Music Therapy (Heidelberg Model) as an Early Intervention to Prevent Chronification of Tinnitus

Discussion in 'Research News' started by metro, Mar 26, 2015.

    1. metro
      Ape-like

      metro Member

      Tinnitus Since:
      02/2015
      Music therapy as an early intervention to prevent chronification of tinnitus.

      Abstract
      In the present study a music therapeutic intervention according to the 'Heidelberg Model' was evaluated as a complementary treatment option for patients with acute tinnitus whom medical treatment only brought minimal or no improvement. The central question was if music therapy in an early phase of tinnitus was able to reduce tinnitus symptoms and to prevent them from becoming chronical.

      23 patients with acute tinnitus (6-12 weeks) were included in this study and took part in our manualized short term music therapeutic treatment which lasted ten consecutive 50-minutes sessions of individualized therapy.

      Tinnitus severity and individual tinnitus related distress were assessed by the Tinnitus Beeinträchtigungs-Fragebogen (i.e. Tinnitus Impairment Questionnaire, TBF-12) at baseline, start of treatment, and end of treatment.

      Score changes in TBF-12 from start to end of the treatment showed significant improvements in tinnitus impairment. This indicates that this music therapy approach applied in an initial stage of tinnitus can make an important contribution towards preventing tinnitus from becoming a chronic condition
       
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    2. Craig in Cali
      Spaced

      Craig in Cali Member Benefactor

      Location:
      East Bay Northern California
      Tinnitus Since:
      02/2015
      Cause of Tinnitus:
      Someone screaming
      I've read multiple articles on this therapy, but can't figure out exactly what the protocol is?
       
    3. Champ
      Woot

      Champ Member Benefactor

      Location:
      Boston, MA
      Tinnitus Since:
      01/2013
      Cause of Tinnitus:
      Acoustic trauma from headphones
      That's a hell of a conclusion to jump to, that because people report being less impaired by the tinnitus, that somehow that fact "indicates that this music therapy approach applied in an initial stage of tinnitus can make an important contribution towards preventing tinnitus from becoming a chronic condition."

      Sounds like conjecture to me. Are brain scans included in this study?
       
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    4. mintblue
      Supportive

      mintblue Member

      Tinnitus Since:
      10/2012
      I have no scientific evidence to provide but I've noticed an overall lessening in my tinnitus in conjunction with increasing my exposure to louder sound levels. Sometimes I'll go to a concert with a ton of bass and despite wearing earplugs will have slightly elevated tinnitus for a day or two after. Then it actually becomes less intrusive than before the concert. I am pretty sure my tinnitus became bad because I went from so much loudness to none at all nearly overnight. Having found a balance now I can say my tinnitus is at a level that would be acceptable and undetected by most people. I'd even dare say it's gone, because it's no longer intrusive to my life. I produce music, go to concerts, and listen to music in the car every day with no discernible problems in my ear.

      Important notes: I don't have significant hearing loss of any kind. I'm busier than I've ever been before doing something that's important to me. It's amazing how many problems in our society stem from a lack of purpose.
       
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    5. Antje

      Antje Member

      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      Unknown
      Stumbled upon some scientific research on the Heidelberg Music Therapy method practiced in Germany.
      It all sounds very promising but I haven't really seen anybody speak about it on fora like these.

      Does anyone have any experience with the Heidelberg Sound Therapy method?

      Really looking forward to hear your experiences!

      Selection of research:
      http://www.tinnitusjournal.com/arti...tment-outline-and-psychometric-evaluation.pdf

      http://journal.frontiersin.org/article/10.3389/fnins.2015.00049/full
       
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    6. Sannoliver1

      Sannoliver1 Member

      Tinnitus Since:
      2/17
      Cause of Tinnitus:
      Concerts, Ambien, genetics?
      Has anybody tried this method? Does anyone know of a practioner?? Please help.
       
    7. Samir
      Obedient

      Samir Manager Staff Benefactor Ambassador Advocate

      Location:
      Sweden
      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      Accoustic trauma
      Could it be this "Heidelberg Model"? It's also called "Heidelberg Model of Music Therapy for Chronic Tinnitus". Heidelberg is a town in Germany.

      They started recruiting people for this therapy in 2004 for a study. That was the first broad use of it I guess. The details about the method can be found here:
      https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443887/

      I guess it's really down to the behavioral and structural changes of the neurons. Which reminds me of this:

      https://www.tinnitustalk.com/thread...n-change-the-way-nerve-cells-are-wired.20506/

      But if music therapy can reverse these neural changes without restoring the input, that I do not know. Who does really? Only time will tell.
       
    8. The Red Viper
      Curious

      The Red Viper Member

      Location:
      US
      Tinnitus Since:
      March 15, 2016
      Cause of Tinnitus:
      Current Theory: Neck injury (Tendonitis @ trap/SCM junction)
      Sounds like smoke and mirrors to me...
       
    9. Kekistan

      Kekistan Member

      Tinnitus Since:
      03/2017
      Cause of Tinnitus:
      Unknown
      Can you do it by yourself if your tinnitus is new and have nothing to lose?
       
    10. Samir
      Obedient

      Samir Manager Staff Benefactor Ambassador Advocate

      Location:
      Sweden
      Tinnitus Since:
      12/2016
      Cause of Tinnitus:
      Accoustic trauma
      @Kekistan,

      This is not something you can do on your own. The best would be to visit the ENT clinic at the university hospital of Heidelberg. They will know what to do and how to do it. Some private ENT doctors in Germany might also be able to offer you this therapy.
       
    11. gerhei

      gerhei Member

      Tinnitus Since:
      March 2019
      Cause of Tinnitus:
      Unknown/After a cold
      Hello guys,

      TL;DR
      Heidelberg Mudel of Music Therapy is currently probably the most effective way to treat acute and chronic tinnitus (I don't know whether that holds for somatosensory tinnitus as well).

      Due to my own tinnitus and my geographical closeness to the city of Heidelberg I researched the topic for myself. Far from being a specialist, I think that I understand some mechanisms that make this therapy effective. The effectiveness was the therapy was indicated by the AWMF ("Working Group of the Scientific Medical Societies e.V.") that publishes the guideline for treating chronic tinnitus (its effectively an authoritative guideline that every otolaryngologist should follow). In the guideline it states:

      "Active music therapy is carried out under the guidance of a music therapist. Argstatter et al. (2007 [11], 2008 [12], 2010 [13], 2012 [14, 15]) and Grapp et al. (2013 [63]) published studies on active music therapy. This is a music therapy standardized by means of manualization of nine 50-minute sessions five consecutive days in a row. A recently published (Argstatter et al, 2014 [16]) controlled, pseudorandomized study shows a first evidence. In comparison to counseling, which led to a 33% improvement in TQ scores (Göbel-Hiller's tinnitus question inventory), music therapy achieved a score improvement of 66% (OR 4.34 with a CI of2.33-8.09). In methodological terms, we can speak of a moderately validated therapy programme, the effectiveness of which should be reproduced at least by a further study of another centre or a multicentre study."​

      The guideline was published in February 2015. A few days before the publication the study "Cortical reorganization in recent-onset tinnitus patients by the Heidelberg Model of Music Therapy" was published. The study was also mentioned by another poster in the thread. The study investigates why the therapy is effective on a neuronal level. The summary/abstract reads as follows:

      "This therapy is a compact and fast application of nine consecutive 50-min sessions of individualized therapy implemented over 1 week. Clinical improvement and long-term effects over several years have previously been published. However, the underlying neural basis of the therapy's success has not yet been explored. [...] Before and after the study week, high-resolution MRT scans were obtained for each subject. Assessment by repeated measures design for several groups (Two-Way ANOVA) revealed structural gray matter (GM) increase in TG compared to PTC, comprising clusters in precuneus, medial superior frontal areas, and in the auditory cortex. [...] In line with recent findings on the crucial role of the auditory cortex in maintaining tinnitus-related distress, a causative relation between the therapy-related GM alterations in auditory areas and the long-lasting therapy effects can be assumed."​

      Although the study focuses on patients with recent tinnitus, the "German Center for Music Therapy Research" (DZM) which developed and carries out the therapy, treats patients with both chronic and acute tinnitus. In a personal phone call I had with the center I was unofficially told that, although the success rate of the therapy is statistically the highest for those with recent tinnitus (about 80% of patients have a significant improvement), the success rate for chronic tinnitus is still about 70%. I don't remember anymore exactly where I read it but it was indicated that the remaining 20-30% of patients who were not treated successfully had no good results because they also suffered from untreated hearing loss and should have first corrected that hearing loss with hearing aids before proceeding with the therapy. This effectively implies that the therapy is suited for almost everybody.

      I am waiting for the update of the guideline in February 2020 and their evaluation of the above mentioned study.

      Methods

      By humming melodies, counseling and some other components the therapy changes the brain structure in the auditory cortex in a short period of time. Neighboring regions of the overactive parts of the auditory cortex that compensate for missing signals due to damaged hair cells and other sources of false signal processing are "reprogrammed" effectively.

      A short video which is already older (unfortunately only in German):



      Best regards
       
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    12. MattS
      Relaxed

      MattS Member

      Tinnitus Since:
      06/2019
      Cause of Tinnitus:
      Power Tools
      @gerhei - would you happen to have a copy of the treatment protocol in English? Some of the summarized features of the treatment make some sense - are in line with some of the things I've been considering, experimenting with. But the articles don't actual provide the treatment protocol - just a summary, and a citation to a German article from 2008.
       
    13. hans01
      Artistic

      hans01 Member Benefactor

      Tinnitus Since:
      2000
      Cause of Tinnitus:
      Stress, hearing loss, sinus infections, ... ?
      I also noticed that my T is worse if I stay too much time in silent rooms and better when I listen to music at higher levels. Maybe the silence isn't that good after all ...
       
    14. Auron
      Dead

      Auron Member

      Location:
      Planet Earth
      Tinnitus Since:
      Spring
      Cause of Tinnitus:
      Acoustic Shock
      Silence doesn't affect my T.If anything it helps.Quite mysterious,T is.
       

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