Comparison of Tinnitus Masking and Tinnitus Retraining Therapy

2002 ◽  
Vol 13 (10) ◽  
pp. 559-581 ◽  
Author(s):  
James A. Henry ◽  
Martin A. Schechter ◽  
Stephen M. Nagler ◽  
Stephen A. Fausti
Keyword(s):  
Clinical Application ◽  
Basic Component ◽  
Tinnitus Retraining Therapy ◽  
Basic Approach ◽  
Sound Therapy ◽  
The World ◽  
Considerable Confusion ◽  
International Attention ◽  
Retraining Therapy ◽  
Tinnitus Masking

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.

Clinical trial to compare tinnitus masking and tinnitus retraining therapy

2006 ◽  
Vol 126 (sup556) ◽  
pp. 64-69 ◽  
Author(s):  
J.A. Henry ◽  
M.A. Schechter ◽  
T.L. Zaugg ◽  
S. Griest ◽  
P.J. Jastreboff ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Tinnitus Retraining Therapy ◽  
Retraining Therapy ◽  
Tinnitus Masking

Outcomes of Clinical Trial: Tinnitus Masking versus Tinnitus Retraining Therapy

2006 ◽  
Vol 17 (02) ◽  
pp. 104-132 ◽  
Author(s):  
James A. Henry ◽  
Martin A. Schechter ◽  
Tara L. Zaugg ◽  
Susan Griest ◽  
Pawel J. Jastreboff ◽  
...  
Keyword(s):  
Military Veterans ◽  
Severity Index ◽  
Tinnitus Retraining Therapy ◽  
Tinnitus Severity ◽  
Retraining Therapy ◽  
Clinically Significant ◽  
Intent To Treat ◽  
Tinnitus Masking ◽  
Controlled Clinical Study ◽  
Time Aware

A controlled clinical study was conducted to evaluate prospectively the clinical efficacy of tinnitus masking (TM) and tinnitus retraining therapy (TRT) in military veterans having clinically significant tinnitus. Qualifying patients were placed into the two groups in an alternating manner (to avoid selection bias), and treatment was administered at 0, 3, 6, 12, and 18 months. Outcomes of treatment were evaluated using three self-administered tinnitus questionnaires (Tinnitus Handicap Inventory, Tinnitus Handicap Questionnaire, Tinnitus Severity Index) and the verbally administered TRT interview forms. Findings are presented from the three written questionnaires, and from two of the interview questions (percentage time aware of, and annoyed by, tinnitus). Outcomes were analyzed on an intent-to-treat basis, using a multilevel modeling approach. Of the 123 patients enrolled, 118 were included in the analysis. Both groups showed significant declines (improvements) on these measures, with the TRT decline being significantly greater than for TM. The greater declines in TRT compared to TM occurred most strongly in patients who began treatment with a "very big" tinnitus problem. When patients began treatment with a "moderate" tinnitus problem, the benefits of TRT compared to TM were more modest.

scholarly journals A comparative study between tinnitus masking and tinnitus retraining therapy on perceived tinnitus handicap and cognition

2020 ◽  
Vol 6 (6) ◽  
pp. 1091
Author(s):  
Indranil Chatterjee ◽  
Geeta Gore
Keyword(s):  
Prior History ◽  
Tinnitus Retraining Therapy ◽  
Long Term Effect ◽  
Initial Stage ◽  
Days Of Therapy ◽  
Retraining Therapy ◽  
History Of ◽  
Tinnitus Treatment ◽  
Group 2 ◽  
Tinnitus Masking

<p class="abstract"><strong>Background:</strong> Since last one decade there were no such studies done in India on the efficacy of tinnitus retraining therapy (TRT) on tinnitus treatment. Here, in this study we try to find out whether TRT is an effective tool than tinnitus masking as a treatment procedure of tinnitus in Indian context.</p><p class="abstract"><strong>Methods:</strong> A total of 60 participants (with no prior history of presence of hearing loss) were divided into two groups. Group 1 was consisted of 30 subjects provided tinnitus masking using relief app at the ease of their home environment for 2 months. Group 2 was consisted of another 30 subjects have been provided tinnitus retraining therapy (TRT) for 2months (60 sessions). The design is experimental design. The study was carried out in eight phases.  </p><p class="abstract"><strong>Results:</strong> The findings of this study suggested that both the tinnitus masking therapy as well as TRT helped tinnitus sufferers to improve after 60 days of therapy continuation at initial stage. But a significant marked difference was found in terms of performance in participants from group 2 who had undergone TRT i.e., they performed very well after one month of post transfer therapeutic sessions than those who had undergone tinnitus masking therapy.</p><p class="abstract"><strong>Conclusions:</strong> The findings of this study are suggestive of that TRT is more effective than tinnitus masking therapy in tinnitus individuals even after one month of stopping therapy sessions. It also suggests that TRT has a long-term effect on tinnitus management than tinnitus masking.</p>

scholarly journals Tinnitus: A Tingling Mystery to be Decrypted

2020 ◽  
Vol 13 (1) ◽  
pp. 37-50
Author(s):  
Ruban Nersisson ◽  
Arjun Sengupta ◽  
Swapnil Sarkar ◽  
Sushant Agrawal ◽  
Pushpreet Singh ◽  
...  
Keyword(s):  
Signal Processing ◽  
Human Population ◽  
Research Articles ◽  
Hearing Disorder ◽  
Tinnitus Retraining Therapy ◽  
Common Complaint ◽  
The World ◽  
Retraining Therapy ◽  
Pros And Cons ◽  
Work Done

Tinnitus is a hearing disorder that causes ringing, buzzing or hissing sensation to the patient’s auditory senses. It has become a very common complaint over the years affecting around 7-8% of the human population all over the world. The disorder causes the patients to feel irritable, annoyed, depressed, and distressed. As a result, it obstructs their sense of relaxation, enjoyment, and even their sleep - thus forcing them to avoid any social gatherings. There has been a substantial amount of work that has been carried out pertinent to this disorder. This paper reviews existing research and work done regarding Tinnitus effects, causes, and diagnosis. The numerous ways in which Tinnitus could affect an individual have been depicted. From the plethora of probable causes of this disorder, the most conceivable ones are highlighted. Moreover, this paper documents and reviews the attempts at treating Tinnitus, relevant engineering breakthroughs, and the various ways in which Tinnitus noise is suppressed – such as Tinnitus Retraining Therapy, Neuromodulation, and Signal processing approach. The manuscripts highlight the pros and cons of these methods. Over 45 research articles and other reliable internet medical sources were reviewed and these pieces of work were contrasted. These findings should help in understanding both – the disorder, as well as the situation of the patients suffering from it. Through this manuscript, an attempt was made to spread awareness about the mysterious disorder.

scholarly journals Early-phase outcome of Tinnitus Retraining Therapy and comparison of sound therapy measures

2006 ◽  
Vol 49 (2) ◽  
pp. 167-171 ◽  
Author(s):  
Isamu Yuge ◽  
Minako Satou ◽  
Seiichi Shinden ◽  
Hideyuki Saitou ◽  
Yasuhide Okamoto ◽  
...  
Keyword(s):  
Early Phase ◽  
Tinnitus Retraining Therapy ◽  
Sound Therapy ◽  
Retraining Therapy

Evaluation and Management of Severe Tinnitus: An Evidence-Based Case Report

2021 ◽  
Vol 6 (1) ◽  
pp. 130-142
Author(s):  
Lori Zitelli
Keyword(s):  
Quality Of Life ◽  
Case Report ◽  
Negative Impact ◽  
Well Being ◽  
Tinnitus Retraining Therapy ◽  
Sound Therapy ◽  
Retraining Therapy ◽  
The Impact ◽  
Severe Tinnitus

Purpose Tinnitus is reported by millions of Americans and is significantly problematic for many people. Commonly, individuals suffering from tinnitus report disturbances in the areas of sleep, hearing, emotional well-being, and so forth. This case report presents the evaluation and treatment of an adult female with severe tinnitus and multiple relevant comorbidities. This case includes the onset, evaluation, and management of significantly bothersome tinnitus in a 60-year-old woman. Tinnitus was first reported after she was treated with an Epley maneuver intended to resolve benign paroxysmal positional vertigo. An evaluation of tinnitus (including a comprehensive audiometric evaluation, an assessment of the impact of tinnitus on her life, and psychoacoustic measures of tinnitus perception) was completed. The tinnitus was reported to have a severely negative impact on her overall health, mental state, and quality of life. Method This patient opted to manage her tinnitus with a combination of pharmaceuticals, sound therapy, and education (the latter two in the form of tinnitus retraining therapy). Results The course of her active treatment spanned approximately 18 months, and, at the completion of her treatment, she demonstrated significant improvements in all areas of her life that had been impacted by tinnitus. She has become an active advocate for tinnitus management and has made herself available as a resource for other individuals who are struggling to cope with intrusive tinnitus. Conclusion Tinnitus retraining therapy is a treatment option that may significantly improve the quality of life of individuals suffering from severely bothersome tinnitus.

Celebrating a Decade of Evaluation and Treatment

2000 ◽  
Vol 9 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Susan L. Gold ◽  
Craig Formby ◽  
William C. Gray
Keyword(s):  
The United States ◽  
Tinnitus Retraining Therapy ◽  
Auditory Periphery ◽  
University Of Maryland ◽  
Crucial Feature ◽  
Sound Therapy ◽  
Retraining Therapy ◽  
The University ◽  
The Brain ◽  
Facility Staff

The University of Maryland Tinnitus & Hyperacusis Center in Baltimore was the first center in the United States dedicated to the evaluation and treatment of tinnitus and hyperacusis patients implementing an habituation-based protocol that has become known internationally as Tinnitus Retraining Therapy (TRT). A crucial feature of the model is the postulate that a number of systems in the brain are involved in the emergence of tinnitus. The cochlea and auditory periphery play only a secondary role. To facilitate the goal of habituation of the tinnitus signal, TRT implements both directive counseling to neutralize the negative emotional associations toward the tinnitus, and sound therapy to interfere with the signal. As an outgrowth of the work with tinnitus, the evaluation and treatment of hyperacusis has emerged as an increasingly important part of our program. This report describes the unique facility, staff, and services of the Center as we celebrate a decade of research and clinical management dedicated to the scientific understanding of tinnitus and hyperacusis.

Clinical efficacy of tinnitus retraining therapy and cognitive behavioural therapy in the treatment of subjective tinnitus: a systematic review

2014 ◽  
Vol 128 (12) ◽  
pp. 1028-1033 ◽  
Author(s):  
R Grewal ◽  
P M Spielmann ◽  
S E M Jones ◽  
S S M Hussain
Keyword(s):  
Systematic Review ◽  
Cognitive Behavioural Therapy ◽  
Behavioural Therapy ◽  
Tinnitus Retraining Therapy ◽  
Validated Questionnaires ◽  
Cognitive Behavioural ◽  
Retraining Therapy ◽  
Randomised Control Trials ◽  
Human Participants ◽  
Tinnitus Masking

AbstractObjective:This study aimed to compare the outcomes of two frequently employed interventions for the management of tinnitus: tinnitus retraining therapy and cognitive behavioural therapy.Method:A systematic review of literature published up to and including February 2013 was performed. Only randomised control trials and studies involving only human participants were included.Results:Nine high-quality studies evaluating the efficacy of tinnitus retraining therapy and cognitive behavioural therapy were identified. Of these, eight assessed cognitive behavioural therapy relative to a no-treatment control and one compared tinnitus retraining therapy to tinnitus masking therapy. Each study used a variety of standardised and validated questionnaires. Outcome measures were heterogeneous, but both therapies resulted in significant improvements in quality of life scores. Depression scores improved with cognitive behavioural therapy.Conclusion:Both cognitive behavioural therapy and tinnitus retraining therapy are effective for tinnitus, with neither therapy being demonstrably superior. Further research using standardised, validated questionnaires is needed so that objective comparisons can be made.

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