Health Condition 1: H931- Tinnitus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Tinnitus characteristics: Chronic (duration 3 months or more), subjective, non-pulsatile, primary, unilateral/bilateral, with or without SNHL 2. Normal otoscopic examination; No organic cause of tinnitus identified based on clinical assessment. 3. Willing to undergo the assigned treatment modality as per the study protocol. 4.Those not willing for neuromodulation, but meeting other criteria may be recruited as controls
Exclusion criteria
Exclusion criteria: 1. Objective / pulsatile / synchronous tinnitus 2. Secondary tinnitus: External / middle ear pathology/ history of ear surgery/ trauma/ retro-cochlear neoplasm 3. Any associated neurological deficit except Sensori-neural hearing loss 4. History of neurosurgery, intracranial implant 5. Implanted cardiac pacemaker, cardioverter/defibrillator 6. Known cardiac condition; diagnosed neurological or clinical psychiatric disorder 7. Pregnancy 8. Previous treatment with taVNS, tDCS, TMS stimulation within the last six months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Tinnitus severity: assessed using validated patient reported outcome measures (Tinnitus Handicap Inventory; Tinnitus Functional Index; VAS for tinnitus loudness, annoyance and distress; DASS; WHO quality of life index) 2. Reduction in scores from pre-treatment levelsTimepoint: 1. Baseline assessment (at the time of recruitment) 2. At completion of 10 sessions of neuromodulation for the intervention groups and 4-6 weeks post- recruitment for control group. 3. At 12 weeks (3 months) post baseline assessment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Performance in cognitive assessment tasks i.e., memory, executive and auditory processing. 2. Reduction in scores from pre-treatment levelsTimepoint: 1. Baseline assessment (at the time of recruitment) 2. At completion of 10 sessions of neuromodulation for the intervention groups and 4-6 weeks post- recruitment for control group. 3. At 12 weeks (3 months) post baseline assessment | — |
Countries
India
Contacts
Department of Otorhinolaryngology, All India Institute of Medical Sciences-Rajkot