Binaural sound therapy for tinnitus treatment: A psychometric and neurophysiological evaluation

2021 ◽  
pp. 103248
Author(s):  
David I. Ibarra-Zárate ◽  
Norberto E. Naal-Ruiz ◽  
Luz María Alonso-Valerdi
Keyword(s):  
Sound Therapy ◽  
Tinnitus Treatment ◽  
Binaural Sound

scholarly journals Perception Mechanism of Bone-Conducted Ultrasound and Its Clinical Use

2021 ◽  
Vol 11 (2) ◽  
pp. 244-253
Author(s):  
Tadashi Nishimura ◽  
Tadao Okayasu ◽  
Akinori Yamashita ◽  
Hiroshi Hosoi ◽  
Tadashi Kitahara
Keyword(s):  
Hearing Aids ◽  
Hearing Aid ◽  
Bone Conduction ◽  
Speech Signals ◽  
Clinical Use ◽  
Reported Speech ◽  
Sound Therapy ◽  
Profound Deafness ◽  
Tinnitus Treatment

It is generally believed that ultrasound cannot be heard. However, ultrasound is audible when it is presented through bone conduction. Bone-conducted ultrasound (BCU) has unique characteristics; the most interesting is its perception in patients with profound deafness. Some patients can perceive it and discriminate speech-modulated BCU. Previous reports have suggested that BCU can be used for a hearing aid or tinnitus sound therapy. In this review, the perception of BCU at both the peripheral and central levels was investigated based on previous studies, although some of them remain controversial. We also investigated the clinical use of BCU. To develop hearing aids utilizing BCU, the encoding of speech signals into BCU has to be established. The outcomes of the reported speech modulations were evaluated. Furthermore, the suppression of tinnitus by BCU was reviewed, and the feasibility of the application of BCU to tinnitus treatment was investigated.

A Comparison of Benefit and Economic Value between Two Sound Therapy Tinnitus Management Options

2012 ◽  
Vol 23 (02) ◽  
pp. 126-138 ◽  
Author(s):  
Craig W. Newman ◽  
Sharon A. Sandridge
Keyword(s):  
Treatment Plan ◽  
Economic Value ◽  
Cleveland Clinic ◽  
Cost Effective ◽  
Cost Utility ◽  
Management Options ◽  
Sound Therapy ◽  
Economic Climate ◽  
Tinnitus Treatment ◽  
Economic Analyses

Background: Sound therapy coupled with appropriate counseling has gained widespread acceptance in the audiological management of tinnitus. For many years, ear level sound generators (SGs) have been used to provide masking relief and to promote tinnitus habituation. More recently, an alternative treatment device was introduced, the Neuromonics Tinnitus Treatment (NTT), which employs spectrally-modified music in an acoustic desensitization approach in order to help patients overcome the disturbing consequences of tinnitus. It is unknown, however, if one treatment plan is more efficacious and cost-effective in comparison to the other. In today's economic climate, it has become critical that clinicians justify the value of tinnitus treatment devices in relation to observed benefit. Purpose: To determine perceived benefit from, and economic value associated with, two forms of sound therapy, namely, SGs and NTT. Research Design: Retrospective between-subject clinical study. Study Sample: A sample of convenience comprised of 56 patients drawn from the Tinnitus Management Clinic at the Cleveland Clinic participated. Twenty-three patients selected SGs, and 33 patients selected NTT as their preferred sound therapy treatment option. Data Collection and Analysis: Sound therapy benefit was quantified using the Tinnitus Handicap Inventory (THI). The questionnaire was administered before and 6 mo after initiation of tinnitus treatment. Prior to device fitting, all patients participated in a 1.5 hr group education session about tinnitus and its management. Economic value comparisons between sound therapy options were made using a cost-effectiveness analysis (CEA) and cost-utility analysis (CUA). Results: THI scores indicated a significant improvement (p < 0.001) in tinnitus reduction for both treatment types between a pre- and 6 mo postfitting interval, yet there were no differences (p > 0.05) between the treatment alternatives at baseline or 6 mo postfitting. The magnitude of improvement for both SGs and NTT was dependent on initial perceived tinnitus handicap. Based on the CEA and CUA economic analyses alone, it appears that the SGs may be the more cost-effective alternative; however, the magnitude of economic value is a function of preexisting perceived tinnitus activity limitation/participation restriction. Conclusions: Both SGs and NTT provide significant reduction in perceived tinnitus handicap, with benefit being more pronounced for those patients having greater tinnitus problems at the beginning of therapy. Although the economic models favored the SGs over the NTT, there are several other critical factors that clinicians must take into account when recommending a specific sound therapy option. These include initial tinnitus severity complaints and a number of patient preference variables such as sound preference, listening acceptability, and lifestyle.

scholarly journals Customised enriched acoustic environment for sound therapy of tinnitus

Acta Acustica ◽  
2021 ◽  
Vol 5 ◽  
pp. 34
Author(s):  
Pedro Cobo ◽  
María Cuesta ◽  
Carlos de la Colina
Keyword(s):  
Broadband Noise ◽  
Acoustic Environment ◽  
Positive Effects ◽  
Sound Therapy ◽  
Retraining Therapy ◽  
Tinnitus Treatment ◽  
Hearing Damage ◽  
Sound Treatment ◽  
Relationship Of ◽  
The Relationship

Tinnitus is an auditory disorder very difficult to treat. Whereas up until now there is not a “cure” for tinnitus, the most extended treatment combines counselling with sound therapy. When this sound is a broadband noise in the audio frequency band, this protocol is named tinnitus retraining therapy. Even though broadband noise was proposed at the beginning as the stimulus for sound therapy, many other sounds have been subsequently proposed and used, including tones, noise bands, music, and nature sounds. Although any sound, low enough to avoid annoyance, discomfort or hearing damage, is better than silence for tinnitus treatment, it is not still clear the relationship of the success of the therapy with the properties of the sound stimuli. The aim of this article is to propose an optimal sound treatment that provides a precise and selective stimulation of the whole auditory system. The proposed sound stimulus, Enriched Acoustic Environment, consists of sequential tones or broadband noise matched to the HL curves of the patients. The acoustical characteristics of these stimuli are analyzed and their positive effects in the treatment of subjects with tinnitus are reported.

The Effectiveness of the Progression of Widex Zen Tinnitus Therapy: A Pilot Study

2017 ◽  
Vol 26 (3) ◽  
pp. 283-292
Author(s):  
Richard S. Tyler ◽  
Aniruddha K. Deshpande ◽  
Chi C. Lau ◽  
Francis Kuk
Keyword(s):  
Pilot Study ◽  
Magnitude Estimation ◽  
Hearing Aids ◽  
Sequential Approach ◽  
Sound Therapy ◽  
Tinnitus Treatment ◽  
Tinnitus Therapy

Purpose The aim of this study was to measure the progression of benefits to individuals with tinnitus from providing informational counseling, hearing aids, a brief tinnitus activities treatment and Zen therapy. Method Several magnitude estimation scales and tinnitus handicap scales were administered for the duration of the study to 20 participants. Results Results indicated that all participants benefited from this sequential approach of providing different components of this tinnitus treatment. Large benefits were observed following the tinnitus activities treatment and the Zen treatments. Conclusion We conclude that the progressive approach of treatment demonstrated here should be of benefit to most individuals with tinnitus and that the Widex Zen sound therapy is a worthwhile treatment for many tinnitus sufferers.

Bayesian Applications in Auditory Research

2019 ◽  
Vol 62 (3) ◽  
pp. 577-586 ◽  
Author(s):  
Garnett P. McMillan ◽  
John B. Cannon
Keyword(s):  
Monte Carlo ◽  
Markov Chain ◽  
Bayesian Methods ◽  
Prior Distribution ◽  
Interim Analysis ◽  
Iterative Process ◽  
Bayes Theorem ◽  
Sound Therapy ◽  
The Many ◽  
Auditory Research

Purpose This article presents a basic exploration of Bayesian inference to inform researchers unfamiliar to this type of analysis of the many advantages this readily available approach provides. Method First, we demonstrate the development of Bayes' theorem, the cornerstone of Bayesian statistics, into an iterative process of updating priors. Working with a few assumptions, including normalcy and conjugacy of prior distribution, we express how one would calculate the posterior distribution using the prior distribution and the likelihood of the parameter. Next, we move to an example in auditory research by considering the effect of sound therapy for reducing the perceived loudness of tinnitus. In this case, as well as most real-world settings, we turn to Markov chain simulations because the assumptions allowing for easy calculations no longer hold. Using Markov chain Monte Carlo methods, we can illustrate several analysis solutions given by a straightforward Bayesian approach. Conclusion Bayesian methods are widely applicable and can help scientists overcome analysis problems, including how to include existing information, run interim analysis, achieve consensus through measurement, and, most importantly, interpret results correctly. Supplemental Material https://doi.org/10.23641/asha.7822592

Analysis of Gabapentin’s Efficacy in Tinnitus Treatment: A Systematic Review

2021 ◽  
pp. 000348942110189
Author(s):  
Matheus Pedrosa Tavares ◽  
Fayez Bahmad
Keyword(s):  
Systematic Review ◽  
Controlled Trial ◽  
Critical Evaluation ◽  
Outcome Study ◽  
Qualitative Synthesis ◽  
Eligibility Criteria ◽  
Double Blind ◽  
Randomized Controlled ◽  
Study Selection ◽  
Tinnitus Treatment

Objectives: Tinnitus can be a chronic symptom that brings disability and distress. Some studies suggested that gabapentin might be effective on tinnitus relief. The objective of the study is to perform a systematic review in order to evaluate the efficacy of oral gabapentin in patients with tinnitus. Methods: A literature search was conducted in English and following the recommendations from PRISMA. The terms used were: (“tinnitus” OR “subjective tinnitus”) AND (“gabapentin”). The study selection was performed following the eligibility criteria in accordance to the PICOS (population, intervention, comparison, outcome, study design) strategy—patients with tinnitus; oral gabapentin; placebo; reduction of tinnitus severity questionnaires scores; prospective, double-blind, randomized controlled trial, respectively. The selected studies were included in qualitative synthesis. The studies were analyzed according to Joanna Briggs Institute’s critical appraisal checklist for randomized controlled trials. Results: One hundred twenty-one studies were found in 9 databases and 8 studies were found in gray literature. After study selection, 6 articles were read in full. Then, 2 studies were excluded and 4 were included in qualitative synthesis. All 4 articles were analyzed according to critical evaluation checklist. Conclusions: There is insufficient evidence to recommend the use of gabapentin for patients with tinnitus.

Sign in / Sign up

Export Citation Format

Share Document