音乐诱导的皮质可塑性和人类听觉皮层中的侧抑制作用是治疗音调性耳鸣的基础。

Music-induced cortical plasticity and lateral inhibition in the human auditory cortex as foundations for tonal tinnitus treatment.

机构信息

Institute for Biomagnetism and Biosignalanalysis, University of Münster Münster, Germany.

出版信息

Front Syst Neurosci. 2012 Jun 27;6:50. doi: 10.3389/fnsys.2012.00050. eCollection 2012.

Abstract

Over the past 15 years, we have studied plasticity in the human auditory cortex by means of magnetoencephalography (MEG). Two main topics nurtured our curiosity: the effects of musical training on plasticity in the auditory system, and the effects of lateral inhibition. One of our plasticity studies found that listening to notched music for 3 h inhibited the neuronal activity in the auditory cortex that corresponded to the center-frequency of the notch, suggesting suppression of neural activity by lateral inhibition. Subsequent research on this topic found that suppression was notably dependent upon the notch width employed, that the lower notch-edge induced stronger attenuation of neural activity than the higher notch-edge, and that auditory focused attention strengthened the inhibitory networks. Crucially, the overall effects of lateral inhibition on human auditory cortical activity were stronger than the habituation effects. Based on these results we developed a novel treatment strategy for tonal tinnitus-tailor-made notched music training (TMNMT). By notching the music energy spectrum around the individual tinnitus frequency, we intended to attract lateral inhibition to auditory neurons involved in tinnitus perception. So far, the training strategy has been evaluated in two studies. The results of the initial long-term controlled study (12 months) supported the validity of the treatment concept: subjective tinnitus loudness and annoyance were significantly reduced after TMNMT but not when notching spared the tinnitus frequencies. Correspondingly, tinnitus-related auditory evoked fields (AEFs) were significantly reduced after training. The subsequent short-term (5 days) training study indicated that training was more effective in the case of tinnitus frequencies ≤ 8 kHz compared to tinnitus frequencies >8 kHz, and that training should be employed over a long-term in order to induce more persistent effects. Further development and evaluation of TMNMT therapy are planned. A goal is to transfer this novel, completely non-invasive and low-cost treatment approach for tonal tinnitus into routine clinical practice.

摘要

在过去的 15 年中,我们通过脑磁图(MEG)研究了人类听觉皮层的可塑性。两个主要的课题激发了我们的好奇心:音乐训练对听觉系统可塑性的影响,以及侧抑制的影响。我们的一项可塑性研究发现,听 3 小时带隙音乐抑制了听觉皮层中与带隙中心频率相对应的神经元活动,这表明侧抑制抑制了神经活动。随后对该主题的研究发现,抑制作用显著依赖于所采用的带隙宽度,较低的带隙边缘比较高的带隙边缘引起更强的神经元活动衰减,而听觉专注则增强了抑制网络。至关重要的是,侧抑制对人类听觉皮层活动的整体影响强于习惯化效应。基于这些结果,我们开发了一种治疗乐音性耳鸣的新策略——定制带隙音乐训练(TMNMT)。通过在个体耳鸣频率周围的音乐能谱上切隙,我们试图吸引侧抑制作用于参与耳鸣感知的听觉神经元。到目前为止,该训练策略已经在两项研究中进行了评估。初步的长期对照研究(12 个月)的结果支持了该治疗概念的有效性:TMNMT 后主观耳鸣响度和烦恼明显降低,但不切隙保留耳鸣频率时则没有。相应地,训练后耳鸣相关听觉诱发电场(AEF)显著降低。随后的短期(5 天)训练研究表明,对于耳鸣频率≤8kHz 的情况,训练效果优于耳鸣频率>8kHz 的情况,并且为了产生更持久的效果,训练应该长期进行。TMNMT 治疗的进一步开发和评估正在计划中。我们的目标是将这种新颖的、完全非侵入性和低成本的治疗方法用于乐音性耳鸣,并将其转移到常规临床实践中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b8a/3384223/0aad7dab7fb5/fnsys-06-00050-g0001.jpg

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