A comparative study between tinnitus masking and tinnitus retraining therapy on perceived tinnitus handicap and cognition

Indranil Chatterjee; Geeta Gore

doi:10.18203/issn.2454-5929.ijohns20202218

Authors

Indranil Chatterjee Speech and Hearing Department, Ali Yavar Jung National Institute of Speech and Hearing Disabilities, Eastern Regional Center, Kolkata, West Bengal, India
Geeta Gore Department of Audiology and Speech Therapy, BYL Nair Hospital and T. N. Medical College, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20202218

Keywords:

Tinnitus, Tinnitus retraining therapy, Tinnitus masking, Subjective perception

Abstract

Background: Since last one decade there were no such studies done in India on the efficacy of tinnitus retraining therapy (TRT) on tinnitus treatment. Here, in this study we try to find out whether TRT is an effective tool than tinnitus masking as a treatment procedure of tinnitus in Indian context.

Methods: A total of 60 participants (with no prior history of presence of hearing loss) were divided into two groups. Group 1 was consisted of 30 subjects provided tinnitus masking using relief app at the ease of their home environment for 2 months. Group 2 was consisted of another 30 subjects have been provided tinnitus retraining therapy (TRT) for 2months (60 sessions). The design is experimental design. The study was carried out in eight phases.

Results: The findings of this study suggested that both the tinnitus masking therapy as well as TRT helped tinnitus sufferers to improve after 60 days of therapy continuation at initial stage. But a significant marked difference was found in terms of performance in participants from group 2 who had undergone TRT i.e., they performed very well after one month of post transfer therapeutic sessions than those who had undergone tinnitus masking therapy.

Conclusions: The findings of this study are suggestive of that TRT is more effective than tinnitus masking therapy in tinnitus individuals even after one month of stopping therapy sessions. It also suggests that TRT has a long-term effect on tinnitus management than tinnitus masking.

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References

Coles RA, Hallam RS. Tinnitus and its management. British Med Bulletin. 1987;43:4.983-98.

Davis PB. Living with tinnitus. Gore & Osment. 1995.

Adrian D, El Refaie A. In Tyler R, ed. The Handbook of Tinnitus. Singular; 2000: 1-23.

George RN. Kemp S. A survey of New Zealanders with tinnitus. Br J Audiol. 1991: 25(5):331-6.

Jastreboff PJ, Hazell JW, raham RL. Neurophysiological model of tinnitus: dependence of the minimal masking level on treatment outcome. Hearing Res. 1994;80(2):216-32.

Jastreboff PJ. Optimal sound use in TRT: theory and practice. In Proceedings of the Sixth International Tinnitus Seminar, ed. Hazell, J. W. P., London: Tinnitus & Hyperacusis Centre; 1994: 491-494.

Jastreboff P J, Hazell JA. Neurophysiological approach to tinnitus: clinical implications. Br J Audiol. 1993;27:7-l7.

Dobie RA. Randomized clinical trials for tinnitus: not the last word. In Proceedings VIIth International Tinnitus Seminar. Perth: University of Western Australia; 2002: 3-6.

Jones IH, Knudsen VO. Certain aspects of tinnitus, particularly treatment. Laryngoscope; 1928;38:597-611.

Saltzman M, Ersner MSA. Hearing aid for the relief of tinnitus aurium. Laryngoscope. 1947;57:358-66.

Vernon J. Attempts to relieve tinnitus. Ear and Hearing; 1977;2(4):124-31.

Vernon J. Schleuning, A. Tinnitus: a new management. The Laryngoscope; 1978;88(3):413-9.

Vernon JA, Meikle MB. Tinnitus masking. In Tyler RS, ed. Tinnitus handbook. San Diego, CA: Singular; 2000: 313-356.

Makar SK, Kumar S, Narayanan PS, Chatterjee I. Status of the tinnitus management program in India-A Survey. Int Tinnitus J. 2012;17(1):51-7.

Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol-Head Neck Surg. 1996;122(2):143-8.

Wils Henry JL, Wilson PH. An evaluation of two types of cognitive intervention in the management of chronic tinnitus. Behavior Therapy. 1998;27(4):156-66.

Josephson EM. A method of measurement of tinnitus aurium. Arch Otolaryngol. 1931;14(3):282-3.

Fowler EP. Head noises: significance, measurement and importance in diagnosis and treatment. Arch Otolaryngol. 1940;32(5):903-14.

Fowler EP. Head noises in normal and in disordered ears: significance, measurement, differentiation and treatment. Archives of Otolaryngol Head Neck Surg. 1944;39(6):498.

Henry JA, Zaugg TL, Schechter MA. Clinical Guide for Audiologic Tinnitus Management &Assessment. Am J Audiol. 2005;14(1):21-48.

Folmer RL. Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disorders. 2002;2(1):1.

Martinez-Devesa P, Waddell A, Perera R, Theodoulou M. Cognitive behavioural therapy for tinnitus. Cochrane Database of Systematic Reviews, 2001.

Lockwood AH, Salvi RJ. Neuroanatomy of tinnitus. Scandinavian Audiol Suppl. 1999;51:47-52.

Sullivan MD, Dobie RA, Katon WJ, Sakai CS, Russo J. Antidepressant treatment of tinnitus patients: interim report of a randomized clinical trial. Acta Oto-laryngologica. 1992;112(2):242-7.