Sensorineural Hearing Loss Clinical Trial
Official title:
The Effect of Sound Stimulation on Pure-tone Hearing Threshold
The purpose of this study is to investigate if sound stimulation could improve pure-tone
hearing threshold.
In the late 1990s, researchers discovered that acoustic stimuli slow progressive
sensorineural hearing loss and exposure to a moderately augmented acoustic environment can
delay the loss of auditory function. In addition, prolonged exposure to an augmented
acoustic environment could improve age-related auditory changes. These ameliorative effects
were shown in several types of mouse strains, as long as the acoustic environment was
provided prior to the occurrence of severe hearing loss.
In addition to delaying progressive hearing loss, acoustic stimuli could also protect
hearing ability against damage by traumatic noise. In particular, a method called forward
sound conditioning (i.e., prior exposure to moderate levels of sound) has been shown to
reduce noise-induced hearing impairment in a number of mammalian species, including humans.
Interestingly, recent report has suggested that low-level sound conditioning also reduces
free radical-induced damage to hair cells, increases antioxidant enzyme activity, and
reduces Cox-2 expression in cochlea, and can enhance cochlear sensitivity. Specifically,
increased cochlear sensitivity was observed when distortion product otoacoustic emissions
(DPOAEs) and compound action potentials (CAPs) were measured.
In addition to forward sound conditioning, backward sound conditioning (i.e., the use of
acoustic stimuli after exposure to a traumatic noise) has been shown to protect hearing
ability against acoustic trauma and to prevent the cortical map reorganization induced by
traumatic noise.
Based on the results of animal studies, the investigators conducted a human study in 2007
and observed that sound stimulation could improve hearing ability. On average, the pure-tone
hearing threshold decreased by 8.91 dB after sound stimulation for 2 weeks. In that study,
however, the investigators observed only the hearing threshold changes by sound stimulation.
To verify the previous ameliorative effect of sound stimulation, the investigators included
a control period in this study.
n/a
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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