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Virtual reality for tinnitus management: a randomized controlled trial.

Aniruddha K Deshpande1,2, Ishan Bhatt3, Chanapong Rojanaworarit4

  • 1The Hear-Ring Lab, Department of Speech-Language-Hearing Sciences, Hofstra University, Hempstead, NY, USA.

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|September 22, 2021
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Summary

Virtual reality (VR) combined with sound therapy (ST) significantly improved tinnitus loudness and functional impact. This study suggests VR may enhance traditional sound therapy for tinnitus management.

Keywords:
Sound therapyminimum masking levelrandomised controlled trialtinnitus functional indextinnitus loudnessvirtual reality

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Area of Science:

  • Audiology
  • Neuroscience
  • Virtual Reality Technology

Background:

  • Sound therapy (ST) and stress reduction are established tinnitus management strategies.
  • Virtual reality (VR) has shown efficacy in managing chronic pain.
  • Tinnitus affects a significant portion of the population, impacting quality of life.

Purpose of the Study:

  • To evaluate the efficacy of VR combined with ST for tinnitus management.
  • To compare the effects of ST alone versus ST with VR stimuli on tinnitus attributes.
  • To investigate potential additional benefits of VR in tinnitus treatment.

Main Methods:

  • A randomized controlled trial (RCT) with a cross-over design was employed.
  • Participants received both ST alone (control) and ST with VR stimuli (experimental).
  • Fractal tones constituted the ST, while nature videos presented via VR goggles served as VR stimuli.

Main Results:

  • Significant improvements in tinnitus loudness and Tinnitus Functional Index scores were observed with the combined intervention.
  • Minimum masking levels showed a trend towards reduction with VR, though not statistically significant.
  • The experimental intervention (ST + VR) demonstrated greater benefits compared to ST alone.

Conclusions:

  • Participants experienced benefits from VR combined with ST in a controlled laboratory setting.
  • Further research, including blinded RCTs, is necessary to validate VR's clinical utility for tinnitus.
  • VR shows promise as an adjunct therapy for tinnitus management, warranting further investigation.