Notched Music Therapy (DIY, AudioNotch, etc.)

Discussion in 'Treatments' started by Scarred, Mar 16, 2011.

tinnitus forum
    1. Scarred

      Scarred Member

      Suppressing Tinnitus With Music Therapy

      The researchers allowed patients to choose their favorite music, which was then “notched” — a one-octave frequency band, centered on the frequency of the ringing experienced by the subject, was filtered out.

      After a year, the researchers report in The Proceedings of the National Academy of Sciences, those who listened to this custom-notched music reported a significant improvement in their tinnitus — the ringing was not as loud — compared with others who listened to music that was notched at frequencies not corresponding to their ringing frequency.

      Tinnitus music therapy-A do it yourself guide
       
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    2. Jim
      Happy

      Jim Member Benefactor

      Location:
      San Francisco
      Tinnitus Since:
      04/2007
      Wow, thanks for posting. That looks very interesting. I'm going to have to study up on notched therapy. I wonder if I could do the same on "Garageband", my mac music editing app.
       
    3. Markku
      Inspired

      Markku Director Staff Benefactor Hall of Fame Team Trobalt Team Tech Team Awareness Team Research

      Tinnitus Since:
      04/2010
      Cause of Tinnitus:
      Syringing
      • Like Like x 1
    4. Jim
      Happy

      Jim Member Benefactor

      Location:
      San Francisco
      Tinnitus Since:
      04/2007
      Scarred and Markuu, man you guys are good. I just notched a few tracks using your tutorials and will try them out tonight. I have to listen to music all night to sleep so I thought this would be some easy low cost therapy. My tinnitus turned out to be 8200Hz. I think I will check it several more times to see if it is consistent over time.
      Thanks again:)
       
    5. Markku
      Inspired

      Markku Director Staff Benefactor Hall of Fame Team Trobalt Team Tech Team Awareness Team Research

      Tinnitus Since:
      04/2010
      Cause of Tinnitus:
      Syringing
      Any updates Jim? Been a couple of weeks, probably not enough time to notice any improvement, but are you still doing this and how's it going? :)
       
    6. Jim
      Happy

      Jim Member Benefactor

      Location:
      San Francisco
      Tinnitus Since:
      04/2007
      Hi Markku, well I started listening to the notched tracks at night and I noticed right away that they don't provide the same masking/enrichment effect as the full spectrum tracks so they are not as comforting for that purpose. This would be expected of course. I'm really not dedicated to the method and time required to really try and get the benefit from it as suggested might be possible in some of the studies. My tinnitus has actually been quite low for the last couple weeks so I haven't been thinking about it much. If I can just get to sleep at night I'm pretty much good to go.
       
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    7. Chip Frank

      Chip Frank Member

      Jim, Are you still listening to notched music? If so, have you noticed any improvement in your tinnitus?
       
    8. Jim
      Happy

      Jim Member Benefactor

      Location:
      San Francisco
      Tinnitus Since:
      04/2007
      Chip, no I haven't continued listening. My T has improved quite a bit over the last couple months, for what reason I do not know, so I have not had the motivation to keep going with the notched tracks.
       
    9. Chip Frank

      Chip Frank Member

      Jim, That's great news! I'm very happy for you. How long did you have tinnitus before it started to get better?
       
    10. Jim
      Happy

      Jim Member Benefactor

      Location:
      San Francisco
      Tinnitus Since:
      04/2007
      Chip, I've had it for about 6 years, the first two were not too bad then it got worse. It's been mostly better for the last 6 months or so. I have no idea why. Still there but not nearly as loud and more of a softer hiss sound, not as irritating.
       
    11. DezDog
      Angry

      DezDog Member Benefactor

      Tinnitus Since:
      01/2009
      This appears to be genuine, free, and based on real research.

      https://sites.google.com/site/freetinnitussoundtherapy/clients

      Audacity has a function under Generate which can produce white noise if you prefer, instead of notching your music files.

      Edit: Thanks to whomever moved this into the existing thread; my apologies for not searching first.
       
    12. Adrian Green

      Adrian Green Member

      Location:
      Toronto, Canada
      I'm just wondering if anyone has tried notched white noise. There was another study Lugli 2009, not published by Pantev, that demonstrated a larger effect, with more patients (20) and was a randomized control trial ( www.tinnitusjournal.com/detalhe_artigo.asp?id=48 ).

      It's also important to note that the notch is much narrower than Pantev's (which was one octave, which is very wide). Lugli 2009 used a notch width of two ERBs ( http://en.wikipedia.org/wiki/Equivalent_rectangular_bandwidth ). It was also effective in patients with a tone of up to 13kHz, as opposed to Pantev, who was only successful up to 8kHz (and shown to not be effective past 8kHz, in another study).

      Also the aforementioned site was made by my co-founder Peter under the pseudonym John Smith, before we made AudioNotch.
       
      • Like Like x 1
    13. Marcus

      Marcus Member

      Tinnitus Since:
      2007
      Hi,
      I have T and my tone (the strongerst one) is around 9,3Khz and i I work as a sound guy. I read about this treat and thougt its very easy to try it out. So I took my favorite album "FooFighters Wasting light" and notched 9,3Khz away I listend to it for a day mostly in my speakers (studio nearfield monitors), but also in my headphones, well my T went down a little... If it is a result of my notched music I dont know.

      The most intersting thing was when i listen to my tonegenerator in ProTools to detect my freqvence, my T started to change "and live" a little bit scary. But I beleve even more of the
      Acoustic CR
      ®
      Neuromodulation treat! Waiting with exitment for the result of the ongoing test in the UK.
       
    14. Marcus

      Marcus Member

      Tinnitus Since:
      2007
      I gonna try it out more to see what happens!

      /M
       
      • Like Like x 1
    15. Tha_b_man

      Tha_b_man Member

      Tinnitus Since:
      1/1/2009
      There is a notched music app in the app store for your iDevices. It's 9.99. Just a FYI.
       
    16. Peter Phua
      Breezy

      Peter Phua Member Benefactor

      Tinnitus Since:
      04/2010
      Hi Everyone,

      I'd like to add some comments regarding the relative efficacy of Notched Music and Notched White Noise (also, I should preface my comments by declaring that I'm part of a company that provides both of these services to users suffering from tinnitus). Notched White Noise operates on a similar principle to Notched Music, however, broadband noise (white noise) is notched at the user's tinnitus frequency instead of music.

      From a cursory inspection of the overall methodology behind Notched Music and Notched White Noise, it would appear that the mechanisms are similar: both stimulate the auditory cortex frequencies except for the tinnitus frequency. As a consequence, current theories hypothesize that the lateral inhibitory connections between normal auditory neurons and the tinnitus neurons (obviously I'm grossly simplifying here) are strengthened.

      Now, I just want to provide a comparison of relative treatment effects. If you read the Pantev papers on Notched Music, the volume reduction he produced was just under 30%. However, if you read the Italian paper on Notched White Noise, the volume reduction significantly exceeded that at 75% at one month.
      Volume Reduction - Lugli Paper.jpg

      Now, to put these results into context, they have not yet been replicated by other independent studies - and replication is a cornerstone of establishing scientific facts. That said, there is public demand for access to newly published, recently discovered experimental treatments, and we're here to offer that.

      Here's a link to a comparison of Notched Music and Notched White Noise:
      http://www.audionotch.com/FAQ#difference

      I hope that this comparison was helpful to all of you. I've personally found that Notched White Noise tends to fade into the background and allow you to focus on whatever work you're doing while you're listening to it (but obviously this depends on the person).

      Cheers,
      Peter Phua
      Co-Founder, Marketing Director,
      www.AudioNotch.com
       
      • Like Like x 2
    17. Peter Phua
      Breezy

      Peter Phua Member Benefactor

      Tinnitus Since:
      04/2010
      Hi Everyone,

      I'd like to thank the administrators for granting us permission to make some limited posts in this forum. Certainly we know how frustrating it is as tinnitus sufferers to be bombarded by spam and snake oil - there is no cure, and anyone who tells you otherwise is lying.

      My name is Peter, and I'm part of a team of people that provides Tailor-Made Notched Sound Therapy, which comes in two forms:
      • Notched Music
      • Notched White Noise
      The first question that any person who suffers from Tinnitus has when they encounter news of a treatment modality is:
      • Is this legitimate? Or is this more snake-oil/scam artistry?
      We're upfront with the evidence behind our therapy. In fact, it was independently developed by European academic (not commercial) researchers, and we've provided links to the relevant research articles for you to read:
      http://www.audionotch.com/FAQ#science
      But enough about that: you want to know about the mechanism - and rightfully so. Most of you likely already have a reasonably good scientific understanding of your condition. Here's an infographic we've made to provide an explanation of the mechanism behind our therapy:
      infographic-web.jpg
      Now, our purpose here isn't to spam this forum with identical posts - (I've made that mistake already). Our purpose is to engage the community and answer any and all questions that you may have. I've set it up such that I'll receive notifications if any of you post questions.
      Our main site is www.AudioNotch.com and we have a FAQ that covers most of the questions you might have : http://www.audionotch.com/FAQ
      We sincerely hope that we're able to help some of you.

      Cheers,
      Peter Phua
      Co-Founder, Marketing Director,
      www.AudioNotch.com
       
    18. Markku
      Inspired

      Markku Director Staff Benefactor Hall of Fame Team Trobalt Team Tech Team Awareness Team Research

      Tinnitus Since:
      04/2010
      Cause of Tinnitus:
      Syringing
      Full disclosure:
      This isn't paid advertisement. Tinnitus Talk doesn't benefit in any way. Well, I was offered a free time limited trial of the service to test and write a review of it on Tinnitus Talk. Later on Jim also got the free review trial, and he's writing down thoughts of the service after he comes back from his holiday. But even before AudioNotch offered the free review trial, I had already offered them the possibility to talk about their service on Tinnitus Talk, noting of course not to go overboard.

      It's just that Notched Music Therapy is one of possible treatments to reduce tinnitus (or its perception).

      NMT has been researched and there have been trials too. It's not snake oil like so many other things.


      I know some might think it's in a grey area to let a company talk about their commercial service here on the forums.

      This is an exception, and AudioNotch aren't allowed to go overboard with their posts about NMT and their paid service.


      It's also worth pointing out that one can notch audio free of charge with many sorts of tools available online. AudioNotch.com is just one possibility: some might find it easier to use, etc.

      My personal recommendation is that if you are interested in notched music therapy, consider your options. Read posts regarding NMT here on the forums, for example: https://www.tinnitustalk.com/threads/notched-music-therapy-—-any-experience.61/
       
    19. Peter Phua
      Breezy

      Peter Phua Member Benefactor

      Tinnitus Since:
      04/2010
      I'd like to thank Markku and the team here at Tinnitus Talk for granting us permission to post here.

      It's definitely important to emphasize that there has been no exchange of funds. We've provided him and his partner with free trials, and that's it. It's clear to us that Tinnitus Talk has carefully managed their reputation by maintaining an appropriate distance from commercial proprietors of treatment - and rightfully so. That's their role as an advocacy group.

      The team here may very well find that our product didn't work for them, but regardless of what happens, we stand behind the research backing it (we also have no affiliation, financial or otherwise, with the researchers who discovered Notched Music and Notched White Noise).

      For those of you who are of very limited financial means, I originally created a free site under a now extant google account (https://sites.google.com/site/freetinnitussoundtherapy/home). I was, and still am, a medical student in Canada when I created that site. However, I should be clear that this free version is inferior to our current service. The notch used is very broad (one octave, as opposed to a much narrower notch used by the Italian researchers we've referenced).

      Furthermore, please note that Notched White Noise has shown a volume reduction three or more times greater than Notched Music. Notched White Noise is essentially the same as Notched Music, but the input is broadband noise (it sounds like static), and in the papers referenced, the Notch was narrower in the White Noise study than the notch in the Notched Music study (which may in part account for the differences in treatment effects).

      It's also important to note that Notched Music has only been shown to work for those individuals with a tinnitus frequency under 8,000 hZ (check your Tinnitus frequency here http://www.audionotch.com/app/tune/). Although both therapies are similar there are differences (http://www.audionotch.com/FAQ#difference).

      Cheers,
      Peter,
      www.AudioNotch.com
       
    20. tweak

      tweak Member

      Tinnitus Since:
      03/12
      Hi Peter,
      Does this treatment work if the pitch of the tone fluctuates or changes?
      Thanks
       
    21. John Bacon

      John Bacon Member

      Tinnitus Since:
      April 2012
      I'm sixty five and do not have great computer skills. I understand the concept of
      notched music but I am not capable of creating it own my own. Can someone help?
      I mean walk me through it. I know its asking a lot but I would appreciate the help.
       
    22. Peter Phua
      Breezy

      Peter Phua Member Benefactor

      Tinnitus Since:
      04/2010
    23. Peter Phua
      Breezy

      Peter Phua Member Benefactor

      Tinnitus Since:
      04/2010
      Hi Tweak,

      Unfortunately, the short answer is - right now, no.

      The Italian pioneers of Notched White Noise (a service we provide) found that they could treat tinnitus sounds that were not "pure tone" (i.e. an electronic like hum) with a broader "notch" that was detected using a "sweeping search" tinnitus tuning algorithm. Essentially they got users to determine the lowest frequency of their sound and the highest frequency, then notched around that interval (check out the methods section of the paper): http://www.tinnitusjournal.com/detalhe_artigo.asp?id=48

      At this point, our tuner is only designed for simple tonal tinnitus. We're working on creating a tuner that can create a broader notch, however we're implementing multiple upgrades right now so this is on hold for the time being. Thank you for your interest.

      Regards,
      Peter.
       
    24. DezDog
      Angry

      DezDog Member Benefactor

      Tinnitus Since:
      01/2009
      Peter, your offering would benefit greatly from tools and techniques that help identify tone pitch, particularly if it's narrow-band white noise. If the band fits within 1 or 2 ERBs, I'd still be willing to try it. As it is, without being able to identify where notching should occur, your product is unavailable to me.
       
    25. tweak

      tweak Member

      Tinnitus Since:
      03/12
      Hi Peter,
      I think the difficult part with this type of therapy is identifying the pitch as its subjective, even if the pitch is same tone. But for me the notching part seems easily enough done with a notch filter or parametric eq applied in sound editing software. The plugins are free and probably the sound editing software if not then a free trial anyway.
       
    26. DezDog
      Angry

      DezDog Member Benefactor

      Tinnitus Since:
      01/2009

      John,

      Peter's site has great instructions, but if you're still unsure what to do, I am willing to help.

      The first thing you have to do though, which I cannot help with, is find the exact pitch of your tinnitus.
      Peter includes instructions on how to do this at his site:

      Step 1:

      Download the NCH Tone Generator at http://www.nch.com.au/tonegen/index.html .
      Install the program.
      Find a quiet room and circumferetnial (large circular) headphones that are good quality and cover your ears well.
      Concentrate on the tone of your tinnitus.
      Run the NCH Tone Generator Program.
      Click the play button.

      Let me know how you get on.
      DD
       
    27. erik
      Breezy

      erik Manager Staff Benefactor

      Location:
      Washington State, USA
      Tinnitus Since:
      04/15/2012
      Cause of Tinnitus:
      Most likely hearing loss
      I tried Audionotch and the site is well designed, user friendly with step by step instructions. My problem is that I had a hard time pinpointing the frequency of my fluctuating T and it seems to be over 12K so this does not really benefit me.
       
    28. erik
      Breezy

      erik Manager Staff Benefactor

      Location:
      Washington State, USA
      Tinnitus Since:
      04/15/2012
      Cause of Tinnitus:
      Most likely hearing loss
      Has Anybody Try Notched Music Therapy Long Term and Gotten Results?
       
    29. JS10

      JS10 Member

      Tinnitus Since:
      9/2010
      Hi. Just stumbled upon this forum and am glad I did. As you can probably figure out by the fact that I'm posting here, I am, in fact, a tinnitus sufferer. I'm always looking for possible treatments, and I came across something called, as the thread title suggests, Tinnitus Pro Music Therapy by a European company called ProMedical Audio. Here's a link describing it: http://prmac.com/release-id-42135.htm.

      Quite simply, it sounds interesting, but I have nothing to vouch for it. I called me ENT doctor, but she had no familiarity with it either. I was wondering, then, if anyone here DOES have any knowledge of, or better yet, experience with this product/app? If so, I would obviously love to hear about it. Thanks!
       
    30. Tha_b_man

      Tha_b_man Member

      Tinnitus Since:
      1/1/2009

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