Evaluation of a Customized Acoustical Stimulus System in the Treatment of Chronic Tinnitus
| Autor: | Karen Pinsky, Sharon A. Sandridge, Craig W. Newman, Julie Daugherty, Patricia Ramos, Robert A. Battista, Jack J. Wazen, William M. Luxford |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Referral Chronic tinnitus Stimulus (physiology) Audiology Tinnitus Patient Education as Topic Surveys and Questionnaires otorhinolaryngologic diseases Humans Medicine Prospective Studies Aged Aged 80 and over Cognitive Behavioral Therapy business.industry Middle Aged Sensory Systems Treatment Outcome Acoustic Stimulation Otorhinolaryngology Patient Satisfaction Chronic Disease Female Neurology (clinical) business |
| Zdroj: | Otology & Neurotology. 32:710-716 |
| ISSN: | 1531-7129 |
| Popis: | The purpose of this study is to evaluate the efficacy of a customized acoustical stimulus (Neuromonics) system in the treatment of chronic tinnitus.Multi-institutional prospective.Nine U.S. Tertiary Otological referral centers; ambulatory.Fifty-two adults with chronic tinnitus for a minimum of 6 months, with poor or no response to previous treatments, and not undergoing concomitant therapies were enrolled.Treatment was delivered in 2 stages: Stage 1 consisted of stimulation with the patient-customized musical tracks and white noise masking of the tinnitus for 2 months, 2 to 4 hours a day. Stage 2 consisted of listening to the same tracks, with no tinnitus masking for 4 months. Both phases included education, cognitive therapy, and periodic follow-up.Treatment response was measured through validated psychometric testing: the Tinnitus Reaction Questionnaire and the Tinnitus Handicap Inventory. Other measures included the Hospital Anxiety Depression Scale and loudness discomfort levels.Patients' responses were recorded from 38 patients at 6 months, 28 patients at 12 months, and 12 patients at 24 months after initiation of treatment. A total of 14 patients withdrew or were lost to follow-up, and the rest had not reached the 12- or 24-month testing interval. The Tinnitus Reaction Questionnaire score was significantly reduced in 74% of patients at 12 months and 84% of patients at 24 months. Tinnitus Handicap Inventory scores were significantly reduced in 77% of patients at 12 months and 50% at 24 months.The customized acoustical stimulus system offers a safe and effective means of tinnitus management for patients with chronic tinnitus. |
| Databáze: | OpenAIRE |
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