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Published on: August 24, 2017
Tinnitus Retraining Therapy (TRT) for tinnitus.
John S Phillips1, Don McFerran
1Otology & Neurotology, St. Paul's Rotary Hearing Clinic, 1081 Burrard St, Vancouver, BC, Canada, V6Z 1Y6.
The Cochrane Database of Systematic Reviews
|March 19, 2010
Summary
Tinnitus Retraining Therapy (TRT) shows greater effectiveness than tinnitus masking for managing tinnitus symptoms. This therapy combines directive counseling and sound therapy for improved patient outcomes.
Area of Science:
- Otolaryngology
- Audiology
- Neuroscience
Background:
- Tinnitus, the perception of sound without external stimulus, impacts many individuals.
- While a cure is elusive, Tinnitus Retraining Therapy (TRT) offers a management strategy.
- Authentic TRT, distinct from modified versions, is crucial for accurate treatment evaluation.
Purpose of the Study:
- To evaluate the efficacy of Tinnitus Retraining Therapy (TRT) in treating tinnitus.
- To compare TRT with other tinnitus management approaches.
Main Methods:
- A systematic review of randomized controlled trials was conducted.
- Searches included major databases like PubMed, EMBASE, and the Cochrane Library.
- One trial met the inclusion criteria, comparing TRT with tinnitus masking.
Main Results:
- The single included trial demonstrated TRT's superior effectiveness over tinnitus masking.
- Improvements in tinnitus severity scores (THI, THQ, TSI) were significantly greater with TRT.
- These benefits were observed across different tinnitus severity levels ('moderate,' 'big,' and 'very big' problems).
Conclusions:
- A low-quality randomized controlled trial suggests TRT is highly effective for tinnitus management.
- TRT appears more effective than tinnitus masking for reducing tinnitus severity.
- Further high-quality research is needed to confirm these findings.

