NIHR Nottingham Biomedical Research Centre, Nottingham, UK
Hearing Sciences, Mental Health and Clinical Neuroscience, University of Nottingham, Nottingham, UK.
BMJ Open. 2021 Mar 26;11(3):e047191. doi: 10.1136/bmjopen-2020-047191.
INTRODUCTION: Tinnitus is the awareness of a sound in the ear or head in the absence of an external source. It affects around 10%-15% of people. About 20% of people with tinnitus also experience symptoms such as depression or anxiety that negatively affect their life. Transcranial direct current stimulation (tDCS) is a technique involving constant low-intensity direct current delivered via electrodes on the head. It is postulated to modulate (suppress or enhance) neural activity in the region between electrodes. As such, it represents a potential treatment option for tinnitus, as well as comorbid depression or anxiety. This systematic review will estimate the effects of tDCS on outcomes relevant to tinnitus. In addition, it will determine whether there is any relationship between stimulation parameters (electrode montage, current intensity, and length and frequency of stimulation sessions) and the effect of tDCS on these outcomes. METHODS AND ANALYSIS: Electronic searches for peer-reviewed journal articles will be performed in the Cochrane Register of Studies online (the Cochrane Ear, Nose and Throat Disorders Group Register and CENTRAL, current issue), PubMed, EMBASE, CINAHL, LILACS, KoreaMed, IndMed, PakMediNet, CNKI, AMED, PsycINFO, Web of Science, ClinicalTrials.gov, ICTRP and Google Scholar using the following search terms: transcranial Direct Current Stimulation OR tDCS AND tinnitus OR depression OR anxiety OR quality of life OR adverse effects OR neurophys*.Searches were not limited by date. Methods are reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). Randomised controlled trials will be included if they report at least one of the following outcomes: tinnitus symptom severity, anxiety or depression as measured by relevant validated instruments. Where available, data on quality of life, adverse effects and neurophysiological changes will also be reviewed. In addition to an analysis of the effect of each parameter, an analysis will be performed to uncover any interactions between parameters. Where appropriate, meta-analyses will be performed. ETHICS AND DISSEMINATION: This systematic review will make use of secondary data only. As no data will be obtained from participants directly, ethical approval has not been sought. No other ethical issues are foreseen. Findings will be submitted for peer-reviewed publication and presented at academic conferences. The results of this review will inform future research. PROSPERO REGISTRATION NUMBER: CRD42020185567.
简介:耳鸣是指在没有外部声源的情况下,耳朵或头部出现声音的感知。它影响大约 10%-15%的人。大约 20%的耳鸣患者还会出现抑郁或焦虑等症状,这些症状会对他们的生活产生负面影响。经颅直流电刺激(tDCS)是一种涉及通过电极在头部施加恒定低强度直流电的技术。据推测,它可以调节(抑制或增强)电极之间区域的神经活动。因此,它代表了耳鸣以及合并的抑郁或焦虑的潜在治疗选择。本系统评价将估计 tDCS 对与耳鸣相关的结果的影响。此外,它还将确定刺激参数(电极布局、电流强度、刺激疗程的长度和频率)与 tDCS 对这些结果的影响之间是否存在任何关系。
方法和分析:将在 Cochrane 研究在线注册(Cochrane 耳鼻喉科疾病组注册和 CENTRAL,当前问题)、PubMed、EMBASE、CINAHL、LILACS、KoreaMed、IndMed、PakMediNet、CNKI、AMED、PsycINFO、Web of Science、ClinicalTrials.gov、ICTRP 和 Google Scholar 中进行同行评审期刊文章的电子搜索,使用以下搜索词:经颅直接电流刺激或 tDCS 和耳鸣或抑郁或焦虑或生活质量或不良反应或神经生理学*. 搜索不受日期限制。方法按照系统评价和荟萃分析报告的首选项目 (PRISMA-P) 进行报告。如果报告以下至少一种结果,将纳入随机对照试验:使用相关验证工具测量的耳鸣症状严重程度、焦虑或抑郁。在有可用数据的情况下,还将审查生活质量、不良反应和神经生理学变化的数据。除了分析每个参数的效果外,还将进行分析以揭示参数之间的任何相互作用。在适当的情况下,将进行荟萃分析。
伦理和传播:本系统评价将仅使用二级数据。由于不会直接从参与者那里获得数据,因此无需获得伦理批准。预计不会出现其他伦理问题。研究结果将提交同行评审发表,并在学术会议上展示。该综述的结果将为未来的研究提供信息。
PROSPERO 注册号:CRD42020185567。
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