenuation characteristics of linear and nonlinear hearing protectors for high-frequency impulse-type stimuli.     

Noise levels and hearing thresholds in the drop forging industry

A-weighted equivalent continuous noise levels for hammer and press operations in a drop-forging industry were determined using both tape recordings of the noise and personal noise dosimeters. The results indicated average A-weighted Leq values of 108 dB for hammer operators and 99 dB for press operators. Comparison of hearing level statistics for 716 hammer and press operators and 293 control subjects indicated the severe hazard to hearing of impact noise exposures. For mean exposure times of less than 10 years, hearing levels for the press (99 dB) and hammer (108 dB) operator age groups are nearly identical, and in the latter case are less than those predicted for exposure to equivalent continuous noise. For long-term exposures of 10 years or more, the results of this study indicate that hearing losses resulting from impact noise in the drop-forging industry are as great or greater than those resulting from continuous noise.     

Earmuff comfort

In many industrial and military situations it is not practical or economical to reduce ambient noise to levels that present neither a hazard to hearing nor annoyance. In these situations, personal hearing protection devices are capable of reducing the noise by 20–30 dB. Although the use of a hearing protector is recommended as a temporary solution until action is taken to control the noise, in practice, it ends up as a permanent solution in most cases. Therefore, hearing protectors must be both efficient in terms of noise attenuation and comfortable to wear. Comfort in this case is related to the agreement of the user to wear the hearing protector consistently and correctly at all times. The purpose of this paper is, firstly, to provide some background on the publications related to earmuff comfort, most of which are based on measurement of the total headband force and subjective evaluation using questionnaires. Most of the published results show a weak correlation between total headband force and subjective evaluation. Secondly, this paper presents a new method to measure the contact pressure distribution between the earmuff cushions and the circumaural flesh of the human head and estimate a comfort index. The comfort parameters were investigated and equations developed to calculate comfort indices and overall quality indices. The most important calculated comfort index is measured from the contact pressure distribution and correlated with a subjective evaluation. Measurement results for the pressure distribution of 10 earmuffs show good correlation with the subjective evaluation.     

Conditioning-induced protection from impulse noise in female and male chinchillas

Sound conditioning (pre-exposure to a moderate-level acoustic stimulus) can induce resistance to hearing loss from a subsequent traumatic exposure. Most sound conditioning experiments have utilized long-duration tones and noise at levels below 110 dB SPL as traumatic stimuli. It is important to know if sound conditioning can also provide protection from brief, high-level stimuli such as impulses produced by gunfire, and whether there are differences between females and males in the response of the ear to noise. In the present study, chinchillas were exposed to 95 dB SPL octave band noise centered at 0.5 kHz for 6 h/day for 5 days. After 5 days of recovery, they were exposed to simulated M16 rifle fire at a level of 150 dB peak SPL. Animals that were sound conditioned showed less hearing loss and smaller hair cell lesions than controls. Females showed significantly less hearing loss than males at low frequencies, but more hearing loss at 16 kHz. Cochleograms showed slightly less hair cell loss in females than in males. The results show that significant protection from impulse noise can be achieved with a 5-day conditioning regimen, and that there are consistent differences between female and male chinchillas in the response of the cochlea to impulse noise.     

Temporary threshold shift in human subject exposed to noise

Using an audiometer,the effect of the noise level upon temporarythreshold shift(TTS)for five trained normal subjects(left ear only)was studied.The measurements were carried out after 6 min exposure(in third octave band)for different sound pressure levels ranging between 75-105 dB at three test fre-quencies 2,3,and 4 kHz.The results indicated that at exposure to noise of soundpressure level(SPL)above 85 dB,TTS increases linearly with ths SPL for all thetest frequencies.The work had extended to study the recovery curves for the sameears.The results indicated that the reduction in TTS on doubling the recoverytimes,for the two sound pressure levels 95 dB and 105 dB,occurs at a rate of near-ly 3 dB.The comparison of the recovery curve at 3 kHz with that calculated usingWard's general equation for recovery was made.Finally,to study the values ofTTS produced by exposure to certain noise at different test frequencies,distribu-tion curves for two recovery times were plotted representing TTS values,for anexposure     

Hearing protector attenuation: A perspective view

The design, performance and evaluation of hearing protectors are matters of substantial current interest. The specific scientific questions which command attention include the accuracy of the shift in free field hearing threshold as a measure of protection, the relationship between physical measurements of sound attenuation with real heads and psycho-physical methods of measurement, the relationship between physical measurements with real and artificial heads, the acoustical behaviour of hearing protectors and the factors which limit their performance, and the relationship between hearing protector attenuation and speech intelligibility. These questions have received considerable attention during the past twenty years but are not yet fully answered.     

Isolating the auditory system from acoustic noise during functional magnetic resonance imaging: examination of noise conduction through the ear canal, head, and body

Approaches were examined for reducing acoustic noise levels heard by subjects during functional magnetic resonance imaging (fMRI), a technique for localizing brain activation in humans. Specifically, it was examined whether a device for isolating the head and ear canal from sound (a "helmet") could add to the isolation provided by conventional hearing protection devices (i.e., earmuffs and earplugs). Both subjective attenuation (the difference in hearing threshold with versus without isolation devices in place) and objective attenuation (difference in ear-canal sound pressure) were measured. In the frequency range of the most intense fMRI noise (1-1.4 kHz), a helmet, earmuffs, and earplugs used together attenuated perceived sound by 55-63 dB, whereas the attenuation provided by the conventional devices alone was substantially less: 30-37 dB for earmuffs, 25-28 dB for earplugs, and 39-41 dB for earmuffs and earplugs used together. The data enabled the clarification of the relative importance of ear canal, head, and body conduction routes to the cochlea under different conditions: At low frequencies (< or =500 Hz), the ear canal was the dominant route of sound conduction to the cochlea for all of the device combinations considered. At higher frequencies (>500 Hz), the ear canal was the dominant route when either earmuffs or earplugs were worn. However, the dominant route of sound conduction was through the head when both earmuffs and earplugs were worn, through both ear canal and body when a helmet and earmuffs were worn, and through the body when a helmet, earmuffs, and earplugs were worn. It is estimated that a helmet, earmuffs, and earplugs together will reduce the most intense fMRI noise levels experienced by a subject to 60-65 dB SPL. Even greater reductions in noise should be achievable by isolating the body from the surrounding noise field.     

Speech reception in quiet and in noisy conditions by individuals with noise-induced hearing loss in relation to their tone audiogram.

Tone thresholds and speech-reception thresholds were measured in 200 individuals (400 ears) with noise-induced hearing loss. The speech-reception thresholds were measured in a quiet condition and in noise with a speech spectrum at levels of 35, 50, 65, and 80 dBA. The tone audiograms could be described by three principal components: hearing loss in the regions above 3 kHz, from 1 to 3 kHz and below 1 kHz; the speech thresholds could be described by two components: speech reception in quiet and speech reception in noise at 50-80 dBA. Hearing loss above 1 kHz was related to speech reception in noise; hearing loss at and below 1 kHz to speech reception in quiet. The correlation between the speech thresholds in quiet and in noise was only R = 0.45. An adequate predictor of the speech threshold in noise, the primary factor in the hearing handicap, was the pure-tone average at 2 and 4 kHz (PTA2,4, R = 0.72). The minimum value of the prediction error for any tone-audiometric predictor of this speech threshold was 1.2 dB (standard deviation). The prediction could not be improved by taking into account the critical ratio for low-frequency noise nor by its upward spread of masking. The prediction error is due to measurement error and to a factor common to both ears. The latter factor is ascribed to cognitive skill in speech reception. Hearing loss above 10 to 15 dB HL (hearing level) already shows an effect on the speech threshold in noise, a noticeable handicap is found at PTA2,4 = 30 dB HL.