International Tinnitus Journal最新文献

{"title":"Test-Retest Reliability of Vestibular Evoked Myogenic Potential across Different Age Groups","authors":"Kaushlendra Kumar, J. Bhat, A. Varghese","doi":"10.5935/0946-5448.20180018","DOIUrl":"https://doi.org/10.5935/0946-5448.20180018","url":null,"abstract":"Background: VEMPs are used to evaluate the function of otolith system. cVEMP evaluate the function of saccule and oVEMP evaluate the function of utricle. There are equivocal findings in the test-retest reliability of cVEMP and oVEMP response among the young adult's groups. Therefore, the present study was taken up to see test-retest reliability the test-retest reliability of cVEMPs (with and without integrated visual feedback system) and oVEMP parameters across different age groups. \u0000Method: A total of 60 participants were included among the three groups (young adult, middle adult and old adult) with an equal number of in each group. cVEMP and oVEMP were performed thrice for all the participants to see the test-retest reliability. \u0000Results: Present study results showed test-retest reliability was fair to good and above for all the parameters for cVEMP as well as oVEMP response. cVEMP peak to peak amplitude retest reliability with integrated visual feedback showed more reliability than without integrated visual feedback system in middle and old adults. \u0000Conclusion: It can be concluded from the current study that cVEMP and oVEMP testing procedures are reliable in the young, middle and old adult groups during and between test recordings.","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"22 1","pages":"103-108"},"PeriodicalIF":0.0,"publicationDate":"2018-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49576028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tinnitus Retraining Therapy (TRT): outcomes after one-year treatment.","authors":"Stavros Korres,&nbsp;Aikaterini Mountricha,&nbsp;Dimitrios Balatsouras,&nbsp;Nikolaos Maroudias,&nbsp;Maria Riga,&nbsp;Ioannis Xenelis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of the study is to present our results regarding the efficacy of TRT for tinnitus relief in patients with clinically significant tinnitus compared to a group treated with vasoactive agents. In a nonrandomized prospective study, 63 patients with disabling tinnitus were recruited. Greek translation of the Tinnitus Handicap Inventory (THI) and visual analogue scale (VAS) for annoyance caused by tinnitus when conducting four major activities of everyday life (work, sleep, relaxation and concentration) were examined in a 12-month period. The THI score was significantly improved in the TRT group, as well as mean VAS scores, in all measures. Comparison of the mean improvement of THI and VAS scores after treatment showed significant differences between the two groups, favoring TRT treatment. Our data suggest that TRT is an effective treatment. It reduces the level of annoyance induced by tinnitus and improves the ability of patients to work, sleep, relax or be concentrated.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"55-9"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tinnitus treatment with sound stimulation during sleep.","authors":"Pedemonte M,&nbsp;Drexler D,&nbsp;Rodio S,&nbsp;Geisinger D,&nbsp;Bianco A,&nbsp;Pol-Fernandes D,&nbsp;Bernhardt V","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A new strategy for idiopathic subjective tinnitus treatment - sound stimulation during sleep - has been applied. It was based on the acknowledgement that the auditory system also works during sleep, processing the incoming information. Eleven patients were stimulated every night during 6 months. The stimulus was a sound that mimetized the tinnitus and was fixed at the same tinnitus intensity, applied through an iPod. All patients decreased their tinnitus intensity in the first month of treatment (statistically significant), most of them in the first week. Tinnitus intensity continued decreasing in the following weeks; three patients presented periods of total silence.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical benefits to vestibular rehabilitation in multiple sclerosis. Report of 4 cases.","authors":"Bianca Zeigelboim,&nbsp;Paulo Liberalesso,&nbsp;Ari Jurkiewicz,&nbsp;Karlin Klagenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Background: </strong>Balance difficulties are common among multiple sclerosis patients.</p><p><strong>Objective: </strong>To evaluate the effectiveness of the Cawthorne and Cooksey protocol of vestibular rehabilitation (VR) exercises in reducing the physical, functional and emotional impact of multiple sclerosis among individuals who complained of vertigo.</p><p><strong>Methods: </strong>Four patients with remittent-recurrent multiple sclerosis underwent an interview, otorhinolaryngological and vestibular evaluation, VR exercises and the Dizziness Handicap Inventory pre- and post-intervention.</p><p><strong>Results: </strong>There was significant improvement in the physical, functional and emotional aspects of the DHI after the completion of the VR.</p><p><strong>Conclusion: </strong>The VR exercises appeared useful in reducing subjective complaints of the study participants.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"60-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two cases of intractable auditory hallucination successfully treated with sound therapy.","authors":"Yutaka Kaneko,&nbsp;Yasuhiko Oda,&nbsp;Fumiyuki Goto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report two cases of patients with schizoaffective disorder with treatment-refractory auditory verbal hallucinations (AVHs) who were successfully treated with sound therapy, which is effective to treat tinnitus. AVHs in both patients were alleviated within about one month, and no recurrence was reported for 31 and 17 months after the sound therapy together with medication. Further studies may confirm the therapeutic value of sound therapy in patients with intractable AVHs.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"29-31"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40107193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The possible contribution of angiitis to the onset of benign paroxysmal positional vertigo (BPPV).","authors":"Fumiyuki Goto,&nbsp;Ken Hayashi,&nbsp;Takanobu Kunihiro,&nbsp;Kaoru Ogawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>The aim was to evaluate the oxidative stress and the angiitis in patients with BPPV.</p><p><strong>Method: </strong>Patients with benign paroxysmal positional vertigo (BPPV) within 14 days of onset were analyzed. The level of diacron reactive oxygen metabolites (d-ROM) and circulating soluble vascular cell adhesion molecule 1 (VCAM-1), were evaluated. As a treatment the patients were taught to perform the Brandt-Daroff exercise at home by themselves. The prognosis of BPPV, which is measured as the time until the disappearance of positional nystagmus by a physician during the outpatient visit each week, the relation among the level of oxygen metabolites, vascular molecule and the duration until remission were analyzed.</p><p><strong>Results: </strong>The patients who required longer time for the disappearance of positional nystagmus showed high d-ROM and VCAM levels, whereas those who required shorter time for remission showed lower d-ROM and VCAM levels.</p><p><strong>Conclusion: </strong>There is an increased expression of VCAM-1 and d-ROM confirming the existence of an angiitis and supporting the vascular involvement in BPPV. The identification of the high levels of d-ROM and VCAM-1 can open the way to selective pharmacological treatments able to correct the oxidative stress and activation of endothelial cells.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40107192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A cognitive model of tinnitus and hyperacusis; a clinical tool for patient information, appeasement and assessment.","authors":"Olav Wagenaar,&nbsp;Marjan Wieringa,&nbsp;Hans Verschuure","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Tinnitus and hyperacusis are both aggravating audiological symptoms. Their underlying mechanisms are not fully understood, but the pathophysiology involves a central mechanism rather than a peripheral one. There is no curative treatment. A review of the available research on tinnitus and auditory processing was conducted to connect insights gained from different approaches to the subject; this resulted in the development of a holistic view of both conditions. In this view, the chronic course of the symptoms is pathological and attributed to a stress-related lack of habituation. This article adds to the literature on tinnitus and hyperacusis by presenting a schematic model of the cognitive mechanisms which can be used clinically in patient information sessions which are geared towards provide reassurance and encouraging the development of coping skills. In cooperation with the patient, the model can also help in the identification of underlying pathology. Future aims of study are suggested, elaborating on the role of tinnitus and hyperacusis in normal auditory processing and on the value of insight. Finally, parallels are drawn between tinnitus and positive symptom syndromes in neuropsychiatry and some of its modern visions on their treatment.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"66-72"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Middle ear myoclonus: a new technique for suppression of spontaneous clicking tinnitus.","authors":"Chung Chan,&nbsp;Rudrapathy Palaniappan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Middle ear myoclonus is one of the causes of clicking tinnitus and can be psychologically distressing. Current management of intractable clicking includes medication or tenotomy. Two cases with spontaneous intrusive irregular clicking are presented where relief and a sense of control were obtained using non-invasive self - administered zygomatic pressure. This technique may be useful in selected patients before resorting to medication or tenotomy.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"51-4"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Posturography measures and efficacy of different physical treatments in somatic tinnitus.","authors":"Bonaconsa Amanda,&nbsp;Mazzoli Manuela,&nbsp;Magnano Antonia,&nbsp;Milanesi Claudio,&nbsp;Babighian Gregorio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Somatic modulation in tinnitus has been demonstrated by several studies although few investigations have been published on the efficacy of physical treatments in tinnitus subjects. In the present study the prevalence of somatic components to tinnitus were evaluated and the efficacy of two different physical treatments were compared: InterX® transcutaneous dynamic electrical stimulation and manual osteopathic therapy. Furthermore, posturographic measurements were analysed to verify the postural control in tinnitus subjects. 40 consecutive tinnitus patients, aged 18-65, were randomly selected for treatment (once a week for 2 months): 20 tinnitus subjects were treated with osteopathic manipulations, 20 with InterX®. They were evaluated pre and post therapy with audiogram up to 16 kHz, tinnitus pitch and loudness match, MML, THI questionnaire, posturography, structured interview with special attention on postural and movement influence on tinnitus, physical evaluation and osteopathic evaluation. 40 controls with no tinnitus, underwent audiological tests, postural and osteopathic evaluation for comparison. In our population, tinnitus sufferers presented more frequently musculoscheletal strains assessed with osteopathic visit and postural problems assessed with posturography measures in comparison with controls. Posturographic test, showed an average oscillating areas significantly greater in tinnitus participants (p ≤ 0.05), compared with control subjects. On the average in the treated groups, the enveloped areas were not significantly affected by either of the treatments. Tinnitus improved subjectively in most patients: loudness decreased, % time of awareness, % time of annoyance and quality of life was overall perceived as improved. This was mostly evident in subjects with muscular strain and tensions. This study indicates the benefit of physical, manipulation therapy for those patients with somatic modulation of their tinnitus, further studies are needed to establish the diagnostic or prognostic role of posturographic measurements.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Principles of tinnitology: tinnitus diagnosis and treatment a tinnitus-targeted therapy.","authors":"Abraham Shulman,&nbsp;Barbara Goldstein","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objective: </strong>To provide to the tinnitus professional a rationale for establishing accuracy in tinnitus diagnosis and the selection of modalities of therapy (i.e., medication, instrumentation, and surgery) for attempting tinnitus relief for patients with tinnitus diagnosed by completion of a medical-audiological tinnitus protocol (MATPP) and clinical course and found to be subjective idiopathic tinnitus of the severe disabling type (SIT).</p><p><strong>Background: </strong>The completion of a MATPP has been recommended since 1977 for each tinnitus patient in an attempt to establish an accurate diagnosis. A tinnitus-targeted therapy (TTT), a combined treatment of medication and instrumentation focusing on pharmacotherapy, has evolved from our ongoing clinical experience since 1977 (now in excess of 10,000 SIT patients) [1-4]. Principles for SIT treatment have evolved from the TTT experience that provides a rationale for attempting tinnitus relief. In this report, the term tinnitus refers to SIT.</p><p><strong>Method: </strong>The strategies of TTT are based on the clinical translation for SIT diagnosis and treatment of (1) fundamentals of neuro-otological diagnosis; (2) fundamentals of sensory physiology; (3) extrapolation for treatment of known underlying neurochemistries from nuclear medicine imaging results e.g. single-photon emission computed tomography and positron emission tomography; (4) hypothesis of mechanism of tinnitus production , Tinnitus Dysynchrony Synchrony Theory (TDST) [5] , and hypothesis of the transformation-transition of the sensation of an aberrant auditory sensation-tinnitus (i.e., sensory component)-to one of affect (i.e., the emotional-behavioral component), Final Common Pathway of Tinnitus (FCP)[8]; and (5) innovative application of drug therapies designed for indications other than tinnitus [2,3].</p><p><strong>Results and conclusion: </strong>The ongoing clinical application of a rationale based on principles of diagnosis and treatment for SIT, which has evolved from our TTT clinical experience in SIT patients, continues to result in long-term tinnitus relief: in excess of 1 year in approximately 75% to 85% with medication and in 10% to 15% with instrumentation. SIT patients resistant to therapy persist at 10% to 15%.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":" ","pages":"73-85"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40106478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}