Effect of Musical Auditory Training on Subjects With Tinnitus Disorder

Universidade Federal de Santa Maria24 enrolled

Overview

Among the theories of tinnitus generation, there is that of central neuroplastic changes, which reports the association between changes and reorganization that occur in central auditory pathways and impacts on associated areas due to the altered neural signal. Auditory training modifies these altered pathways through auditory exercises, which provoke positive neuroplasticity. Musical auditory training is a proposal to stimulate auditory, cognitive and metalinguistic skills with activities focused on musicality. Therefore, the objective of this study is to verify the effect of musical auditory training (MAT) on the neuroplasticity of the auditory system and the perception of tinnitus disorder in young adults.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Tinnitus

Interventions

Auditory training with a focus on musicality. The skills trained will be: figure-ground for instrumental sounds, sequential figure-ground, directed listening, duration of sounds, frequency of sounds, rhythm (temporal structuring), auditory closure and audiovisual memory, with a focus on temporal processing, working memory and attention selective on an increasing scale of difficulty. The frequency ranges of instrumental sounds are from 200 to 4000 Hz, composed of the following instruments: guitar, vibraphone, piano, flute and drum.

PlaceboBEHAVIORAL

This placebo approach will be to demonstrate the influence of musical exposure without exercises with structuring auditory skills and compare with the TAM group. The song Sonata for two pianos in D major, K448, by Mozart, will be used. The films selected were: Cirque Du Soleil, entitled "The Journey of Man"; Chaplin collection with the following films: "Modern Times", "The Great Dictator", "In Search of Gold" and "Footlights". The choice of the order of the films will be random, as proposed by Freire (2009).

Eligibility

Sex: ALLMin age: 18 YearsMax age: 55 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Individuals of both sexes aged between 18 years and 55 years; * Complaint of chronic tinnitus (minimum perception of six months) unilateral or bilateral; * Hearing thresholds within normal limits bilaterally or even mild sensorineural hearing loss in the four-tone average (500, 1000, 2000 and 4000Hz); * Annoyance score of at least four on the Visual Analogue Scale, considered a moderate symptom discomfort; * Have normality in the Mini Mental State Examination (cognitive screening). Exclusion Criteria: * Apparent speech, psychiatric or neurological changes; * History of head or brain trauma; * Objective tinnitus (somatosensory and vascular); * Present symptoms and/or diagnosis of middle ear involvement; * Having started a new treatment (pharmacological or therapeutic) or having been diagnosed with a disease of any origin in the last month. * Be carrying out another intervention for tinnitus during the research; * Use of electronic assistive hearing devices.

Locations (2)

Universidade Federal de Santa Maria

Santa Maria, Rio Grande do Sul, Brazil

RECRUITING

Universidade Federal de Santa Maria

Santa Maria, Rio Grande do Sul, Brazil

RECRUITING

Outcomes

Primary Outcomes

Changes in latency of the long latency auditory evoked potential (LLAEP)

Improve the latency in milliseconds of P2 potential

Time frame: Within a month

Central Contacts

Christine Grellmann Schumacher G Schumacher

CONTACT

553220-9362 christine.schumacher@acad.ufsm.br

Dayane Domeneghini Didoné D Didoné

CONTACT

553220-9362 dayane.didone@ufsm.br