Sound generator associated with the counseling in the treatment of tinnitus: evaluation of the effectiveness

Rocha, Andressa Vital; Mondelli, Maria Fernanda Capoani Garcia

doi:10.1016/j.bjorl.2016.03.021

Cited by 21 publications

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“…The following three modules, entitled "Fitting of hearing aids," "Fitting of Sound Generator" and "Counseling" address the main treatments that the speech therapist can offer to the subject with tinnitus, in view of the habituation and remission of the symptom. 4,[30][31][32][33] Therefore, questionnaires (THI, HHIA, HHIE) that help the speech therapists to understand both hearing loss and tinnitus have been available in these modules for download and printing. 34 Providing scientific information about a specific content in audiology and providing resources for download and printing were also used by other researchers who developed virtual platforms.…”

Section: Discussionmentioning

confidence: 99%

Development and Evaluation of Portal do Zumbido: A Novel Telehealth Approach to Tinnitus

Matos

Ferreira

Mondelli

2020

Int Arch Otorhinolaryngol

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Abstract Introduction Tinnitus is a prevalent symptom in audiological clinics, and the speech therapist participates in the assessment, diagnosis, and intervention of tinnitus. A range of studies have been developed with the aim to promote auditory health, and telehealth is an option for this purpose. Objective The aim of the present study was to develop and assess a virtual platform for tinnitus management for speech therapists. Methods The present study provided a distance-learning-course, with the aid of Portal do Zumbido, available in the following electronic address: zumbido.fob.usp.br. Infographics were available for download, and modules were made to comprise the introduction to the symptoms, assessment, and intervention for tinnitus. Results Speech therapists of different regions of Brazil received an e-mail invitation to participate and to assess the platform, 46 of whom registered. From the 46 speech therapists registered, 38 assessed the virtual platform with the aid of a questionnaire about the theoretical content and then answered a motivational research sheet (MRS). The speech therapists correctly answered 90% and 100% of the questions in the questionnaire and in the MRS, respectively, which may indicate that the professionals positively absorbed the content; thus, the content was considered to be impressive when the MRS was analyzed. Conclusion Portal do Zumbido was developed and is available for access in the following electronic address: zumbido.fob.usp.br. Furthermore, the platform received a positive assessment by the speech therapists who participated in the present study.

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Section: Discussionmentioning

confidence: 99%

Development and Evaluation of Portal do Zumbido: A Novel Telehealth Approach to Tinnitus

Matos

Ferreira

Mondelli

2020

Int Arch Otorhinolaryngol

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“…Although the clinical effects of different types of masking noises have been extensively studied (Aytac et al, 2017;Rocha and Mondelli, 2017;Li et al, 2019;Tyler et al, 2020), there is no consensus on how to choose the optimal masking sound for specific therapy. Considering the clinical requirements for personalized and customized acoustic therapy, existing RCT studies on different masking sounds have limited value for clinical applications.…”

Section: Discussionmentioning

confidence: 99%

Cortical Activation Patterns of Different Masking Noises and Correlation With Their Masking Efficacy, Determined by Functional Near-Infrared Spectroscopy

Sun

Wang

Huang

et al. 2020

Front. Hum. Neurosci.

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Acoustic therapy in tinnitus treatment is poorly characterized, and efficacy assessment depends on subjective descriptions. Narrow-band noise, notched sound, and white noise have positive therapeutic effects on monotonous tinnitus. Considering the tonotopic characteristics of the auditory system and the spectral characteristics of these three masking sounds, the activation pattern of the auditory cortex and the mechanism of inhibiting tinnitus may be different. This study aimed to compare the activation patterns of three spectrally different masking noises and study the correlation between the masking effects and variational amplitude of oxygenated hemoglobin (HbO) in the corresponding cortical regions. We also assessed near-infrared spectroscopy brain function imaging (NIRS) as an objective assessment tool in acoustic therapy. Patients with persistent non-pulsatile tinnitus and control volunteers without tinnitus were enrolled in this study. The subjects were seated in a soundproof room, with two optode arrays covering the bilateral temporal lobe. Auditory stimuli were presented; stimulation sequences followed the block design: different noises appeared randomly and repeated in five cycles. Tinnitus match and residual inhibition were performed in the tinnitus group. The data analyses were conducted using the NIRS_SPM toolbox. The group analysis results showed that the narrow-band noise caused a marginally significant decrease in HbO signal in the Brodmann 21 region (BA21), while white noise caused a significant increase in HbO signal in BA21. Notched sound did not cause significant changes in the HbO signal in the temporal cortex. And none of the three masking noises caused significant changes in the HbR signal in the temporal cortex. The depth of residual inhibition induced by the narrow-band noise and white noise significantly correlated with ∆HbO in the region of interest (ROI). However, neither the depth nor duration of the residual inhibition induced by notched sound correlated with the ∆HbO. Thus, NIRS showed three cortical activation patterns induced by three different masking noises, and correlations between residual inhibition effects and change of HbO amplitude were found. NIRS could therefore be applied in objective assessment of acoustic therapy.

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“…The patients had bilateral tinnitus, so the attempts were gradual and successive, with higher and lower tones until a tone close to tinnitus was reached. 17,18 For the minimum masking level (MML) search, the narrow band stimulus was used, being presented to the patient ascendingly in order to evaluate the lowest sound intensity that can mask tinnitus. 17,18 In the occurrence of tinnitus remission (total or partial), the measurements were not performed again due to the absence of the symptom.…”

Section: • Application Of the Vasmentioning

confidence: 99%

“…The effective use of Has was confirmed by means of datalogging and the 3-month period determined based on the studies. 17,18,20…”

Section: Adaptation and Verification Of The Hearing Aidmentioning

confidence: 99%

Sound Generator: Analysis of the Effectiveness of Noise in the Habituation of Tinnitus

Mondelli

Cabreira

Matos

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Tinnitus is a disorder that affects 10 to 15% of de world's population. Sound therapy performed through hearing aids (HAs) with integrated sound generator (SG) is one of the forms of tinnitus treatment. Objective To analyze the effectiveness of four masking noises in relieving tinnitus in individuals with mild and moderate bilateral sensorineural hearing loss and their influence in speech perception. Methods The participants were 35 individuals with tinnitus and mild and moderate bilateral sensorineural hearing loss, divided into four groups. All groups underwent HA and SG adaptation, being regulated in the combined mode (HA and SG). In group 1 (G1), the white noise stimulus was applied, in group 2 (G2), pink noise was applied, in group 3 (G3), speech noise, and in group 4 (G4), the high tone was applied. All patients were subjected to the following procedures: audiological diagnosis, acuphenometry, tinnitus handicap inventory (THI), visual analogue scale (VAS), and hearing in noise test (HINT). The procedures were performed prior to and after hearing intervention, and after 3 months of use of HA and SG. Results All groups presented a statistically significant difference for the THI, VAS, and HINT pre and postintervention. In the case of the HINT, only pink noise presented a significant difference. However, in the comparation among groups there was no significant difference. Conclusion The present study made it possible to conclude that the four noises were equally effective in relieving tinnitus, with no statistically significant differences between the analyzed groups.

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Sound generator associated with the counseling in the treatment of tinnitus: evaluation of the effectiveness

Abstract: The use of the SG was similarly effective in the treatment of the tinnitus in individuals with and without hearing loss, causing an improvement of the nuisance and handicap.

Cited by 21 publications

References 19 publications

Development and Evaluation of Portal do Zumbido: A Novel Telehealth Approach to Tinnitus

Development and Evaluation of Portal do Zumbido: A Novel Telehealth Approach to Tinnitus

Cortical Activation Patterns of Different Masking Noises and Correlation With Their Masking Efficacy, Determined by Functional Near-Infrared Spectroscopy

Sound Generator: Analysis of the Effectiveness of Noise in the Habituation of Tinnitus

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