Transcranial direct current stimulation in tinnitus patients: a systemic review and meta-analysis
- PMID: 23133339
- PMCID: PMC3483673
- DOI: 10.1100/2012/427941
Transcranial direct current stimulation in tinnitus patients: a systemic review and meta-analysis
Abstract
Although transcranial direct current stimulation (tDCS) has already been used to manage tinnitus patients, paucity of reports and variations in protocols preclude a comprehensive understanding. Hence, we conducted a meta-analysis based on systemic review to assess effectiveness of tDCS in tinnitus management and to compare stimulation parameters. PubMed was searched for tDCS studies in tinnitus. For randomized controlled trials (RCTs), a meta-analysis was performed. A total of 17 studies were identified and 6 of them were included in the systemic review and 2 RCTs were included in the meta-analysis. Overall 39.5% responded to active tDCS with a mean tinnitus intensity reduction of 13.5%. Additionally, left temporal area (LTA) and bifrontal tDCS indicated comparable results. Active tDCS was found to be more effective than sham tDCS for tinnitus intensity reduction (Hedges' g = .77, 95% confidence interval 0.23-1.31). The efficacy of tDCS in tinnitus could not be fully confirmed by the current study because of the limited number of studies, but all studies included in the current systemic review and meta-analysis demonstrated significant tinnitus intensity improvement. Therefore, tDCS may be a promising tool for tinnitus management. Future RCTs in a large series regarding the efficacy as well as the comparison between LTA- and bifrontal tDCS are recommended.
Figures
References
-
- Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neuroscience Research. 1990;8(4):221–254. - PubMed
-
- Axelsson A, Prasher D. Tinnitus induced by occupational and leisure noise. Noise Health. 2000;2(8):47–54. - PubMed
-
- Gilles A, de Ridder D, van Hal G, Wouters K, Kleine Punte A, van de Heyning P. Prevalence of leisure noise-induced tinnitus and the attitude toward noise in university students. Otology and Neurotology. 2012;33(6):899–906. - PubMed
-
- De Ridder D, Vanneste S, Freeman W. The Bayesian brain: phantom percepts resolve sensory uncertainty. Neuroscience & Biobehavioral Reviews. In press. - PubMed
-
- Javaheri S, Cohen V, Libman I, Sandor V. Life-threatening tinnitus. The Lancet. 2000;356(9226, article 308) - PubMed
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical