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Argstatter H.,Viktor Dulger Institute German Center for Music Therapy Research | Grapp M.,Viktor Dulger Institute German Center for Music Therapy Research | Plinkert P.K.,University of Heidelberg | Bolay H.V.,German Center for Music Therapy Research
International Tinnitus Journal | Year: 2012

Introduction: Musical training positively influences the cortical plasticity of the brain and has proven to be effective in treating chronic tinnitus. Objectives: A neuro-music therapy concept, the "Heidelberg Neuro- Music Therapy" treatment was developed and evaluated. Design: A prospective, cross-sectional design was used. Materials and Methods: N = 135 patients (mean age 47 years) with chronic, tonal tinnitus attended a standardized protocol for Neuro-Music Therapy (either "standard therapy" ST or "compact therapy" CT). The results were compared to a cognitive behavioral placebo music therapy procedure (PT). Tinnitus distress was assessed using the German version of the Tinnitus-Questionnaire (TQ) at admission, at discharge and six months after therapy. Changes were assessed statistically and by means of clinical significance. Results: TQ scores significantly improved - independent of group allocation. But more than 80% of the music therapy patients (both ST and CT) revealed a reliable improvement ("responder") compared to 44% in the PT group. Therapy impact seems to be lasting since TQ scores remained stable until follow-up at six months. Conclusions: The "Heidelberg Neuro-Music Therapy" is a method with fast onset and long lasting effect for patients with "tonal" tinnitus. A number of potential working factors accounting for the treatment success are highlighted. Source


Grapp M.,German Center for Music Therapy Research | Hutter E.,German Center for Music Therapy Research | Argstatter H.,German Center for Music Therapy Research | Plinkert P.K.,University of Heidelberg | Bolay H.V.,German Center for Music Therapy Research
International Journal of Clinical and Experimental Medicine | Year: 2013

In the present study a music therapeutic intervention according to the 'Heidelberg Model' was evaluated as a complementary treatment option for patients with acute tinnitus whom medical treatment only brought minimal or no improvement. The central question was if music therapy in an early phase of tinnitus was able to reduce tinnitus symptoms and to prevent them from becoming chronical. 23 patients with acute tinnitus (6-12 weeks) were included in this study and took part in our manualized short term music therapeutic treatment which lasted ten consecutive 50-minutes sessions of individualized therapy. Tinnitus severity and individual tinnitus related distress were assessed by the Tinnitus Beeinträchtigungs-Fragebogen (i.e. Tinnitus Impairment Questionnaire, TBF-12) at baseline, start of treatment, and end of treatment. Score changes in TBF-12 from start to end of the treatment showed significant improvements in tinnitus impairment. This indicates that this music therapy approach applied in an initial stage of tinnitus can make an important contribution towards preventing tinnitus from becoming a chronic condition. Source

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