Medicine and Health Sciences Commons^™

Evidence-Based Practice In The Management Of Tinnitus In Children And Adolescents: A Systematic Review Of The Literature, Rivka Deutsch

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this investigation is to conduct a systematic review of the literature to compile and evaluate the known research on the management of tinnitus in children/ The specific aims of this paper are to determine what approaches can be considered best practice for the management of tinnitus in this population, what aspects of adult management (if any) can be adapted for children, and whether the literature supports one management approach over another.

Methods and Results: A comprehensive search utilizing the Medline and Cumulated Index to Nursing and Allied Health Literature (CINAHL), and Google Scholar databases, accessible via …

Predicting The Outcomes Of Internet-Based Cognitive Behavioral Therapy For Tinnitus: Applications Of Artificial Neural Network And Support Vector Machine, Hansapani Rodrigo, Eldré W. Beukes, Gerhard Andersson, Vinaya Manchaiah

School of Mathematical and Statistical Sciences Faculty Publications and Presentations

Purpose:

Internet-based cognitive behavioral therapy (ICBT) has been found to be effective for tinnitus management, although there is limited understanding about who will benefit the most from ICBT. Traditional statistical models have largely failed to identify the nonlinear associations and hence find strong predictors of success with ICBT. This study aimed at examining the use of an artificial neural network (ANN) and support vector machine (SVM) to identify variables associated with treatment success in ICBT for tinnitus.

Method:

The study involved a secondary analysis of data from 228 individuals who had completed ICBT in previous intervention studies. A 13-point reduction …

A Young Female With Chronic Debilitating Tinnitus And A Middle-Aged Male With Life-Long Noise Exposure And Bothersome Tinnitus, Lindsey Petras, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is characterized by a sporadic or constant ringing, chirping, buzzing, or related characteristics that are perceived auditorily and can range in intensity. Case Presentation: A young adult female with normal hearing sensitivity presented to the clinic with constant unilateral pulsatile tinnitus in the right ear that was intensified with physical activity and caffeine. It was reported as sudden in onset and classified as severely debilitating. After extensive audiologic testing, personalized counseling, and a thorough medical evaluation, the patient received an open-fit monaural hearing aid to promote safe sound therapy and tinnitus habituation. Discussion: Thorough audiologic and medical evaluation, …

Case Reports On Disorders Of Sound Tolerance: Misophonia And Hyperacusis, Madison Mcconville, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Misophonia is a rare disorder affecting approximately one in 1,500 people, of which, a small percentage are pediatric patients. Misophonia is characterized by the dislike of an explicit sound in a specific context. Treatment for misophonia includes a four-step program that can be modified for pediatrics. Case Presentation: A young female presented to the clinic with a significant distressed reaction when in the presence of specific sounds that included chewing, clicking pens, and loud music bass tones. Discussion: Treatment of misophonia is comparable to a care-plan for both tinnitus and hyperacusis. For this case, a four-step approach was used …

Tinnitus And Decreased Subcortical And Cortical Inhibition, Kenneth Vincent Morse

Dissertations - ALL

Background: The perception of tinnitus may be triggered by a reduction in inhibitory function in the central auditory nervous system. Evidence, primarily from invasive studies of animal models of tinnitus, indicates that these changes occur at both the subcortical and cortical level. Auditory evoked potential (AEP) indices of subcortical inhibition [auditory brainstem response (ABR) 〖"V/I" 〗_"amp ratio" ] and cortical inhibition [cortical auditory evoked potential (CAEP) sensory gating ratios] may provide an objective index of whether reduced subcortical and/or cortical inhibition is associated with tinnitus perception in humans. The aims of this study were to assess whether ABR and/or CAEP …

The Power Of A Sound Mind: Exploring Meditation And Sound Therapies For Treating The Emotional Impact Of Tinnitus, Sabeena A. Ramnanan

Dissertations, Theses, and Capstone Projects

Tinnitus is described as a sound perceived by an individual that has no external source. Some individuals with tinnitus can habituate to this phantom sound, while others become emotionally disturbed by it. There are several theories which attempt to rationalize the cause of tinnitus, and various treatments which aim to eliminate, mask, or facilitate habituation to one’s tinnitus. Current common treatments include sound therapies and cognitive-behavioral therapy (CBT), either in isolation or in combination with one another. However, not all these treatments aim to address the emotional impact of tinnitus. Novel treatments are emerging, with some attempting to reduce the …

Identifying Molecular Pathways Underlying Noise-Induced Tinnitus, Mckenzie Rice

Williams Honors College, Honors Research Projects

Tinnitus is a serious neurological condition effecting 10-15% of adults, and can lead to other symptoms such as difficulty concentrating and sleeping, anxiety, and depression. Currently there are no FDA approved drugs to prevent or treat tinnitus, mainly due to a lack of understanding of its cellular and molecular pathways. T- and L- type calcium channels have been implicated in the modulation of tinnitus, as well as the dysfunction of gamma-aminobutyric acid (GABA) neurons. This study used the sound-based avoidance detection (SBAD) method in order to detect tinnitus and determine whether pharmacological treatments had an effect in mediating tinnitus. T-type …

Pathogenesis And Onset Of Tinnitus And Use Of Holistic And Traditional Audiological Approaches For Management, Christy Mahrt, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is the subjective sensation of noise perceived at the peripheral or central level. Occasionally, tinnitus perception may be severe enough to present debilitating effects on daily activities. The occurrence of tinnitus can be related to occupational or non-occupational hazardous noise exposure. Case Presentation: A 60-year-old male presented with bilateral tinnitus with an initial onset at age 21. The progression of his tinnitus has caused disruptions in sleeping patterns and concentration. His history included extensive occupational and non-occupational noise exposure. Discussion: Hearing conservation is an important aspect of facilitating tinnitus management for individuals who have noise-related tinnitus. Hearing aids, …

A New Method In Subjective Tinnitus Management: The Use Of A Nutraceutical Formulation To Improve Patient Outcomes, Jade Faulkner

Dissertations, Theses, and Capstone Projects

Objective: This project aims to implement an evidence-based clinical practice guideline at the International Hearing Centre (IHC) in Lagos, Nigeria for future research and data collection of their subjective tinnitus management using a nutraceutical formulation called ‘NHANCED Hearing (NH). After learning the IHC had incomplete charting in regard to tinnitus questionnaires pre- and post-administration of the NH formula, this capstone project sought to apply evidence-based guidelines for proper diagnostic evaluations and charting to assist in future research of the NH formula.

Methodology: A review and synthesis of current clinical practice guidelines in the United States, Germany, the Netherlands, Sweden, Denmark, …

Outcomes Of Tinnitus Post-Cochlear Implantation In Adult Populations: A Systematic Review, Evangeline Wong

Dissertations, Theses, and Capstone Projects

The purpose of this investigation is to conduct a systematic review on the outcomes of tinnitus, in both its characteristics and psychosocial impact, post-cochlear implantation in profound bilateral and single-sided deafness (SSD) adult populations. A longitudinal case study will also be presented to show long-term effects of tinnitus outcomes in a cochlear implant recipient in a clinical setting. The investigation may, in turn, provide information regarding tinnitus in the selection criteria of which ear to implant, considerations in implantation eligibility for patients with bilateral and unilateral severe hearing loss associated with severe tinnitus, and to inform patients about the possible …

Counseling For Patients With Hyperacusis, Mary Maraist

Communication Sciences and Disorders: Student Scholarship & Creative Works

Hyperacusis is the phenomenon of experiencing moderately loud sounds as overly loud and/or intensely annoying. Hyperacusis can also cause fear or pain in response to sound. There is no one known cause of hyperacusis, and because of the variety of ways it presents itself, the approximate prevalence is difficult to determine. Despite the ambiguity of hyperacusis, the audiologist is an important part of diagnosing and educating clients with hyperacusis. During this project we aimed to discover the challenges individuals with hyperacusis face. These include anxiety, depression and avoidance behavior, and sometimes co-occurring tinnitus and hearing loss. Another aim was to …

Acoustic Reflex And Extended High-Frequency Testing In Relation To Tinnitus, Deborah Kim

Honors Theses

Tinnitus, a growing concern among adults, is the perception of sound without an external acoustic source. Tinnitus can sound like ringing, buzzing, and clicking and is typically caused by noise-induced hearing loss. Noise-induced hearing loss is caused by prolonged exposure to high levels of noise, which damages the cochlea, and can be temporary or permanent. The purpose of this study is to determine if there are any common factors or characteristics in Acoustic Reflex, standard pure tone and/or Extended High-Frequency testing results between two groups: people who report and do not report tinnitus. This study explores whether Acoustic Reflex testing …

Recreational Sound Risk For A University Student: Case Study, Michele Wattman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Concern about noise exposure in recreational settings is growing and unsafe levels of sound are frequently being experienced in a variety of non-occupational settings such as pubs, nightclubs, concerts, parties, and fitness classes. Damage to the auditory system may occur with regular participation in these loud activities. A case study was conducted to estimate sound exposure levels and risk associated with common activities. Findings demonstrated that pubs presented a hazardous sound environment, so information about health-oriented behavior is essential to effectively improve hearing conservation awareness for university students. Public awareness and personal hearing protection should be strongly considered to prevent …

Auditory/Vestibular/Tbi Mini-Series: Effects Of Tbi On Auditory Processing, Vestibular Function, And Tinnitus, Frederick Gallum, Paula Myers, Faith W. Akin

Faith W. Akin

This session is developed by, and presenters invited by, Hearing, Balance, Tinnitus – Assessment and Intervention: Adult. This combined mini-series will present both clinical and research findings addressing the auditory and vestibular consequences of traumatic brain injury (TBI). Presenters will elucidate TBI’s effect on auditory processing, vestibular function, and tinnitus with case studies to illustrate management strategies relevant for each of the patient groups.

Military Trauma And Its Influence On Loudness Perception, Marc A. Fagelson

Marc A. Fagelson

Excerpt: It is often the case that veterans who experience hyperacusis have hearing loss and tinnitus; what sets the patient with PTSD apart is an increased likelihood that will rate sound tolerance problems as more severe than tinnitus and hearing loss.

Tinnitus And Trauma, Marc A. Fagelson

Marc A. Fagelson

Trauma-provoked tinnitus challenges patients and clinicians. Effects of trauma may exacerbate tinnitus, and patients with both tinnitus and posttraumatic stress disorder rate distress levels as higher than patients who experience only one or the other. This presentation will highlight links between tinnitus and trauma histories relevant to clinical audiologists.

Implementing Psychological Methods In The Management Of Trauma-Associated Tinnitus, Marc A. Fagelson

Marc A. Fagelson

Dr. Fagelson, (Professor Audiology, ETSU) will discuss the unusual challenges facing patients and providers when tinnitus severity is linked to traumatic exposure. Interactions between neural mechanisms associated with tinnitus, posttraumatic stress-disorder (PTSD), and traumatic memory will be reviewed with particular attention to the way and degree to which such interactions affect tinnitus and disorders of sound tolerance. Conference attendees will be provided theoretical models of emotional memory consolidation that underscore trauma‘s durable effects on a patient‘s emotional state, reaction to the tinnitus signal, and to potentially-triggering environmental sounds. The putative benefits of tinnitus counseling will be presented in the context …

Implementing Psychological Methods In The Management Of Trauma-Associated Tinnitus, Marc A. Fagelson

ETSU Faculty Works

Dr. Fagelson, (Professor Audiology, ETSU) will discuss the unusual challenges facing patients and providers when tinnitus severity is linked to traumatic exposure. Interactions between neural mechanisms associated with tinnitus, posttraumatic stress-disorder (PTSD), and traumatic memory will be reviewed with particular attention to the way and degree to which such interactions affect tinnitus and disorders of sound tolerance. Conference attendees will be provided theoretical models of emotional memory consolidation that underscore trauma‘s durable effects on a patient‘s emotional state, reaction to the tinnitus signal, and to potentially-triggering environmental sounds. The putative benefits of tinnitus counseling will be presented in the context …

Auditory/Vestibular/Tbi Mini-Series: Effects Of Tbi On Auditory Processing, Vestibular Function, And Tinnitus, Frederick Gallum, Paula Myers, Faith W. Akin

ETSU Faculty Works

This session is developed by, and presenters invited by, Hearing, Balance, Tinnitus – Assessment and Intervention: Adult. This combined mini-series will present both clinical and research findings addressing the auditory and vestibular consequences of traumatic brain injury (TBI). Presenters will elucidate TBI’s effect on auditory processing, vestibular function, and tinnitus with case studies to illustrate management strategies relevant for each of the patient groups.

The Neural Mechanisms Of Tinnitus And Tinnitus Distress, Alexandra Watts

Communication Sciences and Disorders: Student Scholarship & Creative Works

No abstract provided.

Tinnitus And Trauma, Marc A. Fagelson

ETSU Faculty Works

Trauma-provoked tinnitus challenges patients and clinicians. Effects of trauma may exacerbate tinnitus, and patients with both tinnitus and posttraumatic stress disorder rate distress levels as higher than patients who experience only one or the other. This presentation will highlight links between tinnitus and trauma histories relevant to clinical audiologists.

Military Trauma And Its Influence On Loudness Perception, Marc A. Fagelson

ETSU Faculty Works

Excerpt: It is often the case that veterans who experience hyperacusis have hearing loss and tinnitus; what sets the patient with PTSD apart is an increased likelihood that will rate sound tolerance problems as more severe than tinnitus and hearing loss.

The Duration Of Tinnitus In An Aging Population, Mary Engel

Dissertations and Theses

The purpose of the present study was to determine whether the perceived severity of chronic tinnitus in a geriatric population increased, decreased, or remained constant with the passage of time. A questionnaire was designed to ascertain the subjects' perceived severity at time of onset and the perceived severity of their current tinnitus. The subjects were asked to rate their past and present tinnitus severity according to how much it bothered them. They were also asked questions pertaining to noise exposure history, hearing aid use, and tinnitus sound parameters for purposes of comparison with other groups previously studied.