Masking Therapy and Habituation Therapy for Tinnitus Rehabilitation?

Tinnitus masking is the use of external sounds to inhibit the spontaneous excitatory activity of the cochlea or auditory nerve. Suit**:

It was first proposed by Jastreboff et al. (1993) as a comprehensive measure that uses natural sounds or beautiful ones, and the loudness is not completely masking the tinnitus, so that low-intensity background noise can produce adaptations and habits to tinnitus, and can also distract patients from tinnitus, so as to achieve a state of harmonious coexistence between tinnitus and patients. Its purpose is to increase the filtering function and central inhibition of the auditory system by retraining and recoding the nervous system, expand the external sound, treat tinnitus as "background noise", relax the vigilance of tinnitus, and break the association and vicious circle chain between tinnitus and bad emotions, so as to reduce or eliminate tinnitus.

The purpose of habituation** is to adapt or get used to tinnitus. Although tinnitus still rings, it has no effect on mood, sleep, work, study and life.

Listen to the tinnitus for half an hour a day depending on the frequency and loudness of the tinnitus sound, allowing the brain to get used to it until the tinnitus is ignored.

The masking of tinnitus is also called sound, the reason why it is called masking is that it is translated as a desensitization, to avoid the patient in the noisy environment, so that he is relatively in the middle of the test, that is, to cover up his annoying tinnitus, so that the patient can hear a comfortable sound, so that he can desensitize to the uncomfortable noise in the original ear, wear it for a period of time, it will not be sensitive to the original noise, and it can also play a role in relieving the purpose of tinnitus, but the tinnitus masking should also be checked according to the matching of the patient's tinnitus, Find a matching sound and mask your tinnitus** to be effective.

The masking method is just to cover the sound of tinnitus with a sound, it doesn't work, it just diverts attention.

Masking tinnitus with outside noise is called tinnitus masking**. Commonly used external noise generating devices include tinnitus masking devices and hearing aids, Walkmans, home video recorders, etc., and the noise emitted can be white noise with various frequency components, or narrowband noise with a center frequency. The latter has the best masking effect.

However, because many people's tinnitus tones are difficult to match, the noise produced by tinnitus masking devices is mostly white noise. Incomplete masking refers to the incomplete masking of tinnitus with low-intensity noise, and the noise intensity is based on what you have just heard, not too much.

The goal is for the patient to gradually become accustomed to and adapt to external noise similar to tinnitus and to avoid worsening the noise or causing new damage. It is recommended to mask for at least 6 hours a day, no more than 1 hour each masking, and rest for 10 to 20 minutes before the next masking. Because the noise intensity is very low, it can be masked for work, study and other activities.

There is no good way to treat tinnitus, and most hospitals are training patients in uniforms, but if you want to have tinnitus, you still have to find out, such as common cervical spondylosis, high blood pressure, ear lesions, etc., these diseases are cured, and the symptoms of tinnitus will be corresponding.

Tinnitus can only be relieved.

The mechanism of tinnitus is mainly for the nerve center of the brain, including the hearing system, the limbic system, and the autonomic nervous system, to reshape and recode, mainly to improve the filtering function of the hearing system and the brain's inhibition ability. By amplifying the background noise, the tinnitus can slowly form a background noise that makes the patient no longer alert.

At the same time, it breaks the association between tinnitus and bad mood, so that tinnitus slowly weakens or disappears, and eliminates some of the adverse effects of tinnitus. It is mainly used for long-term tinnitus of unknown cause. The second is for some **caused, but ** the effect is not good, such as otosclerosis, etc., tinnitus caused by these diseases.

The third is to know the cause of tinnitus, the disease that causes tinnitus has been cured, but the tinnitus has not been eliminated, such as sudden deafness.

Experts mentioned Zheng Ming's Zen instructions: The mechanism of tinnitus habituation is mainly for the nerve center of the brain. This includes the auditory system, the limbic system, and the autonomic nervous system. It is mainly used to improve the filtering function of the hearing system and the inhibition ability of the brain.

**Tinnitus is often allergic to include diet and maintenance, medication**, vascular improvement, skin opening sound therapy, psychological counseling and other early branches, individual conditions are different, should be tailored according to their own situation.

**The massage techniques of tinnitus are mainly to rub the ears and beat the drums.

1.Rubbing the ears: When rubbing the ears, the main thing is to put your hands on the root of the ears, then put the index finger behind the ears, put the middle finger in front of the ears, and hold the ears from the earlobe to keep pushing up, insist on 50 times a day.

2.Knock on the Li Beiming Drum: Rub the palms of your hands against each other to generate a certain amount of heat, and then put your palms on the two ears to align the palms with the ear canals; At the same time, you can also use your thumb to gently press the Feng Chi acupoint.

Due to the complexity of the causes of tinnitus, massage can only temporarily relieve tinnitus, and most of the tinnitus requires a combination of internal medication.

If the tinnitus is more serious and affects the patient's normal hearing, you should still seek medical attention in time, follow the doctor's instructions to check and **, and do not operate and use drugs by yourself, so as not to delay the condition or cause damage to the body.

Sanzhi Health.

Is tinnitus masking** effective?

Zhang Yanbing, Deputy Chief Physician.

Department of otolaryngology, Hefei Second People's Hospital.

The masking of tinnitus**is also called sound**, and the reason why it is called masking ** translates to a desensitized **. Let the patient avoid being in a noisy environment, but let him be in a first-class environment, mask the annoying tinnitus, and let the patient hear a comfortable sound, that is, ****, so that the original uncomfortable noise in the ear can be desensitized.

Generally speaking, I will use earbuds to listen to the more soothing **, turn the volume to the lowest, hear **, and can't hear the tinnitus, maybe insist on a month, two months or even half a year, and I will not be sensitive to the original noise, and it will be able to play the role of **tinnitus. However, tinnitus masking**, to find a matching sound, that is, **, and then tinnitus masking** may be effective.

Masking is also called sound, which is a type of desensitization. Let the patient be in a first-class environment, mask the annoying tinnitus, and let the patient hear a comfortable sound, that is, ****, so that the original uncomfortable noise in the ear can be desensitized. But this kind of ** is different from person to person, and it does not work for everyone.

Masking can mask part of the tinnitus and reduce the discomfort caused by tinnitus. Usually, you can use ** sound or your favorite sound to mask, the sound decibel does not exceed 60 decibels, and the duration does not exceed 1 hour.

Masking has a certain effect on tinnitus.

The causes of tinnitus are different, so the way of ** is also different.

Some patients have better results, and some patients have less than ideal results, and there are individual differences in specific effects. Tinnitus is a relatively common otolaryngological disease, **There are many methods, some patients can choose drugs**, some patients can undergo hyperbaric oxygen**, and some patients can take masking** methods.

In the process of masking **, it is necessary to go to the otolaryngology department regularly to observe the recovery of the condition. And you need to ensure rest and avoid exposure to noisy environments, and the ** cycle is generally about two weeks. If the patient's symptoms have been relieved later, they can continue, and if there is no effect for about two weeks, it is recommended to stop.

Masking of patients who are ineffective with drugs is a physiological, simple, safe, and non-obvious masking that can be considered and tried.

Masking** refers to the purpose of reducing or eliminating tinnitus through external sound after a series of tests on the nature of tinnitus, and its masking effect can be divided into active reduction and passive reduction, the former refers to the tinnitus being suppressed during the sound giving period, and the latter refers to the tinnitus being continuously suppressed after the masking ends, that is, the after-effect inhibition.

The mechanism of masking** is still unclear, although previous studies have found that most of the tinnitus that is effective in masking is cochlear tinnitus, but the phenomenon of cross-masking suggests that in addition to the cochlea, there should be a higher level of neural mechanisms involved in the masking process. Psychologically speaking, the masking sound from the outside is easier to accept and ignore than the tinnitus from the inside, and at the same time, it diverts the patient's attention from the tinnitus and makes the tinnitus less noticeable.

For tinnitus, you must go to the hospital to find out the specific cause of tinnitus, generally speaking, tinnitus is mostly caused by my disorder, for this case, you can take appropriate drugs to nourish the nerves, such as methylcobalamin to carry out**. Patients must pay attention to proper exercise during the period, which can effectively improve the body's immunity and accelerate the disease.

Tinnitus masking **What's going on.

The first important step in tinnitus habituation** is to eliminate or reduce the unpleasant, worrying emotions caused by tinnitus, and then help the patient train to form a habit of tinnitus. Training works on the premise that the brain is malleable. The filtering ability of the nervous system enables people to select the main information and ignore the relatively unimportant information in the presence of a large number of various signals at the same time.

In auditory phenomena, even if a sound does not represent important information, if we subjectively decide to "listen", we can still consciously extract this information from the background sound and shadow. Using the huge characteristics of the brain to filter out unimportant signals, in the case that the tinnitus still exists objectively, the tinnitus does not pay attention to the existence of tinnitus, that is, the sensation of tinnitus is filtered out from the consciousness of the tinnitus person, so as to achieve the purpose of reducing or eliminating the troubles caused by tinnitus.

It is recommended to have an ear, nose and throat examination in a regular hospital and traditional Chinese medicine conditioning.