scholarly journals Broadband Sound Equalized by The Hearing Loss Curves as an Improved Stimulus for Tinnitus Retraining Therapy-A Pilot, Non-Controlled Observational Study

2020 ◽  
Vol 16 (2) ◽  
pp. 207-212
Author(s):  
María Cuesta ◽  
◽  
Pedro Cobo ◽  
Keyword(s):  
Hearing Loss ◽  
Observational Study ◽  
Tinnitus Retraining Therapy ◽  
Retraining Therapy ◽  
Broadband Sound

A consideration of the effect of ear canal resonance and hearing loss upon white noise generators for tinnitus retraining therapy

1997 ◽  
Vol 111 (9) ◽  
pp. 810-813 ◽  
Author(s):  
David M. Baguley ◽  
Graham J. Beynon ◽  
Frances Thornton
Keyword(s):  
Hearing Loss ◽  
White Noise ◽  
Noise Generator ◽  
Major Advance ◽  
Ear Canal ◽  
Tinnitus Retraining Therapy ◽  
Hearing Sensitivity ◽  
Actual Spectrum ◽  
Retraining Therapy ◽  
White Noise Generator

AbstractTinnitus retraining therapy has been heralded as a major advance in the alleviation of tinnitus perception. A cornerstone of this technique is to use white noise produced by a white noise generator (WNG) over a period of several months in order to assist the patient to habituate to their tinnitus. There are three factors which influence the frequency spectrum of the perceived noise such that the perception of white noise from a WNG is unlikely. These factors are the actual spectrum of the emitted noise, the ear canal resonance of the patient and the hearing sensitivity of the patient.Advocates of tinnitus retraining therapy state that white noise is the optimal stimulation to assist habituation of tinnitus. This paper demonstrates that this optimal situation is unlikely to be achieved and that this may account for the long periods needed for patients to achieve benefit from the technique. The development of devices that allow for the above factors to be countered is suggested.

scholarly journals Noise Induced Hearing Loss with Tinnitus: Does TRT Help?

2017 ◽  
Vol 25 (1) ◽  
pp. 39-45
Author(s):  
Nidhi Vohra Maggon ◽  
Ashwani Sethi ◽  
Atul Gupta
Keyword(s):  
Hearing Loss ◽  
Noise Induced Hearing Loss ◽  
Post Intervention ◽  
Tinnitus Retraining Therapy ◽  
Profound Hearing Loss ◽  
Tinnitus Severity ◽  
Retraining Therapy ◽  
A Prospective Study ◽  
Patients Experience ◽  
Loss Severity

Introduction To determine if hearing augmentation and tinnitus retraining therapy (TRT) helps in cases of Tinnitus with Noise induced hearing loss (NIHL) and does degree of hearing loss, severity or duration of tinnitus affect recovery  Materials and Methods A prospective study was done on 100 patients of NIHL with tinnitus from Jan 14-Jul 15. Degree of hearing loss was assessed. Tinnitus severity was scored on Tinnitus handicap inventory (THI) scale as Slight, Mild, Moderate, severe or catastrophic and patients were subjected to TRT. Patients scored after 1 year of TRT. A relation between tinnitus severity, duration and degree of hearing loss on recovery from tinnitus was analysed. Result 62 of the 100 patients improved following TRT. Discussion In 100 patients THI scores improved from a mean of 63.12 (SD-21.12) to 38.16 (SD-18.21). Mean difference between pre and post-intervention THI scores was 24.96 (SD-17.97). Improvement was significant in severe or profound hearing loss (P<.001). Tinnitus severity was slight, mild, moderate, severe or catastrophic on THI. Following TRT, 82.35% with Catastrophic, 70.96% with severe, 52.63% with moderate, 20% with mild tinnitus improved. 1 patient with slight tinnitus did not improve. Based on duration of tinnitus three groups made; 0-6 months, 6-12 months and >12 months. All groups showed improvement. Reduction in Post-TRT THI was significant but did not show any difference among groups. Conclusion TRT helps in tinnitus with NIHL particularly if hearing loss is severe. Severe or catastrophic tinnitus patients experience greater improvement. Duration of tinnitus has no impact.

scholarly journals Purpose, Procedure, and Contents of Counseling according to Tinnitus Interventions

2021 ◽  
Vol 17 (2) ◽  
pp. 123-133
Author(s):  
Soon-Je Choi ◽  
Minseung Ku ◽  
TaeRim Lee ◽  
YeonWoo Sim ◽  
Jeeun Yoo ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Cognitive Behavioral Therapy ◽  
Web Of Science ◽  
Behavioral Therapy ◽  
Vital Role ◽  
Tinnitus Retraining Therapy ◽  
Purpose Procedure ◽  
Alternative Interventions ◽  
Correct Information ◽  
Retraining Therapy

Tinnitus refers to the perception of ringing sounds in the ear that are not heard by others. Counseling plays a vital role in tinnitus intervention. Counseling provides correct information about tinnitus and hearing loss, corrects any misunderstandings related to tinnitus, and suggests precise alternative interventions for tinnitus. In this review, we aimed to examine the counseling contents in Tinnitus Retraining Therapy (TRT), Cognitive Behavioral Therapy (CBT), and Tinnitus Activities Treatment (TAT) to identify information that could be useful for counseling approaches and contents for the various tinnitus intervention methods. We searched Web of Science, Embase, Science Direct, and PubMed for relevant articles. Of the 5,283 articles, 31 were included in the final review of counseling contents for TRT, CBT, and TAT. Based on our findings, we were able to summarize the main contents of counseling in TRT, CBT, and TAT. Although the contents of counseling may vary depending on the individuals with tinnitus, our review provided information that may help audiologists or hearing professionals further understand the fundamentals of counseling for each tinnitus intervention. Our review may serve as a guideline for tinnitus counseling according to tinnitus interventions.

Tinnitus Retraining Therapy

2004 ◽  
Author(s):  
Pawel J. Jastreboff ◽  
Jonathan W. P. Hazell
Keyword(s):  
Tinnitus Retraining Therapy ◽  
Retraining Therapy

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.

Three Years Later: Report on the State of Well-Being of Patients with Chronic Tinnitus Who Underwent Modified Tinnitus Retraining Therapy

2014 ◽  
Vol 20 (1) ◽  
pp. 26-38 ◽  
Author(s):  
Claudia Seydel ◽  
Heidemarie Haupt ◽  
Agnieszka J. Szczepek ◽  
Anne Hartmann ◽  
Matthias Rose ◽  
...  
Keyword(s):  
Management Strategies ◽  
Well Being ◽  
The State ◽  
Chronic Tinnitus ◽  
Tinnitus Retraining Therapy ◽  
Psychometric Instruments ◽  
Important Health ◽  
Retraining Therapy ◽  
Treatment Onset ◽  
A Minor

Successful management of patients with chronic tinnitus is an important health issue. One of the tinnitus management strategies used at our Tinnitus Center is a combination of tinnitus retraining therapy (TRT) with physiotherapy and psychological management [called modified TRT (MTRT)]. We have used this type of management for over a decade and have described the protocol in detail elsewhere. In the present study, we wanted to determine the effect of MTRT on the well-being of tinnitus patients 3 years after treatment onset. One hundred and thirty patients with chronic tinnitus were assessed using psychometric instruments immediately before 7-day MTRT, immediately after the therapy and 3 years later. Patients with very severe tinnitus-related distress associated with major depression and a risk of suicide were excluded from this study. MTRT resulted in a sustained reduction of tinnitus-related distress. Moreover, the quality of life of patients had increased, as assessed by a separate questionnaire. The effect of MTRT was influenced by the degree of tinnitus-related distress and by the patients' age, the latter being gender dependent. Hearing loss and tinnitus duration had only a minor influence on the therapeutic effect. Taken together, we report a positive change in the state of well-being of patients with chronic tinnitus measurable with various psychometric instruments 3 years after the onset of MTRT. i 2014 S. Karger AG, Basel

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