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Lack of funding and personnel
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The purpose of the study is to investigate different stimulation parameters for a new noninvasive approach for modulating the brain that could potentially be beneficial for decreasing tinnitus perception. The new approach is called Multimodal Synchronization Therapy (mSync). mSync uses a combination of acoustic stimulation played through headphones and low levels of electrical current delivered via electrodes placed on the surface of different body regions. The timing interval between the acoustic and body stimulation is varied in order to cause different types of changes in the brain. In addition to acoustic and body stimulation, noninvasive cortical stimulation will also be presented as part of mSync to attempt to further modulate or decrease the tinnitus percept. Cortical stimulation will be performed by placing a magnetic coil over a spot on the head and sending a brief magnetic pulse that can travel through the skin and bone to create electrical current inside the head. For this study, different body locations as well as specific timing intervals among acoustic, body, and cortical stimulation will be investigated to identify appropriate parameters that can modulate and potentially decrease tinnitus perception. Different mSync parameters will be investigated across multiple testing sessions (up to 16 weekly sessions) and the tinnitus percept will be closely monitored throughout the study.
This study is not specifically seeking to treat tinnitus but is designed to investigate various mSync parameters that can alter the tinnitus percept. Findings from this study will help identify specific mSync parameters that can be more effective at decreasing or fully suppressing the tinnitus percept that will be systematically explored in a follow-up study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Acoustic, Body, Cortical | Experimental | Acoustic corresponds to noise sound stimulation. Body corresponds to body electrical stimulation. Cortical corresponds to transcranial magnetic stimulation. Acoustic is presented together with body and cortical stimulation. Different body locations and timing among acoustic, body, and cortical stimulation are presented across testing sessions. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| noise sound stimulation (Tucker-Davis Technologies) | Device | Band-limited white noise stimulus, comfortable loudness level, presented via headphones or earphones with Tucker-Davis Technologies device. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Tinnitus Functional Index Questionnaire Score | A series of questions to assess the quality and bothering nature of the tinnitus, which is then quantified into a single score. | Change from baseline score at 1 week after testing paradigm |
| Change in Minimal Masking Level | A narrowband noise (from 2-12 kHz) is presented to the tinnitus ear and the minimum sound level (in decibel sound pressure level, decibel SPL) is determined that completely masks the tinnitus percept. | Change in baseline level at an expected average of 1 minute and 1.5 hours after testing paradigm |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Tinnitus Handicap Inventory Questionnaire Score | A series of questions to assess the quality and bothering nature of the tinnitus, which is then quantified into a single score. | Change from baseline score at 1 week after testing paradigm |
| Change in Tinnitus Rating (0-10, 10 being worst) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hubert Lim, PhD | University of Minnesota | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nils Hasselmo Hall, 6-105 | Minneapolis | Minnesota | 55455 | United States |
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| ID | Term |
|---|---|
| D014012 | Tinnitus |
| D012001 | Hyperacusis |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
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| ID | Term |
|---|---|
| D050781 | Transcranial Magnetic Stimulation |
| ID | Term |
|---|---|
| D055909 | Magnetic Field Therapy |
| D013812 | Therapeutics |
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| body electrical stimulation (Digitimer device) | Device | Single pulse electrical stimulation on different body regions, comfortable current level, presented via surface pads or clips with Digitimer device. |
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| transcranial magnetic stimulation (Magstim) | Device | Single pulse magnetic stimulation over frontal cortex, comfortable level at 110% resting motor threshold, presented via magnetic coil with Magstim device. |
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The subject rates the disturbance or bothering nature of the tinnitus. |
| Change in baseline rating at an expected average of 4 minutes and 1.5 hours after testing paradigm |
| Change in Tinnitus Subjective Description | The subject describes the quality, characteristics and bothering nature of the tinnitus. | Change in baseline description at an expected average of 5 minutes and 1.5 hours after testing paradigm |
| Change in Tinnitus Matching (pitch and loudness) | The subject adjusts the loudness and pitch (i.e., frequency) of a sound played to an ear to that of the tinnitus percept. | Change in baseline pitch and loudness at an expected average of 1.5 hours after testing paradigm |
| Daily Tinnitus Journal Entries | The subject describes the quality, characteristics and bothering nature of the tinnitus on a daily basis. The subject can also include any unusual or interesting events relating to the tinnitus that he/she feels would be relevant for the study. | 0, 1, 2, 3, 4, 5, 6, 7 days post-testing paradigm |
| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |