Studi clinici
Terapia del suono
Terapia neuro-musicale contro il tinnito acuto
Miriam Grapp, Elisabeth Hutter, Heike Argstatter, Peter K. Plinkert, Università Heidelberg
The aim of this pilot study was to evaluate the neuro-music therapy approach as a new treatment option for patients with acute tinnitus. A total of 15 patients were enrolled with acute tinnitus. The comparison between the start and end of treatment showed a significant improvement. According to the Jacobson and Truax measurement method, 73.3% of patients showed a reliable reduction year on year. Neuro-music therapy appears to be an effective treatment option for patients with acute tinnitus.
Effetti a lungo termine della musicoterapia per pazienti con acufene cronico
Heike Argstatter, Miriam Grapp, Elisabeth Hutter, Peter Plinkert, Università Heidelberg
The music therapy model for chronic tinnitus is a short-term treatment. It consists of nine 50-minute sessions for five consecutive days. It has been shown to be effective in reducing tinnitus symptoms in a short time. Now, the long-term effect of the treatment is to be explored. With 206 patients, neuro-musical therapy was tested. 76% of patients achieved a significant reduction in their tinnitus. 87% of patients were satisfied with the treatment. 71% of the patients required no further treatment. Music therapy for chronic tinnitus appears to be effective for the long term.
La terapia sonora/musicale riduce l'acufene diminuendo l'attivita della corteccia cerebrale del udito
Hidehiko Okamoto, Henning Stracke, Wolfgang Stoll, Christo Pantev, Wilhelms-Universita Münster
The scientists precisely filtered the music frequencies that corresponded to the tinnitus frequencies. The goal was: to calm down nerve cells that were cabalated in the wrong way. The result: All patients in the group with the music tailored, reported that the Acufen disorders have decreased significantly. Brain measurements on the treated group indicated a lower reaction to hearing stimulation in the frequency of tinnitus. However, the control groups were observed to have an opposite result.
Terapia del musica per il paziente con tinnito
H. Argstatter, A. Nickel, A. Rupp, S. Hoth, H. Bolay, University Hospital for Neurology, Universita Heidelberg
The Deutsches Zentrum für Musiktherapieforschung DZM (German music therapy research centre), in collaboration with the University of Heidelberg, has experimented with a new music therapy method against chronic tinnitus. The concept of treatment is based on the insertion of the tinnitus in an auditory process that can be controlled by music. In addition, musical hearing exercises are intended to exert a positive influence on the modified brain regions, bringing them back to a normal situation. The results demonstrate encouraging success.
Uno studio neuroscientifico ha dimostrato l'efficacia della musicoterapia nella cura del tinnito
Premio Sigrid e Viktor Dulger al gruppo ricercatori tedeschi
The two-year interdisciplinary study funded by the Klaus Tschira Foundation has shown neuroscientifically that music therapy has positive effects on people with chronic tinnitus. For the first time, the team of researchers at various German university clinics and the Music Therapy Research Centre succeeded in demonstrating the effectiveness of the musicotherapeutic treatment concept of tinnitus at the neuroscientific level by means of an illustrative method. Dr. rer. med. Christoph Krick and Prof. Dr. Hans Volker Bolay explained that microanatomic changes in the brain are closely related to a reduction in clinical symptoms. Nuclear magnetic resonance imaging has confirmed that music therapy stimulates brain areas suspected of pathologically exacerbating clinically relevant symptoms. The Sigrid and Viktor Dulger awards are given every two years to scientists and researchers who stand out through important innovative research carried out in the health sector, paying particular attention to its practical application.
Trattamento del tinnito con suoni personalizzati
Jaime Pineda, Richard Moore, Erik Viirre, Departments of Cognitive Science, University of California, and School of Medicine, La Jolla, USA
Recent studies have indicated that the pathophysiological basis for tinnitus may be abnormal activity in the auditory areas of the brain rather than aberrant activity in the periphery. Tinnitus-related activity leads to changes in tonotopic representation in auditory cortex. However, such reorganization can be reversed through training-induced changes in the response pattern of cortical neurons. We address this problem by using customized sounds that reproduce the subjective experience to reduce overactive auditory circuits. The results of two preliminary studies indicate that customized sound therapy (CST*) aimed at this central dysfunction reduces tinnitus quickly and safely. Participants described immediate relief, showed changes on the Tinnitus Handicap Questionnaire, and reported changes in hearing threshold within 3 weeks. We also saw changes in the intensity dependence of the auditory N100 in tinnitus patients, supporting the idea that tinnitus reflects a reorganization of tonotopic maps in the auditory cortex. The main correlate of this reorganization was the enhanced contrast between responses to the perceived tinnitus pitch and tones approximately one octave lower. After 3 weeks of CST, the intensity dependence to the tinnitus pitch decreased, making these responses more similar to those from normal subjects responding to tones in the same frequency.