Tinnitracks

Last updated
Tinnitracks
Developer(s) Sonormed GmbH
Type Health care

Tinnitracks is a digital therapy app designed for the treatment of tinnitus through audio therapy. Treatment involves listening to music at specific frequencies that cause a patient's tinnitus to be filtered out. [1] The app is designed to take the music a patient regularly listens to and adapt it to a specified frequency, determined by visiting an ENT specialist, that will help filter out the patient's tinnitus. [2] The software was developed and is marketed by Sonormed GmbH.

Contents

The concept behind this treatment has been developed and researched by the University of Muenster, Germany. Tinnitracks was developed based on this research and provides access to the treatment beyond academic research programs. [3]

Technology

Patients with tinnitus can use the Tinnitracks software to filter their individual tinnitus frequency from their music songs. [4] By processing a song, the defined frequency is extracted, creating a gap called a "notch" in the frequency profile that covers the exact tinnitus frequency, as well as about an octave around it. Afterwards, the software checks if the audio profile of the song meets the criteria for the tinnitus treatment. [5] Accuracy of frequency measurement is paramount in the process, which is why patients are required to visit ENT specialists or acousticians to create an accurate tinnitus audiogram. [6]

Treatment

Tinnitracks is based on the "Tailor-Made Notched Music Training" ("TMNMT") system. [7] [8] This approach uses filtered music to reduce the tinnitus volume. As emphasised by the name, TMNMT ("Tailor-Made"), the importance of individualisation in calibrating the initial set-up is crucial, and refers both to the patient's individual tinnitus frequency profile and the use of the patient's favourite music. By filtering from the music, frequencies which match the frequency profile of the patient's tinnitus, those over-reactive, or misfiring, areas of the auditory cortex become less reactive. The aim is to eliminate the stimulation of those specific cortical areas by filtering out the frequencies that stimulate them. [9]

Awards and recognition

It has received some awards, [10] and won several start-up competitions, among them the SXSW Accelerator in the category "Digital Health & Life Sciences Technologies" at the 2015 South by Southwest Interactive Festival. [11]

Related Research Articles

Tinnitus is a variety of sound that is heard when no corresponding external sound is present. Nearly everyone experiences faint "normal tinnitus" in a completely quiet room; but it is of concern only if it is bothersome, interferes with normal hearing, or is associated with other problems. The word tinnitus comes from the Latin tinnire, "to ring". In some people, it interferes with concentration, and can be associated with anxiety and depression.

<span class="mw-page-title-main">Cochlear implant</span> Prosthesis

A cochlear implant (CI) is a surgically implanted neuroprosthesis that provides a person who has moderate-to-profound sensorineural hearing loss with sound perception. With the help of therapy, cochlear implants may allow for improved speech understanding in both quiet and noisy environments. A CI bypasses acoustic hearing by direct electrical stimulation of the auditory nerve. Through everyday listening and auditory training, cochlear implants allow both children and adults to learn to interpret those signals as speech and sound.

Flanging is an audio effect produced by mixing two identical signals together, one signal delayed by a small and (usually) gradually changing period, usually smaller than 20 milliseconds. This produces a swept comb filter effect: peaks and notches are produced in the resulting frequency spectrum, related to each other in a linear harmonic series. Varying the time delay causes these to sweep up and down the frequency spectrum. A flanger is an effects unit that creates this effect.

<span class="mw-page-title-main">Auditory cortex</span> Part of the temporal lobe of the brain

The auditory cortex is the part of the temporal lobe that processes auditory information in humans and many other vertebrates. It is a part of the auditory system, performing basic and higher functions in hearing, such as possible relations to language switching. It is located bilaterally, roughly at the upper sides of the temporal lobes – in humans, curving down and onto the medial surface, on the superior temporal plane, within the lateral sulcus and comprising parts of the transverse temporal gyri, and the superior temporal gyrus, including the planum polare and planum temporale.

<span class="mw-page-title-main">Sensorineural hearing loss</span> Hearing loss caused by an inner ear or vestibulocochlear nerve defect

Sensorineural hearing loss (SNHL) is a type of hearing loss in which the root cause lies in the inner ear, sensory organ, or the vestibulocochlear nerve. SNHL accounts for about 90% of reported hearing loss. SNHL is usually permanent and can be mild, moderate, severe, profound, or total. Various other descriptors can be used depending on the shape of the audiogram, such as high frequency, low frequency, U-shaped, notched, peaked, or flat.

Hyperacusis is an increased sensitivity to sound and a low tolerance for environmental noise. Definitions of hyperacusis can vary significantly, but it is often categorized into four subtypes: loudness, pain, annoyance, and fear. It can be a highly debilitating hearing disorder.

Presbycusis, or age-related hearing loss, is the cumulative effect of aging on hearing. It is a progressive and irreversible bilateral symmetrical age-related sensorineural hearing loss resulting from degeneration of the cochlea or associated structures of the inner ear or auditory nerves. The hearing loss is most marked at higher frequencies. Hearing loss that accumulates with age but is caused by factors other than normal aging is not presbycusis, although differentiating the individual effects of distinct causes of hearing loss can be difficult.

Tinnitus retraining therapy (TRT) is a form of habituation therapy designed to help people who experience tinnitus—a ringing, buzzing, hissing, or other sound heard when no external sound source is present. Two key components of TRT directly follow from the neurophysiological model of tinnitus: Directive counseling aims to help the sufferer reclassify tinnitus to a category of neutral signals, and sound therapy weakens tinnitus-related neuronal activity.

<span class="mw-page-title-main">Noise-induced hearing loss</span> Medical condition

Noise-induced hearing loss (NIHL) is a hearing impairment resulting from exposure to loud sound. People may have a loss of perception of a narrow range of frequencies or impaired perception of sound including sensitivity to sound or ringing in the ears. When exposure to hazards such as noise occur at work and is associated with hearing loss, it is referred to as occupational hearing loss.

An auditory hallucination, or paracusia, is a form of hallucination that involves perceiving sounds without auditory stimulus. While experiencing an auditory hallucination, the affected person hears a sound or sounds that did not come from the natural environment.

In audio signal processing, auditory masking occurs when the perception of one sound is affected by the presence of another sound.

Musical ear syndrome (MES) describes a condition seen in people who have hearing loss and subsequently develop auditory hallucinations. "MES" has also been associated with musical hallucinations, which is a complex form of auditory hallucinations where an individual may experience music or sounds that are heard without an external source. It is comparable to Charles Bonnet syndrome and some have suggested this phenomenon could be included under this diagnosis.

In neuroscience, the N100 or N1 is a large, negative-going evoked potential measured by electroencephalography ; it peaks in adults between 80 and 120 milliseconds after the onset of a stimulus, and is distributed mostly over the fronto-central region of the scalp. It is elicited by any unpredictable stimulus in the absence of task demands. It is often referred to with the following P200 evoked potential as the "N100-P200" or "N1-P2" complex. While most research focuses on auditory stimuli, the N100 also occurs for visual, olfactory, heat, pain, balance, respiration blocking, and somatosensory stimuli.

Tinnitus maskers are a range of devices based on simple white noise machines used to add natural or artificial sound into a tinnitus sufferer's environment in order to mask or cover up the ringing. The noise is supplied by a sound generator, which may reside in or above the ear or be placed on a table or elsewhere in the environment. The noise is usually white noise or music, but in some cases, it may be patterned sound or specially tailored sound based on the characteristics of the person's tinnitus.

The neuroscience of music is the scientific study of brain-based mechanisms involved in the cognitive processes underlying music. These behaviours include music listening, performing, composing, reading, writing, and ancillary activities. It also is increasingly concerned with the brain basis for musical aesthetics and musical emotion. Scientists working in this field may have training in cognitive neuroscience, neurology, neuroanatomy, psychology, music theory, computer science, and other relevant fields.

Spatial hearing loss refers to a form of deafness that is an inability to use spatial cues about where a sound originates from in space. Poor sound localization in turn affects the ability to understand speech in the presence of background noise.

<span class="mw-page-title-main">Mohan Kameswaran</span> Indian otorhinolaryngologist and medical academic

Mohan Kameswaran is an Indian otorhinolaryngologist, medical academic and the founder of MERF Institute of Speech and Hearing, a Chennai-based institution providing advanced training in audiology and speech-language pathology. He is one of the pioneers of cochlear implant surgery in India and a visiting professor at Rajah Muthiah Medical College of the Annamalai University and Sri Ramachandra Medical College and Research Institute, Chennai. He has many firsts to his credit such as the performance of the first auditory brain stem implantation surgery in South and South East Asia, the first pediatric brain stem implantation surgery in Asia, the first totally implantable hearing device surgery in Asia Pacific region, and the first to introduce KTP/532 laser-assisted ENT surgery in India. The Government of India awarded him the fourth highest civilian honour of the Padma Shri, in 2006, for his contributions to Indian medicine.

<span class="mw-page-title-main">Here One</span>

Here One is a pair of wireless smart earbuds developed and manufactured by Doppler Labs. It allows users to filter sound, stream music, and amplify speech. It can also be used to take phone calls and filter certain sounds, such as background noise. Here One has been called the world's first in-ear computer and in June 2018 Here One was inducted into the Smithsonian Institution's Cooper Hewitt Museum of Design for innovation in audio technology.

Computational audiology is a branch of audiology that employs techniques from mathematics and computer science to improve clinical treatments and scientific understanding of the auditory system. Computational audiology is closely related to computational medicine, which uses quantitative models to develop improved methods for general disease diagnosis and treatment.

Susan Ellen Shore is an American audiologist who is the Merle Lawrence Collegiate Professor of Otolaryngology at the University of Michigan. She was elected Fellow of the American Association for the Advancement of Science in 2021.

References

  1. "Tinnitracks application helps to relieve your tinnitus". Hearing Aid Know. 2016-04-20. Retrieved 2022-10-25.
  2. Fact (2015-03-19). "An app that claims to heal tinnitus is making waves at SXSW". Fact Magazine. Retrieved 2022-10-25.
  3. Pantev, Christo; Rudack, Claudia; Stein, Alwina; Wunderlich, Robert; Engell, Alva; Lau, Pia; Wollbrink, Andreas; Shaykevich, Alex (2014-03-02). "Study protocol: münster tinnitus randomized controlled clinical trial-2013 based on tailor-made notched music training (TMNMT)". BMC Neurology. 14 (1): 40. doi: 10.1186/1471-2377-14-40 . ISSN   1471-2377. PMC   3942518 . PMID   24581050.
  4. "When Old Tech Meets Medical Innovation – Meet Tinnitracks". MedCrunch.et. Retrieved 2015-05-07.
  5. "Tinnitracks – fighting tinnitus with music". Digitalhealthgermany.com. 2014-06-20. Retrieved 2015-05-07.
  6. "Tinnitracks - TRIAS Verlag - Gesundheit". Thieme.de. Retrieved 2015-05-07.
  7. "Tailor-Made Notched Music Training - TMNMT". TMNMT.com. Retrieved 2015-05-07.
  8. Okamoto H, Stracke H, Stoll W, Pantev C (2010). "Listening to tailor-made notched music reduces tinnitus loudness and tinnitus-related auditory cortex activity". Proc Natl Acad Sci U S A. 107 (3): 1207–10. Bibcode:2010PNAS..107.1207O. doi: 10.1073/pnas.0911268107 . PMC   2824261 . PMID   20080545.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  9. "Tinnitracks App Could Heal Hearing Damage and Tinnitus". DJ TechTools. 2015-03-22. Retrieved 2022-10-25.
  10. "Health & Wellbeing: Tinnitracks wins first Idea Challenge finals". Eitictlabs.eu. Retrieved 2015-05-07.
  11. Stephanie Baum (15 March 2015). "Update: Which 3 digital health, life science companies made it to SXSW Accelerator Day 2?". MedCityNews.com. Retrieved 2015-05-07.