The efficacy of notched music therapy vs conventional music therapy for chronic subjective tinnitus patients: a systematic review and meta-analysis
Jiang W, Zheng Y, Zheng C, Chen R, Li B
European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 1 cita
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Cómo se estudió
- Diseño
- Metaanálisis (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación no declarada
Publicación
- Publicado
- 2025-02-24 · Eur Arch Otorhinolaryngol · vol. 282 · número 7 · págs. 3431–3442
- Editorial
- Springer Science+Business Media
- Citado
- 4 citas · más que el 67% de estudios similares · 1.1× el promedio de su campo
- Referencias
- 41 trabajos
- Acceso
- De pago
- Áreas de investigación
- Hearing, Cochlea, Tinnitus, Genetics · Music Therapy and Health · Hearing Loss and Rehabilitation
- Palabras clave
- chronic subjective tinnitus, Tinnitus Handicap Inventory, tinnitus loudness, non-pharmacological treatment
- MeSH
- humans, tinnitus, chronic disease, treatment outcome, music therapy, randomized controlled trials as topic
5 autores
- Wen Jun Jiang🇨🇳 · autor de correspondenciaZhejiang Chinese Medical University; Zhejiang Provincial Hospital of TCM
- Yun Zheng · autor de correspondencia
- Cheng Zheng🇨🇳 · autor de correspondenciaZhejiang Chinese Medical University; Zhejiang Provincial Hospital of TCM
- Rouxian Chen🇨🇳 · autor de correspondenciaZhejiang Chinese Medical University; Zhejiang Provincial Hospital of TCM
- Bin Li🇨🇳 · autor de correspondenciaZhejiang Chinese Medical University
Resumen
El texto original del estudio, en el idioma en que se publicó.
Purpose
The etiology and mechanism of chronic subjective tinnitus (CST) are still unclear, thus there is no specific treatment yet. The notched music therapy (NMT) has been found to relieve patients' tinnitus symptoms, but its efficacy is still controversial. This study aims to resolve the controversy through meta pooling method.
Methods
By searching Embase, Pubmed, Elsevier, WOS, CNKI, and CBM (China Biology Medicine disc) databases, relevant literature on "notch music therapy" and "tinnitus" was obtained, and suitable clinical controlled trials were screened. Cochrane ROB v2.0 was used to assess the risk of literature bias, and the efficacy after treatment was evaluated by pooling the effect size of tinnitus handicap inventory (THI) and visual analog scale (VAS) between intervention group and control group.
Results
A total of 14 randomized controlled trial studies were included for quantitative analysis, with a total of 793 CST patients participating, including 395 patients in the intervention group and 398 patients in the control group. Among them, five studies were evaluated as biased with "some concerns of risk". The meta-analysis results showed a pooling effect size of THI score of patients after 3 months of treatment (MD = - 8.62, 95% CI (- 17.01, - 0.23), Z = - 2.01, P = 0.044) and VAS score of tinnitus after 3 months of treatment (MD = - 1.13, 95% CI (- 2.49, - 0.11), Z = - 2.14, P = 0.003) between NMT and conventional music therapy (CMT). Heterogeneity investigation and regression analysis found that notch frequency range, publication year, and patient age were not specific factors affecting the merged results. The sensitivity analysis results showed that the comprehensive effect size was stable and reliable, with no significant publication bias (P > 0.05).
Conclusion
Compared to traditional music therapy, notched music therapy can significantly reduce the scores of the tinnitus disability scale and tinnitus loudness score for patients after treatment. It is a good non-pharmacological treatment that is worthy of clinical promotion.
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