Auditory and visual 3D virtual reality therapy as a new treatment for chronic subjective tinnitus: Results of a randomized controlled trial

Autor: Olivier Warusfel, Pierre Bonfils, G Chatellier, R Niarra, D. Malinvaud, Alain Londero, Isabelle Viaud-Delmon, Ph Peignard
Přispěvatelé: Centre de neurophysique, physiologie, pathologie ( UMR 8119 ), Université Paris Descartes - Paris 5 ( UPD5 ) -Centre National de la Recherche Scientifique ( CNRS ), Service ORL et Chirurgie Cervico-Faciale [Hôpital Européen], Hôpital Européen Georges Pompidou [APHP] ( HEGP ), Service d’Épidémiologie et de Recherche Clinique [Hôpital Européen Georges Pompidou], Assistance publique - Hôpitaux de Paris (AP-HP)-Hôpital Européen Georges Pompidou [APHP] ( HEGP ), Equipe Espaces acoustiques et cognitifs, Sciences et Technologies de la Musique et du Son ( STMS ), Université Pierre et Marie Curie - Paris 6 ( UPMC ) -IRCAM-Centre National de la Recherche Scientifique ( CNRS ) -Université Pierre et Marie Curie - Paris 6 ( UPMC ) -IRCAM-Centre National de la Recherche Scientifique ( CNRS ), Cognition and Action Group ( COGNAC-G - UMR 8257 ), École normale supérieure - Cachan ( ENS Cachan ) -Université Paris Descartes - Paris 5 ( UPD5 ) -Centre National de la Recherche Scientifique ( CNRS ), Centre de neurophysique, physiologie, pathologie (UMR 8119), Centre National de la Recherche Scientifique (CNRS)-Université Paris Descartes - Paris 5 (UPD5), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Service d’Épidémiologie et de Recherche Clinique [CHU HEGP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Espaces acoustiques et cognitifs (EAC), Sciences et Technologies de la Musique et du Son (STMS), Institut de Recherche et Coordination Acoustique/Musique (IRCAM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS)-Institut de Recherche et Coordination Acoustique/Musique (IRCAM)-Sorbonne Université (SU)-Centre National de la Recherche Scientifique (CNRS), Cognition and Action Group (COGNAC-G - UMR 8257), École normale supérieure - Cachan (ENS Cachan)-Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Université Paris Descartes - Paris 5 (UPD5)-Centre National de la Recherche Scientifique (CNRS), Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP), Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpital Européen Georges Pompidou [APHP] (HEGP), Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (APHP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), Université Pierre et Marie Curie - Paris 6 (UPMC)-IRCAM-Centre National de la Recherche Scientifique (CNRS)-Université Pierre et Marie Curie - Paris 6 (UPMC)-IRCAM-Centre National de la Recherche Scientifique (CNRS)
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
Time Factors
Multivariate analysis
Severity of Illness Index
tinnitus/psychology
law.invention
Disability Evaluation
Tinnitus
0302 clinical medicine
Randomized controlled trial
law
Informed consent
Surveys and Questionnaires
030223 otorhinolaryngology
10. No inequality
[ INFO.INFO-GR ] Computer Science [cs]/Graphics [cs.GR]
Middle Aged
Sensory Systems
Virtual reality therapy
[INFO.INFO-GR]Computer Science [cs]/Graphics [cs.GR]
3. Good health
auditory perception
Treatment Outcome
[ SDV.MHEP.OS ] Life Sciences [q-bio]/Human health and pathology/Sensory Organs
Visual Perception
Female
[SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
medicine.symptom
Psychology
Clinical psychology
Tinnitus/therapy
Adult
Paris
medicine.medical_specialty
Visual analogue scale
Virtual reality
03 medical and health sciences
Imaging
Three-Dimensional
Computer Graphics
medicine
Humans
[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs
Aged
Cognitive Behavioral Therapy
Virtual Reality Exposure Therapy
virtual reality exposure therpay
Therapeutic effect
[ SDV.NEU ] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC]
Chronic Disease
Physical therapy
030217 neurology & neurosurgery
Zdroj: Hearing Research
Hearing Research, Elsevier, 2016, 333, pp.127-135. 〈10.1016/j.heares.2015.12.023〉
Hearing Research, Elsevier, 2016, 333, pp.127-135. ⟨10.1016/j.heares.2015.12.023⟩
ISSN: 0378-5955
DOI: 10.1016/j.heares.2015.12.023〉
Popis: International audience; BACKGROUND: Subjective tinnitus (ST) is a frequent audiologic condition that still requires effective treatment. This study aimed at evaluating two therapeutic approaches: Virtual Reality (VR) immersion in auditory and visual 3D environments and Cognitive Behaviour Therapy (CBT).METHODS: This open, randomized and therapeutic equivalence trial used bilateral testing of VR versus CBT. Adult patients displaying unilateral or predominantly unilateral ST, and fulfilling inclusion criteria were included after giving their written informed consent. We measured the different therapeutic effect by comparing the mean scores of validated questionnaires and visual analog scales, pre and post protocol. Equivalence was established if both strategies did not differ for more than a predetermined limit. We used univariate and multivariate analysis adjusted on baseline values to assess treatment efficacy. In addition of this trial, purely exploratory comparison to a waiting list group (WL) was provided.RESULTS: Between August, 2009 and November, 2011, 148 of 162 screened patients were enrolled (VR n = 61, CBT n = 58, WL n = 29). These groups did not differ at baseline for demographic data. Three month after the end of the treatment, we didn't find any difference between VR and CBT groups either for tinnitus severity (p = 0.99) or tinnitus handicap (p = 0.36).CONCLUSION: VR appears to be at least as effective as CBT in unilateral ST patients.
Databáze: OpenAIRE
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