Rapid Communication| Volume 38, ISSUE 6, P735-738, December 2011

Neurofeedback for subjective tinnitus patients



      Previous studies report that enhanced power in the delta range (1.5–4 Hz) and reduced power in the alpha frequency band (8–12 Hz) were most pronounced in the temporal regions. These studies referred to the 8–12 Hz activity as tau activity, and they created a new neurofeedback protocol to treat tinnitus using a temporally generated tau rhythm (8–12 Hz) and slow waves in the delta range (3–4 Hz) for feedback. This study aims to repeat this protocol and to evaluate its effect on tinnitus.


      Fifteen normal-hearing patients with tinnitus were treated with the neurofeedback protocol. The Tinnitus Handicap Inventory and Visual Analogue Scales were administered before and after treatment and at 1, 3 and 6 months post-treatment.


      After therapy, all questionnaires scores were significant improved, and the improvements persisted throughout the followup period. Moreover, an increasing trend in the tau/delta ratio was observed; specifically, the trend was more stable respect of the pre-recording measure. However, only in some subjects may the signal alone be enough to develop the correct behaviors.


      Further studies are necessary to characterize the tinnitus subjects who recovered from and adapted to this psychophysical condition and, therefore, responded to neurofeedback therapy.


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        • Norena A.
        • Micheyl C.
        • Chery-Croze S.
        • Collet L.
        Psychoacoustic characterization of the tinnitus spectrum: implications for the underlying mechanisms of tinnitus.
        Audiol Neurootol. 2002; 7: 358-369
        • Weisz N.
        • Hartmann T.
        • Dohrmann K.
        • Schlee W.
        • Norena A.
        High-frequency tinnitus without hearing loss does not mean absence of deafferentation.
        Hear Res. 2006; 222: 108-114
        • Muhlnickel W.
        • Elbert T.
        • Taub E.
        • Flor H.
        Reorganization of auditory cortex in tinnitus.
        Proc Natl Acad Sci U S A. 1998; 95: 10340-10343
        • Elbert T.
        • Heim S.
        A light and a dark side.
        Nature. 2001; 411: 139
        • Moller A.R.
        The role of neural plasticity in tinnitus.
        Prog Brain Res. 2007; 166: 37-45
        • Weisz N.
        • Moratti S.
        • Meinzer M.
        • Dohrmann K.
        • Elbert T.
        Tinnitus perception and distress is related to abnormal spontaneous brain activity as measured by magnetoencephalography.
        PLoS Med. 2005; 2: e153
        • Lehtela L.
        • Salmelin R.
        • Hari R.
        Evidence for reactive magnetic 10 Hz rhythm in the human auditory cortex.
        Neurosci Lett. 1997; 222: 111-114
        • Fuchs T.
        • Birbaumer N.
        • Lutzenberger W.
        • Gruzelier J.H.
        • Kaiser J.
        Neurofeedback treatment for attention-deficit/hyperactivity disorder in children: a comparison with methylphenidate.
        Appl Psychophysiol Biofeedback. 2003; 28: 1-12
        • Landis B.
        • Landis E.
        Is biofeedback effective for chronic tinnitus? An intensive study with seven subjects.
        Am J Otolaryngol. 1992; 13: 349-356
        • Weise C.
        • Heinecke K.
        • Rief W.
        Biofeedback-based behavioral treatment for chronic tinnitus: results of a randomized controlled trial.
        J Consult Clin Psychol. 2008; 76: 1046-1057
        • Weise C.
        • Heinecke K.
        • Rief W.
        Stability of physiological variables in chronic tinnitus sufferers.
        Appl Psychophysiol Biofeedback. 2008; 33: 149-159
        • Gosepath K.
        • Nafe B.
        • Ziegler E.
        • Mann W.J.
        Neurofeedback in therapy of tinnitus.
        HNO. 2001; 49: 29-35
        • Schenk S.
        • Lamm K.
        • Gundel H.
        • Ladwig K.H.
        Neurofeedback-based EEG alpha and EEG beta training. Effectiveness in patients with chronically decompensated tinnitus.
        HNO. 2005; 53: 29-37
        • Schlee W.
        • Hartmann T.
        • Langguth B.
        • Weisz N.
        Abnormal resting-state cortical coupling in chronic tinnitus.
        BMC Neurosci. 2009; 10: 11
        • Dohrmann K.
        • Elbert T.
        • Schlee W.
        • Weisz N.
        Tuning the tinnitus percept by modification of synchronous brain activity.
        Restor Neurol Neurosci. 2007; 25: 371-378
        • Newman C.W.
        • Sandridge S.A.
        • Jacobson G.P.
        Psychometric adequacy of the Tinnitus Handicap Inventory (THI) for evaluating treatment outcome.
        J Am Acad Audiol. 1998; 9: 153-160
        • Jastreboff P.J.
        • Hazell J.W.P.
        Tinnitus retraining therapy: implementing the neurophysicological model.
        Cambridge University Press, Cambridge, UK2004
        • Haller S.
        • Birbaumer N.
        • Veit R.
        Real-time fMRI feedback training may improve chronic tinnitus.
        Eur Radiol. 2010; 20: 696-703
        • Langguth B.
        • Searchfield G.D.
        • Biesinger E.
        • Greimel K.V.
        History and questionnaires.
        in: Moller A.R. Langguth B. De Ridder D. Kleinjung T. Textbook of tinnitus. Springer Science+Business Media, New York2010: 387-404
        • Hartmann T.
        • Lorenz I.
        • Weisz N.
        in: Moller A.R. Langguth B. De Ridder D. Kleinjung T. Textbook of tinnitus. Springer Science+Business Media, New York2010: 691-696