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双耳声音疗法治疗耳鸣:心理测量和神经生理学评估。

Binaural sound therapy for tinnitus treatment: A psychometric and neurophysiological evaluation.

机构信息

Tecnológico de Monterrey, Escuela de Ingeniería y Ciencias, Campus Monterrey, Av. Eugenio Garza Sada 2501, 64849 Monterrey, N. L., Mexico.

Tecnológico de Monterrey, Escuela de Ingeniería y Ciencias, Campus Monterrey, Av. Eugenio Garza Sada 2501, 64849 Monterrey, N. L., Mexico.

出版信息

Am J Otolaryngol. 2022 Jan-Feb;43(1):103248. doi: 10.1016/j.amjoto.2021.103248. Epub 2021 Sep 21.

Abstract

INTRODUCTION

Tinnitus is an annoying buzz that manifests itself in many ways. In addition, it can provoke anxiety, stress, depression, and fatigue. The acoustic therapies have become the most commonly applied treatment for tinnitus, either self-administered or clinically prescribed. Binaural Sound Therapy (BST) and Music Therapy (MT) aim to reverse the neuroplasticity phenomenon related to tinnitus by adequately stimulating the auditory path-way. The goal of this research is to evaluate the feasibility of applying BST for tinnitus treatment by comparing its effect with MT effect.

MATERIALS AND METHODS

34 patients with tinnitus from 29 to 60 years were informed about the experimental procedure and consented their participation. Patients were divided into two groups: 1) MT and 2) BST. They applied their sound-based treatment for one hour every day along eight weeks. Each treatment was adjusted to Hearing Loss (HL) and tinnitus characteristics of each participant. To record EEG data, a bio-signal amplifier with sixteen EEG channels was used. The system recorded data at a sampling frequency of 256 Hz within a bandwidth between 0.1 and 100 Hz.

RESULTS

The questionnaire-monitoring reported that MT increased tinnitus perception in 30% of the patients, and increased anxiety and stress in 8% of them. Regarding EEG-monitoring, major neural synchronicity over the frontal lobe was found after the treatment. In the case of BST reduced stress in 23% of patients. Additionally, BST reduced tinnitus perception similar to MT (15% of patients). With respect to EEG-monitoring, slightly major neural synchronicity over the right frontal lobe was found after the treatment.

CONCLUSIONS

MT should be applied with caution since it could be worsening the tinnitus sufferer condition. On the other hand, BST is recommended for tinnitus sufferers who have side effects concerning stress but no anxiety.

摘要

简介

耳鸣是一种恼人的嗡嗡声,表现形式多种多样。此外,它还会引发焦虑、压力、抑郁和疲劳。声学疗法已成为治疗耳鸣最常用的方法,无论是自我管理还是临床处方。双耳声疗法(BST)和音乐疗法(MT)旨在通过适当刺激听觉通路来逆转与耳鸣相关的神经可塑性现象。本研究的目的是通过比较其与 MT 效果的差异,评估 BST 治疗耳鸣的可行性。

材料与方法

共有 34 名年龄在 29 至 60 岁之间的耳鸣患者了解了实验过程并同意参与。患者被分为两组:1)MT 组,2)BST 组。他们每天接受一小时基于声音的治疗,为期八周。每种治疗都根据每位参与者的听力损失(HL)和耳鸣特点进行调整。为了记录脑电图(EEG)数据,使用了一个具有十六个 EEG 通道的生物信号放大器。该系统以 256Hz 的采样频率记录带宽在 0.1 至 100Hz 之间的数据。

结果

问卷调查监测结果显示,MT 增加了 30%患者的耳鸣感知,8%的患者增加了焦虑和压力。关于 EEG 监测,治疗后发现额叶的主要神经同步性增加。BST 组的 23%患者的压力减轻。此外,BST 降低了与 MT 相似的耳鸣感知(15%的患者)。治疗后,右侧额叶的神经同步性略有增加。

结论

MT 的应用应谨慎,因为它可能会使耳鸣患者的病情恶化。另一方面,对于有压力但无焦虑副作用的耳鸣患者,推荐使用 BST。

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