이명환자에 대한 기존 치료법과 병행한 경두개 직류전기 자극치료 효과
The Effects of Bifrontal Transcranial Direct Current Stimulation Combined with Conventional Treatment for Tinnitus Patients
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Purpose: The purpose of this study is to find out the efficacy of treatment of tinnitus when used Transcranial direct current stimulation (tDCS) with existing methods such as Tinnitus Retraining Therapy, Cognitive Behavioral Therapy, Sound therapy and tympanic injection therapy (dexa-methasone administration). Methods: We collected data from sixty tinnitus patients excluding patients with any other diseases. We divided sixty patients into two group, the control group and the experimental group. Thirty patients of the control group were treated using only the existing methods, and thirty patients of the experimental group were treated using the existing methods and tDCS together. Results: The control group showed a significant decrease in only Korea adaptation of Tinnitus Handicap Inventory (K-THI) socre (p < 0.05) from 43.4 to 27.2. However, the experimental group showed a significant decrease in both K-THI score from 46.4 to 21.1 and tinnitus loudness from 14 dB sensation level (SL) to 8.8 dB SL (p < 0.05). The efficacy of tDCS in patients with tinnitus could not be fully confirmed by the current study because of the limited number of patients, but this study demonstrated a significant improvement of tinnitus intensity and K-THI score. Conclusion: tDCS is considered to be a promising tool for tinnitus management.
Abstract
Purpose: The purpose of this study is to find out the efficacy of treatment of tinnitus when used Transcranial direct current stimulation (tDCS) with existing methods such as Tinnitus Retraining Therapy, Cognitive Behavioral Therapy, Sound therapy and tympanic injection therapy (dexa-methasone administration). Methods: We collected data from sixty tinnitus patients excluding patients with any other diseases. We divided sixty patients into two group, the control group and the experimental group. Thirty patients of the control group were treated using only the existing methods, and thirty patients of the experimental group were treated using the existing methods and tDCS together. Results: The control group showed a significant decrease in only Korea adaptation of Tinnitus Handicap Inventory (K-THI) socre (p < 0.05) from 43.4 to 27.2. However, the experimental group showed a significant decrease in both K-THI score from 46.4 to 21.1 and tinnitus loudness from 14 dB sensation level (SL) to 8.8 dB SL (p < 0.05). The efficacy of tDCS in patients with tinnitus could not be fully confirmed by the current study because of the limited number of patients, but this study demonstrated a significant improvement of tinnitus intensity and K-THI score. Conclusion: tDCS is considered to be a promising tool for tinnitus management.
참고문헌 (25)
- 장지원, "우리나라(한국)의 이명검사 현황 및 이명검사 방법제안", 대한이비인후과학회지 두경부외과학, 57(10), pp.671~686 (2014), 대한이비인후과학회[DOI]
- 조양선, "Prevalence of Otolaryngologic Diseases in South Korea: Data from the Korea National Health and Nutrition Examination Survey 2008", Clinical and Experimental Otorhinolaryngology, 3(4), pp.183~193 (2010), 대한이비인후과학회
- Coelho, C. C. B, "Características do zumbido em pacientes atendidos em serviço de referência; Tinnitus characteristics of patients attended in a tinnitus clinic", Arquivos Internacionais de Otorrinolaringologia, 8(3), pp.216~224 (2004)
- Delb, W, "Evaluation of the tinnitus retraining therapy as combined with a cognitive behavioral group therapy", HNO, 50(11), pp.997~1004 (2002)
- Dobie, R. A, "Depression and tinnitus", Otolaryngologic Clinics of North America, 36(2), pp.383~388 (2003)
- Faber, M, "Top down prefrontal affective modulation of tinnitus with multiple sessions of tDCS of dorsolateral prefrontal cortex", Brain Stimulation, 5(4), pp.492~498 (2012)
- Fregni, F, "Transient tinnitus suppression induced byrepetitivetranscranial magnetic stimulation and transcranial directcurrent stimulation", European Journal of Neurology, 13(9), pp.996~1001 (2006)
- Frank, E, "Treatment of chronic tinnitus with repeated sessionsof prefrontaltranscranial direct current stimulation : Outcomes froman open-label pilot study", Journal of Neurology, 259(2), pp.327~333 (2012)
- Garin, P, "Short-and long-lasting tinnitus relief induced by transcranialdirectcurrent stimulation", Journal of Neurology, 258(11), pp.1940~1948 (2011)
- Hiller, W, "Factors influencing tinnitus loudness and annoyance", Archives of Otolaryngology-Head and Neck Surgery, 132(12), pp.1323~1330 (2006)
- Jastreboff, P. J, "A neurophysiological approach to tinnitus : Clinical implications", British Journal of Audiology, 27(1), pp.7~17 (1993)
- 지연숙, "이명의 유병기간과 동반 청력손실이 인지행동치료에 미치는 효과", 대한이비인후과학회지 두경부외과학, 57(9), pp.596~602 (2014), 대한이비인후과학회[DOI]
- 정다정, "이명의 발생기전", 대한이비인후과학회지 두경부외과학, 57(6), pp.357~363 (2014), 대한이비인후과학회[DOI]
- 강우석, "돌발성 난청의 치료 원칙", 대한이비인후과학회지 두경부외과학, 54(10), pp.675~682 (2011), 대한이비인후과학회
- 김지혜, "한국어 번역판 Tinnitus Handicap Inventory의 신뢰도 및 타당도 연구", 대한이비인후과학회지 두경부외과학, 45(4), pp.328~334 (2002), 대한이비인후과학회
- Nitsche, M. A, "Transcranial direct current stimulation : State of the art2008", BrainStimulation, 1(3), pp.206~223 (2008)
- Nitsche, M. A, "Excitability changes induced in the human motor cortex by weak transcranial direct current stimulation", The Journal of Physiology, 527(Pt 3), pp.633~639 (2000)
- Parazzini, M, "Electric field and current density distribution in an anatomical head model during transcranial direct current stimulation for tinnitus treatment", Bioelectromagnetics, 33(6), pp.476~487 (2012)
- 류소진, "이명장애지수에 영향을 주는 요인에 대한 분석", Audiology and Speech Research, 7(2), pp.164~178 (2011), 한국청각언어재활학회
- Shargorodsky, J, "Prevalence and characteristics of tinnitus among US adults", The American Journal of Medicine, 123(8), pp.711~718 (2010)
- Song, J. J., "Non-invasive neuromodulation for the treatment of tinnitus", Otorhinolaryngology-Head and Neck Surgery Seoul Symposium, 21, pp.311~338 (2014)
- Song, J. J, "Transcranialdirect current stimulation in tinnitus patients : A systemic reviewand metaanalysis", The Scientific World Journal, 2012, pp.427941~ (2012)
- Vanneste, S, "Bilateral dorsolateral prefrontal cortex modulationfor tinnitus bytranscranial direct current stimulation : A preliminaryclinical study", Experimental Brain Research, 202(4), pp.779~785 (2010)
- 유신영, "우리나라(한국) 대학병원의 주관적 이명 치료 현황", 대한이비인후과학회지 두경부외과학, 56(5), pp.266~277 (2013), 대한이비인후과학회[DOI]
- Zeng, F. G, "Tinnitus suppression by low-rate electric stimulation and itselectrophysiological mechanisms", Hearing Research, 277(1-2), pp.61~66 (2011)
