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DOI: 10.1055/s-2001-13020
Tinnitus Retraining Therapy
Publikationsverlauf
Publikationsdatum:
31. Dezember 2001 (online)

ABSTRACT
Tinnitus Retraining Therapy (TRT) helps tinnitus patients by offering the possibility of successful habituation of tinnitus-induced reactions and the habituation of tinnitus perception. TRT presumably induces and sustains plastic changes in the neuronal networks within the auditory system, and its connection with the limbic and autonomic nervous systems, but it does not remove the tinnitus signal. Reports from a number of centers around the world indicate high levels of effectiveness of this method. There is still an ongoing discussion regarding TRT's efficacy and the relative contribution of its components. This article attempts to summarize the basis of TRT and its foundations on the neurophysiologic model of tinnitus. Additionally, some questions and concerns related to the method are addressed.
KEYWORD
Tinnitus - hyperacusis habituation - TRT - stochastic resonance
REFERENCES
- 1 Jastreboff P J. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res . 1990; 8 221-254
- 2 Feldmann H. Homolateral and contralateral masking of tinnitus by noisebands and by pure tones. Audiology (Basel) . 1971; 10 138-144
- 3 Feldmann H. Homolateral and contralateral masking of tinnitus. J Laryngol Otol . 1981; Suppl 60-70
- 4 Muhlnickel W, Elbert, Taub E, Flor H. Reorganization of auditory cortex in tinnitus. Proc Natl Acad Sci U S A . 1998; 95 10340-10343
- 5 Heller M F, Bergman M.Tinnitus in normally hearing persons. Ann Otol . 1953; 62 73-93
- 6 Albus J S. A theory of cerebellar function. Mathematical Bioscience . 1971; 10 25-61
- 7 Koechlin E, Basso G, Pietrini P, Panzer S, Grafman J.The role of the anterior prefrontal cortex in human cognition. Nature . 1999; 399 148-151
- 8 Konorski J. Conditioned Reflexes and Neuronal Organization. Cambridge,UK: Cambridge University Press; 1948
MissingFormLabel
- 9 Konorski J. Integrative Activity of the Brain. Chicago: University of Chicago Press; 1967
MissingFormLabel
- 10 Jastreboff P J. How TRT derives from the neurophysiological model. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 87-91
MissingFormLabel
- 11 Morse R P, Evans E F. Enhancement of vowel coding for cochlear implants by addition of noise. Nat Med . 1996; 2 928-932
- 12 Jaramillo F, Wiesenfeld K. Mechanoeletrical transduction assisted by Brownian motion: a role for noise in the auditory system. Nat Neurosci . 1998; 1 384-388
- 13 Jastreboff P J, Jastreboff M M. Potential impact of stochastic resonance on tinnitus and its treatment. Association for Research in Otolaryngology 2000; (Abstr) .
- 14 Stephens S D, Hallam R S, Jakes S C. Tinnitus: a management model. Clin Otolaryngol . 1986; 11 227-238
- 15 Dineen R, Doyle J, Bench J. Managing tinnitus: a comparison of different approaches to tinnitus management training. Br J Audiol . 1997; 31 331-344
- 16 McKinney C J. An evaluation of the TRT method. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 99-105
MissingFormLabel
- 17 Dobie R A. A review of randomized clinical trials in tinnitus. Laryngoscope . 1999; 109 1202-1211
- 18 Schleuning A J, Johnson R M, Vernon J A. Evaluation of a tinnitus masking program: a follow-up study of 598 patients. Ear Hear . 1980; 1 71-74
- 19 Johnson R M. The masking of tinnitus. In: Vernon JA, ed. Tinnitus Treatment and Relief Boston: Allyn & Bacon 1998: 164-186
MissingFormLabel
- 20 Sheldrake J B, Jastreboff P J, Hazell J WP. Perspectives for total elimination of tinnitus perception. In: Vernon JA, Reich G, eds. Proceedings of the Fifth International Tinnitus Seminar,
1995, Portland, OR, U.S.A Portland, OR: American Tinnitus Association 1996: 531-536
MissingFormLabel
- 21 Jastreboff M M, Jastreboff P J. Questionnaires for assessment of the patients and treatment outcome. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999,
Cambridge, UK London: THC 1999: 487-490
MissingFormLabel
- 22 Jastreboff P J, Gray W C, Mattox D E. Tinnitus and hyperacusis. In: Cummings CW, Fredrickson JM, Harker LA, et al., eds. Otolaryngology Head & Neck
Surgery, 3rd ed St. Louis, MO: Mosby 1998: 3198-3222
MissingFormLabel
- 23 Jastreboff P J. Categories of the patients and the treatment outcome. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 394-398
MissingFormLabel
- 24 Sheldrake J B, Hazel J WP, Graham R L. Results of tinnitus retraining therapy. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 292-296
MissingFormLabel
- 25 Bartnik G, Fabijanska A, Rogowski M. Our experience in treatment of patients with tinnitus and/or hyperacusis using the
habituation method. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 415-417
MissingFormLabel
- 26 Heitzmann T, Rubio L, Cardenas M R, Zofio E. The importance of continuity in TRT patients: results at 18 months. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 509-511
MissingFormLabel
- 27 Herraiz C, Hernandez F J, Machado A, De Lucas P, Tapia M C. Tinnitus retraining therapy: our experience. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 483-484
MissingFormLabel
- 28 Lux-Wellenhof G. Treatment history of incoming patients to the Tinnitus and Hyperacusis Centre in Frankfurt/Main. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 502-506
MissingFormLabel
- 29 Hall III J W. Application of TRT in a clinical setting. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 106
MissingFormLabel
- 30 Lockwood A H, Salvi R J. The functional neuroanatomy of tinnitus: evidence for limbic system links and neural plasticity. Neurology . 1998; 50 114-120
- 31 Langner G, Wallhdusser-Franke E. Computer simulation of a tinnitus model based on labelling of tinnitus activity in
the auditory cortex. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 20-25
MissingFormLabel
- 32 Jastreboff P J. Tinnitus as a phantom perception: theories and clinical implications. In: Vernon J, Moller AR, eds. Mechanisms of Tinnitus London: Allyn & Bacon 1995: 73-94
MissingFormLabel
- 33 Chen G D, Jastreboff P J. Salicylate induced abnormal activity in the inferior colliculus of rats. Hear Res . 1995; 82 158-178
- 34 Kwon O, Jastreboff M M, Hu S, Shi J, Jastreboff P J. Modification of single unit activity related to noise induced tinnitus in rats. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 459-462
MissingFormLabel
- 35 Jastreboff P J. The neurophysiologic model of tinnitus and hyperacusis. In: Hazell JWP, ed. Proceedings of the Sixth International Tinnitus Seminar, 1999 Cambridge: The Tinnitus and Hyperacusis Centre 1999: 32-38
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