|
Name of treatment |
Neuromodulation (Acoustic CR neuromodulation) |
|
Type of treatment |
Physical device |
|
Claims for treatment |
Reduce tinnitus symptoms by desynchronization, anti-kindling, and change of abnormal frequency couplings. |
|
How treatment is delivered |
In-ear sound generation device |
|
Potential negative consequences |
Regarded as safe and well-tolerated.[1] |
Evidence offered: |
|
|
Papers available |
PubMed database has 20 papers with both ‘tinnitus’ and ‘neuromodulation’ in the title. Eight studies were included in a systematic review1. |
|
Conclusions drawn |
The available evidence is insufficient for clinical implementation of acoustic CR neuromodulation. A proof for the claim of desynchronization is still lacking.1 |
|
Quality of evidence[2] |
A |
|
Does the BTA recommend this treatment? |
No, until more high-quality evidence is available |
|
BTA opinion on this treatment: |
Independent evidence of the effectiveness of neuromodulation for tinnitus management is lacking. |
|
Would the BTA support further studies into this treatment? |
Yes, provided the study is of high quality. |
|
Verdict: Safety – is this treatment harmful? |
|
|
Verdict: Efficacy – does this treatment work? |
|
[1] Wegger M, Ovesen T, Larsen DG. Acoustic Coordinated Reset Neuromodulation: A Systematic Review of a Novel Therapy for Tinnitus. Front Neurol. 2017;8:36. Published 2017 Feb 13. doi:10.3389/fneur.2017.00036
[2] A = Systematic review/meta analysis. B = Randomised control studies. C = Cohort studies. D = Case control studies. E = case studies/reports. +/- to be used to indicate quality within bands
Download this information:
Tinnitus_and_neuromodulation_April_2019.pdf
Published 15 April 2019
