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Smartphone-App-gestützte Ansätze in der Tinnitusbehandlung

Smartphone app-supported approaches to tinnitus therapy

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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Literatur

  1. 1.

    Abrams HB, Bock K, Irey RL (2015) Can a remotely delivered auditory training program improve speech-in-noise understanding? Am J Audiol 24:333–337

    Article  PubMed  Google Scholar 

  2. 2.

    Andersson G (2015) Clinician-supported Internet-delivered psychological treatment of tinnitus. Am J Audiol 24:299–301

    Article  PubMed  Google Scholar 

  3. 3.

    Andersson G, Cuijpers P, Carlbring P et al (2014) Guided Internet-based vs. face-to-face cognitive behavior therapy for psychiatric and somatic disorders: a systematic review and meta-analysis. World Psychiatry 13:288–295

    Article  PubMed  PubMed Central  Google Scholar 

  4. 4.

    AWMF (2015) Leitlinie Tinnitus. Leitlinien der Dt. Ges. f. Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie Leitlinie 017/064:1–16

    Google Scholar 

  5. 5.

    Beerheide R (2016) Gesundheits-Apps: Viel Chancen, wenig Evidenz. Dtsch Arztebl 113:1040–1041

    Google Scholar 

  6. 6.

    Beukes EW, Allen PM, Manchaiah V et al (2017) Internet-based intervention for tinnitus: outcome of a single-group open trial. J Am Acad Audiol 28:340–351

    Article  PubMed  Google Scholar 

  7. 7.

    Bright T, Pallawela D (2016) Validated smartphone-based apps for ear and hearing assessments: a review. Jmir Rehabil Assist Technol 3:e13

    Article  PubMed  PubMed Central  Google Scholar 

  8. 8.

    Danino J, Muzaffar J, Mitchell-Innes A et al (2016) Quality of information available via the internet for patients with otological conditions. Otol Neurotol 37:1063–1065

    Article  PubMed  Google Scholar 

  9. 9.

    Frankfurter Allgemeine Sonntagszeitung v. 26.11.2017

  10. 10.

    Ferguson M, Brandreth M, Brassington W et al (2016) A randomized controlled trial to evaluate the benefits of a multimedia educational program for first-time hearing aid users. Ear Hear 37:123–136

    Article  PubMed  PubMed Central  Google Scholar 

  11. 11.

    Goebel G, Biesinger E, Hiller W et al (2005) Der Schwergegrad des Tinnitus. In: Biesinger E, Iro H (Hrsg) HNO Praxis heute. Springer, Heidelberg, S 19–42

    Google Scholar 

  12. 12.

    Greenwell K, Sereda M, Coulson N et al (2016) Understanding user reactions and interactions with an Internet-based intervention for tinnitus self-management: mixed-methods process evaluation protocol. JMIR Res Protoc 5:e49

    PubMed  PubMed Central  Google Scholar 

  13. 13.

    Hall D, Hoare D (2014) End of Study Report. NHS Trust Nottingham University Hospitals, S 1–30

    Google Scholar 

  14. 14.

    Haller M, Hall DA (2017) Evaluation of the acoustic coordinated reset (CR(R)) neuromodulation therapy for tinnitus: update on findings and conclusions. Front Psychol 8:1893

    Article  PubMed  PubMed Central  Google Scholar 

  15. 15.

    Henry JA, Mcmillan G, Dann S et al (2017) Tinnitus management: randomized controlled trial comparing extended-wear hearing aids, conventional hearing aids, and combination instruments. J Am Acad Audiol 28:546–561

    Article  PubMed  Google Scholar 

  16. 16.

    Henry JA, Thielman E, Zaugg T et al (2017) Development and field testing of a smartphone “app” for tinnitus management. Int J Audiol 56:784–792

    Article  PubMed  Google Scholar 

  17. 17.

    Hesse G (2007) Musiktherapie bei Tinnitus. HNO 55:328–330

    CAS  Article  PubMed  Google Scholar 

  18. 18.

    Hesse G (2015) Neueste Behandlungsansätze bei chronischem Tinnitus. HNO 63:283–290

    CAS  Article  PubMed  Google Scholar 

  19. 19.

    Hiller W, Goebel G (2007) When tinnitus loudness and annoyance are discrepant: audiological characteristics and psychological profile. Audiol Neurootol 12:391–400

    Article  PubMed  Google Scholar 

  20. 20.

    Hoare DJ, Pierzycki RH, Thomas H et al (2013) Evaluation of the acoustic coordinated reset (CR (R)) neuromodulation therapy for tinnitus: study protocol for a double-blind randomized placebo-controlled trial. Trials 14:207

    Article  PubMed  PubMed Central  Google Scholar 

  21. 21.

    http://www.mynoise.de/de/tinnitus-therapie.html

  22. 22.

    http://www.tinnitus-help.eu

  23. 23.

    Jastreboff PJ (2015) 25 Years of tinnitus retraining therapy. HNO 63:307–311

    CAS  Article  PubMed  Google Scholar 

  24. 24.

    Kardous CA, Shaw PB (2013) So how good are these smartphone sound measurement apps? Update Counc Accredit Occup Hearing Conserv 25:1–2

    PubMed  PubMed Central  Google Scholar 

  25. 25.

    Loy JS, Ali EE, Yap KY (2016) Quality assessment of medical apps that target medication-related problems. J Manag Care Spec Pharm 22:1124–1140

    Article  PubMed  Google Scholar 

  26. 26.

    Martinez-Perez B, De La Torre-Diez I, Lopez-Coronado M (2013) Mobile health applications for the most prevalent conditions by the World Health Organization: review and analysis. J Med Internet Res 15:e120

    Article  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Mielke M, Brueck R (2015) Design and evaluation of a smartphone application for non-speech sound awareness for people with hearing loss. Conference proceedings:  Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference 2015, S 5008–5011

    Google Scholar 

  28. 28.

    Nast DR, Speer WS, Le Prell CG (2014) Sound level measurements using smartphone “apps”: useful or inaccurate? Noise Health 16:251–256

    Article  PubMed  Google Scholar 

  29. 29.

    Paglialonga A, Tognola G, Pinciroli F (2015) Apps for hearing healthcare. Stud Health Technol Inform 210:666–668

    PubMed  Google Scholar 

  30. 30.

    Paglialonga A, Tognola G, Pinciroli F (2015) Apps for hearing science and care. Am J Audiol 24:293–298

    Article  PubMed  Google Scholar 

  31. 31.

    Pantev C, Okamoto H, Teismann H (2012) Tinnitus: the dark side of the auditory cortex plasticity. Ann N Y Acad Sci 1252:253–258

    Article  PubMed  Google Scholar 

  32. 32.

    Probst T, Pryss R, Langguth B et al (2016) Emotional states as mediators between tinnitus loudness and tinnitus distress in daily life: results from the “TrackYourTinnitus” application. Sci Rep 6:20382

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  33. 33.

    Rucker G, Antes G (2013) Reply to Tass et al on “Counteracting tinnitus by acoustic coordinated reset Neuromodulation” Restorative Neurology and Neuroscience Vol. 30 (2), 2012. Restor Neurol Neurosci 31(3):233–234. https://doi.org/10.3233/RNN-120275

    PubMed  Google Scholar 

  34. 34.

    Schlee W, Pryss RC, Probst T et al (2016) Measuring the moment-to-moment variability of tinnitus: the TrackYourTinnitus smart phone app. Front Aging Neurosci 8:294

    Article  PubMed  PubMed Central  Google Scholar 

  35. 35.

    Stein A, Wunderlich R, Lau P et al (2016) Clinical trial on tonal tinnitus with tailor-made notched music training. BMC Neurol 16:38

    Article  PubMed  PubMed Central  Google Scholar 

  36. 36.

    Tass P, Adamchic I, Freund H et al (2012) Counteracting tinnitus by acoustic coordinated reset neuromodulation. Restor Neurol Neurosci 30(2):137–159

    PubMed  Google Scholar 

  37. 37.

    Teismann H, Okamoto H, Pantev C (2011) Short and intense tailor-made notched music training against tinnitus: the tinnitus frequency matters. PLoS ONE 6:e24685

    CAS  Article  PubMed  PubMed Central  Google Scholar 

  38. 38.

    Teismann H, Wollbrink A, Okamoto H et al (2014) Combining transcranial direct current stimulation and tailor-made notched music training to decrease tinnitus-related distress – a pilot study. PLoS ONE 9:e89904

    Article  PubMed  PubMed Central  Google Scholar 

  39. 39.

    Wegger M, Ovesen T, Larsen DG (2017) Acoustic coordinated reset neuromodulation: a systematic review of a novel therapy for tinnitus. Front Neurol 8:36

    Article  PubMed  PubMed Central  Google Scholar 

  40. 40.

    Weise C, Kleinstauber M, Andersson G (2016) Internet-delivered cognitive-behavior therapy for tinnitus: a randomized controlled trial. Psychosom Med 78(4):501–510. https://doi.org/10.1097/PSY.0000000000000310

    Article  PubMed  Google Scholar 

  41. 41.

    Wilson MB, Kallogjeri D, Joplin CN et al (2015) Ecological momentary assessment of tinnitus using smartphone technology: a pilot study. Otolaryngol Head Neck Surg 152(5):897–903. https://doi.org/10.1177/0194599815569692

    Article  PubMed  PubMed Central  Google Scholar 

  42. 42.

    Wise K, Kobayashi K, Magnusson J et al (2016) Randomized controlled trial of a perceptual training game for tinnitus therapy. Games Health J 5(2):141–149. https://doi.org/10.1089/g4h.2015.0068

    Article  PubMed  Google Scholar 

  43. 43.

    Wunderlich R, Lau P, Stein A et al (2015) Impact of spectral notch width on neurophysiological plasticity and clinical effectiveness of the tailor-made notched music training. PLoS ONE 10:e138595

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to 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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Schlüsselwörter

  • Schwerhörigkeit
  • Hyperakusis
  • Kognitive Verhaltenstherapie
  • Hörgeräte
  • Musiktherapie

Keywords

  • Hearing loss
  • Hyperacusis
  • Cognitive behavioral therapy
  • Hearing aids
  • Music therapy