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El. knyga: Tinnitus Treatment: Clinical Protocols

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  • Formatas: 240 pages
  • Išleidimo metai: 05-Feb-2022
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638536864
  • Formatas: 240 pages
  • Išleidimo metai: 05-Feb-2022
  • Leidėjas: Thieme Medical Publishers Inc
  • Kalba: eng
  • ISBN-13: 9781638536864

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"Since publication of the first edition in 2005, new developments have impacted the treatment paradigm for tinnitus, such as sensory meditation and mindfulness. Tinnitus Treatment: Clinical Protocols, Second Edition, by world-renowned tinnitus experts and distinguished authors Richard S. Tyler and Ann Perreau provides comprehensive background information, up-to-date strategies, essential tools, and online supplementary materials grounded in years of clinical experience and research. It fills a gap in graduate education and available materials to empower audiologists to effectively treat patients suffering from bothersome to severely debilitating symptoms associated with tinnitus or hyperacusis"--

The quintessential clinical guide for audiologists on tinnitus and hyperacusis patient management

Since publication of the first edition in 2005, new developments have impacted the treatment paradigm for tinnitus, such as sensory meditation and mindfulness. Tinnitus Treatment: Clinical Protocols, Second Edition, by world-renowned tinnitus experts and distinguished authors Richard S. Tyler and Ann Perreau provides comprehensive background information, up-to-date strategies, essential tools, and online supplementary materials grounded in years of clinical experience and research. It fills a gap in graduate education and available materials to empower audiologists to effectively treat patients suffering from bothersome to severely debilitating symptoms associated with tinnitus or hyperacusis.

The textbook includes 15 chapters, starting with three chapters on tinnitus models, treatment approaches, and self-treatment options. The next three chapters summarize counseling approaches for audiologists and psychologists, including introduction of the three-track psychological counseling program for managing tinnitus. Chapters 7 and 8 discuss the use of hearing aids in patients with hearing loss-related tinnitus and sound therapy using wearable devices. Chapter 9 covers smartphone apps for tinnitus assessment, management, and education and wellness, including discussion of limitations. The last six chapters provide guidance on tinnitus management topics including treating children, implementing outcome measures, hyperacusis treatment, and future directions.

Key Features

  • New relaxation/distraction tactics including meditation, mindfulness, guided imagery, biofeedback, progressive muscle relaxation, art and music therapy, exercise, and exploration of new hobbies
  • Treatment guidance for patients with tinnitus associated with Meniere's disease, vestibular schwannoma, unilateral sudden sensorineural hearing loss, and middle ear myoclonus
  • Discussion and research-based evidence covering Internet-delivered self-help treatment strategies
  • New supplemental videos, brochures, handouts, questionnaires, and datasheets enhance knowledge, scope of practice, and incorporation of effective approaches into clinical practice

This is a must-have resource for every audiology student and advanced courses, as well as essential reading for all audiologists who feel underprepared in managing tinnitus and/or hyperacusis.

This book includes complimentary access to a digital copy on https://medone.thieme.com.

Videos xi
Foreword xii
Preface xiii
Acknowledgments xv
Contributors xvi
1 Neurophysiological Models, Psychological Models, and Treatments for Tinnitus
1(16)
Phillip E. Gander
Richard S. Tyler
1.1 What Is Tinnitus?
1(1)
1.2 Neurophysiological Models of Tinnitus
1(3)
1.3 Psychological Models of Tinnitus
4(1)
1.4 Categories of Tinnitus Treatments
4(1)
1.5 Counseling in the Treatment of Tinnitus
5(3)
1.5.1 Be Supportive
5(1)
1.5.2 Provide Information
5(1)
1.5.3 Components of Counseling
5(1)
1.5.4 Examples of Counseling Treatment Protocols
6(2)
1.6 Sound Therapies for Treating Patients' Reactions to Tinnitus
8(2)
1.6.1 Counseling for Sound Therapies
9(1)
1.6.2 Use of Hearing Aids
9(1)
1.6.3 Music Therapy
9(1)
1.6.4 Hyperacusis
9(1)
1.7 Obstacles to Tinnitus Treatment
10(1)
1.7.1 Negative Beliefs by Clinicians or Patients
10(1)
1.8 Conclusion
11(6)
Appendix 1.1 Tinnitus
15(2)
2 Treating Tinnitus in Patients with Otologic Conditions
17(9)
David M. Baguley
Manohar L. Bance
2.1 Treating Tinnitus in Patients with Meniere's Disease
17(2)
2.1.1 Treatment Protocol
18(1)
2.2 Treating Tinnitus in Patients with a Vestibular Schwannoma
19(3)
2.2.1 Treatment Protocols
20(2)
2.3 Treating Tinnitus in Patients with Unilateral Sudden Sensorineural Hearing Loss
22(1)
2.3.1 Early Intervention
22(1)
2.3.2 Information Regarding Mechanisms
22(1)
2.3.3 Hearing Therapy
23(1)
2.3.4 Treating Tinnitus Associated with Middle Ear Myoclonus
23(1)
2.4 Other Relevant Conditions
23(1)
2.5 Conclusion
24(2)
3 Internet-Delivered Guided Self-Help Treatments for Tinnitus
26(16)
Gerhard Andersson
Eldre Beukes
3.1 Background
26(1)
3.1.1 Tinnitus and Self-Help Material
26(1)
3.2 Internet-Delivered Guided Self-Help
27(6)
3.2.1 Technical Functionality of the Internet Platform
27(1)
3.2.2 Conducting Assessments
28(1)
3.2.3 Theoretical Foundation of the Intervention
28(1)
3.2.4 The Intervention Content
29(3)
3.2.5 Supporting Patients
32(1)
3.2.6 Fostering Adherence
32(1)
3.3 Evaluation of Internet-Interventions for Tinnitus and Potential Problems
33(1)
3.3.1 Effects of the Internet-Based Self-Help for Tinnitus
33(1)
3.3.2 Problems Related to Dropouts and Compliance
34(1)
3.3.3 Security and Technical Concerns
34(1)
3.4 Conclusion
34(8)
Appendix 3.1 Suggested Self-Help Resources for Tinnitus
37(1)
Appendix 3.2 Tinnitus Self-Treatment Brochure
38(4)
4 Tinnitus Activities Treatment
42(29)
Ann Perreau
Richards Tyler
Patricia C. Mancini
Shelley A. Witt
4.1 Introduction
42(2)
4.1.1 Patient Expectation Nurturing
43(1)
4.1.2 Picture-Based Counseling
43(1)
4.1.3 Patient-Centered Approach to Care
43(1)
4.2 Discussion
44(10)
4.2.1 Thoughts and Emotions
44(4)
4.2.2 Hearing and Communication
48(3)
4.2.3 Sleep
51(1)
4.2.4 Concentration
52(2)
4.3 Conclusion
54(17)
Appendix 4.1 Tinnitus Primary Functions Questionnaire (12-Item Version)
56(1)
Appendix 4.2 Things You Can Do for Your Tinnitus
57(2)
Appendix 4.3a Tinnitus Diary
59(3)
Appendix 4.3b Tinnitus Diary Example Case
62(3)
Appendix 4.4 Strategies to Improve Hearing and Communication
65(1)
Appendix 4.5 A Guide to a Good Night's Sleep for Tinnitus Patients
66(2)
Appendix 4.6 Strategies to Improve Your Sleep
68(1)
Appendix 4.7 Strategies to Improve Concentration
69(1)
Appendix 4.8 Daily Listening Diary
70(1)
5 Three-Track Tinnitus Protocol: Counseling Emphasizing the Patient, the Clinician, and the Alliance
71(11)
Anne-Mette Mohr
5.1 Introduction
71(1)
5.2 Protocol
72(8)
5.2.1 Making the Initial Contact
72(1)
5.2.2 The First Session: The Contract
73(1)
5.2.3 Working in the Tracks
74(6)
5.3 Conclusion
80(2)
6 The Psychological Management of Tinnitus-Related Insomnia
82(14)
Laurence McKenna
Elizabeth Marks
6.1 Introduction
82(1)
6.2 The Cognitive Behavioral Model
82(2)
6.2.1 Cognitive Behavioral Therapy and Insomnia
83(1)
6.2.2 The CB Model, Tinnitus, and Sleep
83(1)
6.3 Croup Therapy
84(1)
6.4 Selection and Definitions
84(1)
6.5 Assessment
85(1)
6.5.1 Questionnaire Measures
85(1)
6.5.2 Sleep Diaries
86(1)
6.6 Group Structure
86(1)
6.7 Treatment Protocol: Key Components
86(6)
6.7.1 Group Support
86(1)
6.7.2 Psychoeducation
86(2)
6.7.3 Individual Goal Setting
88(1)
6.7.4 Creating an Individualized Sleep Program
88(1)
6.7.5 Sleep Titration
89(1)
6.7.6 Stimulus Control
89(1)
6.7.7 Motivation and Video Modeling
90(1)
6.7.8 Relaxation
90(1)
6.7.9 Cognitive Restructuring (Cognitive Therapy)
90(1)
6.7.10 Worry Period
91(1)
6.7.11 Sleep Hygiene
91(1)
6.7.12 Sound Enrichment
92(1)
6.7.13 Clock Watching
92(1)
6.8 Conclusion
92(4)
Appendix 6.1 Relaxation Listening for Sleep
95(1)
7 Optimizing Hearing Aid Fittings for Tinnitus Management
96(10)
Grant D. Searchfield
Alice H. Smith
7.1 Introduction
96(1)
7.2 Benefits, Modes, and Mechanisms
96(1)
7.3 Clinic Protocol
97(7)
7.3.1 Audiometry and Evaluation
97(1)
7.3.2 Aural Rehabilitation and Goal Setting
97(1)
7.3.3 Instruction
98(1)
7.3.4 Counseling
98(1)
7.3.5 Sensory Management: Selection of Hearing Aids and Their Features
98(5)
7.3.6 Perceptual Training
103(1)
7.3.7 Appointment Scheduling and Follow-Up
103(1)
7.4 Conclusion
104(2)
8 Combining Sound Therapy with Amplification
106(11)
Grant D. Searchfield
Mithila Durai
Tania Linford
8.1 Introduction
106(1)
8.2 Sound Therapy Framework
106(2)
8.2.1 The Presence of Sound Effect
106(1)
8.2.2 The Context of Sound Effect
107(1)
8.2.3 Reaction to Sound Effect
107(1)
8.2.4 Adaptation to Sound
107(1)
8.2.5 WHO International Classification of Functioning, Disability, and Health
107(1)
8.3 Protocol
108(6)
8.3.1 Audiometry and Evaluation
108(1)
8.3.2 Aural Rehabilitation and Goal Setting
109(1)
8.3.3 Instruction
109(1)
8.3.4 Counseling
109(1)
8.3.5 Sensory Management: Selection and Use of Different Sounds
109(3)
8.3.6 Device Selection and Fitting
112(1)
8.3.7 Negative Effects
113(1)
8.3.8 Perceptual Training
113(1)
8.3.9 Follow-Up
113(1)
8.3.10 New and Emerging Concepts
114(1)
8.4 Conclusion
114(3)
9 The Clinical Relevance of Apps for Tinnitus
117(8)
Ann Perreau
Elizabeth Fetscher
Michael Piskosz
9.1 Introduction
117(1)
9.2 Apps for Tinnitus Assessment and Management
117(6)
9.2.1 Apps for Education and Information on Tinnitus
120(1)
9.2.2 Apps for Wellness
120(1)
9.2.3 Limitations and Risks Associated with Smartphone Apps
121(2)
9.3 Conclusions
123(2)
10 Distractions, Relaxation, and Peace with Tinnitus: Guided Imagery, Meditation, Mindfulness, and More
125(9)
Ann Perreau
Courtney Baker
Richard S. Tyler
10.1 Introduction
125(1)
10.2 Meditation
125(1)
10.3 Mindfulness
125(2)
10.4 Guided Imagery
127(1)
10.5 Biofeedback
127(1)
10.6 Progressive Muscle Relaxation
128(1)
10.7 Art Therapy
129(1)
10.8 Music Therapy
130(1)
10.9 Exercise
130(1)
10.10 A New Hobby
131(1)
10.11 Conclusions
132(2)
11 Tinnitus in Children
134(12)
Mohamed Salah Elgandy
Claudia Coelho
11.1 Introduction
134(1)
11.2 Prevalence
134(1)
11.3 Etiology of Tinnitus in Children
134(2)
11.4 Factors that may Promote Tinnitus in Children
136(1)
11.4.1 Age
136(1)
11.4.2 Gender
136(1)
11.4.3 Hearing Loss
136(1)
11.4.4 Temporary Threshold Shifts
136(1)
11.4.5 Motion Sickness
137(1)
11.4.6 Hyperacusis
137(1)
11.5 Criteria of Tinnitus in Children
137(1)
11.6 Impact of Tinnitus on Children and Parents
137(1)
11.7 Evaluation
137(3)
11.7.1 History
137(1)
11.7.2 Physical Examination
138(1)
11.7.3 Audiological
138(1)
11.7.4 Laboratory Evaluations
139(1)
11.7.5 Radiological
139(1)
11.8 Preventing Tinnitus in Children
140(1)
11.9 Treatment Options
140(3)
11.9.1 Medical Treatment
140(1)
11.9.2 Surgical Treatment
140(1)
11.9.3 Counseling
141(2)
11.10 Conclusion
143(3)
12 Measuring Tinnitus and Reactions to Tinnitus
146(19)
Ann Perreau
Patricia C. Mancini
Richard S. Tyler
12.1 Introduction
146(1)
12.2 Measuring Tinnitus
147(5)
12.2.1 Psychoacoustic Measurements
148(1)
12.2.2 Measuring Reactions to Tinnitus
149(3)
12.3 Measuring Quality of Life
152(2)
12.3.1 Measuring Related Problems
154(1)
12.4 Conclusions
154(11)
Appendix 12.1 Data Sheet
156(4)
Appendix 12.2 Tinnitus Handicap Questionnaire
160(1)
Appendix 12.3 Tinnitus Intake Questionnaire
161(2)
Appendix 12.4 Meaning of Life and Happiness Questionnaire
163(1)
Appendix 12.5 Ordered References for Tinnitus Outcome Measures
164(1)
13 Hyperacusis
165(33)
Richard S. Tyler
Ann Perreau
Patricia C. Mancini
13.1 Introduction
165(1)
13.2 Terminology
165(1)
13.3 Causes
166(1)
13.4 Mechanisms
166(1)
13.5 Measuring Hyperacusis
166(1)
13.6 Questionnaires
167(1)
13.7 Treatments
167(5)
13.7.1 Counseling-Hyperacusis Activity Treatment
168(1)
13.7.2 Introduction
168(1)
13.7.3 Thoughts and Emotions
168(1)
13.7.4 Hearing and Communication
169(1)
13.7.5 Sleep
169(1)
13.7.6 Concentration
169(1)
13.7.7 Hearing Protection
170(1)
13.7.8 Sound Therapies
170(1)
13.7.9 Using Hearing Aids to Help with Hyperacusis
171(1)
13.8 Conclusion
172(26)
Appendix 13.1 Hyperacusis Problems Questionnaire
174(1)
Appendix 13.2 Hyperacusis Intake Questionnaire
175(3)
Appendix 13.3 Hyperacusis Disability and Handicap Scales
178(1)
Appendix 13.4 Life too Loud? Let's Talk Hyperacusis
179(2)
Appendix 13.5 Hyperacusis Activities Treatment
181(15)
Appendix 13.6 Sound Therapy Treatment Protocol for Hyperacusis
196(1)
Appendix 13.7 Hyperacusis Listening Diary Example Case
197(1)
14 Navigating Future Directions in Tinnitus Treatment
198(8)
Fatima T. Husain
14.1 Introduction
198(2)
14.1.1 What Should a Clinician Tell a Patient About Novel Treatment Methods?
198(2)
14.2 Neuromodulation---Magnetic Stimulation, Electric Stimulation
200(2)
14.2.1 What Is Magnetic Neuromodulation?
200(1)
14.2.2 Magnetic Stimulation and Tinnitus
200(1)
14.2.3 Caveats
201(1)
14.2.4 Electric Stimulation
201(1)
14.2.5 Electric Stimulation and Tinnitus
201(1)
14.2.6 Caveats
202(1)
14.3 Vagus Nerve Stimulation
202(1)
14.3.1 Vagus Nerve Stimulation and Tinnitus
202(1)
14.3.2 Caveats
202(1)
14.4 Neurofeedback
203(1)
14.4.1 Neurofeedback and Tinnitus
203(1)
14.4.2 Caveats
204(1)
14.5 Conclusions
204(2)
15 Establishing a Tinnitus and Hyperacusis Clinic
206(13)
Patricia C. Mancini
Shelley A. Witt
Richard S. Tyler
Ann Perreau
15.1 Introduction
206(1)
15.2 Structuring Clinical Services
206(6)
15.2.1 Group Educational Session
207(4)
15.2.2 Individual Sessions
211(1)
15.3 Different Treatment Levels for Different Tinnitus and Hyperacusis Patients
212(1)
15.3.1 Tinnitus
212(1)
15.3.2 Hyperacusis
213(1)
15.4 Billing for Tinnitus Services
213(1)
15.5 Conclusion
213(6)
Appendix 15.1 Shared Medical Visit Waiver
215(1)
Appendix 15.2 Tinnitus Intake Questionnaire
216(2)
Appendix 15.3 Tinnitus Treatment Fact Sheet
218(1)
Index 219