Vol 35 No 1 (2016)
Hearing
Effectiveness of Clinical Trial of Tinnitus Retraining Therapy on Temporal Processing and Perceptual Judgment in Tinnitus
How to Cite
Saransh Jain, & Chandni Jain. (1). Effectiveness of Clinical Trial of Tinnitus Retraining Therapy on Temporal Processing and Perceptual Judgment in Tinnitus. Journal of All India Institute of Speech and Hearing, 35(1), 44-57. Retrieved from http://203.129.241.91/jaiish/index.php/aiish/article/view/924
Abstract
The present study evaluated the eectiveness of tinnitus retraining therapy (TRT) on certain temporal processing abilities and perceptual judgment of tinnitus. A review of literature revealed that TRT reduces
the neural activity at the level of limbic and autonomic nervous system. As, the neural generators of temporal perceptual skills also lie in the cortical and sub-cortical areas of the brain, it was hypothesized in the
current study that there could be an association between the two. This longitudinal study was carried out with three groups of participants. The groups included 16 participants with bilateral symmetrical tinnitus
(experimental group), 10 individuals with tinnitus (placebo group), and 20 individuals with no tinnitus (control group). All the participants had normal hearing sensitivity. TRT was given to the participants of
the experimental group. Temporal processing abilities, tinnitus severity, annoyance and loudness were assessed before therapy and 1, 6 and 12 months following therapy. A signicant improvement in the temporal
processing test scores after 12 months of therapy was noted. Therapy also resulted in reduction of tinnitus severity and tinnitus related annoyance. There was a positive association between improved temporal processing and reduced tinnitus severity and tinnitus related annoyance for theparticipants in the experimental group. The improvement of temporal processing skills and perceptual judgment of tinnitus after therapy indicate the eectiveness of tinnitus retraining therapy and conrm the cortical and/or sub cortical involvement in tinnitus perception.
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57
prognostic factors for tinnitus retraining therapy with a
sound generator in tinnitus patients. Journal of Medical
and Dental Sciences, 57(1), 45?53.
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Journal of Speech, Language, and Hearing Research,
41(3), 549?563.
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transfer functions in normal-hearing and hearingimpaired
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Cipolotti, L., Brown, M. M., & Luxon, L. M.
(2006). Auditory temporal processing de cits in patients
with insular stroke. Neurology, 67(4), 614?619.
https://doi.org/10.1212/01.wnl.0000230197.40410.db
Baracca, G. N., Forti, S., Crocetti, A., Fagnani, E.,
Scotti, A., Del Bo, L., & Ambrosetti, U. (2007). Results
of TRT after eighteen months: our experience.
International Journal of Audiology, 46(5), 217?222.
https://doi.org/10.1080/14992020601175945
Bartnik, G., Fabijanska, A., & Rogowski, M. (2001). Effects
of tinnitus retraining therapy (TRT) for patients
with tinnitus and subjective hearing loss versus tinnitus
only. Scandinavian Audiology Supplementum, 52,
206?208.
Bauer, C. A., & Brozoski, T. J. (2011). E ect of tinnitus retraining
therapy on the loudness and annoyance of tinnitus:
a controlled trial. Ear and Hearing, 32(2), 145?155.
https://doi.org/10.1097/AUD.0b013e3181f5374f
Bellis, T. J. (2011). Assessment and management of central
auditory processing disorders in the educational setting:
from science to practice (2nd ed). San Diego: Plural
Pub.
Beriat, G. K., Ezerarslan, H., Akmansu, S. H., Aksoy, S., Ay,
S., Do?an, S. K., ? Kocaturk, S. (2011). Comparison of
ecacy of di erent treatment methods in the treatment
of idiopathic tinnitus. Kulak Burun Bo?az Ihtisas Der-
gisi, 21(3), 145-153.
Brosch, M., Schulz, A., & Scheich, H. (1998). Neuronal
mechanisms of auditory backward recognition masking
in macaque auditory cortex. Neuroreport, 9(11),
2551?2555.
Brozoski, T. J., Bauer, C. A., & Caspary, D. M. (2002). Elevated
fusiform cell activity in the dorsal cochlear nucleus
of chinchillas with psychophysical evidence of tinnitus.
The Journal of Neuroscience, 22(6), 2383?2390.
Chen, G. D., & Jastrebo , P. J. (1995). Salicylate-induced
abnormal activity in the inferior colliculus of rats. Hear-
ing Research, 82(2), 158?178.
Chermak, G. D., & Musiek, F. E. (1997). Central Auditory
Processing Disorders: New Perspectives. San Diego,
CA: Singular Publ. Group.
Clark, L. A., & Watson, D. (1995). Constructing
validity: Basic issues in objective scale development.
Psychological Assessment, 7(3), 309?319.
https://doi.org/10.1037/1040-3590.7.3.309
Colavita, F. B., Szeligo, F. V., & Zimmer, S. D.
(1974). Temporal pattern discrimination in cats
with insular-temporal lesions. Brain Research, 79(1),
153?156.
Desloge, J. G., Reed, C. M., Braida, L. D., Perez, Z. D.,
& Delhorne, L. A. (2010). Speech reception by listeners
with real and simulated hearing impairment: effects
of continuous and interrupted noise. The Journal
of the Acoustical Society of America, 128(1), 342?359.
https://doi.org/10.1121/1.3436522
Dubno, J. R., & Schaefer, A. B. (1992). Comparison of
frequency selectivity and consonant recognition among
hearing-impaired and masked normal-hearing listeners.
The Journal of the Acoustical Society of America, 91(4
Pt 1), 2110?2121.
Efron, R., Yund, E. W., Nichols, D., & Crandall, P. H.
(1985). An ear asymmetry for gap detection following
anterior temporal lobectomy. Neuropsychologia, 23(1),
43?50.
Erlandsson, S., & Archer, T. (1994). Tinnitus, pain
and a ective disorders (Vol. 1). London: Farrand
Press.
Evans, E. F., Wilson, J. P., & Borerwe, T. A. (1981). An-
imal models of tinnitus. Ciba Foundation Symposium,
85, 108?138.
Fabijanska, A., Smurzynski, J., Hatzopoulos, S., Kochanek,
K., Bartnik, G., Raj-Koziak, D., ? Skar_zynski, H.
(2012). The relationship between distortion product
otoacoustic emissions and extended high-frequency audiometry
in tinnitus patients. Part 1: normally hearing
patients with unilateral tinnitus. Medical Science Moni-
tor: International Medical Journal of Experimental and
Clinical Research, 18(12), CR765?770.
Fournier, P., & Hebert, S. (2013). Gap detection
de cits in humans with tinnitus as assessed
with the acoustic startle paradigm: Does tinnitus
ll in the gap? Hearing Research, 295, 16?23.
https://doi.org/10.1016/j.heares.2012.05.011
Freigang, C., Schmidt, L., Wagner, J., Eckardt,
R., Steinhagen-Thiessen, E., Ernst, A., &
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