The noise radiated from an ICE is ultimately caused by its external surface vibration, which is excited by internal sources. These vibrations excite the ICE boundary surface and radiate noise into the air. To control ICE noise, generated by mechanical impacts, it is important to understand the behaviour and to have accurate measurements of piston slap. Since piston slap is generated by a complex mechanism, which involves many factors. Taking into account that the noise and vibration generated in an ICE are the sums of many different sources, it is important to know and understand the possible techniques available for separating and measuring these. This review is presented as follows: a review with the definition of the main ICE vibration and noise sources, and the principal methodologies used for their determination and the most common assessment techniques for piston slap.