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. 2020 Mar 21;17(6):2091. doi: 10.3390/ijerph17062091

Table 3.

Summary of studies showing short-term hearing changes and included in the meta-analysis.

Authors (Publication Date) Subjects (Ages) Method Main Outcomes
Study Design ExposureIntensity Exposure Time (min)
Bhagat and Davis (2008) [23] 20 young adults (18–38 y) Hearing statuses were measured pre, post (30 min), and recovery (48 h) from time of music exposure
PTA
OAEs (DPOAEs, SOAEs)
85 dBC ± 3 dB 30 Although the hearing thresholds did not change, the changes in DPOAEs and SSOAEs were early warning signs of the harmful effects of high levels of music exposure on cochlear functioning.
Keppler and Bockstael (2010) [25] Noise exposure group
15 young adults (19–28 y),
Control group
28 young adults (19–28 y)
Audiometric results of both groups were compared
PTA
OAEs (DPOAEs, TEOAEs)
LAeq,1h 92.41 dBA
LAeq,8h 83.38 dBA
60 In the noise exposure group, the PTA and TEOAE amplitudes changed significantly between pre- and post-exposure. However, these patterns were not found for the DPOAE amplitudes.
Le Prell et al. (2012) [20] 33 young adults (18–27 y) Hearing status was measured pre, post (15min, 75min, 135min, 195min), and recovery (following 1 day and 1 week) after music exposure
PTA
OAEs (DPOAEs)
94.5 dBA (n = 10)
99.6 dBA (n = 11)
100.3 dBA (n =12)
240 Changes in hearing thresholds showed a notched configuration, largest at 4 kHz.
After music exposure, small, but reliable, temporary threshold shifts were found, but these threshold shifts quickly recovered during the first 3 h after music exposure.
Keppler et al., (2014) [27] 28 young adults (19–30 y) Hearing status was measured pre- and post- (immediately, 30 min) exposure
PTA
OAEs (DPOAEs, TEOAEs)
Based on LAeq,1h
82.52 dBA (n = 2)
87.46 dBA (n = 2)
92.25 dBA (n =12)
98.70 dBA (n = 12)
60 The authors reported that no clear relationship exists between temporary hearing deterioration and the amount of efferent suppression.
Torre and Grace (2014) [28] Noise exposure group
101 young adults (18–30 y),
Control group
21 young adults
Audiometric results for both groups were compared for pre- and post- (immediate) exposure
DPOAE absolute levels and generator and characteristic frequency component levels were noted
50.8 dBA (n = 7)
56.6 dBA (n = 56)
58.8 dBA (n = 14)
62.3 dBA (n = 24)
60 Based on the lower listening levels, DPOAEs showed very little or indeed no significant change after music exposure.
Trzaskowski et al. (2014) [29] 20 young adults (22–27 y) Audiological tests were conducted pre-, post (immediately), and recovery (24 h) after music exposure
PTA
OAEs (DPOAEs, TEOAEs)
86.6 dBA 30 No statistically significant changes were found in OAE and PTA following 30min of music exposure.
Narahari et al. (2017) [32] 34 young adults (17–21 y) DPOAEs at pre- and post- (2 h) music exposure were analyzed 98.29 dBSPL 120 The DPOAEs were affected immediately post music exposure, especially at 8 kHz or higher.

Note: y, years old; PTA, pure tone audiometry; OAEs, otoacoustic emissions; DPOAEs, distortion product otoacoustic emissions; SOAEs, spontaneous otoacoustic emissions; TEOAEs, transient-evoked otoacoustic emissions.