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26.04.2014

What is trt for tinnitus, difficulty in sleeping during third trimester - Plans Download

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In the last issue of our newsletter, we discussed the history and recent advances in Tinnitus Masking. The expectation was that by describing the tinnitus exactly in terms of pitch and loudness, different categories would be established and specific treatments could be applied to each category with predictable outcomes. Approximately 75% of all the people who experience tinnitus are not affected by it and they treat tinnitus like any other sound to which they can easily habituate.
The researchers found there is no difference in the acoustical characteristics of tinnitus between those who are not bothered by it and those who suffer from it! To understand how tinnitus develops, it’s helpful to understand how sound is processed in the auditory pathways.
This is the basis of TRT, training the brain to habituate tinnitus sounds and classifying them to represent a neutral, insignificant signal.


This issue will delve into a neurophysiological approach to reducing tinnitus symptoms called Tinnitus Retraining Therapy (TRT). The processing of information occurs on several levels for each sensory system, each level contributing to the final stage when a signal reaches the cortex. Silence actually enhances tinnitus and patients undergoing TRT are advised to avoid silence. It’s difficult to imagine how to construct a placebo that would seem like TRT but be totally ineffective. Jastreboff developed his model of tinnitus which postulates the involvement of the limbic (emotional) and autonomic nervous systems in the perception of tinnitus. His research began with the ongoing effort at that time to describe the acoustics of tinnitus.


The patient is taught the basic function of the auditory system and the brain relative to tinnitus. The sound generators are operated at a low enough level that the tinnitus can still be detected.
TRT postulates that with the proper training one can enhance their perception of some sounds while training their brain to filter out other sounds. Broad band sound contains all frequencies which gently stimulate the nerve cells in the subconscious networks allowing them to be more easily reprogrammed, or habituated, to no longer notice the tinnitus.



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