1
|
Jacquemin L, Gilles A, Shekhawat GS. Hearing more to hear less: a scoping review of hearing aids for tinnitus relief. Int J Audiol 2021; 61:887-895. [PMID: 34865589 DOI: 10.1080/14992027.2021.2007423] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
OBJECTIVE As tinnitus is often associated with hearing loss, hearing aids have been proposed for tinnitus relief in literature for more than 70 years. There is a need for recent literature to be reviewed and guide decision making in tinnitus management. This scoping review aims to provide an update of the available evidence on hearing aids for tinnitus, focussing on the effect of sound amplification or combination devices (i.e. amplification and sound generation within one device). DESIGN Research studies were included if they investigated hearing aids or combination devices for tinnitus and were published after 2011. STUDY SAMPLE A total of 28 primary research studies were selected. RESULTS Positive results of hearing aids in tinnitus patients were shown in 68% of the studies, whereas 14% demonstrated no change in tinnitus distress. However, the quality of the evidence across studies was variable. CONCLUSIONS Scientific support for hearing aids and combination devices for tinnitus relief was found. The standalone effect of sound amplification and the added value of sound generators and adjustment of sound processing strategies needs further investigation. Stronger methodology in future studies is needed to reach consensus on how to optimise hearing solutions in a multidisciplinary approach.
Collapse
Affiliation(s)
- Laure Jacquemin
- University Department of Otorhinolaryngology and Head & Neck surgery, Antwerp University Hospital, Edegem, Belgium.,Faculty of Medicine and Health Sciences, Department of Translational Neurosciences, Antwerp University, Wilrijk, Belgium
| | - Annick Gilles
- University Department of Otorhinolaryngology and Head & Neck surgery, Antwerp University Hospital, Edegem, Belgium.,Faculty of Medicine and Health Sciences, Department of Translational Neurosciences, Antwerp University, Wilrijk, Belgium.,Department of Education, Health & Social Work, University College Ghent, Ghent, Belgium
| | - Giriraj Singh Shekhawat
- College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia.,Tinnitus Research Initiative, Regensburg, Germany.,Ear Institute, University College London, London, UK
| |
Collapse
|
2
|
Wang J, Ding J, Song J, Hu L, Cong N, Han Z. A Prospective Study of the Effect of Tinnitus Sound Matching Degree on the Efficacy of Customized Sound Therapy in Patients with Chronic Tinnitus. ORL J Otorhinolaryngol Relat Spec 2021; 84:229-237. [PMID: 34482306 DOI: 10.1159/000517631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2020] [Accepted: 05/31/2021] [Indexed: 11/19/2022]
Abstract
OBJECTIVES The aim of this study was to explore and compare the customized sound therapy effect between tinnitus sound matching and nonmatching patients in tinnitus customized sound therapy and therapy-related influencing factors. METHODS This prospective study investigated a total of 100 patients with unilateral chronic tinnitus who received customized sound therapy. The participants were dichotomously divided into matching (group A) and nonmatching (group B) groups after 4 stages of tinnitus matching via the tinnitus assistant app (provided by Sound Ocean Company, SuZhou, China). Each group consists of 50 participants. Before and 6 months after the treatment, Hospital Anxiety and Depression Scale (HADS), tinnitus handicap inventory (THI), and tinnitus loudness Visual Analog Scale (VAS) were used to evaluate the customized sound therapy effect and explore other related influencing factors. RESULTS (1) The HADS-A, HADS-D, THI, and VAS scores of 2 groups were both significantly decreased after treatment. (2) The HADS-A and THI scores improved markedly in group A than that in group B, which could be related to the hearing loss of the tinnitus side ear before treatment; the lighter the degree of hearing loss, the better the improvement. No statistically significant differences were detected in HADS-D and VAS scores between the 2 groups, and also, these were not related to the degree of hearing loss. The differences in age, gender, and tinnitus duration did not show any statistically significant effect on the improvement of the 2 groups. CONCLUSIONS Both tinnitus sound matching and nonmatching of the customized sound therapy brought a significant effect to tinnitus participants. Our study also suggests that THI and HADS-A scores of those with tinnitus matching participants improved markedly as compared to those of nonmatching participants, and the customized sound therapy effect is negatively correlated with the severity of hearing loss.
Collapse
Affiliation(s)
- JinYu Wang
- Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China.,Shanghai Auditory Medical Center, Shanghai, China.,NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, China.,Fudan University, Shanghai, China
| | - Juan Ding
- Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China.,Shanghai Auditory Medical Center, Shanghai, China.,NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, China.,Fudan University, Shanghai, China
| | - Jing Song
- Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China.,Shanghai Auditory Medical Center, Shanghai, China.,NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, China.,Fudan University, Shanghai, China
| | - Li Hu
- Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China.,Shanghai Auditory Medical Center, Shanghai, China.,NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, China.,Fudan University, Shanghai, China
| | - Ning Cong
- Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, China.,Shanghai Auditory Medical Center, Shanghai, China.,NHC Key Laboratory of Hearing Medicine (Fudan University), Shanghai, China.,Fudan University, Shanghai, China
| | - Zhao Han
- Fudan University, Shanghai, China.,Department of Otorhinolaryngology, HuaDong Hospital Affiliated to Fudan University, Shanghai, China
| |
Collapse
|
3
|
Özbey-Yücel Ü, Aydoğan Z, Tokgoz-Yilmaz S, Uçar A, Ocak E, Beton S. The effects of diet and physical activity induced weight loss on the severity of tinnitus and quality of life: A randomized controlled trial. Clin Nutr ESPEN 2021; 44:159-165. [PMID: 34330461 DOI: 10.1016/j.clnesp.2021.05.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Revised: 04/21/2021] [Accepted: 05/07/2021] [Indexed: 10/21/2022]
Abstract
BACKGROUND & AIMS Subjective tinnitus is the most common and manifest auditory symptom of an existing pathology in the auditory system. Although the effect of obesity on tinnitus is still uncertain, it is known that increased fat tissue increases the severity and symptoms of tinnitus. In this study, it was aimed to evaluate the effect of weight loss through diet and physical activity on tinnitus. METHODS Forty-six obese subjects diagnosed with tinnitus were randomized into the diet + physical activity (PA) (n = 13), diet (n = 16) and the control groups (n = 17). The anthropometric measurements, tinnitus severity scores, tinnitus handicap inventory (THI) scores and short form quality of life (SF-36) scores of the individuals were recorded and compared at the beginning and at the end of the study. RESULTS In the diet + PA and diet groups; body weight (diet + PA:-6.5 ± 2.6; diet: -4.1 ± 1) tinnitus severity (diet + PA:-11.0 ± 7.0; diet: -9.0 ± 8.7) and THI scores (diet + FA:-15.0 ± 9.5; diet: -14.0 ± 10.0) significantly decreased compared to the control group (p < 0.01). This decline was more in those with weight loss of ≥5.0% than those with <5.0%. SF-36 score was significantly increased in the diet + PA and diet groups (respectively 10.0 ± 5.5 and 6.0 ± 2.7) compared to the control group (p < 0.05). CONCLUSIONS Diet and physical activity intervention ameliorated the tinnitus severity and quality of life in obese patients with tinnitus. However to generalize this findings further studies are needed. REGISTERED UNDER CLINICALTRIALS. GOV IDENTIFIER NO NCT00123456.
Collapse
Affiliation(s)
- Ümüş Özbey-Yücel
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Ankara, Turkey.
| | - Zehra Aydoğan
- Department of Audiology, Faculty of Health Sciences, Ankara University, Ankara, Turkey
| | - Suna Tokgoz-Yilmaz
- Department of Audiology, Faculty of Health Sciences, Ankara University, Ankara, Turkey
| | - Aslı Uçar
- Department of Nutrition and Dietetics, Faculty of Health Sciences, Ankara University, Ankara, Turkey
| | - Emre Ocak
- Department of Otolaryngology, Faculty of Medicine, Ankara University, Ankara, Turkey
| | - Süha Beton
- Department of Otolaryngology, Faculty of Medicine, Ankara University, Ankara, Turkey
| |
Collapse
|
4
|
Fournier P, Bigras C, Lehmann A, Noreña AJ, Hébert S. Modulation of hyperacusis and tinnitus loudness in tinnitus patients with and without hearing loss following 3 weeks of acoustic stimulation: A proof-of-concept study. PROGRESS IN BRAIN RESEARCH 2021; 262:57-91. [PMID: 33931195 DOI: 10.1016/bs.pbr.2021.01.024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Tinnitus and hyperacusis are two debilitating conditions that are highly comorbid. It has been postulated that they may originate from similar pathophysiological mechanisms such as an increase in central gain. Interestingly, sound stimulation has been shown to reduce central gain and is currently used for the treatment of both conditions. This study investigates the effect of sound stimulation on both tinnitus and hyperacusis in the same patients. Two distinct series of tinnitus participants were tested: one with normal or near-normal hearing (n=16) and one with hearing loss (n=14). A broadband noise shaped to cover most of the tinnitus frequency spectrum was delivered through hearing aids using the noise generator feature (no amplification) and verified through real-ear measurements. Participants received sound stimulation for 3 weeks and were tested before (at baseline), then after 1 week and at the end of the 3 weeks of sound stimulation. There was also a 1-month follow-up after the end of the stimulation protocol. The measurements included self-reported measures of tinnitus and hyperacusis (VAS), validated questionnaires (THI, HQ) and psychoacoustic measurements (tinnitus battery and loudness functions). On both self-assessment (VAS of sound tolerance and tinnitus loudness) and psychoacoustic measures (loudness function and tinnitus loudness in dB), about 50% of tinnitus participants had a synchronous (either a decrease or an increase) modulation of hyperacusis and tinnitus loudness after 1 week and 3 weeks of acoustic stimulation and up to about 70% of participants at 1-M follow-up. The decrease of hyperacusis and tinnitus loudness was more prevalent in normal-hearing participants. There was a significant increase in tinnitus loudness during and following the stimulation in the group with hearing loss. Hyperacusis improvement as assessed by loudness function was significantly correlated with the intensity level of the acoustic stimulation (dB level of the noise produced by the noise generator) in tinnitus participants with normal/near-normal hearing thresholds. Our study partly supports the central gain hypothesis by showing synchronous modulation of hyperacusis and tinnitus loudness. It also shows beneficial effects of acoustic stimulation in some tinnitus individuals, in particular those with normal or near-normal hearing, while highlighting the importance of a careful fitting of sound generators to prevent increase. Since the amplification feature was not turned on in our study, future work should determine whether amplification alone, or in addition to acoustic stimulation (sound generators), would benefit to those with hearing loss.
Collapse
Affiliation(s)
- Philippe Fournier
- School of Speech Pathology and Audiology, Université de Montréal, Montréal, QC, Canada; International Laboratory for Research on Brain, Music, and Sound (BRAMS), Université de Montréal, Montréal, QC, Canada; Laboratoire de Neurosciences Cognitives, UMR 7291, Centre National de la Recherche Scientifique, Aix-Marseille University, Marseille, France
| | - Charlotte Bigras
- School of Speech Pathology and Audiology, Université de Montréal, Montréal, QC, Canada; International Laboratory for Research on Brain, Music, and Sound (BRAMS), Université de Montréal, Montréal, QC, Canada
| | - Alexandre Lehmann
- International Laboratory for Research on Brain, Music, and Sound (BRAMS), Université de Montréal, Montréal, QC, Canada; Royal Victoria Hospital, ENT Department, McGill University, Montreal, QC, Canada
| | - Arnaud J Noreña
- Laboratoire de Neurosciences Cognitives, UMR 7291, Centre National de la Recherche Scientifique, Aix-Marseille University, Marseille, France
| | - Sylvie Hébert
- School of Speech Pathology and Audiology, Université de Montréal, Montréal, QC, Canada; International Laboratory for Research on Brain, Music, and Sound (BRAMS), Université de Montréal, Montréal, QC, Canada.
| |
Collapse
|
5
|
Tai Y, Husain FT. Association Between Tinnitus Pitch and Consonant Recognition in Noise. Am J Audiol 2020; 29:916-929. [PMID: 33237797 DOI: 10.1044/2020_aja-20-00050] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Purpose Difficulties in speech-in-noise understanding are often reported in individuals with tinnitus. Building on our previous findings that speech-in-noise performance is correlated with subjective loudness of tinnitus, this study aimed to investigate the effect of tinnitus pitch on consonant recognition in noise. Method Pure-tone audiometry and the Quick Speech-in-Noise Test were conducted on 66 participants categorized into four groups by their hearing sensitivity and self-report of tinnitus. Consonant recognition scores at various frequency ranges were obtained at the 5 dB SNR condition of the Quick Speech-in-Noise Test. Participants with tinnitus also completed a tinnitus pitch-matching procedure. Correlation analyses were conducted between tinnitus pitch and the frequency of the worst consonant recognition, and the error rates based on word and sentence position were compared. Results Regardless of hearing sensitivity, tinnitus pitch did not correlate with the frequency of the worst consonant recognition. Sentence-initial word recognition was affected by hearing loss, whereas sentence-final word recognition was not affected by hearing loss or tinnitus. In contrast to individuals with normal hearing, participants with hearing loss varied in full-sentence recognition, with those reporting tinnitus exhibiting significantly higher error rates. Conclusions The findings suggest that the effect of tinnitus on consonant recognition in noise may involve higher level functions more than perceptual characteristics of tinnitus. Furthermore, for individuals with speech-in-noise concerns, clinical evaluation should address both hearing sensitivity and the presence of tinnitus. Future speech-in-noise studies should incorporate cognitive tests and, possibly, brain imaging to parse out the contribution of cognitive factors, such as cognitive control, in speech-in-noise in tinnitus.
Collapse
Affiliation(s)
- Yihsin Tai
- Department of Speech & Hearing Science, University of Illinois at Urbana–Champaign
- Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana–Champaign
| | - Fatima T. Husain
- Department of Speech & Hearing Science, University of Illinois at Urbana–Champaign
- Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana–Champaign
- Neuroscience Program, University of Illinois at Urbana–Champaign
| |
Collapse
|
6
|
Neff P, Langguth B, Schecklmann M, Hannemann R, Schlee W. Comparing Three Established Methods for Tinnitus Pitch Matching With Respect to Reliability, Matching Duration, and Subjective Satisfaction. Trends Hear 2020; 23:2331216519887247. [PMID: 31805822 PMCID: PMC6900670 DOI: 10.1177/2331216519887247] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
The pitch of tinnitus sound is a key characteristic that is of importance
to research and sound therapies relying on exact tinnitus pitch
matches. The identification of this tinnitus pitch is a challenging
task as there is no objective measurement available. During the
tinnitus pitch-matching procedure, the participant identifies an
external sound that is most similar to the subjective perception of
the tinnitus. Several methods have been developed to perform this
pitch-matching procedure with tinnitus sufferers. In this study, we
aimed to compare the method of adjustment, the two-alternative
forced-choice (2AFC) method, and the likeness rating (LR) with respect
to reliability, matching duration, and subjective satisfaction.
Fifty-nine participants with chronic tinnitus were recruited and
performed five consecutive runs of tinnitus matching. The participants
were randomized to the three different pitch-matching methods. The
intraclass correlation coefficients were .67 for method of adjustment,
.63 for 2AFC, and .69 for LR, which can be interpreted as good
reliability for all the three methods. However, the 2AFC method
revealed significant larger within-subject variability than the other
measures. Across the five runs and the three different methods, all
participants learned to perform the pitch matching faster and with
better self-rated accuracy. Comparing the three pitch-matching
methods, LR is more time consuming and the participants were less
satisfied with the 2AFC method. Overall, the three pitch-matching
methods show good reliability. However, we identified differential
aspects for improvement in all methods, which are discussed in this
article.
Collapse
Affiliation(s)
- Patrick Neff
- Department of Psychiatry and Psychotherapy, University of Regensburg, Germany.,University Research Priority Program "Dynamics of Healthy Aging" University of Zurich, Switzerland
| | - Berthold Langguth
- Department of Psychiatry and Psychotherapy, University of Regensburg, Germany
| | - Martin Schecklmann
- Department of Psychiatry and Psychotherapy, University of Regensburg, Germany
| | | | - Winfried Schlee
- Department of Psychiatry and Psychotherapy, University of Regensburg, Germany
| |
Collapse
|
7
|
Bourez PH, Fournier P, Noreña AJ. The difference in poststimulus suppression between residual inhibition and forward masking. PROGRESS IN BRAIN RESEARCH 2020; 262:23-56. [PMID: 33931182 DOI: 10.1016/bs.pbr.2020.08.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
The phenomenon of tinnitus masking (TM) and residual inhibition (RI) of tinnitus are two ways to investigate how external sounds interact with tinnitus: TM provides insight on the fusion between external sound activity and tinnitus related activity while RI provides insight on how the external sound might suppress the tinnitus related activity for a period of time. Differences in masking level between the tinnitus and an external tone with tinnitus characteristics (frequency, loudness) have previously shown a high level of heterogeneity. The difference in poststimulus suppression between the two, that is, residual inhibition for the former, and forward masking for the latter, has never been explored. This study aims to investigate minimum masking levels (MMLs) and minimum residual inhibition levels (MRILs) of tinnitus and of an external tone mimicking tinnitus while using diotic and dichotic noises. Pulsed narrowband noises (1 octave width and centered at 1kHz, frequency of the hearing loss slope, tinnitus frequency) and white noise were randomly presented to 20 tinnitus participants and 20 controls with an external tone mimicking tinnitus (4kHz, intensity level corresponding to tinnitus loudness). The MML values obtained for the masking of tinnitus and for the mimicking external sounds were very similar. On the other hand, the MRILs were significantly different between the tinnitus and the mimicking external sounds within tinnitus participants. They were also different between the tinnitus participants and the controls. Overall, for both within and between comparisons, the MRIL values were much higher to produce a poststimulus suppression for the mimicking sound than for the tinnitus. The results showed no significant differences between the diotic and dichotic conditions. These results corroborate other findings suggesting that the tinnitus-related neural activity is very different from the stimulus-related neural activity. The consequences of this last finding are discussed.
Collapse
Affiliation(s)
- P H Bourez
- Laboratoire de Neurosciences Cognitives, UMR 7291, Centre National de la Recherche Scientifique, Aix-Marseille University, Marseille, France
| | - Philippe Fournier
- Laboratoire de Neurosciences Cognitives, UMR 7291, Centre National de la Recherche Scientifique, Aix-Marseille University, Marseille, France
| | - Arnaud J Noreña
- Laboratoire de Neurosciences Cognitives, UMR 7291, Centre National de la Recherche Scientifique, Aix-Marseille University, Marseille, France.
| |
Collapse
|
8
|
Duda V, Scully O, Baillargeon MS, Hébert S. Does Tinnitus Fill in the Gap Using Electrophysiology? A Scoping Review. Otolaryngol Clin North Am 2020; 53:563-582. [PMID: 32334868 DOI: 10.1016/j.otc.2020.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
The results showed a trend of increased post-gap amplitudes and reduced gap salience; however, the small number of articles yield and limited consensus prohibit any conclusions for clinical use. Nevertheless, gap-induced EPs may be further explored as a potential tool for tinnitus detection.
Collapse
Affiliation(s)
- Victoria Duda
- École d'orthophonie et d'audiologie, Faculty of Medicine, Université de Montréal, Pavillon 7077, Parc, C.P. 6128, Succ. Centre-ville, Montreal H3C 3J7, Canada
| | - Olivia Scully
- École d'orthophonie et d'audiologie, Faculty of Medicine, Université de Montréal, Pavillon 7077, Parc, C.P. 6128, Succ. Centre-ville, Montreal H3C 3J7, Canada
| | - Marie-Sarah Baillargeon
- École d'orthophonie et d'audiologie, Faculty of Medicine, Université de Montréal, Pavillon 7077, Parc, C.P. 6128, Succ. Centre-ville, Montreal H3C 3J7, Canada
| | - Sylvie Hébert
- École d'orthophonie et d'audiologie, Faculty of Medicine, Université de Montréal, Pavillon 7077, Parc, C.P. 6128, Succ. Centre-ville, Montreal H3C 3J7, Canada; International Laboratory for Brain, Music and Sound Research (BRAMS), Outremont, Quebec, Canada.
| |
Collapse
|
9
|
Vajsakovic D, Maslin M, Searchfield GD. Principles and Methods for Psychoacoustic Evaluation of Tinnitus. Curr Top Behav Neurosci 2020; 51:419-459. [PMID: 33550568 DOI: 10.1007/7854_2020_211] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Tinnitus, the perception of sound in the absence of a physical sound in the environment, is highly heterogeneous. It varies in its etiology, characteristics, and impact on an individual's life. The sound is commonly described as "ringing," "buzzing," "crickets," "hissing," "humming." Tinnitus can be acute or chronic, mild or disabling. It can be perceived unilaterally or, more commonly, bilaterally. The sound and its location differ from person to person and fluctuate in the same individual over a certain period of time. This heterogeneity in characterization has important implications for research and clinical practice. Identifying patterns in how tinnitus sounds and its relationship to hearing may aid in identifying different forms of tinnitus and revealing their underlying mechanisms. However, the subjective nature of characterizing tinnitus makes it difficult to reliably define and measure. This chapter will focus on reviewing the psychoacoustic assessment of tinnitus, its relationship to cognitive and behavioral aspects of tinnitus, and its neuropathophysiology. In particular, it will describe the heterogeneity of tinnitus and tinnitus matching, and how individual variability in measures may be used to guide treatment and as a prognostic factor.
Collapse
Affiliation(s)
- Dunja Vajsakovic
- Section of Audiology, The University of Auckland, Auckland, New Zealand.,Eisdell Moore Centre, The University of Auckland, Auckland, New Zealand.,Centre for Brain Research, The University of Auckland, Auckland, New Zealand.,Brain Research New Zealand, A Centre of Research Excellence, Auckland, New Zealand
| | - Michael Maslin
- Eisdell Moore Centre, The University of Auckland, Auckland, New Zealand.,School of Psychology, Speech and Hearing, The University of Canterbury, Canterbury, New Zealand
| | - Grant D Searchfield
- Section of Audiology, The University of Auckland, Auckland, New Zealand. .,Eisdell Moore Centre, The University of Auckland, Auckland, New Zealand. .,Centre for Brain Research, The University of Auckland, Auckland, New Zealand. .,Brain Research New Zealand, A Centre of Research Excellence, Auckland, New Zealand.
| |
Collapse
|
10
|
Deklerck AN, Degeest S, Dhooge IJM, Keppler H. Test-Retest Reproducibility of Response Duration in Tinnitus Patients With Positive Residual Inhibition. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2019; 62:3531-3544. [PMID: 31433704 DOI: 10.1044/2019_jslhr-h-18-0514] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose Functional imaging is often used to try to elucidate the pathophysiological mechanism of tinnitus. Residual inhibition, the temporary suppression of tinnitus after application of a masking noise, could be an interesting technique to modulate tinnitus perception in functional imaging paradigms. The purposes of this study were to primarily assess reproducibility of the (partial) positive residual inhibition response duration in patients with tinnitus and to explore its utility in experimental designs. Method Patients with tinnitus exhibiting a (partial) positive residual inhibition response or tinnitus reduction after a 1-min white noise presentation were selected from a broad consulting tinnitus population. In 27 patients, this response was tested 4 times: twice during initial testing and twice during a retest of the psychoacoustic tinnitus measures, 4-8 weeks after initial consultation. In 17 patients with stable residual inhibition responses, reproducibility of response duration, the duration of tinnitus reduction up to pretesting state, was analyzed. Results Initial testing showed a residual inhibition duration of 29.5 s on average. Test-retest reproducibility of response duration was shown to be reliable with an ICC(3, 4) of .871 (95% CI [0.733, 0.948]) and a standard error of measurement of 6.64 s. Conclusions This study indicates the good test-retest reproducibility of residual inhibition duration in our subset of 17 patients with stable (partial) positive residual inhibition. Residual inhibition is, therefore, a technique that can potentially be used for temporary tinnitus manipulation in experimental paradigms to unravel tinnitus pathophysiology.
Collapse
Affiliation(s)
- Ann N Deklerck
- Faculty of Medicine and Health Sciences, Department of Head and Skin, Ghent University, Belgium
| | - Sofie Degeest
- Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Ghent University, Belgium
| | - Ingeborg J M Dhooge
- Faculty of Medicine and Health Sciences, Department of Head and Skin, Ghent University, Belgium
- Department of Otorhinolaryngology, Ghent University Hospital, Belgium
| | - Hannah Keppler
- Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Ghent University, Belgium
- Department of Otorhinolaryngology, Ghent University Hospital, Belgium
| |
Collapse
|