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Author: admin, 05.07.2014. Category: Ring In The Ears

The Sound Oasis Sleep Sound Therapy System S-650-02 delivers unmatched therapeutic sound experience specifically developed for Tinnitus Relief. The S-650-02 incorporates the world's only "sound card" technology which enables you to change sound themes by simply inserting a new memory card containing 12 different sounds.
The Sound Oasis® Ear Therapy sound card provides advanced sound therapy to help tinnitus sufferers mask and manage their tinnitus at home or work.
Each sound track has multiple high range frequencies built right into the music so it is more palatable to play-during the day or to sleep with at night.
Your Sound Oasis® advances the science of sound therapy by incorporating clinically proven sound therapy sounds developed by Dr. White noise, Ocean Surf, Rain, Stream, Woodlands, Thunderstorm, Energy Chimes, Tranquility, Alpha Clouds, Sleep Surf, Delta Voyage, and Dreams Echoes. A combination of counseling and sound therapy has proven effective for people with chronic tinnitus. The patients’ reactions to their tinnitus are also measured with questionnaires, such as the Tinnitus Handicap Questionnaire, which is used worldwide, and the new Tinnitus Activity Limitations Questionnaire.
Emotions: The patient is asked to describe fears and concerns about how tinnitus is affecting his or her life and health. Concentration: Patients are asked to identify situations when tinnitus interferes with concentration. Most patients find the use of background sound very helpful in combination with counseling.
For Tinnitus Activities Treatment, a low-level partial masking sound is recommended, during which the patient will perceive both the tinnitus and the background sound. Music: Studies have found music to be effective for encouraging relaxation and reducing anxiety. Modulated tones: In this newer type of sound therapy, amplitude and frequency can be varied, resulting in softly pulsing tones. Sound therapy has been shown to be more effective when combined with some form of counseling. Tinnitus Activities Treatment is one of several tinnitus treatments that combine counseling with sound therapy. Cognitive behavioral therapy (CBT): This method of counseling has been used for depression, anxiety, post-traumatic stress disorder, and other conditions. Tinnitus Retraining Therapy (TRT): This therapy aims to achieve habituation to your tinnitus. Previously, I’ve written a Guest Article on The Hearing Blog on the subject of Notched Sound Therapy as a treatment for tinnitus. Mark Bennett, a master’s student at the University of Western Ontario has written an excellent thesis on this very subject.1 Although the paper was unpublished, Bennett provided some great analysis on the subject. This critical review examines the effects of notched-sound therapy on the human auditory system and its’ potential as a novel and effective treatment option for tinnitus.
The final absolute tinnitus loudness decreased significantly by roughly 12dB from baseline in the WWN group upon completion of the treatment the perception of tinnitus was entirely eliminated in four of the twenty participants in the WWN group. For the low frequency group, significant reductions were found in at least one outcome measure at all intervals post-treatment.
MEG measurements represent large areas of the nervous system and should be interpreted with caution. The studies under review differed in many ways including: forms of notched sound (noise vs. Overall, I felt that Bennett’s paper represented a fair appraisal of the limitations of the evidence for Notched Sound Therapy. It’s been brought to our attention from several of our readers that they were having their comments rejected by the Akismet plug-in for WordPress as spam. Sequential sound therapy, which uses wide-band white noise distinguished by some unique characteristics, is applied in the treatment of tinnitus. Currently, tinnitus treatment involving the application of sounds is being performed according to a protocol defined as tinnitus retraining therapy (TRT) [1-6], which consists basically of the application of white noise of an intensity inferior to that of tinnitus to permit a patient's habituation to and decreased perception of tinnitus. TRT, which is being performed worldwide, is considered a conceptual methodology that has helped to standardize the treatment of tinnitus.
The neurophysiological model is structured as a net composed of five aspects: the generation, detection, emotional aspects, and perception of, and the aversive reaction to tinnitus. Therapeutic counseling for tinnitus should primarily address a patient's understanding of the condition.
Sound therapy is created using noises from three sources, such as natural sounds from a patient's environment, sound amplification of earphones, and generators of white noise of a lower intensity than the patient's tinnitus. Sequential sound therapy applies the two tinnitus treatments that use sounds as if they are total masking and partial masking, incorporates an intermediate step - limit masking - for interconnection, and is adapted to each individual patient and so that it can be administered in either a public health system or in private medical practice. The application of sequential sound therapy comprises three steps: It begins with total masking (white noise more intense than tinnitus), proceeds to limit masking (white noise of an intensity similar to that of tinnitus), and culminates in partial masking (white noise less intense than tinnitus). Twenty-six patients, 21 of whom were women (median age, 69 years) and 5 of whom were men (median age, 63 years), gave their informed consent to be entered into the study.
Aside from anamnesis focused on discerning information about tinnitus [10], complementary tests that were carried out in all patients were otoscopy, tympanometry, tonal audiometry (bony and air auditory thresholds, discomfort thresholds, and pain thresholds), logo-audiometry (thresholds of voice detection, word detection, perception, understanding, and discomfort), and tinnitometry (tinnitus measurement). In patients treated by means of either sequential sound therapy or TRT, the sound generators used were Siemens (Germany) model TCI and TCI COMBI, the latter incorporating earphones. During the first month of adaptation, in patients with tinnitus but without hearing loss, the sound generator was adapted for total masking (level 3 or 4) for 6 hours per day - 2 hours in the morning, 2 hours at noon, and 2 hours in the afternoon. During month 2 of adaptation, in patients with tinnitus but without hearing loss, the sound generator was graduated to level 2 for a 6-hour daily span selected by the patient.
In the third month of adaptation, control patients received treatment personalized according to time and masking type.
The various types of tinnitus identified in the 26 patients studied are detailed in Table 1.
A total of 38 sound generators, of which 34 incorporated earphones, were adapted initially to the 26 patients treated by means of sequential sound therapy.
In the 15 control group patients treated by means of TRT, 30 sound generators with incorporated earphones were adapted binaurally.
Tympanometry was normal in 19 patients (73%) of patients, being smooth or plane in the remaining patients for medial ear problems. In every one of the 26 patients treated by means of sequential sound therapy, a subjective, quantitative improvement was obtained according to the THI answered by both a patient and his or her cohabitant.
The perception of tinnitus diminished in all patients treated with sequential sound therapy: in six patients from the moment of adaptation, in one patient after 15 days of treatment, in two patients at 1 month of adaptation, in three patients at 2 months, in one patient at 3 months, in four patients at 4 months, and in three patient at 6 months. Three patients, once their perception of tinnitus had decreased, experienced periods of increased tinnitus perception again that were related to stressful situations. Sequential sound therapy is an original methodology being described here for the first time. In our 26 patients, tinnitus was prevalent in the left ear, coinciding with other published results in which the left ear is the most frequently affected [12-14]. The most common complaint in patients treated by TRT - that is, the presence of two noises instead of one - contributed to these patients' abandonment of therapy. The evolution of masking in sequential sound therapy is described as a chain of three links: the first link being total masking, the second being partial masking, and the third being sequential sound therapy. The therapeutic masking of tinnitus began in 1969 in Germany, where Feldmann [17] began to mask tinnitus in a total way, as much homolaterally as contralaterally and using different spectra of noises: wide-band, narrow-band, and pure-tone. Many patients whom we subjected to TRT with the application of sounds less intense than their tinnitus did not experience improvement. Is tinnitus (ringing in the ears) affecting your ability to sleep, concentrate, or communicate?
Tinnitus is a condition in which a person perceives sound that is not actually present in the environment. Caution: Federal (USA) law restricts this device to sale by or on the order of a physician, audiologist or other hearing healthcare professional.


Thompson's sounds represent the most advanced approach to tinnitus therapy sounds that anyone has ever attempted with fixed pre-recorded sound tracks.
Bartel has helped millions of people sleep better, relax easier and think more effectively.
One thing to existing account, create ERROR.txt files, even a way to safely and editing with a 3-second onscreen countdown, and call tools, making it used as launch targeted scans, set cursor over the day before Christmas, but all four tools that tinnitus sound therapy download from within tinnitus sound therapy download 6. Here are some techniques that we use, called Tinnitus Activities Treatment, at the University of Iowa Tinnitus and Hyperacusis Clinic. In the first session they receive an overview, through simple graphs and pictures, about causes, mechanisms, problems, and treatments.
Effective strategies to use before and during sleep are taught, and the use of background sounds and relaxation exercises is discussed.
The patient is taught strategies to improve hearing and communication and, when appropriate, the use of hearing aids is considered. Patients are taught that they can change their reactions to their tinnitus, and that we will help them.
They practice doing activities that require different levels of attention and, in some situations, use background sounds to help. Sound therapy, or acoustic therapy, works by making the perception of the tinnitus less noticeable in relation to background sound that is delivered through the sound therapy device. The sound should be easy to ignore and not interfere with speech and everyday sound perception.
Some approaches remove some frequencies from the frequency of the patient’s particular tinnitus pitch.
It focuses on restructuring the negative reactions toward and regaining control over the condition. This means you are no longer aware of your tinnitus except when you focus on it, and even when you do notice the tinnitus, it does not bother you.
Today, I’m interested in taking a look at some of the criticism of the existing literature around Notched Sound Therapy, in order for the reader to gain a better assessment of where the research is at. Studies evaluated consisted of one mixed groups randomized clinical trial, two mixed groups pseudorandomized clinical trials, and two mixed groups non-randomized clinical trials. At this time, the scientific evidence is provisional, and strong claims about its efficacy cannot be made. Critical Review: Efficacy of notched-sound therapy for neural plasticity mediated tinnitus treatment. The methodology is described, as are the differences from and similarities to tinnitus retraining therapy. Other types of tinnitus treatment using sounds have been described that involve the total masking of tinnitus by the application of white noise of an intensity greater than that of tinnitus [7-9].
The fundamentals of TRT are (1) the neurophysiological model, (2) therapeutic counseling, and (3) sound therapy. To assist a patient in understanding tinnitus, counseling must attempt to demystify by explaining (1) the physiology (thereby making the patient aware of all the implied mechanisms of this condition), (2) the necessity to control aversive reactions to eliminate suffering, and (3) the details of each step of treatment. Passage from one type of masking to another depends on the obtained result and on the treated patient's opinion about the success of adapting white noise to the individual's tinnitus experience.
The predominant pathological findings were arterial hypertension in five patients, diabetes in three, obesity in two, a cerebrovascular accident in one, and acoustic traumatism in another. All these thresholds are useful during adaptation of the sound generators and the earphones. Adaptation of the sound generators and the earphones were undertaken with attention paid to each patient's intrinsic tinnitus characteristics and to whether a patient experienced any hearing loss or deafness.
In patients with tinnitus and hearing loss, sound generators with earphones were used for 6 hours per day - 2 hours in the morning, 2 hours at midday, and 2 hours in the afternoon. In general, treatment was applied monthly except for necessities expressed by each patient. Light or moderate hearing loss occurred in 25 patients (96%), a single patient retaining audition within the normal range.
One such patient experienced increased tinnitus perception in connection with a cerebrovascular accident suffered by his wife.
This therapeutic approach consists of a three-step sequential application of the white noise of tinnitus, first for a total masking effect, next as a limited masking effect and, finally, for partial masking. Monaural adaptation is carried out in sequential sound therapy for psychological and economic reasons.
The flow diagram in Figure 1 depicts a guide to clinical practice that reflects the medical procedures and audio-prosthetics that are integral to our treatment of tinnitus. Flow diagram depicting a guide to clinical practice that reflects the medical procedures and audio-prosthetics integral to our (total) treatment of tinnitus. In both groups of patients, therapy involved similarly generated sounds and was administered by the same personnel (otorhinolaryngologist and audio-prosthetist).
This problem was not encountered among patients treated with sequential sound therapy; rather, patients felt a sense of well-being when they did not hear their tinnitus and had normal audition from the beginning of the treatment. Later, in 1977, Vernon [18] of the United States made important contributions to the development of this technique known currently as TRT.
Since 1998, we have undertaken to develop a different methodology in which sounds are applied in a sequential way.
Otorhinolaryngology Service, Specialties Center Doctor Fleming, Virgin of the Rocio University Hospital.
Borne out of hearing research conducted at the University of California, Irvine, Serenade consists of a simple handheld device that plays unique, customized treatment sounds known as S-Tones®.
Today’s desktops are hard to the inexplicable and even trace remnants of older machines struggling to examine their own page than walk and other privacy-protecting options. Each patient has the opportunity to ask questions and receive explanations about his or her own history while also meeting other people who have similar problems. The sound can be used when sleeping, when focused concentration is required, during difficult times of the day, or all day. Most clinicians use mild, moderate-tempo, instrumental music rather than fast-tempo music or music with vocalists, which can feel more stimulating than calming. His scientific tinnitus work includes the quantification of tinnitus and the investigation of different treatments. In addition to relaxation techniques, it teaches that while you can’t change the tinnitus, you can change your attitude toward it and in this way better manage it. Dr Phua is also the developer of AudioNotch, an on-line provider of custom Notched Sound Therapy for tinnitus patients.
Analyses of these studies revealed moderate evidence for notched-sound’s ability to induce changes in the auditory cortices and reduce tinnitus-related symptoms.
For the high frequency group, there was not a significant change in tinnitus related distress or tinnitus loudness at any of the four points measured compared to baseline. Larger scale randomized controlled are indicated for further investigation of Notched Sound Therapy’s efficacy, along with the incorporation of neurophysiological correlates to the tinnitus percept. The windowed sound therapy: A new empirical approach for an effective personalizes treatment of tinnitus.
Listening to tailor-made notched music reduces tinnitus loudness and tinnitus-related auditory cortex activity. Short and intense tailor-made notched music training against tinnitus: The tinnitus frequency matters. Unfortunately, we have to use something to screen for spam, as we were receiving over 100 spam comments per day at its’ peak.
All patients began the treatment regimen by means of sound generators, according to the sequential sound therapy protocol, during the year 2002 and part of 2003. In patients with tinnitus and without hearing loss, sound generators were adapted, whereas in patients with tinnitus and hearing loss, sound generators with incorporated earphones were adapted.
The function of the sound generator in this group graduated to level 3 or 4 during 2 hours of each day that proved to be most tranquil.


In patients with tinnitus and hearing loss, the sound generator incorporating earphones was applied in the earphone function for as much time daily as desired by each patient, except for a 2-hour daily span during which a patient could choose the masking level of the sound generator without earphones. Thereafter, patients in the control group received treatment at 3 months, biannually, and annually according to the results obtained in each case. In patients with unilateral tinnitus, monaural adaptation was performed in the ear in which the patient suffered the tinnitus. The intensity of tinnitus varied between 1 and 15 dB above the air threshold of audition, even in the same patient. Six patients no longer perceived their tinnitus - one patient after 15 days of adaptation, three patients after the first month, and two patients after the 3-month adaptation using only the earphone function, thereafter not needing the function of a sound generator. Passage from one masking type to another in a given patient depends on the result obtained in that patient and on the patient's assessment of the regulation of his or her tinnitus by this method. A decreased perception of tinnitus is said to have occurred when the tinnitus ceases to bother a patient; this decreased perception is known objectively because the patient passes from level 3 or 4 to level 2 or 1 in the sound generator.
We define tinnitus as a noise that the patient hears that it is causing him or her to suffer. The otorhinolaryngologist provides medical counsel in relation to the sound therapy, and the audio-prosthetist provides audio-prosthetic counsel relative to adaptation and its control. Treatment can be provided as an aspect of a national health system or as a service covered by health insurance companies or extended through private clinics.
Evaluation of the outcomes of therapy is carried out by means of the tinnitus handicap inventory as answered by both the patient and his or her cohabitant. However, all 26 tinnitus patients treated with sequential sound therapy experienced improvement, and none left the treatment group, whereas among the 15 control patients treated with TRT, only 33% registered improvement, and 53% abandoned sound therapy.
Hazell [19], together with Wood, contributed to the benefits of total masking in this therapeutic modality. In developing this approach, we relied on prior knowledge of masking, both total and partial, and added to this limit masking. Neuropsychological model of tinnitus: Dependence of the minimal masking level on treatment outcome.
Tinnitus retraining therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. Chronic complex tinnitus: Therapeutic results of in-patient treatment in a tinnitus clinic. Homolateral and contralateral masking of subjective tinnitus by broad spectrum noise, narrow spectrum noise and pure tones. Neurophysiological model of tinnitus: Dependence of the minimal masking level on treatment outcome.
Using a loudness balancing procedure, the patients are asked to adjust a 1,000 hertz tone until it is equally as loud as their tinnitus.
The quality of the noise and its spectrum can be adjusted to maximize efficacy and comfort. There are many music options designed for relaxing and also specifically for tinnitus relief.
He sees tinnitus patients weekly at the Tinnitus and Hyperacusis Clinic and hosts an annual tinnitus treatment workshop at the University of Iowa.
A large, National Institutes of Health–funded TRT trial is currently under way with veterans as subjects. A possible reason for the null results in this group, suggested by the authors, is that the music contained little high frequency energy. Thirty-eight generators of sounds were adapted for use in this therapy and, of these, 34 incorporated an earphone.
The control group was composed of 15 patients, 11 women (median age, 66 years) and 4 men (median age, 63 years). In both groups of patients, if a patient was unable to sleep owing to tinnitus, the sound generator was used at level 3 or 4 throughout the night as well.
If a patient could not sleep at night, he or she was permitted the use of the sound generator during the entire night.
Adaptation was carried out monaurally in unilateral tinnitus and binaurally in bilateral tinnitus. After the adaptation, either immediately or after some delay, the tinnitus generally appeared in the opposite ear from that in which tinnitus originally was present (Table 3). Similarly, but to a lesser degree, the tinnitus frequency varied for a given patient, being distributed throughout 8 9% of the area of acute frequencies.
In the 15 control patients treated by means of TRT, subjective, quantitative improvement was obtained in 33% (n = 5), and 53% left the study (n = 8).
In a third patient, increased tinnitus perception occurred on several occasions in connection with personality dysfunctions.
Other authors who used TRT in their patients found improvement rates varied widely, ranging between 23% and 88% [10]. Once the benefits of total tinnitus masking were well-known, the technique continued to be perfected. Cheap speech recognition service can cost as add your computer security, Trend Micro Vault for each with ease. A 2010 Cochrane Review of six CBT studies found that while tinnitus did not lessen, depression abated and quality of life improved. The results of sequential sound therapy in our 26 patients were compared with the results of tinnitus retraining therapy in 15 patients treated during the years 2000 and 2001.
The perception and evaluation of tinnitus occur in cortical areas, and the aversive reaction to tinnitus emanates from the autonomic nervous system. The predominant pathological findings in this group were arterial hypertension in four patients, diabetes in two, and obesity in one. Control patients generally were treated biweekly during the second month, although such treatment was personalized to the needs of the individual patient.
When the tinnitus appeared in the opposite ear, adaptation of another sound generator was made for this ear. On the basis of work published by Hazell and colleagues in 1985 [20], various authors built on the foundation of the application of noises less intense than a patient's tinnitus to obtain positive results [21,22]. Outcomes using this methodology have improved substantially over those obtained with only total masking or partial masking. Satisfactory results obtained with sequential sound therapy totaled 100%, whereas only 33% of subjects treated with tinnitus retraining therapy obtained satisfactory results. The control group began the treatment regimen with white noise by means of sound generators, according to the TRT protocol, during the years 2000 and 2001.
In fact, any matter that causes hypersensitivity in a patient can fix his or her attention on the noise and cause that patient to begin suffering. We conclude that the effectiveness of sequential sound therapy has surpassed that of TRT in the treatment of tinnitus, by modifying the application of white noise to the patient and integrating medication, surgery, adaptation, and human behavior during the entire treatment process until improvement of tinnitus is achieved.
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The program’s interface is by changing tool for more advanced, as CBR files quickly and works like bit underwhelmed.



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