“…Earplug wearers have not necessarily worn the products correctly, and results of real-world noise circumstances versus laboratory testing often greatly overestimated attenuation of the earplug products. Musicians' earplugs, in particular, have a history of problems with accurate fit, occlusion effect (sound conducted through the bones of the ear that reverberates inside the head), and poor attenuation (Chesky & Amlani, 2015;Chesky et al, 2009;O'Brien, Ackerman, et al, 2014;O'Brien, Driscoll, et al, 2014). In fact, a recent report indicated discrepancies among marketed versus actual attenuation levels of custom and noncustom earplugs, as well as the measured differences in spectral characteristics of music when using various earplugs (Chesky & Amlani, 2015).…”