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Deprecated: Implicit conversion from float 261.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Evidence+review+for+sound+therapy+and+amplification+devices:+Tinnitus:+assessment++and+management:+Evidence+review+M-/-NICE+Evidence+Reviews+Collection 2020 ; ä (ä): ä Nephropedia Template TP
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Evidence review for sound therapy and amplification devices: Tinnitus: assessment and management: Evidence review M #MMPMID32437107
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Evidence review for sound therapy and amplification devices: Tinnitus: assessment and management: Evidence review M-/-NICE Evidence Reviews Collection 2020[Mar]; ä (ä): ä PMID32437107show ga
Hearing loss is a common factor underlying tinnitus, although some people with normal hearing also experience tinnitus. Loss of hearing is often an unnoticeable and gradual process and many people are surprised when they are told that they have a hearing loss. It is quite common for people to assume, incorrectly, that it is their tinnitus rather than their hearing loss that is causing hearing difficulties. Management of hearing loss in adults is covered by NICE guideline NG98. In this review we focus on only those people who have tinnitus. Nationally, there are differences in how people with a hearing loss and tinnitus are treated. In some locations people with tinnitus and a measurable hearing loss are offered hearing aids to reduce the impact of their tinnitus. People who have tinnitus often report that it is more noticeable and bothersome in a quiet environment, for example at night, and that listening to other sounds can make it less intrusive. The deliberate use of any sound to reduce tinnitus awareness or reduce the distress associated with it can be called sound enrichment or sound therapy. Sound therapy/ enrichment can be used as a self-help technique or as a component of a broader tinnitus management programme delivered with the support of a healthcare professional. Various types of sound are used including relaxing music, natural sounds such as waves and white noise. Using sound to help manage tinnitus is common but practice varies across the country and may include hearing aids with a sound generator activated, wearable sound devices or other types of sound enrichment. Sound therapy/enrichment covers many different aspects from wearable devices, environmental sound, smart phone apps, bedside/ table top generators. The provision of sound therapy devices is inconsistent across the country. The purpose of this review is to identify evidence as to whether hearing aids, sound therapy/ sound enrichment are a clinically and cost effective way of reducing the impact of tinnitus.