Tinnitus Retraining Therapy (TRT) for tinnitus

Two methods for treating tinnitus are compared. Tinnitus masking has been used for over 25 years, and although this method is used in clinics around the world, there are many misconceptions regarding the proper protocol for its clinical application. Tinnitus retraining therapy has been used clinically for over 12 years and has received considerable international attention. Although these methods are distinctive in their basic approach to tinnitus management, certain aspects of treatment appear similar. These aspects of treatment have created considerable confusion and controversy, especially regarding the use of "sound therapy" as a basic component of treatment. It is the objective of this article to clarify the major differences that exist between these two forms of treatment.

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Three Years Later: Report on the State of Well-Being of Patients with Chronic Tinnitus Who Underwent Modified Tinnitus Retraining Therapy

Audiology and Neurotology ◽

10.1159/000363728 ◽

2014 ◽

Vol 20 (1) ◽

pp. 26-38 ◽

Cited By ~ 18

Author(s):

Claudia Seydel ◽

Heidemarie Haupt ◽

Agnieszka J. Szczepek ◽

Anne Hartmann ◽

Matthias Rose ◽

...

Keyword(s):

Management Strategies ◽

Well Being ◽

The State ◽

Chronic Tinnitus ◽

Tinnitus Retraining Therapy ◽

Psychometric Instruments ◽

Important Health ◽

Retraining Therapy ◽

Treatment Onset ◽

A Minor

Successful management of patients with chronic tinnitus is an important health issue. One of the tinnitus management strategies used at our Tinnitus Center is a combination of tinnitus retraining therapy (TRT) with physiotherapy and psychological management [called modified TRT (MTRT)]. We have used this type of management for over a decade and have described the protocol in detail elsewhere. In the present study, we wanted to determine the effect of MTRT on the well-being of tinnitus patients 3 years after treatment onset. One hundred and thirty patients with chronic tinnitus were assessed using psychometric instruments immediately before 7-day MTRT, immediately after the therapy and 3 years later. Patients with very severe tinnitus-related distress associated with major depression and a risk of suicide were excluded from this study. MTRT resulted in a sustained reduction of tinnitus-related distress. Moreover, the quality of life of patients had increased, as assessed by a separate questionnaire. The effect of MTRT was influenced by the degree of tinnitus-related distress and by the patients' age, the latter being gender dependent. Hearing loss and tinnitus duration had only a minor influence on the therapeutic effect. Taken together, we report a positive change in the state of well-being of patients with chronic tinnitus measurable with various psychometric instruments 3 years after the onset of MTRT. i 2014 S. Karger AG, Basel

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Assessment of Patients for Treatment with Tinnitus Retraining Therapy

Journal of the American Academy of Audiology ◽

10.1055/s-0040-1716014 ◽

2002 ◽

Vol 13 (10) ◽

pp. 523-544 ◽

Cited By ~ 12

Author(s):

James A. Henry ◽

Margaret M. Jastreboff ◽

Pawel J. Jastreboff ◽

Martin A. Schechter ◽

Stephen A. Fausti

Keyword(s):

Clinical Data ◽

Clinical Management ◽

Tinnitus Retraining Therapy ◽

Initial Interview ◽

Retraining Therapy ◽

Methods Of Treatment ◽

Severe Tinnitus

Clinical management for patients complaining of severe tinnitus has improved dramatically in the last 25 years. During that period of time, various methods of treatment have been introduced and are being used with varying degrees of success. One method that has received considerable attention is tinnitus retraining therapy (TRT). This method is being practiced by hundreds of clinicians worldwide, and retrospective clinical data indicate that TRT has been effective for the majority of patients. This article provides a guide for clinicians to evaluate their patients for treatment with TRT. Included in this guide is the expanded version of the TRT initial interview and specific instructions for the clinician administering the interview.

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A consideration of the effect of ear canal resonance and hearing loss upon white noise generators for tinnitus retraining therapy

The Journal of Laryngology & Otology ◽

10.1017/s0022215100138708 ◽

1997 ◽

Vol 111 (9) ◽

pp. 810-813 ◽

Cited By ~ 4

Author(s):

David M. Baguley ◽

Graham J. Beynon ◽

Frances Thornton

Keyword(s):

Hearing Loss ◽

White Noise ◽

Noise Generator ◽

Major Advance ◽

Ear Canal ◽

Tinnitus Retraining Therapy ◽

Hearing Sensitivity ◽

Actual Spectrum ◽

Retraining Therapy ◽

White Noise Generator

AbstractTinnitus retraining therapy has been heralded as a major advance in the alleviation of tinnitus perception. A cornerstone of this technique is to use white noise produced by a white noise generator (WNG) over a period of several months in order to assist the patient to habituate to their tinnitus. There are three factors which influence the frequency spectrum of the perceived noise such that the perception of white noise from a WNG is unlikely. These factors are the actual spectrum of the emitted noise, the ear canal resonance of the patient and the hearing sensitivity of the patient.Advocates of tinnitus retraining therapy state that white noise is the optimal stimulation to assist habituation of tinnitus. This paper demonstrates that this optimal situation is unlikely to be achieved and that this may account for the long periods needed for patients to achieve benefit from the technique. The development of devices that allow for the above factors to be countered is suggested.

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Tinnitus Retraining Therapy

Seminars in Hearing ◽

10.1055/s-2001-13020 ◽

2001 ◽

Vol 22 (01) ◽

pp. 051-064 ◽

Cited By ~ 10

Author(s):

Pawel J. Jastreboff ◽

Margaret M. Jastreboff

Keyword(s):

Tinnitus Retraining Therapy ◽

Retraining Therapy

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Evaluation and Management of Misophonia Using a Hybrid Telecare Approach: A Case Report

Seminars in Hearing ◽

10.1055/s-0041-1731693 ◽

2021 ◽

Vol 42 (02) ◽

pp. 123-135

Author(s):

Lori Zitelli

Keyword(s):

Case Report ◽

Adult Female ◽

Hybrid Approach ◽

Negative Reaction ◽

Tinnitus Retraining Therapy ◽

Environmental Sounds ◽

Retraining Therapy ◽

Future Care ◽

Detailed Assessment ◽

The Impact

AbstractDecreased sound tolerance (DST) is a negative reaction to environmental sounds and is estimated to affect 3.5% of the population. This case report presents the evaluation and management of an adult female with severe, longstanding misophonia. Her evaluation included comprehensive audiometric testing (including uncomfortable loudness levels) and a detailed assessment of the impact of DST on her life. She enrolled in tinnitus retraining therapy and began receiving treatment aiming to facilitate habituation of bothersome environmental sounds. This case was complicated by the advent of the coronavirus disease 2019 (COVID-19) pandemic and a telemedicine hybrid approach was employed to increase access to audiologic care. Using this structure, some appointments occurred in person in the clinic and others occurred via a telemedicine video visit format. Telemedicine video visits facilitated in-depth discussions, afforded the opportunity to answer questions, and provided the option of cloud-based remote programming of on-ear devices. Future care will continue to employ a hybrid approach.

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