Programming a Cochlear Implant for Tinnitus Suppression

Abstract Background Electrical stimulation of the cochlea to treat tinnitus has been explored for decades. However, few studies have investigated the most salient programming parameters for tinnitus suppression in cochlear implant (CI) patients. Purpose The purpose of this study was to review the available CI programming parameters for tinnitus suppression and to consider possible clinical research designs for selecting the optimal programming parameters for CI patients. Results Across research studies, the optimal parameters vary significantly and are often based on data fromonly a fewparticipants. Electrical stimulation using lowand high rates, different electrode numbers, and low T-levels were helpful in suppressing tinnitus, although more research is needed from a greater number of CI patients. Possible designs for evaluating these parameters in a clinical setting are presented. Conclusions Programming a CI to reduce the prominence of tinnitus is complex, and audiologists should consider adjusting CI parameters systematically for CI patients with bothersome tinnitus.

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Optimal Parameters for Eliciting Cardio-Acceleration by Electrical Stimulation of the Ventromedial Hypothalamus

Acta Physiologica Scandinavica ◽

10.1111/j.1748-1716.1975.tb05879.x ◽

1975 ◽

Vol 94 (2) ◽

pp. 189-197

Author(s):

G. Johansson ◽

R. Kalimo ◽

T. Pääkkönen ◽

S. Ruusunen

Keyword(s):

Electrical Stimulation ◽

Ventromedial Hypothalamus ◽

Optimal Parameters ◽

Stimulation Of

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Electrically Evoked Brainstem Responses in Cochlear Implant Recipients

Otolaryngology ◽

10.1177/019459988709600106 ◽

1987 ◽

Vol 96 (1) ◽

pp. 34-38 ◽

Cited By ~ 9

Author(s):

Richard T. Miyamoto ◽

D. Douglas Brown

Keyword(s):

Electrical Stimulation ◽

Cochlear Implant ◽

Auditory Nerve ◽

Clinical Applications ◽

Assessment Tools ◽

Laboratory Setting ◽

Recording Technique ◽

Stimulus Artifact ◽

Artifact Suppression ◽

Stimulation Of

Electrical stimulation of the auditory nerve in the profoundly deaf population through implanted cochlear prostheses has increased the need for reliable electrophysiologic assessment tools. We have recorded electrically evoked brainstem responses (EABRs) in 21 subjects who have received a 3M/House cochlear implant. Recordings have been made, both intraoperatively and postoperatively, in the laboratory setting. The recording technique, methods of stimulus artifact suppression, and results of our measurements are described. Clinical applications of this technology are suggested.

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The multi-channel cochlear implant: Multi-disciplinary development of electrical stimulation of the cochlea and the resulting clinical benefit

Hearing Research ◽

10.1016/j.heares.2014.08.002 ◽

2015 ◽

Vol 322 ◽

pp. 4-13 ◽

Cited By ~ 38

Author(s):

Graeme M. Clark

Keyword(s):

Electrical Stimulation ◽

Cochlear Implant ◽

Clinical Benefit ◽

Stimulation Of

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Pitch Comparisons between Electrical Stimulation of a Cochlear Implant and Acoustic Stimuli Presented to a Normal-hearing Contralateral Ear

Journal of the Association for Research in Otolaryngology ◽

10.1007/s10162-010-0222-7 ◽

2010 ◽

Vol 11 (4) ◽

pp. 625-640 ◽

Cited By ~ 63

Author(s):

Robert P. Carlyon ◽

Olivier Macherey ◽

Johan H. M. Frijns ◽

Patrick R. Axon ◽

Randy K. Kalkman ◽

...

Keyword(s):

Electrical Stimulation ◽

Cochlear Implant ◽

Normal Hearing ◽

Acoustic Stimuli ◽

Contralateral Ear ◽

Stimulation Of

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Considerations for Planning and Conducting Clinic-Based Research in Physical Therapy

Physical Therapy ◽

10.1093/ptj/81.8.1446 ◽

2001 ◽

Vol 81 (8) ◽

pp. 1446-1454 ◽

Cited By ~ 5

Author(s):

G Kelley Fitzgerald ◽

Anthony Delitto

Keyword(s):

Physical Therapy ◽

Clinical Research ◽

Clinical Setting ◽

Patient Management ◽

Physical Therapists ◽

Factors Affecting ◽

Conducting Research ◽

Made In ◽

Research Studies

Abstract There is growing demand to increase the volume of clinic-based research in physical therapy. Special considerations, unique to the planning and conduct of clinic-based research, need to be addressed to increase the likelihood that these studies will be completed successfully. The purposes of this perspective are to discuss factors affecting clinic-based research and to offer suggestions for addressing these problems when designing and conducting research studies in a clinical setting. This perspective discusses issues such as patient management, determining the availability of target patient populations, acquiring support from physical therapists and physicians, reporting and managing research-related injury or illness, and modifying or terminating projects. Some of the points made in this perspective are illustrated using examples from the authors' experiences in conducting clinical research.

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