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使用双耳节拍刺激的脑电波夹带:探索对听力敏感度正常的耳鸣患者的治疗效果。

Brainwave entrainment using binaural beats stimulation: Exploring the treatment efficacy in individuals with tinnitus having normal hearing sensitivity.

作者信息

Prakash Praveen, Konadath Sreeraj

机构信息

Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Mysuru 570 006, India.

Department of Audiology, All India Institute of Speech and Hearing, Manasagangothri, Mysuru 570 006, India.

出版信息

Auris Nasus Larynx. 2025 Feb;52(1):1-11. doi: 10.1016/j.anl.2024.11.001. Epub 2024 Nov 29.

Abstract

OBJECTIVE

The study aimed to compare the efficacy of brainwave entrainment in the treatment of individuals with tinnitus having normal hearing sensitivity. The effect of binaural beats (BB) stimulation in reducing negative emotions and tinnitus handicap post-three months is explored in this longitudinal study.

METHOD

The study comprised sixty individuals (four groups) with tinnitus having normal hearing. The outcome measures of BB with beat frequencies falling under delta (4 Hz), theta (6 Hz), and alpha (10 Hz) and a standard tinnitus masker (white noise) were compared with the pre-treatment baseline scores for tinnitus handicap, depression, and stress levels, and quality of life parameters.

RESULTS

All four groups showed an improvement in tinnitus symptoms and negative emotions. However, the groups that received BB stimulation (I, II, III) showed a remarkable reduction in scores for the tinnitus handicap, depression, and stress levels and an increase in quality-of-life scores for the domains that assessed physical and psychological health when compared to the group IV who received standard tinnitus masker.

CONCLUSION

It was observed that all three broadband (BB) stimuli were equally effective in treating tinnitus handicap symptoms. However, the results cannot be definitively attributed to brainwave entrainment, as they may also reflect the effects of sound therapy. Additionally, the lack of significant differences among the BB frequencies suggests that the benefits may not arise specifically from brainwave entrainment, especially without a comparison to beta frequency BB. This technique should be adopted into clinical practice with generalizability after further research on a randomized sample.

摘要

目的

本研究旨在比较脑波夹带疗法对听力敏感度正常的耳鸣患者的治疗效果。在这项纵向研究中,探讨了双耳节拍(BB)刺激在三个月后减轻负面情绪和耳鸣障碍方面的作用。

方法

该研究纳入了60名听力正常的耳鸣患者(分为四组)。将节拍频率分别为δ波(4Hz)、θ波(6Hz)和α波(10Hz)的BB刺激以及标准耳鸣掩蔽器(白噪声)的治疗效果,与耳鸣障碍、抑郁、压力水平和生活质量参数的治疗前基线评分进行比较。

结果

所有四组患者的耳鸣症状和负面情绪均有所改善。然而,与接受标准耳鸣掩蔽器治疗的第四组相比,接受BB刺激的组(第一组、第二组、第三组)在耳鸣障碍、抑郁和压力水平评分上显著降低,在评估身心健康的生活质量评分方面有所提高。

结论

研究发现,所有三种宽带(BB)刺激在治疗耳鸣障碍症状方面同样有效。然而,这些结果不能明确归因于脑波夹带,因为它们也可能反映了声音疗法的效果。此外,BB频率之间缺乏显著差异表明,这些益处可能并非特别源于脑波夹带,尤其是在未与β频率BB进行比较的情况下。在对随机样本进行进一步研究后,该技术应在具有普遍适用性的临床实践中采用。

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