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A New Method for Assessing Masking and Residual Inhibition of Tinnitus

机译:一种评估耳鸣掩蔽和残留抑制的新方法

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Tinnitus masking and residual inhibition (RI) are two well-known psychoacoustic measures of tinnitus. While it has long been suggested that they may provide diagnostic and prognostic information, these measures are still rarely performed in clinics, as they are too time consuming. Given this issue, the main goal of the present study was to validate a new method for assessing these measures. An acoustic sequence made of pulsed stimuli, which included a fixed stimulus duration and interstimulus interval, was applied to 68 tinnitus patients at two testing sites. First, the minimum masking level (MML) was measured by raising the stimulus intensity until the tinnitus was unheard during the stimulus presentation. Second, the level of the stimulus was further increased until the tinnitus was suppressed during the silence interval between the acoustic pulses. This level was called the minimum residual inhibition level (MRIL). The sequential measurement of MML and MRIL from the same stimulus condition offers several advantages such as time efficiency and the ability to compare results between the MRIL and MML. Our study confirms that, from this new approach, MML and MRIL can be easily and quickly obtained from a wide variety of patients displaying either normal hearing or different hearing loss configurations. Indeed, MML was obtained in all patients except one (98.5%), and some level of MRIL was found on 59 patients (86.7%). More so, this approach allows the categorization of tinnitus patients into different subgroups based on the properties of their MRIL.
机译:耳鸣掩蔽和残留抑制(RI)是耳鸣的两种著名的心理声学测量方法。尽管长期以来一直建议它们可以提供诊断和预后信息,但是这些措施仍然很耗时,因此在临床上仍然很少执行。鉴于此问题,本研究的主要目标是验证一种评估这些措施的新方法。在两个测试点对68名耳鸣患者应用了由脉冲刺激组成的声音序列,其中包括固定的刺激持续时间和刺激间隔。首先,通过提高刺激强度直至在刺激过程中听不到耳鸣来测量最小掩蔽水平(MML)。其次,在声脉冲之间的无声间隔期间,刺激的水平进一步增加,直到耳鸣被抑制为止。该水平称为最小残留抑制水平(MRIL)。在相同的刺激条件下对MML和MRIL进行顺序测量具有几个优点,例如时间效率以及比较MRIL和MML结果的能力。我们的研究证实,通过这种新方法,可以从显示正常听力或不同听力损失配置的各种患者中轻松快速地获得MML和MRIL。实际上,除一名患者(98.5%)外,所有患者均获得了MML,而59例患者(86.7%)中发现了一定水平的MRIL。更重要的是,这种方法可以根据其MRIL的属性将耳鸣患者分为不同的亚组。

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