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[26] [27] [28] This phenomenon can be caused by the mechanical coupling between the earplug and earmuff through the human tissues, the vibration of the ear canal wall, or the bone conducted sound travelling from the head and body directly to the middle and inner ears.
The main difference between earmuffs and earplugs, is that earmuffs are not inserted inside the ear canal. Instead the muffs create a seal around the outside of the ear to prevent noise from reaching the inner ear. Earmuffs are easy to wear and often provide a more consistent fit than an earplug.
Using both ear muffs (whether passive or active) and earplugs simultaneously results in maximum protection, but the efficacy of such combined protection relative to preventing permanent ear damage is inconclusive, with evidence indicating that a combined noise reduction ratio (NRR) of only 36 dB (C-weighted) is the maximum possible using ear ...
Image credits: ConstableBlimeyChips #3. Use ear plugs and preserve your hearing for as long as possible. Noise induced hearing loss is the #1 preventable hearing loss.
For example, if wearing an earplug with a NRR of 25 dB and an earmuff with an NRR of 20 dB, the combined protection would not be 45 dB. Instead, 5 dB should be added to the higher of the two NRRs. [26] In the preceding example, the combined earmuff and earplug NRR would be estimated at 30 dB (25 dB plus 5).
Hearing protector fit-testing is a method that measures the degree of noise reduction obtained from an individual wearing a particular hearing protection device (HPD) - for example, a noise canceling earplug or earmuff. Fit testing is necessary due to the fact that noise attenuation varies across individuals.
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