Outcomes of Clinical Trial: Tinnitus Masking versus Tinnitus Retraining Therapy

Henry, James A.; Schechter, Martin A.; Zaugg, Tara L.; Griest, Susan; Jastreboff, Pawel J.; Vernon, Jack; Kaelin, Christine; Meikle, Mary B.; Lyons, Karen S.; Stewart, Barbara J.

doi:10.3766/jaaa.17.2.4

Cited by 137 publications

(103 citation statements)

References 22 publications

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“…47 We identifi ed one trial in this review, and that work suggested that TRT is more eff ective than masking. 48 A subsequent trial used TRT as a control for acceptance and commitment therapy, 49 which has developed from CBT. TRT had a small benefi t in that study.…”

Section: Standard Treatmentsmentioning

confidence: 99%

Tinnitus

Baguley¹,

McFerran²,

Hall³

2013

The Lancet

1,063

911

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Tinnitus is a common medical symptom that can be debilitating. Risk factors include hearing loss, ototoxic medication, head injury, and depression. At presentation, the possibilities of otological disease, anxiety, and depression should be considered. No eff ective drug treatments are available, although much research is underway into mechanisms and possible treatments. Surgical intervention for any otological pathology associated with tinnitus might be eff ective for that condition, but the tinnitus can persist. Available treatments include hearing aids when hearing loss is identifi ed (even mild or unilateral), wide-band sound therapy, and counselling. Cognitive behavioural therapy (CBT) is indicated for some patients, but availability of tinnitus-specifi c CBT in the UK is poor. The evidence base is strongest for a combination of sound therapy and CBT-based counselling, although clinical trials are constrained by the heterogeneity of patients with tinnitus.

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Section: Standard Treatmentsmentioning

confidence: 99%

Tinnitus

Baguley¹,

McFerran²,

Hall³

2013

The Lancet

1,063

911

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“…TRQ scores of the Neuromonics group was significantly better than the scores of the Noise + counselling group (p = 0.008) and Counselling only group (p = 0.014). VAS also showed Henry et al 30 studied 123 patients to evaluate the clinical efficacy of tinnitus masking (TM) and tinnitus retraining therapy (TRT) methods. Patients were placed quasi-randomly (alternating placement) into TM group (59, M = 53, F = 6) or TRT group (64 all males).…”

Section: Tinnitus Matching and Masking For Tinnitus Therapymentioning

confidence: 99%

“…Jastreboff 56 stressed on the effectiveness of sound therapy in tinnitus intervention, and also on the importance of hearing aids in providing sound therapy. Henry et al 30 focused on the assessment guidelines and the use of Audiologic Tinnitus Management by audiologist in the clinical management of tinnitus.…”

Section: Review Studiesmentioning

confidence: 99%

Treatment of Tinnitus: A Scoping Review

Makar¹,

Mukundan²,

Gore³

2017

The International Tinnitus Journal

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Background: Tinnitus is a perception of an auditory sensation without the presence of an external sound. It has devastating impact on the quality of life and psychosocial aspect of the sufferer. Mechanisms of tinnitus not clear; however, its management include counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive behaviour therapy and tinnitus retraining therapy. Objective: To conduct a scoping review to explore the role of counselling, hearing aids, tinnitus masking, relaxation therapy, cognitive-behavioural therapy and tinnitus retraining therapy in India. To also provide an overview of efficacy of these approaches in tinnitus management. Research Design: Scoping review. Study Sample: Experimental studies, follow-up assessments, and reviews assessing tinnitus treatment approaches were identified as a result of an electronic database met search. Results: The evidence suggests that all tinnitus management programs have their unique benefits in the treatment of tinnitus. Given the confounding variables that include length of therapy, tinnitus severity and subject population, the overall level of evidence is equivocal. Nonetheless, the efficacy of CBT appears reasonably established and combined approach (masking + counselling + attention diversion) appears to be most promising for audiologists for future tinnitus management. A common ground of therapeutic elements was established and evidence was found to be robust enough to guide clinical practice. Conclusion: The use of more robust methodology with well-defined control groups, as well as randomization of clinical trials in future studies would increase the quality of evidence in the study of tinnitus management. Clinical recommendation: Combined therapies (masking + counselling + attention diversion) appear more appropriate in the treatment of tinnitus as the evidence is not sufficient to support a specific treatment method.

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“…1) Band noise stimulus: Band noise stimulus is used in TM approach [2]. In this approach the desired noise is a band of noise with a frequency emphasis that approximates the frequency of perceived tinnitus.…”

Section: B Inhibition Of Oscillation By External Noise Stimulusmentioning

confidence: 99%

“…A mechanism of tinnitus generation has been hypothesized from the viewpoint of general neurophysiology [1]. There are two typical sound therapy techniques where those who suffer from tinnitus hear these therapeutic sounds for several hours a day [2]: TM (Tinnitus Masking) technique and TRT (Tinnitus Retraining Therapy). Band noise and white noise are actually provided to the sufferers from tinnitus as therapeutic sound in TM and TRT, respectively.…”

Section: Introductionmentioning

confidence: 99%

Dynamical Properties of a Plastic Neural Network Model for Tinnitus Therapy and Inhibition of Oscillation Using Noise Stimulus

Fujimoto

Nagashino

Kinouchi

et al. 2007

2007 29th Annual International Conference of the IEEE Engineering in Medicine and Biology Society

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Abstract-Tinnitus is the perception of phantom sounds in the ears or in the head. Sound therapy techniques for tinnitus have been proposed. To account for mechanisms of tinnitus generation and the clinical effects of sound therapies from the viewpoint of neural engineering, we have proposed a plastic neural network model for the human auditory system. We found that this model has a bistable state, i.e., a stable oscillatory state and a stable equilibrium (non-oscillatory) state coexist at a certain parameter region. We also found that the oscillation can be inhibited by supplying sinusoidal stimulus, which is hypothesized as sound for treatment of tinnitus, to the model. By hypothesizing that the oscillation and the equilibrium correspond to generation and inhibition of tinnitus, respectively, we reported that these phenomena could explain the fact that the habituated human auditory system temporarily halts perception of tinnitus following sound therapy. This paper describes dynamical properties of the model and inhibition of the oscillation for two kinds of noise stimuli which correspond to sound for treatment of tinnitus in clinical. Through numerical simulations we found that adequate noise stimulus can inhibits the oscillation.

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Outcomes of Clinical Trial: Tinnitus Masking versus Tinnitus Retraining Therapy

Cited by 137 publications

References 22 publications

Tinnitus

Tinnitus

Treatment of Tinnitus: A Scoping Review

Dynamical Properties of a Plastic Neural Network Model for Tinnitus Therapy and Inhibition of Oscillation Using Noise Stimulus

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