Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting

OBJECTIVE: To describe the quantitative treatment outcomes of patients undergoing acoustic coordinated reset (CR) neuromodulation at a single independent audiology practice over a 22 – 26 week period as part of an open label, non-randomized, non-controlled observational study.Methods: Sixty six pati...

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Main Authors: Mark eWilliams, Christian eHauptmann, Nitesh ePAtel
Format: Article
Language:English
Published: Frontiers Media S.A. 2015-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fneur.2015.00054/full
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author Mark eWilliams
Christian eHauptmann
Nitesh ePAtel
author_facet Mark eWilliams
Christian eHauptmann
Nitesh ePAtel
author_sort Mark eWilliams
collection DOAJ
description OBJECTIVE: To describe the quantitative treatment outcomes of patients undergoing acoustic coordinated reset (CR) neuromodulation at a single independent audiology practice over a 22 – 26 week period as part of an open label, non-randomized, non-controlled observational study.Methods: Sixty six patients with subjective tonal tinnitus were treated with acoustic CR Neuromodulation with a retrospective review of patient records being performed in order to identify changes of visual analogue scale (VAS, n=66) and in the score of the Tinnitus Handicap Questionnaire (THQ, n =51). Patients had their tinnitus severity recorded prior to the initiation of therapy using the Tinnitus Handicap Inventory (THI) in order to categorize patients into slight up to catastrophic impact categories. THQ and VAS for tinnitus loudness / annoyance were obtained at the patient’s initial visit, at 10-14 weeks and 22-26 weeks. RESULTS: VAS scores were significantly improved, demonstrating a 25.8% mean reduction in tinnitus loudness and a 32% mean reduction in tinnitus annoyance with a clinically significant reduction in percept loudness and annoyance being recorded in 59.1% and 72.7% of the patient group. THQ scores were significantly improved by 19.4% after 22-26 weeks of therapy compared to baseline. CONCLUSION: Acoustic CR neuromodulation therapy appears to be a practical and promising treatment for subjective tonal tinnitus. However, due to the lack of a control group it is difficult to reach an absolute conclusion regarding to what extent the observed effects are related directly to the acoustic CR neuromodulation therapy. Also as the observed patient group was made up of paying clients it is unknown as to whether this could have caused any additional placebo like effects to influence the final results.
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spelling doaj.art-5352a0e170d44a3f9b31ad152c05dcf72022-12-22T00:29:32ZengFrontiers Media S.A.Frontiers in Neurology1664-22952015-03-01610.3389/fneur.2015.00054126796Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice settingMark eWilliams0Christian eHauptmann1Nitesh ePAtel2The Tinnitus Clinic Ltd.Forschungszentrum JülichBarts Health NHS TrustOBJECTIVE: To describe the quantitative treatment outcomes of patients undergoing acoustic coordinated reset (CR) neuromodulation at a single independent audiology practice over a 22 – 26 week period as part of an open label, non-randomized, non-controlled observational study.Methods: Sixty six patients with subjective tonal tinnitus were treated with acoustic CR Neuromodulation with a retrospective review of patient records being performed in order to identify changes of visual analogue scale (VAS, n=66) and in the score of the Tinnitus Handicap Questionnaire (THQ, n =51). Patients had their tinnitus severity recorded prior to the initiation of therapy using the Tinnitus Handicap Inventory (THI) in order to categorize patients into slight up to catastrophic impact categories. THQ and VAS for tinnitus loudness / annoyance were obtained at the patient’s initial visit, at 10-14 weeks and 22-26 weeks. RESULTS: VAS scores were significantly improved, demonstrating a 25.8% mean reduction in tinnitus loudness and a 32% mean reduction in tinnitus annoyance with a clinically significant reduction in percept loudness and annoyance being recorded in 59.1% and 72.7% of the patient group. THQ scores were significantly improved by 19.4% after 22-26 weeks of therapy compared to baseline. CONCLUSION: Acoustic CR neuromodulation therapy appears to be a practical and promising treatment for subjective tonal tinnitus. However, due to the lack of a control group it is difficult to reach an absolute conclusion regarding to what extent the observed effects are related directly to the acoustic CR neuromodulation therapy. Also as the observed patient group was made up of paying clients it is unknown as to whether this could have caused any additional placebo like effects to influence the final results.http://journal.frontiersin.org/Journal/10.3389/fneur.2015.00054/fullTinnitusTinnitus treatmentNeuromodulationTinnitus therapyAcoustic CR Neuromodulation
spellingShingle Mark eWilliams
Christian eHauptmann
Nitesh ePAtel
Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
Frontiers in Neurology
Tinnitus
Tinnitus treatment
Neuromodulation
Tinnitus therapy
Acoustic CR Neuromodulation
title Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
title_full Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
title_fullStr Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
title_full_unstemmed Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
title_short Acoustic CR neuromodulation therapy for subjective tonal tinnitus: a review of clinical outcomes in an independent audiology practice setting
title_sort acoustic cr neuromodulation therapy for subjective tonal tinnitus a review of clinical outcomes in an independent audiology practice setting
topic Tinnitus
Tinnitus treatment
Neuromodulation
Tinnitus therapy
Acoustic CR Neuromodulation
url http://journal.frontiersin.org/Journal/10.3389/fneur.2015.00054/full
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