Official Journal of the Neurootological and Equilibriometric Society
Official Journal of the Brazil Federal District Otorhinolaryngologist Society
Musical training positively influences the cortical plasticity of the brain and has proven to be effective in treating chronic tinnitus. Objectives: A neuro-music therapy concept, the “Heidelberg Neuro- -Music Therapy” treatment was developed and evaluated.
Design: A prospective, cross-sectional design was used.
Materials and Methods: N = 135 patients (mean age 47 years) with chronic, tonal tinnitus attended a standardized protocol for Neuro-Music Therapy (either “standard therapy” ST or “compact therapy” CT). The results were compared to a cognitive behavioral placebo music therapy procedure (PT). Tinnitus distress was assessed using the German version of the Tinnitus-Questionnaire (TQ) at admission, at discharge and six months after therapy. Changes were assessed statistically and by means of clinical significance.
Results: TQ scores significantly improved - independent of group allocation. But more than 80% of the music therapy patients (both ST and CT) revealed a reliable improvement (“responder”) compared to 44% in the PT group. Therapy impact seems to be lasting since TQ scores remained stable until follow-up at six months.
Conclusions: The “Heidelberg Neuro-Music Therapy” is a method with fast onset and long lasting effect for patients with “tonal” tinnitus. A number of potential working factors accounting for the treatment success are highlighted.PDF