Tinnitus Retraining Therapy And Hearing Protection Apps



In the last few years, several methods of tinnitus treatment have been introduced, but have survived in the very short test. Even now, in the year 2000, we do not have a system-based method for the treatment of tinnitus. More than a decade has passed since the introduction of the neurophysiological model of tinnitus and tinnitus retraining therapy (TRT) [1] Despite controversy and criticism around this approach, the number of patients is constantly increasing, not only in the United States but around the world. In fact, TRT is used successfully in more than 20 countries.

What is TRT?

TRT is the process of learning to deal with your tinnitus at a conscious and subconscious level. This technique has helped many people.

Specifically, 1) Limbic (emotional) and autonomic nervous system are the primary and major systems for the development of tinnitus problems, while surprisingly, hearing system plays a secondary role in tinnitus expression, 2) high in brain plasticity Displays level and after deactivation of negative associations with signals (i.e. tinnitus), stay for once for any neutral signal Enabled, 3) The susceptibility of sound (hyperacusis) should coexist with tinnitus.

In practice, TRT is primarily a method for the purpose of staying on the habit of tinnitus-developed reactions and tinnitus perceptions of the brain and body. Consequently, successful TRT patients are not bothered by their tinnitus, even if they know about it. In addition, the successful TRT patient has lessened the tinnitus understanding period.

The habit of tinnitus is achieved by inducing plastic changes within the brain's brain. Specifically, the conditioning reflex arc, which connects the hearing, limb, and autonomic nervous system, is controlled, as well as neuronal networks are modified at the subconscious level of the auditory track. It is important to understand that most of these connections are at the subconscious level and TRT procedures keep this in mind.

The two main components of TRT:

  1. Education counseling: The objective of the consultation session is to re-classify tinnitus neutral signals. During the sessions, tinnitus is destroyed and patients are taught through the mechanism of tinnitus and the mechanism of tinnitus, through which tinnitus habit can be obtained.
  2. Sound therapy: Continuous low-level broadband reduces the difference between sound tinnitus and background neuronal activity. Consequently, the strength of activation of the organs and the autonomic nervous system, which is reflected in the reduction in tinnitus-evoked discomfort at the behavioral level, decreases. This, in turn, reduces negative reinforcement in the reflex arcs conditioned and allows the tinnitus signal inhibit in the subconscious portion of the auditory pathways i.e., the habit of tinnitus perception.

Increased background noise essentially creates a situation in opposition to the typical, quiet environment that can motivate or increase tinnitus. Specifically, all patients are advised to avoid silence and enrich background sounds by using nature or music. Apart from this, they should not protect their ears in normal, everyday situations. For hearing the hearing patients, background sounds are enhanced through hearing aids.

Many patients may benefit from the use of Broad-Band noise sound generators. This facilitates the status of tinnitus and often helps to remove/reduce hyperacusis with tinnitus. While the specific protocols are different for different categories of patients (depending on the degree of hearing loss, the presence of hyperacusis, deterioration of problems after noise exposure), these general rules are the same for all patients.

What Treatments are available?

The American Tinnitus Association has mentioned several different ways of managing this condition, although there are not many cures. These include general welfare, treatment of underlying psychological issues, TMG treatment, drug therapy, experimental therapy, and hearing aid. At least offensive but one of the most effective treatment remedies is sound therapy. Thanks to the new technologies, you can use sound to do tinnitus retraining therapy online.
What is the cost involved?

Based on your needs, the total cost of TRT can be different. The initial assessment cost is $ 300, but may be reduced by a valid audiometric test by another audiologist. All charges are payable at the time of appointment. We will happily enter insurance claims as the courtesy. Generally, insurance covers the charge only for audiometric testing. The consulting fee of $ 625 involves following the initial consultation session and following counseling sessions through 18 months after treatment. As per the audiologist, in consultation with the patient, additional charges may be levied for further testing if necessary. The cost of sound generators is fitting and follow-up and the device varies depending on the model. All costs and fees can change without any notice but will be disclosed completely, and patient consent will be obtained prior to the provision of services or before ordering the device.

Hearing Protection Apps

These apps measure the sound level in your environment or from your streaming device and can tell you that when you make noise level harmful.


  1. Sound Meter: To measure how strong your environment is in decibels, you use a microphone from your Android device to measure it, and gives you a context sound to compare it.
  2.  Sound Level Meter: Uses microphones from its iOS device to measure how powerful the environment is in decibel.
  3.  Wide Noise: See where noise pollution is occurring in the world and monitor its exposure level.
  4.  Noise Control Pro: In Decibel your microphone uses your Android device to measure how strongly your environment is and allows you to record sound for later playback.
  5. Soundcheck: Measures the level of noise in your environment and determines whether noise protection is recommended to protect your hearing from damage.
  6.  Hear angel: Keeps track of those musical levels you are listening with your audio equipment and you discover that when you are in danger of overexposure.
  7. Too Noisy Pro: Warning to the children is used to control the noise level in the classroom when they are very noisy.
  8. Hercules: For those who are often aware of the loud noise, this app will tell you how long you can stay in that noisy environment without loss of hearing, and alert you if you need to take a break from the noise.
  9. Adv Decibel Meter 2.0: Meets the audio power in your device's microphone.
  10.  Decibel Meter Pro: A decibel meter with optimized graphics for the iPhone.
TRT is a useful approach to managing and treating tinnitus. TRT is extremely effective for both tinnitus and hyperacusis. TRTs can be successfully implemented in audiological practice. Although TRT can be organized by various healthcare providers, audiologists are particularly qualified to do TRRs because they have a background knowledge of hearing physiology and hearing loss, they are advised to advise patients, And they are licensed to provide sound generators and hearing aids (if needed). Therefore, audiologists are in a favorable position to organize TRTs.


Comments