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Author: admin | 25.06.2015 | Category: One Ear Ringing

Masking is using sound therapy as a way of taking back control of your tinnitus by covering it up with a more acceptable type of sound. If you are completing some Tinnitus Retraining Therapy having a white noise hearing aid or bedside machine is essential. My recent post entitled How to Habituate to Tinnitus looked at Tinnitus Habituation from a mainstream perspective to make sure that you have covered all of your bases with regard to tinnitus treatments.
Every journey begins with the first step however preparing the ground before making the first step can be crucial to maintaining longevity for making changes in our lives. This post will explain the mainstream steps of treatment you might experience in your quest to find a tinnitus solution. The aim of this pilot study was the evaluation of the neuro-music therapy approach as a new treatment option for patients with recent-onset tinnitus whose tinnitus symptoms were enduring after initial pharmacological treatment.
Tinnitus, the phenomenon of ringing or buzzing in the ears without an external sound source has evolved into one of the most common symptoms in ENT medicine. The persisting tinnitus symptoms are often leading to substantial distress and, as a consequence, many tinnitus patients display other psychiatric comorbidities or psychological stress symptoms (Gabr, Abd El-Hay, & Badawy, 2011).
Although the exact causes for tinnitus generation are not completely understood yet, structural and functional alterations of neuronal networks seem to play a crucial role. In recent neuro-imaging studies in patients with chronic subjective tinnitus, the involvement of nonauditory brain areas is moving more and more into the scientific focus. However, studies investigating neural changes in the case of recent-onset tinnitus are still rare.
Within the context of an increased understanding of neural mechanisms underlying tinnitus generation, the need for a new therapy approach based on neuroscientific findings becomes apparent, especially for patients with acute tinnitus.
The neuro-music therapy for recent-onset tinnitus introduced in this research paper strives for an integration of strategies to manage the psychological state and possibly for a restore of the underlying neurophysiological reorganization.
Complementary music- and psychotherapeutic interventions were developed to intervene at different levels of the neural tinnitus network: (a) a targeted auditory training focusing on tinnitus processing in the central auditory system, (b) techniques of auditory attention control and concentration, as well as (c) psychotherapeutic intervention strategies for enhancing emotional control of tinnitus. The aim of this pilot study was to adapt and to evaluate the neuro-music therapy approach as a new treatment option for patients with recent-onset tinnitus after initial medical treatment has failed.
The pilot study was conducted in accordance with the Declaration of Helsinki and approved by the local ethics committee. In all, 15 patients (7 woman and 8 men, 29-59 years old) with acute tinnitus (6-12 weeks) were included in our pilot study.
Prior to music-therapeutic treatment, patients underwent a standard audiological evaluation and otolaryngological examination, including pure-tone audiogram, tympanometry, otoacoustic emission, stapedius reflex tests, and vestibular diagnostics. To investigate the patients’ general mental state, the German version of the Symptom Check List–90–Revised (SCL-90-R; Franke, 1995) was used at the beginning of treatment.
Changes in individual TQ-score were evaluated by the reliable change index (RC) according to Jacobson and Truax (1991). The neuro-music therapy for recent-onset tinnitus is a manualized short-term music-therapeutic treatment lasting for 10 consecutive 50-min sessions of individualized therapy. Counseling: All patients received a comprehensive psycho-educative counseling to establish a cognitive model of tinnitus. Individual Consultation: After the fifth therapy session, a psychotherapeutic consultation took place to review the course of treatment up to now. The Resonance Training was intended to increase blood circulation of the entire head, especially in tinnitus-related brain regions, and to innervate the auditory pathway via somatosensory stimulation (Levine, Abel, & Cheng, 2003). To ensure that the Resonance Training was performed correctly, the therapist palpated the nasal root, the frontal and paranasal sinuses, as well as so-called “trigger points” on the back (Alvarez & Rockwell, 2002). The Neuroauditive Cortex Training used tone sequences centered around the transposed frequency of the patients’ previously determined “tinnitus-equivalent.” These tone sequences were performed live on a piano by the therapist and had to be vocally imitated by the patient. A systematic and targeted training of inaccurately intonated musical sounds enabled the patients to exert influence on their auditory processes as they learned to actively filter out irrelevant information and to concentrate on relevant acoustic stimuli. The Tinnitus Reconditioning offered coping mechanisms related to stress control along with a sound-based habituation procedure. Relaxation training: As it was a well-known and effective relaxation exercise, the music-therapeutic relaxation training according to Bolay and Selle (1984) was adapted to the needs of the tinnitus therapy. Habituation training: During the relaxation exercise, the tinnitus sound was integrated intermittently into the background music.

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Tinnitus treatmentThis website uses cookies for remembering your choices and for web statistics. Music gives you the chance to relax and kick back without having to put too much effort in. In most cases finding your tinnitus solution is a long term strategy so preparing for long term changes is more than just taking the first step.
Before posting on more specialised treatments i think it is important to acknowledging the mainstream types of tinnitus habituation treatment available. The accident resulted in one of our founding members suffering head injuries and hearing damage which caused persistent tinnitus. In all, 15 patients with recent-onset tinnitus took part in our manualized short-term music-therapeutic treatment.
Its prevalence rate is estimated to be about 10% to 15% of the general population (Hall et al., 2011). The most common causes are sudden sensorineural hearing loss as well as noise-induced hearing loss, resulting from exposure to high-intensity sounds (acute acoustic trauma). So far, the research on neural changes associated with tinnitus perception has focused almost exclusively on patients with chronic tinnitus. These techniques and interventions were structured into modules leading to a manualized short-term music-therapeutic treatment concept (see “Materials and Methods” section for a detailed description of this music therapy manual). The specific interventions were expected to be able to intervene at an early stage in those neuronal processes leading to a chronic manifestation of the tinnitus symptom. To decide whether patients were eligible for our study, they underwent some initial examinations. If these results were without pathological findings, patients were included in this pilot study. The questionnaire records tinnitus-related complaints on a global TQ-score as well as on the five subscales: (a) emotional and cognitive distress, (b) tinnitus intrusiveness, (c) auditory perception difficulties, (d) sleep disturbances, and (e) somatic complaints. It has been developed to measure especially attention and performance problems in tinnitus patients. This approach allows for individual changes being classified as reliable changes if they are unlikely to be due to simple measurement unreliability. To compute the RC for the global TQ-score, standard deviation and reliability of the TQ manual (Goebel & Hiller, 1998) were used. Therapy took place in the German Center of Music Therapy Research in Heidelberg on 5 consecutive days (from Monday to Friday) with two therapy sessions per day. Patients were informed about the underlying neuroscientific principles of the music therapy.
During this consultation, patients could also talk about stressful life situations or tinnitus-related fear for the future. In addition to an increased auditory attention control, this training aimed at a neuronal reorganization of the auditory cortex. By means of music as calming background stimulus, the balance between the activity of the sympathetic and the parasympathetic branches of the autonomic nervous system should be restored. The volume was adapted to the individual hearing level compensating for a potential hearing deficit. Relaxation can take place anywhere whilst listening to music when travelling, at work or at home. Firstly as part of your TRT you will need to be able to hear your tinnitus integrated with white noise. One common complaint in people affected by problematic tinnitus is not being able to sleep. Tinnitus severity and individual tinnitus distress were assessed by the German version of the tinnitus questionnaire (TQ) and the Attention and Performance Self-Assessment Scale (APSA) at three different measurement times: baseline (T0), start of treatment (T1), and end of treatment (T2). In Germany, about three million people suffer from tinnitus, and this number is rising by 235,000 annually (Hesse & Laubert, 2010). The diagnosis of acute tinnitus comprises those perceptions that are persisting for a maximum of 3 months.

Furthermore, acute tinnitus frequently occurs as a result of stressful and emotionally charged life situations or as a side effect of medication. However, none of these treatment modalities has yet shown repeated efficacy in controlled trials (Elgoyhen & Langguth, 2011). The efficacy of the therapy should initially be reflected in a significant reduction of subjective perceived tinnitus distress.
Some important demographic and tinnitus-related characteristics of the included patients are provided in Table 2. It contains 90 items yielding nine scores of the primary symptom dimensions: (a) somatization, (b) obsession-compulsion, (c) interpersonal sensitivity, (d) depression, (e) anxiety, (f) hostility, (g) phobic anxiety, (h) paranoid ideation, and (i) psychoticism. The range of values is between the minimum score of 0 and the maximum score of 84, whereas high values indicate high tinnitus-related distress. The range of values for this questionnaire is between the minimum score of 0 and the maximum score of 120. This yields a critical difference of 6.1 in TQ raw score which equals a change of at least 8 percentage points.
The complementary music- and psychotherapeutic interventions were structured into the following modules.
As the specific modules used in therapy were based on the patients’ individual tinnitus sound, their “tinnitus-equivalent” had to be set up.
During the interval between the sessions, the patients had to exercise in Resonance Training for 3 min every hour. For this purpose, before the training session started, the patients had to set the background music to a convenient level such that they could easily listen to the music while still being able to follow verbal instructions from the therapist. Having a sound therapy machine or hearing aid will allow you to take some much needed rest. Score changes in TQ and APSA from start to end of treatment indicated significant improvements in tinnitus-related distress. The involvement of these manifold brain structures implies the existence of neural tinnitus networks with coactivation of tinnitus areas all over the brain (Schlee, Hartmann, Langguth, & Weisz, 2009). The main objective of a recent study conducted by Vanneste, van den Heyning, and de Ridder (2011) was to investigate the differences of the neural network between tinnitus of recent-onset and chronic tinnitus.
In addition, Cohen’s d effect size was calculated to measure the magnitude of the treatment effect. For patients who described their tinnitus as tonal, tinnitus frequency was matched by a sine wave generator of the type GwINSTEK SFG-2104 which produced pure sinusoidal tones in Hertz. This process of being calm and relaxed and listening to your tinnitus is an essential part of retraining your reactions to your tinnitus.
According to the Jacobson and Truax reliable change index (RC), 73.3% of the patients showed a reliable reduction in individual TQ-score. These adjuvant psychotherapeutic interventions consist of one or more of the following elements: psycho-educative counseling, relaxation training, and general as well as tinnitus-related stress management. Within these networks special attention shall be given to the limbic system, which may be responsible for the emotional evaluation of tinnitus sounds.
Their results indicate that the neural structures detected in both acute and chronic tinnitus were not only identical (comprising auditory cortices, insula, dorsal ACC, and premotor cortex) but also revealed differential activity and connectivity patterns within this network.
The second reason is that it is important for you to feel you are able to take some time out without your tinnitus.
The neuro-music therapy for recent-onset tinnitus according to the “Heidelberg Model” introduced in this pilot study seems to provide an effective treatment option for patients with recent-onset tinnitus. In particular with regard to coping with tinnitus, their effectiveness has been demonstrated in the above-mentioned studies. The amygdala in particular is suspected of mediating emotional decompensation in chronic tinnitus (de Ridder et al., 2006). However, these psychotherapeutic interventions are mainly concerned with symptom management and are not intended to cure the symptom.

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