Effects of Tinnitus Retraining Therapy on Patients With Tinnitus: A Systematic Review of Randomized Controlled Trials


Alashram, A. R. (2024).

Advanced online publication. https://doi.org/10.1007/s00405-024-08907-3.

<div>This systematic review investigates the effects of tinnitus retraining therapy (TRT) or modified TRT on tinnitus outcomes (e.g., severity, quality of life) in individuals with any type or duration of tinnitus.</div>

No funding received



From database inception to June 30, 2024

<div>Randomized clinical trials</div>

15

<div>TRT demonstrated significant benefits for individuals with tinnitus, and even greater effects when combined with other interventions. TRT alone showed no significant differences compared to other interventions (i.e., tinnitus masking, tinnitus educational counseling, TRT with open ear hearing aids, tailor-made notched music training, partial TRT, usual care, and smart TRT). Benefits of TRT combined with another intervention included:</div> <div> <ul> <li>reduced tinnitus severity;</li> <li>decreased tinnitus symptoms;</li> <li>improved psychological status;</li> <li>increased quality of life; and</li> <li>enhanced sleep quality.</li> </ul> <div>Limitations of this review include the possible exclusion of relevant non-English studies, the risk of publication bias, and the inability to conduct a meta-analysis due to the heterogeneity of treatment protocols. Additional research is needed to investigate the specific effects of TRT on patients with different characteristics and the optimal treatment protocol for improving tinnitus outcomes.</div> </div>