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Author: admin | 26.01.2014 | Category: Tinnitus Hearing Loss

As a member you enjoy a 50% discount on the purchase of all Sound Oasis Sleep Sound Therapy and White Noise Sounds. First, I must tell you that after using the S-100 for the past one month, many nights I have slept deeply enough at times to dream more creative, interesting dreams than I ever have and think it’s because of the S-100’s clear, steady sound. Tinnitus or constant ringing sound inside the ears in the absence of sound is very common in people of ages. This study examines the outcomes of patients undergoing the Neuromonics tinnitus treatment protocol at a single, tertiary referral center over a 2-year period. Tinnitus, defined as head noise in the absence of an acoustic stimulus, is a complex symptom affecting 40-60 million people in the United States [1]. Various questionnaires, such as the Tinnitus Handicap Questionnaire, Tinnitus Effects Questionnaire, Tinnitus Handicap Inventory, and Tinnitus Reaction Questionnaire (TRQ), have been developed as a means of quantitatively assessing the effect tinnitus has on an individual's quality of life [11-13].
This study evaluated our experience with the Neuromonics device in suitable patients from August 2007 to July 2009. All patients who initiated treatment with the Neuromonics device at our clinic between August 2007 and July 2009 were included in this study. Treatment with the Neuromonics device involves two components: soft, relaxing music of varying amplitude and a separate wideband noise similar to white noise. At 2 months after initiation, patients repeated audiological testing, completed a new TRQ, and were subsequently transitioned to the next phase of treatment (phase 2).
There was no appreciable change in hearing levels during the course of the treatment for any of the patients (data not provided). Thirteen of the 15 patients in the incomplete group returned their device within 3 months of initiation. The average percent change in TRQ score from initial to last test was also examined as a function of the initial TRQ score. Tinnitus is not a disease but rather a complex symptom believed to result from abnormalities in central and peripheral auditory pathways. In this study, 47 patients were enrolled in a treatment protocol with the Neuromonics device over a 2-year period.
Though these results provide evidence of potentially successful treatment with the Neuromonics device, there was also a large group of nonresponders. Candidacy criteria for the Neuromonics tinnitus treatment protocol have not been firmly established, though some basic guidelines have been proposed by the manufacturing company (Neuromonics Clinician's Guidelines, Client Candidacy Guide, Neuromonics Pty Ltd., Sydney, Australia).
The extent of a patient's reaction to his or her tinnitus, as measured by the initial TRQ score, might be an important variable to consider when determining treatment efficacy. Though hearing considerations are certainly important in deciding on treatment strategies for patients with tinnitus, the current study did not demonstrate any differences in hearing threshold levels among those who were successful in completing the Neuromonics protocol and those who were not, nor was there a correlation of PTA to percentage change in final TRQ score. We thank Lonneke Heuvelmans, AuD, and Nicole Greene, AuD, for their assistance with this project.
It does not play nature sounds unless you connect it to a sound player like a smartphone, tablet, CD player, etc. Doctors tend not to label it as an ailment but might be a characteristic of an ear infection, circulatory disorder and trauma inside ears or perhaps an ageing effect. A retrospective review of patient records was performed with the objective of collecting demographic and audiological information and identifying changes in score on an established tinnitus questionnaire (Tinnitus Reaction Questionnaire [TRQ]) after treatment.
Though the precise etiology in most cases is unknown, an abnormal interaction between peripheral and central auditory pathways is believed to play a role in tinnitus development [2]. The TRQ has been used extensively in research protocols and is useful as a means of measuring a change in a subject's tolerance of tinnitus [2,11].
Historical, demographic, and audiological information was reviewed, and the percent change in TRQ score was calculated for those patients completing the treatment course. A total of 47 patients underwent the initial assessment and went on to receive the Neuromonics device.
At different stages in the treatment protocol, the white noise is added or taken away to help mask the tinnitus or aid in desensitization, respectively. Each patient completed the TRQ, a 26-question survey designed to measure patient attitudes and thoughts about their tinnitus over the previous week (Table 2). The audiologist set the minimum volume of the device, determined the levels for use at different stages in the protocol, and discussed device usage and management with the patient. Again, they were asked questions regarding the level of interaction with their tinnitus and any relief experienced up to this point. The broadband masking threshold, loudness discomfort levels, and residual inhibition levels were retested. Chi-square was used to compare categorical variables between groups, and analysis of variance was used to test differences between group means.
Table 3 shows the mean TRQ scores for each of the three groups and all patients at each test interval.
Significant research efforts have been undertaken over the last two decades to better understand the causes of tinnitus and to examine the effects of various proposed treatments [3,4,14-17]. Fifteen of the 47 patients (32%) enrolled in the treatment protocol eventually returned their device and did not complete treatment.
Unlike those with a specific disease process, patients with tinnitus need not necessarily go through a series of progressively more involved treatments. In the current study, we found no significant correlation between final percent change in TRQ score and initial TRQ score, although patients with initial TRQ scores higher than 26 had a larger percentage reduction in TRQ score (see Table 4).
Hearing aids must still be considered a valuable and successful therapy for patients suffering from hearing loss and tinnitus and should be discussed as a treatment option for appropriately selected patients. Though research efforts continue to try to understand the mechanisms and causes of subjective tinnitus, new treatments are being developed to aid those suffering from this difficult problem.
Prolonged ringing inside the ears is disturbing enough, and a lot of adopt natural strategies to tinnitus cure, effective to a degree. Forty-seven patients initiated treatment with the Neuromonics device during the study period. Various therapies have been proposed for the treatment of tinnitus, including the use of masking devices, hearing aids, cognitive behavioral therapy, habituation programs, acupuncture, transcranial magnetic stimulation, and various herbal and vitaminbased supplements [3-10]. We hypothesize that the Neuromonics device can aid in tinnitus desensitization and lessen patient symptomatology and, thus, is a unique therapeutic option.


All patients were referred by physicians in our clinic to audiologists within the clinic specializing in tinnitus treatment. There was a wide range of duration of tinnitus prior to using the Neuromonics device, with the majority of patients having had tinnitus for 5 years or less. Treatment with the Neuromonics device is designed to be received through the use of individual earphones.
For each question on the TRQ, a score from 0 to 4 is possible, with a total TRQ score that may range from 0 (no bothersome tinnitus) to 104 (maximally bothersome tinnitus). At 2 weeks after the initial assessment, patient use time was uploaded from the device to a computer.
At this point, patients were counseled to turn the volume of the device down so that they could hear their tinnitus 60% of the time and the music the remaining 40% of the time (with the device on) for desensitization purposes.
Paired samples t-tests were used to evaluate the difference in initial, final and initial, and second TRQ scores, whereas independent samples t-tests were used to examine differences between patients with and without prior treatment. Nine patients felt that the device was of no help, whereas four patients felt it made their tinnitus worse. Table 4 shows the breakdown of mean change to last test by group and initial score category.
Recently, a customized acoustic stimulus delivery system, the Neuromonics device, was introduced as a means of promoting neural plasticity within the auditory system in hopes of minimizing or abolishing tinnitus-related symptomatology [2,14]. The average reduction in TRQ score for this group was 62%, similar to that found in earlier studies [2].
Most reported that the device was of "no help" and felt that the device may have made their tinnitus subjectively worse. Consequently, the Neuromonics protocol may prove equally effective in patients who have and have not tried other treatments. This is not unexpected, as individuals with TRQ scores of less than 26 likely represent patients who are less affected by their tinnitus and consequently are less likely to have a substantial change in their symptoms with any treatment modality. Further studies will be necessary to determine whether there is a minimum threshold level that is required for patients undergoing treatment with the Neuromonics device, because issues related to maximum device amplitude may arise with more profound hearing losses. The Neuromonics tinnitus treatment protocol was designed to target both the auditory and behavioral components involved in an individual's perception of tinnitus. Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: Underlying principles and clinical efficacy. Biofeedback-based behavioral treatment for chronic tinnitus: Results of a randomized controlled trial. Transcranial magnetic stimulation for the treatment of tinnitus: A new coil positioning method and first results. Effects of repetitive transcranial magnetic stimulation on chronic tinnitus: A randomized, cross-over, double blind, placebo-controlled study.
Tinnitus Reaction Questionnaire: Psychometric properties of a measure of distress associated with tinnitus. Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. Treatment of tinnitus with a customized, dynamic acoustic neural stimulus: Clinical outcomes in general private practice.
Treatment of tinnitus with a customized acoustic neural stimulus: A controlled clinical study.
Tinnitus Miracle supplies the optimal way of tinnitus cure eradicating the challenge forever. Fourteen patients completed treatment, and another 18 were actively undergoing treatment at the end of the study period. Though some of these treatments have proven beneficial for select patients, a definitive treatment for tinnitus remains to be discovered.
Patients subsequently completed a tinnitus history questionnaire that included demographic information and information about prior ear surgeries, duration of tinnitus, affected ear(s), any prior treatments aimed at tinnitus relief, and any history of medical problems or comorbid conditions. Discussion about device use ensued, and questions regarding interaction with the treatment and relief obtained were asked and recorded. During phase 2, the wideband noise was dropped completely, and the patient listened only to the relaxing music during Neuromonics use. They were also instructed to decrease use of the device to 2-4 hours per week and, eventually, to use it only when needed (maintenance phase).
Pearson correlation coefficients were computed to examine the relationships between PTA, initial TRQ, and percent change in TRQ. The few patients in the lowest initial TRQ score category had the smallest average change, but score categories beyond that showed little difference. Preliminary data reported on the use of the Neuromonics device have shown that more than 80% of patients achieve clinically significant reduction in their tinnitus, defined as a greater than 40% reduction in tinnitus disturbance as measured by the TRQ [18]. Moreover, 11 of 14 (78.6%) had a greater than 40% reduction in TRQ score over the course of the treatment, a definition for success that has been used in prior studies [2]. The average initial TRQ score for this group was 53.9, a value that fell between the average initial scores for the completed and active groups.
Most patients in this study received some form of prior treatment, but the mean percent reduction in TRQ score for patients in the completed group without any prior treatments (n = 4) was not significantly different from that of those with prior treatments (n = 10). We also found no significant correlation between initial TRQ score and duration of use of the device. Its specialized acoustic stimulus targets the effects of auditory deprivation while its relaxing music is intended to reduce involvement of the limbic and autonomic nervous systems in the perception of tinnitus.
The Neuromonics tinnitus treatment protocol (Neuromonics Pty Ltd., Sydney, Australia) is a relatively recent therapeutic option that was developed to target both the auditory and behavioral components involved in an individual's perception of tinnitus [2]. The completed group consisted of 14 patients who completed the 6- to 8-month course of treatment with the Neuromonics device. Although the incomplete group appeared to have a larger percent of patients in this long-duration category, there were only a very small number of such patients (n = 3), and the difference from the other two groups (each n = 1) was not statistically significant. Pure-tone audiometry with supraaural headphones was performed at inter-octave frequencies from 250 to 8,000 Hz, with additional highfrequency testing from 10 to 12.5 kHz. During this phase, the background wideband noise was consistently present while the intensity of the relaxing music was periodically altered.


We also examined initial TRQ score and percent change in TRQ score at last test as a function of reported duration of tinnitus symptoms (Table 5). However, owing to its recent introduction, there are a limited number of studies evaluating the therapeutic effectiveness of the Neuromonics device in clinical practice.
The two additional groups in our patient population were those patients who were still actively undergoing treatment at the end of the study period (active group) and those who returned their device (incomplete group).
There is a need for continued research to examine whether a single treatment modality or multiple treatment methods, either simultaneously or in succession, is necessary for optimal relief of tinnitus.
That is, initial score was not predictive of who found the device of no help and gave up its use early. Based on the results of our study, the Neuromonics device appears to be useful as a means of significantly reducing the effects of tinnitus on an individual's daily life.
Of those who completed the treatment, the mean posttreatment TRQ score was significantly lower than the pretreatment score ( p ~ .001).
This therapy involves the use of a specialized acoustic stimulus aimed at targeting the effects of auditory deprivation and relaxing music to reduce involvement of the limbic and autonomic nervous systems in the perception of tinnitus. The active group consisted of 18 patients who were actively undergoing treatment but had not yet completed the planned course at the end of the study period.
Most of the patients (72%) had reported trying prior treatments, including hearing aids (n = 8), maskers (n = 10), music (n = 9), vitamins (n = 11), biofeedback (n = 2), tinnitus retraining therapy (n = 1), and other therapeutic options (n = 7).
The number of patients in any one group and duration category are too small for statistical analysis, but there appears to be a tendency for those with a very short duration of symptoms to show the most improvement. Of all patients with at least one follow-up TRQ, 75% had a greater than 40% reduction in TRQ score. Nevertheless, it will be important to delineate which candidates are more likely to benefit from treatment with the Neuromonics device, and initial severity of symptoms is a factor warranting further study. Future clinical studies are needed regarding the precise candidacy criteria and longer-term efficacy of this novel treatment device. Systematic desensitization is also used to combat the attentionrelated component of an individual's perceptive response to tinnitus.
The incomplete group was made up of 15 patients who returned their device or chose not to complete the course of treatment during the study period.
All patients were counseled regarding the nature and course of tinnitus as a complex symptom and their candidacy for the Neuromonics device. Across all patients, the mean percent improvement declines slightly with each increment in duration, although this did not achieve statistical significance. Our data were somewhat limited, as the number of patients who successfully completed the protocol with initial TRQ scores at either extreme was small.
Across all 47 patients, 48.9% achieved a successful reduction of 40% or greater in TRQ score. Although only the completed group had final TRQ scores, some patients in the other groups had one or more follow-up tests. Further clinical information will be needed to determine whether patients with extremely high initial TRQ scores, and thus more bothersome tinnitus, are perhaps more likely to benefit from treatment. It came to light that some permanent changes had occurred in cochlear and vestibular areas as a result of utilization of Streptomycin.
There was no correlation among pure-tone average, initial TRQ score or duration of use, and percentage change in TRQ score for those with at least one follow-up test. Based on these preliminary findings, treatment with the Neuromonics device is successful in reducing TRQ scores in appropriately selected patients with tinnitus.
Ototoxic drugs were the name devised to explain drug families that caused tinnitus by their use.
This was a fresh area in medicinal science that saw the light of day. There is not any cure for tinnitus and previous therapy includes wearing a hearing aid all day long approximately 18 to a couple of years.
The compliance level is usually low for this device since the majority of people will not wear it for your long. Recently, different therapies for tinnitus offer choices to shutting down the loud party occurring inside your ears.
Edwards has tried and gotten reduced one therapy manufactured by Neuromonics, Inc in Bethlehem, PA. The device developed by an Australian audiologist looks like a MP3 player and provide off a sort of white noise embedded within relaxing music. The noise spans the auditory system and also at a price of five grand the unit is tailored specifically for each patient's particular level of tinnitus. The device operates by masking the noise of tinnitus. The physical advantages or health advantages on the body range from the rise in all the different motion of the patient.
Most from the patients that are into this type of natural treatment are either athletes or individuals who're always active as well as on a tight schedule. Due to their lifestyles, they have a tendency being more prone to injuries, strains, and muscle tensions that build up with each strenuous activities and constant pounding of pressure on his or her physical constitution. The amazing bodywork treatment provides respite from restrictions for the movement of the clients at once raises the flexibility, body coordination, as well as the overall structural balance. Improvement in the posture with the patient can also be noticeable inside a few sessions in the therapy program which helps improve the integrity, function, and overall health from the whole body system. Dramatic changes in the circulatory system from the client will also tinnitus miracle scam be essential improvements that could be received in the therapy. Enhancement with the body s defensive system popularly referred to as body's defence mechanism against all sorts of sickness and disease can be raised up stronger than with no intervention of massage therapists. In addition on the health advantages, treatments also leaves an incredibly satisfying effect for the mind and body inside the form of total relaxation. Although there is often slight pain felt during the treatment session, overall, the procedure may be soothing and cozy to almost anyone who prefers the healing art. Notwithstanding the truth that numerous so-called wonder alternatives perhaps sound too good to be real, you need to still avoid surgery as an what causes tinnitus option!
The region is definitely an intricate location, so despite the different procedures which is often had, you'll find large-scale risks involved along with the benefits are marginal more often than not.



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