Musiktherapie bei nichttonalem Tinnitus (Tinnitusrauschen): Konzeptentwicklung und Behandlungsevaluation
Identifieur interne : 000468 ( Main/Exploration ); précédent : 000467; suivant : 000469Musiktherapie bei nichttonalem Tinnitus (Tinnitusrauschen): Konzeptentwicklung und Behandlungsevaluation
Auteurs : H. Argstatter [Allemagne] ; C. Krick [Allemagne] ; F. Plinkert [Allemagne] ; H. V. Bolay [Allemagne]Source :
- HNO. Hals-, Nasen-, Ohrenärzte [ 0017-6192 ] ; 2010.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Musique.
English descriptors
- KwdEn :
Abstract
Background. Music therapy in chronic tonal tinnitus according to the"Heidelberger model" presents an effective treatment, which is substantiated by neuroscientific and psychological evaluation. Method. The music therapy approach was specifically extended to include noisiform tinnitus, taking sound quality and cardiovascular influences into consideration. Outcome criteria were psychological tinnitus load, psychophysiologic parameters and brain imaging procedures. Results. Psychological outcomes of the pilot study indicate that 21 of the 23 patients (i.e. more than 90%) achieved a reliable reduction of symptoms (TQ scores: pre: 40.1±11.4; post: 27.9±12.8; at 3-month-follow-up: 24.0±12.2). Results of the imaging examinations demonstrated neuroplastic changes in the putamen and insula. Psychophysiological measurements indicate cardiovascular influences on noisiform tinnitus. Discussion. Therapy success depends on the sound quality of the tinnitus; therefore, any treatment should take this into consideration. Cardiovascular influences were important insofar as active control of the heart rate was an important predictor of long-term therapy outcome. Overall, brain imaging data confirm the top-down-model of tinnitus generation.
Affiliations:
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Argstatter</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut)</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Fakultät für Musiktherapie, SRH Hochschule Heidelberg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>SRH Hochschule Heidelberg</wicri:noRegion><wicri:noRegion>Fakultät für Musiktherapie, SRH Hochschule Heidelberg</wicri:noRegion></affiliation></author><author><name sortKey="Krick, C" sort="Krick, C" uniqKey="Krick C" first="C." last="Krick">C. 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Plinkert</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Universitäts-Hals-Nasen-Ohren-Klinik Heidelberg</s1><s3>DEU</s3><sZ>3 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Universitäts-Hals-Nasen-Ohren-Klinik Heidelberg</wicri:noRegion><wicri:noRegion>Universitäts-Hals-Nasen-Ohren-Klinik Heidelberg</wicri:noRegion></affiliation></author><author><name sortKey="Bolay, H V" sort="Bolay, H V" uniqKey="Bolay H" first="H. V." last="Bolay">H. V. Bolay</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Deutsches Zentrum für Musiktherapieforschung (Viktor Dulger Institut)</s1><s2>Heidelberg</s2><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Fakultät für Musiktherapie, SRH Hochschule Heidelberg</s1><s3>DEU</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>SRH Hochschule Heidelberg</wicri:noRegion><wicri:noRegion>Fakultät für Musiktherapie, SRH Hochschule Heidelberg</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">HNO. Hals-, Nasen-, Ohrenärzte</title><title level="j" type="abbreviated">HNO, Hals- Nasen- Ohrenzt.</title><idno type="ISSN">0017-6192</idno><imprint><date when="2010">2010</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">HNO. Hals-, Nasen-, Ohrenärzte</title><title level="j" type="abbreviated">HNO, Hals- Nasen- Ohrenzt.</title><idno type="ISSN">0017-6192</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>ENT</term><term>Evaluation</term><term>Music</term><term>Stomatology</term><term>Tinnitus</term><term>Treatment</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Acouphène</term><term>Traitement</term><term>Musique</term><term>Evaluation</term><term>ORL</term><term>Stomatologie</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Musique</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background. Music therapy in chronic tonal tinnitus according to the"Heidelberger model" presents an effective treatment, which is substantiated by neuroscientific and psychological evaluation. Method. The music therapy approach was specifically extended to include noisiform tinnitus, taking sound quality and cardiovascular influences into consideration. Outcome criteria were psychological tinnitus load, psychophysiologic parameters and brain imaging procedures. Results. Psychological outcomes of the pilot study indicate that 21 of the 23 patients (i.e. more than 90%) achieved a reliable reduction of symptoms (TQ scores: pre: 40.1±11.4; post: 27.9±12.8; at 3-month-follow-up: 24.0±12.2). Results of the imaging examinations demonstrated neuroplastic changes in the putamen and insula. Psychophysiological measurements indicate cardiovascular influences on noisiform tinnitus. Discussion. Therapy success depends on the sound quality of the tinnitus; therefore, any treatment should take this into consideration. Cardiovascular influences were important insofar as active control of the heart rate was an important predictor of long-term therapy outcome. Overall, brain imaging data confirm the top-down-model of tinnitus generation.</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li></region><settlement><li>Heidelberg</li></settlement></list><tree><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Argstatter, H" sort="Argstatter, H" uniqKey="Argstatter H" first="H." last="Argstatter">H. Argstatter</name></region><name sortKey="Argstatter, H" sort="Argstatter, H" uniqKey="Argstatter H" first="H." last="Argstatter">H. Argstatter</name><name sortKey="Bolay, H V" sort="Bolay, H V" uniqKey="Bolay H" first="H. V." last="Bolay">H. V. Bolay</name><name sortKey="Bolay, H V" sort="Bolay, H V" uniqKey="Bolay H" first="H. V." last="Bolay">H. V. Bolay</name><name sortKey="Krick, C" sort="Krick, C" uniqKey="Krick C" first="C." last="Krick">C. Krick</name><name sortKey="Plinkert, F" sort="Plinkert, F" uniqKey="Plinkert F" first="F." last="Plinkert">F. Plinkert</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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