耳鸣听觉感知训练的疗效:系统评价。
The efficacy of auditory perceptual training for tinnitus: a systematic review.
机构信息
National Biomedical Research Unit in Hearing, 113 The Ropewalk, Nottingham, UK.
出版信息
Ann Behav Med. 2010 Dec;40(3):313-24. doi: 10.1007/s12160-010-9213-5.
Auditory perceptual training affects neural plasticity and so represents a potential strategy for tinnitus management. We assessed the effects of auditory perceptual training on tinnitus perception and/or its intrusiveness via a systematic review of published literature. An electronic database search using the keywords 'tinnitus and learning' or 'tinnitus and training' was conducted, updated by a hand search. The ten studies identified were reviewed independently by two reviewers, data were extracted, study quality was assessed according to a number of specific criteria and the information was synthesised using a narrative approach. Nine out of the ten studies reported some significant change in either self-reported or psychoacoustic outcome measures after auditory training. However, all studies were quality rated as providing low or moderate levels of evidence for an effect. We identify a need for appropriately randomised and controlled studies that will generate high-quality unbiased and generalisable evidence to ascertain whether or not auditory perceptual training has a clinically relevant effect on tinnitus.
听觉感知训练会影响神经可塑性,因此它代表了一种耳鸣管理的潜在策略。我们通过对已发表文献的系统回顾,评估了听觉感知训练对耳鸣感知和/或其侵扰性的影响。使用关键字“耳鸣与学习”或“耳鸣与训练”对电子数据库进行了搜索,并通过手工搜索进行了更新。确定的十项研究由两位评审员独立进行了回顾,提取了数据,并根据一些具体标准评估了研究质量,然后使用叙述方法对信息进行了综合。在听觉训练后,十项研究中有九项报告了自我报告或心理声学结果测量方面的一些显著变化。然而,所有研究的质量评分都表明,对于这种效果的证据水平较低或中等。我们需要进行适当的随机对照研究,以产生高质量的、无偏倚的、可推广的证据,以确定听觉感知训练是否对耳鸣有临床相关的影响。