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Smartphone-App-gestützte Ansätze in der Tinnitusbehandlung

Smartphone app-supported approaches to tinnitus therapy

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Zusammenfassung

In den letzten Jahren werden vermehrt Anwendungen für medizinische Zwecke entwickelt und vorgestellt, so auch Applikationen („Apps“), mit denen sich in Verbindung mit Mobiltelefonen (Smartphones) eine Diagnostik und Dokumentation von Hörproblemen wie Schwerhörigkeit und Tinnitus durchführen lässt. Auch Smartphone-Apps zur Therapie, besonders für Tinnitus, wurden auf den Markt gebracht. In dieser Übersichtsarbeit wird die bislang vorliegende wissenschaftliche Literatur zu diesen Smartphone-Applikationen erörtert. Für die Tinnitustherapie wurden internetbasierte und evaluierte Angebote der Verhaltenstherapie entwickelt. Zur Behandlung von Tinnitus vorgestellte Apps verbinden akustische Stimulation und Musik oder dienen der akustischen Stimulation kortikaler Regionen im Bereich der Tinnitusfrequenz. Sie gelten zwar als sehr innovativ, jedoch wurde bislang der wissenschaftliche Nutzen ihrer Wirksamkeit noch nicht erbracht. Ein generelles Problem bezüglich der Anwendung von Smartphone-Applikationen liegt in ihrer tatsächlichen Sicherheit in Bezug auf mögliche Nebenwirkungen wie auch bezüglich des persönlichen Datenschutzes. Dennoch können Internetangebote und Apps eine sinnvolle Ergänzung multimodaler Therapieformen bilden.

Abstract

In recent years, applications (apps) for medical purposes have been developed and introduced, including apps that perform diagnostics and documentation for hearing loss and tinnitus in combination with smartphones. Even therapeutic apps, particularly for chronic tinnitus, have been launched. This review discusses the existing scientific literature for these smartphone applications. For tinnitus, Internet-based cognitive behavioral therapy has been developed and evaluated. For tinnitus therapy, introduced apps combine acoustic stimulation and music, or serve acoustic stimulation of cortical regions around the tinnitus frequency. Although these apps appear very innovative, their effectiveness has not yet been scientifically proven. A general problem associated with using smartphone apps lies in their safety in terms of possible side effects and personal data protection. However, Internet programs and apps can be a useful supplement to multimodal tinnitus therapies.

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Authors and Affiliations

  1. Tinnitus-Klinik am Krankenhaus Bad Arolsen, Große Allee 50, 34454, Bad Arolsen, Deutschland

    G. Hesse

  2. Universität Witten/Herdecke, Witten, Deutschland

    G. Hesse

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Hesse, G. Smartphone-App-gestützte Ansätze in der Tinnitusbehandlung. HNO 66, 350–357 (2018). https://doi.org/10.1007/s00106-018-0474-9

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  • DOI: https://doi.org/10.1007/s00106-018-0474-9

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