The impact of a daily sound therapy hour on tinnitus relief for people with chronic subjective tinnitus (ringing in the ears)

2021 ◽  
Author(s):  
In-Ki Jin
2018 ◽  
Vol 14 (1) ◽  
pp. 264-269 ◽  
Author(s):  
Patricia Ciminelli ◽  
Sergio Machado ◽  
Manoela Palmeira ◽  
Mauro Giovanni Carta ◽  
Sarah Cristina Beirith ◽  
...  

Background: Emotional stress is frequently associated with otologic symptoms as tinnitus and dizziness. Stress can contribute to the beginning or worsening of tinnitus. Objective: The objective of the study is to evaluate the presence of stress symptoms in patients with chronic, subjective tinnitus, and correlate its presence to annoyance associated with tinnitus. Methods: This is a cross-sectional study. One hundred and eighty patients with chronic, subjective tinnitus were included. Patients answered the Tinnitus Handicap Inventory (THI) to evaluate the impact of tinnitus in the quality of life and answered the Lipp's inventory symptoms of stress for adults (ISSL). The data obtained was organized using Excel® 2010, mean values, linear regression and p-value were calculated. Results: Of the 180 patients included in the study, 117 (65%) had stress symptoms, 52 of the 117 (44%) were in the resistance phase and 23 of the 117 (20%) in the exhaustion phase, the remaining was in the alert phase. There was a clear progressive increase in stress as THI raised, with more impact of tinnitus in quality of life. Conclusion: The presence of stress symptoms, measured by ISSL was observed in most of our patients with chronic subjective tinnitus, specially in the resistance and exhaustion phases and it is directly associated with tinnitus annoyance.


2017 ◽  
Vol 9 (3) ◽  
pp. 415
Author(s):  
Suelen Recepute Xavier ◽  
Letícia Ladeira Bonato ◽  
Elisa Lima Alves ◽  
Letícia Raquel Baraky ◽  
Luciano Ambrósio Ferreira ◽  
...  

Various etiologies are attributed to the development of subjective tinnitus, but their inter-relationship with the presence of temporomandibular disorders and depression is still poorly understood. To assess the presence of depressive symptoms in individuals with TMD and subjective tinnitus, assessing the impact on their quality of life. This is a cross-sectional observational descriptive study. We evaluated 44 patients in a public University. For TMD diagnosis as well as assessment of depressive symptoms, the RDC/TMD questionnaire was used. Otolaryngological assessment was conducted by means of pure tone, speech, and immitance audiometry. The “Tinnitus Handicap Inventory” questionnaire was also administered. 84% of the individuals with tinnitus had myofascial pain, with the masseter muscle being the most prevalent area of pain, and 16% exclusively had painful and/or degenerative TMJ changes. Among the patients with myofascial pain, 86,5% had depressive symptoms, while among those without myofascial pain, only 42,8% presented these symptoms. Eleven (11) patients (25%) reported slight impact of tinnitus on quality of life, 15 (34%) mild impact, 7 (16%) moderate, 7 (16%) severe, and 4 (9%) catastrophic impact. There was a positive association between the presence of myofascial pain and depressive symptoms (p=0,02), as the intensity of tinnitus increases and the severity of depressive symptoms (p


2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Aage R. Møller

Tinnitus is not a single disease but a group of different diseases with different pathologies and therefore different treatments. Regarding tinnitus as a single disease is hampering progress in understanding of the pathophysiology of tinnitus and perhaps, more importantly, it is a serious obstacle in development of effective treatments for tinnitus. Subjective tinnitus is a phantom sound that takes many different forms and has similarities with chronic neuropathic pain. The pathology may be in the cochlea, in the auditory nerve, or, most commonly, in the brain. Like chronic neuropathic pain tinnitus is not life threatening but influences many normal functions such as sleep and the ability to concentrate on work. Some forms of chronic tinnitus have two components, a (phantom) sound and a component that may best be described as suffering or distress. The pathology of these two components may be different and the treatment that is most effective may be different for these two components. The most common form of treatment of tinnitus is pharmacological agents and behavioral treatment combined with sound therapy. Less common treatments are hypnosis and acupuncture. Various forms of neuromodulation are becoming in use in an attempt to reverse maladaptive plastic changes in the brain.


2008 ◽  
Vol 122 (10) ◽  
pp. 1052-1056 ◽  
Author(s):  
M I Trotter ◽  
I Donaldson

AbstractObjectives:(1) To assess the subjective tinnitus perception of patients with audiologically proven hearing loss presenting to a tinnitus clinic, both before and after hearing aid provision; (2) to investigate subjective tinnitus perception in patients with unilateral and bilateral hearing loss; and (3) to assess the impact on tinnitus perception, if any, of a digital hearing aid programme in patients provided with hearing aids.Design:Prospective data collection for patients attending a tinnitus clinic over a 25-year period (1980–2004).Setting:University teaching hospital otolaryngology department.Participants:A total of 2153 consecutive patients attending a consultant-delivered specialist tinnitus clinic.Main outcomes measures:A visual analogue scale was used to assess the degree of tinnitus perception improvement, if any, comparing before versus after unilateral or bilateral aiding (in those with audiometrically proven hearing loss). A further assessment compared the effect of digital hearing aid programme introduction on symptomatic tinnitus perception in patients provided with unilateral or bilateral aids.Results:A total of 1440 patients were given hearing aids (826 unilateral and 614 bilateral). There was little difference in tinnitus perception, comparing overall aiding results in unilaterally or bilaterally aided patients. Overall, 554 (67 per cent) of unilaterally aided patients and 424 (69 per cent) of bilaterally aided patients reported some improvement in their tinnitus perception following aiding. There was a statistically significant improvement in tinnitus perception, comparing analogue aids with digital hearing aids, following introduction of a digital hearing aid programme in 2000, in both unilaterally (p < 0.001) and bilaterally (p < 0.001) aided patients.Conclusions:Provision of hearing aids in patients with audiometrically demonstrable hearing loss can play a very important part in tinnitus control. The additional improvement in tinnitus control observed following introduction of programmable digital aids had a summative effect in the management of these patients.


2021 ◽  
Vol 6 (1) ◽  
pp. 130-142
Author(s):  
Lori Zitelli

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.


1996 ◽  
Vol 110 (2) ◽  
pp. 117-120 ◽  
Author(s):  
J. D. T. Mason ◽  
D. R. Rogerson ◽  
J. D. Butler

AbstractThe aim of this study was to assess whether client centred hypnotherapy (CCH) which required three sessions with a trained therapist was superior to a single counselling session in reducing the impact of tinnitus.Patients were randomly allocated to receive either counselling (n = 42) or CCH (n = 44). The outcome measures were: tinnitus loudness match, subjective tinnitus symptom severity score, trend of linear analogue scale, request for further therapy and whether the patient had an impression of improvement in their tinnitus after treatment.CCH was no better than counselling in reducing the impact of tinnitus using the three quantative measures of tinnitus, and requests for further follow up.The only significant difference between the two therapies was that 20 (45.5 per cent) of the CCH group reported a general sense of improvement compared to six (14.3 per cent) in the counselling group, this is significant p<O.Ol. The study did not demonstrate whether this was a genuine hypnotic effect or simply a response to the additional attention from the therapist.


2020 ◽  
Vol 16 (2) ◽  
pp. 104-114
Author(s):  
Seungyeop Jeong ◽  
In-Ki Jin

Purpose: The purpose of this study was to determine to compare the effects of sound therapy depending on air- and bone-conduction transducers (ACT and BCT). Methods: Participants were twenty adults who have diagnosed as subjective tinnitus in this study. All participants conducted a sound therapy using the level of mixing point for three months. Participants were randomly assigned to different groups, such as the ACT group, or BCT group. To identify the effects of sound therapy, Korean tinnitus primary function questionnaire (K-TPFQ) and visual analogue scale (VAS) were administered at pre- and post-treatment (3 months) sessions. Results: In a result of mixed model analysis of variance, all subcategories for VAS showed significant decrements of scores to the measurement session (pre- vs. post-session), but there was no different between groups. Also, the overall and all subcategories for K-TPFQ showed significant decrements of scores to the measurement session (prevs. post-session), but there was no different between groups. Conclusion: As a result of this study, the sound therapy using portable hearing devices with transducers is effective for subjective tinnitus sufferers. Because the transducer type does not significantly affect effectiveness of the sound therapy, therefore, audiologists or hearing professionals may recommend transducers, which the tinnitus sufferer prefers when they consider sound therapy.


2010 ◽  
Vol 27 (4) ◽  
pp. 327-330 ◽  
Author(s):  
E. Courtenay Wilson Ellis ◽  
Gottfried Schlaug ◽  
Christo Pantev

TINNITUS IS THE PERCEPTION OF A SOUND IN THE absence of an external acoustic stimulus and it affects roughly 10-15% of the population. This review will discuss the different types of tinnitus and the current research on the underlying neural substrates of subjective tinnitus. Specific focus will be paid to the plasticity of the auditory cortex, the inputs from non-auditory centers in the central nervous system and how these are affected by tinnitus. We also will discuss several therapies that utilize music as a treatment for tinnitus and highlight a novel method that filters out the tinnitus frequency from the music, leveraging the plasticity in the auditory cortex as a means of reducing the impact of tinnitus.


1991 ◽  
Vol 105 (2) ◽  
pp. 89-93 ◽  
Author(s):  
Jonathan B.S. Halford ◽  
Stewart D. Anderson

AbstractTinnitus is discussed, with particular reference to the problem of assessing severity. The authors argue that tinnitus severity can only usefully be determined by measuring the impact of tinnitus on an individual, and therefore propose a scale to estimate severity in these terms. Data presented on 112 members of a tinnitus self-help group, demonstrated the reliability of a Subjective Tinnitus Severity Scale (S.T.S.S.), with a coefficient alpha of 0.84. This indicates a high degree of internal consistency, i.e.: statistically this scale is measuring aspects of a single dimension. The validity was established in a separate sample of 30 clinic attenders, where mean S.T.S.S. scores were found to correlate highly with two independent clinical ratings of severity (r2 = 0.76, p<0.001, and r2 = 0.73, p<0.001). Additionally, in these patients S.T.S.S. scores were significantly associated with several audiometric variables, although the correlations were of low magnitude.


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