Multiple-Frequency Matching Treatment Strategy for Tinnitus

Yuan, Tao; Xiaodong, Chang; Ye, Sheng; Chu, Guangxing; Guan, Tian; Wang, Jian; Zeng, Peiying

doi:10.5152/iao.2017.3676

Cited by 5 publications

(3 citation statements)

References 18 publications

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“…Herbal, Complementary & Alternative Medicine (CAM), and Nutritional therapy (8,19,37,39,40,42,49,59,60,63), and 3. Acoustic therapy (related to sound) (7,9,38,51,55,62,71–73). Other interventions included behavioural, digital, and drug or medical gas related type (Figure 4).…”

Section: Resultsmentioning

confidence: 99%

Current therapeutic trends for tinnitus cure and control – a scoping review

Va¹,

Patel²,

Mehta

et al. 2021

Preprint

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Background: The inherent complexities of conditions such as tinnitus with cause and mechanism not known, presents a lack of high-level evidence to make an inference on the treatment approaches. A comprehensive review cannot be performed owing to an insufficient number of trials. Hence a scoping review approach was adopted to provide a broad overview of approaches for tinnitus management. Objective: To review the current evidence on prevalent treatment strategies used for tinnitus management and determine barriers and facilitators for the adoption of treatment approaches in developed and developing countries. Methods: The present scoping review was performed in compliance with the PRISMA ScR checklist. A literature search was carried out in PubMed, Scopus, Google Scholar, and Cochrane databases. Articles published between 2010-2021 mentioning treatment strategies were included. However, therapies concentrating on symptomatic management were excluded. Evidence with the highest scientific hierarchy such as systematic reviews (SRs) and randomized-controlled trials (RCTs) was considered. The context for the ScR was study-region based and included studies from high-income and low and middle-income countries (HICs, LMICs) Results: A total of 20 records were included with 11 SRs and 9 RCTs. Non-pharmacological interventions demonstrated moderate efficacy, including transcranial magnetic- (TMS) and direct current stimulation (tDCS), hearing aids (combined with a sound generator or alone). No specific drug was found to have a mode of action about the target root cause due to a lack of clinical knowledge. Most of the trials used the same tools for tinnitus severity. Conclusion: Although several scoping reviews are published with an exclusive focus on individual therapies, authors recommend an umbrella review of systematic reviews to generate evidence-based practice consensus for tinnitus.

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Section: Resultsmentioning

confidence: 99%

Current therapeutic trends for tinnitus cure and control – a scoping review

Va¹,

Patel²,

Mehta

et al. 2021

Preprint

View full text Add to dashboard Cite

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“…The stimulation is selective, because each tone of the sequence has a frequency-response curve very similar to the curves of neural resonances of the auditory pathway. It has been well documented that those tones contain three pure tones, which match the tinnitus frequency, and combined with white noise improve tinnitus symptoms ( Tao et al, 2017 ). Similarly, fractal tones tailored to the hearing loss of the participants have demonstrated a decrease in tinnitus severity ( Tyler et al, 2017 ), and prevention of tonotopic reorganization of the auditory cortex ( Eggermont and Roberts, 2004 ; Noreña and Eggermont, 2005 ).…”

Section: Methodsmentioning

confidence: 99%

Comparative analysis of acoustic therapies for tinnitus treatment based on auditory event-related potentials

et al. 2023

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IntroductionSo far, Auditory Event-Related Potential (AERP) features have been used to characterize neural activity of patients with tinnitus. However, these EEG patterns could be used to evaluate tinnitus evolution as well. The aim of the present study is to propose a methodology based on AERPs to evaluate the effectiveness of four acoustic therapies for tinnitus treatment.MethodsThe acoustic therapies were: (1) Tinnitus Retraining Therapy (TRT), (2) Auditory Discrimination Therapy (ADT), (3) Therapy for Enriched Acoustic Environment (TEAE), and (4) Binaural Beats Therapy (BBT). In addition, relaxing music was included as a placebo for both: tinnitus sufferers and healthy individuals. To meet this aim, 103 participants were recruited, 53% were females and 47% were males. All the participants were treated for 8 weeks with one of these five sounds, which were moreover tuned in accordance with the acoustic features of their tinnitus (if applied) and hearing loss. They were electroencephalographically monitored before and after their acoustic therapy, and wherefrom AERPs were estimated. The sound effect of acoustic therapies was evaluated by examining the area under the curve of those AERPs. Two parameters were obtained: (1) amplitude and (2) topographical distribution.ResultsThe findings of the investigation showed that after an 8-week treatment, TRT and ADT, respectively achieved significant neurophysiological changes over somatosensory and occipital regions. On one hand, TRT increased the tinnitus perception. On the other hand, ADT redirected the tinnitus attention, what in turn diminished the tinnitus perception. Tinnitus handicapped inventory outcomes verified these neurophysiological findings, revealing that 31% of patients in each group reported that TRT increased tinnitus perception, but ADT diminished it.DiscussionTinnitus has been identified as a multifactorial condition highly associated with hearing loss, age, sex, marital status, education, and even, employment. However, no conclusive evidence has been found yet. In this study, a significant (but low) correlation was found between tinnitus intensity and right ear hearing loss, left ear hearing loss, heart rate, area under the curve of AERPs, and acoustic therapy. This study raises the possibility to assign acoustic therapies by neurophysiological response of patient.

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“…In recent years, based on the maladaptive auditory cortex reorganization theory in the study of tinnitus mechanism, some researchers have achieved certain results in the application of tailor-made notched music (TMNM) to individualized acoustic therapy for tinnitus patients. [ 6 ] Acoustic therapy is a physical and non-invasive treatment that is divided into masking therapy which is similar to tinnitus [ 7 ] and a custom therapy that diverts attention, temporarily forgetting or listening to the original sound of nature. [ 8 ] The current effective rate reports are quite different.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the therapeutic effect of acoustic therapy combined with acupuncture on idiopathic tinnitus

Wang

Chen²,

Dai³

et al. 2021

Medicine

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Background: There is no effective treatment for idiopathic tinnitus. Both acoustic therapy and acupuncture have been used in the treatment of idiopathic tinnitus, but the clinical efficacy is quite different. For there is no clinical study combining the 2, the purpose of this randomized controlled trial is to evaluate the effectiveness and safety of acoustic therapy combined with acupuncture in the treatment of idiopathic tinnitus. Methods: This is a prospective randomized controlled trial to study the effectiveness and safety of acoustic therapy combined with acupuncture in the treatment of idiopathic tinnitus, and is approved by the clinical research ethics committee of our hospital. The patients are randomly divided into one of 2 treatment options: (A) acoustic therapy combined with acupuncture group and (B) simple acupuncture group. Patients, doctors, nurses, and data collection assistants are blinded to group allocation. Observation indicators include: Data is analyzed using the statistical software package SPSS version 25.0 (Chicago, IL). Discussion: This protocol will evaluate the efficacy and safety of acoustic therapy combined with acupuncture in the treatment of idiopathic tinnitus. The results of this experiment will provide clinical evidence for the use of acoustic therapy combined with acupuncture in the treatment of idiopathic tinnitus. Trial registration: This study protocol is registered in Ethics and dissemination: Private information from individuals will not be published. This systematic review also does not involve endangering participant rights. Ethical approval was not required. OSF Registration number: DOI 10.17605/OSF.IO/87VFB.

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Multiple-Frequency Matching Treatment Strategy for Tinnitus

Cited by 5 publications

References 18 publications

Current therapeutic trends for tinnitus cure and control – a scoping review

Current therapeutic trends for tinnitus cure and control – a scoping review

Comparative analysis of acoustic therapies for tinnitus treatment based on auditory event-related potentials

Evaluation of the therapeutic effect of acoustic therapy combined with acupuncture on idiopathic tinnitus

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