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A systematic review on sound-based therapy for individuals with hyperacusis
Nema Farouk Nasreldeen Hamid1, M A Yashu2, Mayur Bhat3
1Master Student, School of Advanced Education, Research and Accreditation S.L, Castellon de la Plana, Spain; Sudan Country Mannager, MED-EL Middle East FZ LLC, Dubai.
Acta Otorrinolaringologica Espanola
|June 17, 2026
Summary
Sound generator therapy significantly reduces symptoms of hyperacusis, a condition of sound sensitivity. This review found substantial improvements in patients undergoing sound-based treatments, highlighting its therapeutic benefits.
Area of Science:
- Audiology
- Otolaryngology
- Neuroscience
Background:
- Hyperacusis involves extreme sensitivity to everyday sounds, causing significant distress.
- It often co-occurs with tinnitus, migraines, depression, and autism spectrum disorder.
- Sound therapy is an emerging treatment for hyperacusis.
Purpose of the Study:
- To systematically review the efficacy of sound-based therapy programs for alleviating hyperacusis.
- To evaluate the impact of sound generator interventions on hyperacusis-related disability.
Main Methods:
- A systematic review of 149 articles was conducted.
- Full-text review of 14 articles identified nine quantitative studies.
- Included studies comprised randomized controlled trials, retrospective studies, pre-post intervention studies, and case studies.
Main Results:
- All nine studies demonstrated significant reductions in hyperacusis symptoms.
- Sound generator therapy led to substantial symptomatic improvement post-intervention.
- The interventions showed significant therapeutic benefits in reducing hyperacusis-related disability.
Conclusions:
- Sound generator therapy is effective in alleviating debilitating symptoms of hyperacusis.
- Current evidence supports the therapeutic benefits of sound-based treatments.
- Further randomized controlled trials are needed to comprehensively evaluate clinical efficacy.

