Clinical Guide for Audiologic Tinnitus Management I

Henry, James A.; Zaugg, Tara L.; Schechter, Martin A.

doi:10.1044/1059-0889(2005/004)

Cited by 69 publications

(68 citation statements)

References 48 publications

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“…Degree of annoyance of tinnitus in initial assessment and final evaluation model); TAT (counseling, considering differences and individual needs) (10,11,12) , which act on habituation, partial or total masking of tinnitus and help decrease symptom perception (14) . After amplification intervention, this study verified that all groups showed improvement in tinnitus nuisance sensation after the final evaluation (Table 1), and the analysis was made based on the difference obtained in the THI between the initial evaluation (without the use of HAs) and final evaluation (after three months of effective use of HAs), ratifying the therapeutic approaches mentioned above, which use HA associated with different forms of orientation.…”

Section: Discussionmentioning

confidence: 99%

“…Among the available treatment options, there is the use of hearing aids (HAs), the sound generator (SG) for sound therapy and habituation, cognitive therapy, counseling, diet, medication intervention and the use of a material of support -guidance booklet -about the symptom (9) . Sound therapy has been established in clinical practice and can be applied in several therapeutic approaches, such as: Tinnitus Retraining Therapy -TRT and Tinnitus Activities Treatment -TAT (10,11,12) . These approaches associate sound therapy with counseling, which consists of basic information about tinnitus, hearing loss, attention and habituation.…”

Section: Introductionmentioning

confidence: 99%

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Aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual na redução do zumbido

Matos

Rocha

Mondelli

2017

Audiol., Commun. Res.

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RESUMO Introdução Com frequência, o zumbido tem sido relatado associado ás queixas auditivas. Objetivo Verificar a aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual (AASI), na redução da sensação do zumbido. Métodos Foram selecionados pacientes com queixa de zumbido associado à perda auditiva. O estudo foi desenvolvido em duas etapas: Avaliação inicial - após o encaminhamento do paciente para adaptação de AASI e Avaliação final - após três meses de uso efetivo do AASI. Os participantes foram divididos em três grupos: Grupo A (oito indivíduos adaptados com AASI, sem orientação referente ao zumbido), Grupo B (oito indivíduos adaptados com AASI, com orientação verbal referente ao zumbido) e Grupo C (oito indivíduos adaptados com AASI, com orientação verbal sobre o material de apoio referente ao zumbido). Os participantes responderam ao questionário Tinnitus Handicap Inventory (THI) no primeiro momento e após três meses de uso efetivo do AASI, para mensurar a modificação do incômodo do sintoma em seu escore total e nos três domínios. Para análise estatística, foram utilizados testes, adotando-se nível de significância inferior a 5%. Resultados Todos os grupos apresentaram redução da sensação de incômodo do zumbido, sendo que melhores resultados foram observados quando o paciente recebeu algum tipo de orientação a respeito. Além disso, observou-se que houve diferença significativa entre os grupos apenas no domínio “emocional” do questionário THI, em que o grupo C apresentou melhor resultado na diminuição da sensação do incômodo do zumbido, do que os grupos A e B (p<0,05). Conclusão A orientação fonoaudiológica associada ao uso do AASI pode favorecer a redução da sensação do zumbido. Registro clinical trials: 4939

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual na redução do zumbido

Matos

Rocha

Mondelli

2017

Audiol., Commun. Res.

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“…Henry et al, 2008b). The guidelines are based on published best practices for referring tinnitus patients (HarropGriffiths, Katon, Dobie, Sakai, & Russo, 1987;J. A. Henry et al, 2005a;J.…”

Section: Level 1 Triagementioning

confidence: 99%

“…coexisting sleep disorders and mental health disordersprimarily depression and anxiety (Dobie, 2004a;J. A. Henry, Zaugg, & Schechter, 2005a;Robinson, Viirre, & Stein, 2004).…”

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confidence: 99%

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Using Therapeutic Sound With Progressive Audiologic Tinnitus Management

Henry

Zaugg

Myers

et al. 2008

Trends in Amplification

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Management of tinnitus generally involves educational counseling, stress reduction, and/or the use of therapeutic sound. This article focuses on therapeutic sound, which can involve three objectives: (a) producing a sense of relief from tinnitus-associated stress (using soothing sound); (b) passively diverting attention away from tinnitus by reducing contrast between tinnitus and the acoustic environment (using background sound); and (c) actively diverting attention away from tinnitus (using interesting sound). Each of these goals can be accomplished using three different types of sound—broadly categorized as environmental sound, music, and speech—resulting in nine combinations of uses of sound and types of sound to manage tinnitus. The authors explain the uses and types of sound, how they can be combined, and how the different combinations are used with Progressive Audiologic Tinnitus Management. They also describe how sound is used with other sound-based methods of tinnitus management (Tinnitus Masking, Tinnitus Retraining Therapy, and Neuromonics).

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Individual Reliability of the Standard Clinical Method vs Patient-Centered Tinnitus Likeness Rating for Assessment of Tinnitus Pitch and Loudness Matching

Hébert

2018

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Current individualized sound therapies for tinnitus rely on tinnitus pitch assessment, which is commonly derived from the standard clinical 2-alternative forced-choice (2-AFC) approach driven by the examiner. However, this method is limited by lack of individual test-retest reliability and focuses on a single rather than multiple tinnitus frequencies. OBJECTIVE To assess individual test-retest reliability of the 2-AFC, with a single final frequency (and corresponding loudness), and the tinnitus likeness rating (TLR), with the participant exposed to the entire audible frequency spectrum, from which 3 dominant frequencies and corresponding loudness were extracted. DESIGN, SETTING, AND PARTICIPANTS In this case series, participants with tinnitus underwent testing twice with both methods at a 1-month interval by experienced clinicians from January 6 through March 17, 2017. Each clinician tested each patient only once at visit 1 or 2 in a university audiology training setting with standardized equipment and was blind to previous assessment. Participants with bilateral or unilateral chronic tinnitus for longer than 6 months, in good health, without total deafness in either ear, and without cerumen in the ear canal were recruited through advertisements (community and clinics) and word of mouth (volunteer sample). The audiologists were likewise participants in the planned comparison between TLR and 2-AFC in the test-retest measures. MAIN OUTCOMES AND MEASURES Test-retest concordance with 95% CIs for each method, calculated as the proportion of participants with the same final frequency between the 2 visits (2-AFC) or with at least 1 concordant dominant frequency (TLR) as well as loudness differences of no greater than 10 dB. RESULTS The study sample included 31 participants (55% men; mean [SD] age, 50.7 [13.7] years). For TLR, 26 of 31 participants had at least 1 concordant dominant frequency between the 2 visits (proportion, 0.84; 95% CI, 0.66-0.95), whereas for 2-AFC, 7 of 31 participants had a concordant final tinnitus pitch in either ear (proportion, 0.23; 95% CI, 0.10-0.41). Loudness reliability followed the same pattern, with more concordant loudness levels in the TLR (proportion, 0.73; 95% CI, 0.52-0.88) than in the 2-AFC (proportion, 0.40; 95% CI, 0.05-0.85). Mean time taken to complete the tests was less than 15 minutes, and general appreciation by participants with tinnitus and audiologists were overall similar for both. CONCLUSIONS AND RELEVANCE Superior test-retest concordance can be demonstrated at the individual level using the several dominant frequencies extracted from the patient-centered TLR.

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Clinical Guide for Audiologic Tinnitus Management I

Abstract: This article explains each of these assessment components in detail. Adoption of the ATM assessment protocol by audiologists can contribute to the establishment of uniform procedures for the clinical management of tinnitus patients.

Cited by 69 publications

References 48 publications

Aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual na redução do zumbido

Aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual na redução do zumbido

Using Therapeutic Sound With Progressive Audiologic Tinnitus Management

Individual Reliability of the Standard Clinical Method vs Patient-Centered Tinnitus Likeness Rating for Assessment of Tinnitus Pitch and Loudness Matching

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