Recent investigations have demonstrated that in animal models repeated
exposures to mid-intensity noise induce a progressive reduction of th
e temporary threshold shift (TTS) following the exposures. This phenom
enon is named ''conditioning'' and it is actually able to reduce the p
ermanent threshold shift (PTS) following exposure to high intensity no
ise; this finding is named ''toughening''. In the present work the fun
damental steps of the research concerning the toughening are reviewed
and the biological mechanisms supposed to be underlying this phenomeno
n discussed. The few preliminary results of the studies on humans are
also reported.