Auditory Risk in Shooting Sports and Motorsport: Noise Exposure, Hearing Outcomes, Protective Practices and Evidence Gaps - A Narrative Review
DOI:
https://doi.org/10.12775/QS.2026.78.76578Keywords
sport shooting, motorsport, exposure, hearing loss, audiological assessment, hearing protectionAbstract
Background. Competitive shooting and motorsport expose athletes to impulse noise and prolonged high-level sound.
Aim. To review noise exposure, auditory outcomes, audiological assessment and hearing protection in these sports.
Material and Methods. PubMed, Google Scholar and Web of Science were searched for studies published mainly in 2015-2026; relevant older studies and reference lists were also examined. Full texts were reviewed and findings synthesised narratively. Sport-specific evidence was prioritised.
Results. Noise exposure was substantial, but athlete-specific audiological evidence was limited and often cross-sectional. Findings included interaural threshold differences in shooters and hearing deficits in motorcycle racers; exposure was rarely linked to longitudinal outcomes. Conventional audiometry assesses hearing sensitivity, while the value of supplementary tests for routine athlete surveillance remains uncertain. Protectors and source controls reduced measured exposure under tested conditions. Practical challenges included consistent use, fit and communication. Laboratory studies found impaired localisation with protectors and partial improvement after training.
Conclusions. Prevention should reflect sport-specific exposure, protector fit and functional needs. Prospective studies combining exposure monitoring, repeated hearing tests and evaluation of protective practices are needed to inform surveillance and prevention.
References
1. Ananthakrishnan S, McElree C, Martin L. Physiological and perceptual auditory consequences of hunting-related recreational firearm noise exposure in young adults with normal hearing sensitivity. Noise Health. 2023 Jan;25(116):8–35. https://doi.org/10.4103/nah.nah_53_22
2. Bevilacqua A, Iannace G, Gomez-Agustina L, Trematerra A. Racing in Kart Dromes: Laboratory and Site Assessment of Noise Levels from Competition and Rental Karts. Acoustics. 2024 Dec 17;6(4):1180–92. https://doi.org/10.3390/acoustics6040064
3. Bhatt IS, Lichtenhan J, Tyler R, Goodman S. Influence of tinnitus, lifetime noise exposure, and firearm use on hearing thresholds, distortion product otoacoustic emissions, and their relative metric. J Acoust Soc Am. 2023 Jul 1;154(1):418–32. https://doi.org/10.1121/10.0019880
4. Chordekar S, Brand D, Leiderman Badash OS, Adelman C, Fraenkel R, Horev N, Ben Horin A, Fink N. Recommended Audiological Test Battery Following Combat Noise Exposure: A Clinical Approach. J Speech Lang Hear Res. 2026 Jan 8;69(1):286–306. https://doi.org/10.1044/2025_JSLHR-25-00284
5. Fostick L, Fink N. Situational Awareness: The Effect of Stimulus Type and Hearing Protection on Sound Localization. Sensors. 2021 Oct 24;21(21):7044. https://doi.org/10.3390/s21217044
6. Golob EJ, Nelson JT, Piedra ET, Adams JK, Esquivel CR, Spear SA, Mock JR. Brief training can reduce spatial hearing deficits when wearing hearing protection. J Neurophysiol. 2026 May 1;135(5):1159–74. https://doi.org/10.1152/jn.00107.2025
7. Grinn SK, Le Prell CG. Evaluation of hidden hearing loss in normal-hearing firearm users. Front Neurosci. 2022 Oct 26;16:1005148. https://doi.org/10.3389/fnins.2022.1005148
8. Kardous CA, Morata TC. Occupational and recreational noise exposures at stock car racing circuits: An exploratory survey of three professional race tracks. Noise Control Eng J. 2010;58(1):54–61. https://doi.org/10.3397/1.3270506
9. Kennedy J, Adetifa O, Carley M, Holt N, Walker I. Aeroacoustic sources of motorcycle helmet noise. J Acoust Soc Am. 2011 Sep 1;130(3):1164–72. https://doi.org/10.1121/1.3621097
10. Lankford JE, Meinke DK, Flamme GA, Finan DS, Stewart M, Tasko S, Murphy WJ. Auditory risk of air rifles. Int J Audiol. 2016 Feb 12;55(Suppl 1):S51–8. https://doi.org/10.3109/14992027.2015.1131851
11. Lwow F, Jóźków P, Gawron W, Mędraś M. Prevention of Hearing Impairment in Sport Shooters. Med Sport. 2007 Dec 1;11(4):108–12. https://doi.org/10.2478/v10036-007-0021-3
12. Lwow F, Jóźków P, Mędraś M. Occupational Exposure to Impulse Noise Associated With Shooting. Int J Occup Saf Ergon. 2011 Jan;17(1):69–77. https://doi.org/10.1080/10803548.2011.11076873
13. Lwow F, Jóźków P, Mędraś M. Evaluation of the time and the time/frequency structure of handgun noise as a basis for hearing loss prevention in sport shooters. Fizjoterapia. 2012;20(1):3–9. https://doi.org/10.2478/v10109-012-0001-6
14. Magara K, Jansz J, Bertolattia D, Dhaliwal S. Noise exposure assessment for racing car drivers. World Safety Journal. 2016;XXV(1):30–45.
15. McCombe AW. Hearing Loss in Motorcyclists: Occupational and Medicolegal Aspects. J R Soc Med. 2003 Jan;96(1):7–9. https://doi.org/10.1177/014107680309600103
16. McCombe AW, Binnington J. Hearing loss in Grand Prix motorcyclists: occupational hazard or sports injury? Br J Sports Med. 1994 Mar;28(1):35–7. https://doi.org/10.1136/bjsm.28.1.35
17. Meinke DK, Finan DS, Flamme GA, Murphy WJ, Stewart M, Lankford JE, Tasko S. Prevention of Noise-Induced Hearing Loss from Recreational Firearms. Semin Hear. 2017 Nov;38(4):267–81. https://doi.org/10.1055/s-0037-1606323
18. Meinke DK, Finan DS, Soendergaard J, Flamme GA, Murphy WJ, Lankford JE, Stewart M. Impulse noise generated by starter pistols. Int J Audiol. 2013 Feb;52(Suppl 1):S9–19. https://doi.org/10.3109/14992027.2012.745650
19. Meinke DK, Murphy WJ, Finan DS, Lankford JE, Flamme GA, Stewart M, Soendergaard J, Jerome TW. Auditory risk estimates for youth target shooting. Int J Audiol. 2014 Mar;53(Suppl 2):S16–25. https://doi.org/10.3109/14992027.2013.865845
20. Młyński R, Kozłowski E. Noise reduction at the shooting range by means of level-dependent hearing protectors. Med Pr. 2019 Jun 14;70(3):265–73. https://doi.org/10.13075/mp.5893.00730
21. Młyński R, Kozłowski E. Selection of Level-Dependent Hearing Protectors for Use in An Indoor Shooting Range. Int J Environ Res Public Health. 2019 Jun 27;16(13):2266. https://doi.org/10.3390/ijerph16132266
22. Murphy WJ, Flamme GA, Campbell AR, Zechmann EL, Tasko SM, Lankford JE, Meinke DK, Finan DS, Stewart M. The reduction of gunshot noise and auditory risk through the use of firearm suppressors and low-velocity ammunition. Int J Audiol. 2018 Jan 26;57(Suppl 1):S28–41. https://doi.org/10.1080/14992027.2017.1407459
23. Murphy WJ, Flamme GA, Meinke DK, Sondergaard J, Finan DS, Lankford JE, Khan A, Vernon J, Stewart M. Measurement of impulse peak insertion loss for four hearing protection devices in field conditions. Int J Audiol. 2012 Feb;51(Suppl 1):S31–42. https://doi.org/10.3109/14992027.2011.630330
24. Sonstrom Malowski K, Gollihugh LH, Malyuk H, Le Prell CG. Auditory changes following firearm noise exposure, a review. J Acoust Soc Am. 2022 Mar 1;151(3):1769–1791. https://doi.org/10.1121/10.0009675
25. Sun YQ, Mei HX. A Study on the Asymmetric Characteristics of Binaural Hearing Ability of Shooting Athletes in Hubei Province. Leis Sports Health. 2024;4(1):48–53. https://doi.org/10.35534/lsh.0401009
26. Themann CL, Masterson EA, Peterson JS, Murphy WJ. Preventing Occupational Hearing Loss: 50 Years of Research and Recommendations from the National Institute for Occupational Safety and Health. Semin Hear. 2023 Nov;44(4):351–93. https://doi.org/10.1055/s-0043-1769499
27. Tinazli R, Tinazli M. Detection and Grading of Early-Stage Cochlear Damage in Land Hunters by Comparison of Extended High-Frequency Audiograms with Conventional High-Frequency Audiograms. J Audiol Otol. 2022 Apr 10;26(2):83–9. https://doi.org/10.7874/jao.2021.00605
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Copyright (c) 2026 Kamila Satławska , Artur Goc, Julia Drzewiecka, Karolina Laskowska, Lidia Jasielska, Karolina Dąbek, Katarzyna Garbacz, Natalia Wiczuk, Michał Siwko, Szymon Kanadys
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