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CompletedNCT01845155Updated Mar 17, 2014Results posted

Neuro-Music-Therapy for Patients With Chronic Tinnitus - a Controlled Clinical Trial

An interventional study of Neuro-Music-Therapy according to the Heidelberg Model and Counselling in Tinnitus, sponsored by German Center for Music Therapy Research. Completed at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2014-03-17.

Sponsored by German Center for Music Therapy Research · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
300
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

BACKGROUND: Tinnitus is a nonspecific symptom of hearing disorder characterized by the sensation of buzzing, ringing, clicking, pulsations, and other noises in the ear. Despite a variety of treatments, many patients with chronic tinnitus ask for more active ways in coping with their tinnitus. Gold standard treatment in chronic tinnitus is a comprehensive directive counseling explaining the underlying mechanisms leading to the tinnitus percept. Therefore a neuro-music therapeutic treatment based on a bio-psycho-social framework was developed and compared to a counselling-only control group.

INTERVENTION: two standardized protocols for tinnitus therapy were defined ("neuro-music therapy" vs. "counselling")

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Conditions studied

  • Tinnitus

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Keywords

  • Tinnitus
  • music therapy
  • directive counselling
  • acoustic stimulation
  • group comparison
  • subjective evaluation
  • pitch
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In context

Tinnitus

412 studies on the registry are indexed under Tinnitus; 87 are open to participants now.

This study's enrollment of 300 is above the median of 60 across 339 interventional studies indexed under Tinnitus.

Browse Tinnitus studies →

Lead sponsor

German Center for Music Therapy Research is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Clinical diagnosis of chronic tinnitus persisting for a minimum of 6 month
  • Adults, aged 18 or over
  • Patients are able to understand, read and speak German fluently
  • Patients are able to give written informed consent
  • tinnitus with determinable centre frequency

Exclusion criteria

Exclusion Criteria:

  • Tinnitus related to anatomic lesions of the ear, to retrocochlear lesions or to cochlear implantation
  • Tinnitus is concomitant symptom of a known systemic disease (such as Menière's Disease, vestibular schwannoma, endolymphatic hydrops)
  • Status following craniocerebral trauma, cervicogenic or stomatognathic tinnitus
  • Tinnitus is neither noisiform nor tonal (cricking, clacking, rumbling) or has different sound components or is pulsatile, intermittent or non-persistent
  • Severe hearing impairment (greater than 50 decibel hearing loss (dB HL) in the region of the centre tinnitus frequency)
  • Severe hyperacusis
  • One or two sided deafness
  • Clinical diagnosis of severe mental disorder or psychiatric or neurological disease (psychosis, epilepsy, Parkinsons's disease, dementia, alcohol or drug abuse)
  • History of severe ischemic disorder (previous stoke, previous heart attack, peripheral arterial occlusion disease)
  • Inability to discontinue drugs known to be associated with tinnitus (high-dose aspirin, quinidine, aminoglycosides) or psychotropic medication prior to entry into the study
  • Patients are not able to understand, read and speak German fluently
  • Patients are not able to give written informed consent
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
300 participants (actual)

Study arms

  • Experimental
    Music Therapy

    Neuro-Music-Therapy according to the Heidelberg Model

    Behavioral: Neuro-Music-Therapy according to the Heidelberg Model

  • Active comparator
    Counselling

    Counselling

    Behavioral: Counselling

Interventions

  • BehavioralNeuro-Music-Therapy according to the Heidelberg Model

    The neuro-music therapy according to the Heidelberg Model for tinnitus is a manualized short term music therapeutic treatment lasting for nine consecutive 50-minutes sessions of individualized therapy. Therapy takes place on five consecutive days (from Monday to Friday) with two therapy sessions per day. It comprises both active and receptive forms of music therapy. The interventions are structured into the following modules Directive Counseling, Resonance Training, Neuroauditive Cortex Training, Tinnitus Reconditioning. For more details on the music therapy see Argstatter et al. 2012

  • BehavioralCounselling

    Duration: single session of 50 min Tinnitus specific procedures: The counseling group receives the identical counselling procedure as the music therapy group.

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What researchers measure

Primary outcomes

  1. Tinnitus Questionnaire (TQ, Goebel and Hiller 1998) Total Score Change From Baseline to End of Treatment

    Tinnitus severity was assessed by the German version of the tinnitus questionnaire (TQ, Goebel and Hiller 1994). The TQ consists of a total of 52 items. The questionnaire records tinnitus related complaints on a global TQ-score. The range of values is between the minimum score of 0 and the maximum score of 84, whereas high values indicate high tinnitus related distress.

    Time frame: average time period was 3 months

Secondary outcomes

  1. Change in Tinnitus Frequency (Pitch), Obtained at Admission (Pre) and After Therapy Intervention (Post)

    Time frame: the average time period was 3 months

07

Results

Posted Nov 18, 2013

Participant flow

The trial was announced by press releases in German leading to self-admittance to the Heidelberg Out-patient Center for Tinnitus. It was offered to patients by ENT-doctors in own practice nationwide and to patients attending the ENT-clinic of the university hospital Heidelberg. Recruitment took place between March 2006 and February 2013.

Participant flow — Overall Study
MilestoneMusic TherapyCounselling
Started146144
Completed145144
Not completed10

Outcome measures

PrimaryTinnitus Questionnaire (TQ, Goebel and Hiller 1998) Total Score Change From Baseline to End of Treatment

Tinnitus severity was assessed by the German version of the tinnitus questionnaire (TQ, Goebel and Hiller 1994). The TQ consists of a total of 52 items. The questionnaire records tinnitus related complaints on a global TQ-score. The range of values is between the minimum score of 0 and the maximum score of 84, whereas high values indicate high tinnitus related distress.

Time frame:
average time period was 3 months
Reported as:
Mean · absolute TF-score change
Tinnitus Questionnaire (TQ, Goebel and Hiller 1998) Total Score Change From Baseline to End of Treatment
absolute TF-score changeMusic TherapyCounselling
Tinnitus Questionnaire (TQ, Goebel and Hiller 1998) Total Score Change From Baseline to End of Treatment13.6 ± 7.43.7 ± 6.8
SecondaryChange in Tinnitus Frequency (Pitch), Obtained at Admission (Pre) and After Therapy Intervention (Post)
Time frame:
the average time period was 3 months
Reported as:
Median · Hz
Change in Tinnitus Frequency (Pitch), Obtained at Admission (Pre) and After Therapy Intervention (Post)
HzMusic TherapyCounselling
Change in Tinnitus Frequency (Pitch), Obtained at Admission (Pre) and After Therapy Intervention (Post)2342 ± 3768530 ± 2036

Adverse events

Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Music Therapy———
Counselling———

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Music TherapyCounsellingTotal
<=18 years000
Between 18 and 65 years125119244
>=65 years212546
Age, Continuous
Age, Continuous(years)Music TherapyCounsellingTotal
Mean52.0 ± 11.653.2 ± 11.952.5 ± 11.9
Sex: Female, Male
Sex: Female, Male(Participants)Music TherapyCounsellingTotal
Female10496200
Male424890
Region of Enrollment
Region of Enrollment(participants)Music TherapyCounsellingTotal
Germany146144290
TQ-score
TQ-score(units on a scale)Music TherapyCounsellingTotal
Mean33.0 ± 14.832.9 ± 13.432.9 ± 15.0
Tinnitus Pitch
Tinnitus Pitch(Hz)Music TherapyCounsellingTotal
Mean5805 ± 25945851 ± 26785834 ± 2622
08

Study locations

1 site
  • German Center for Music Therapy Research
    Heidelberg, Baden-Württemberg 69123, Germany
09

References and documents

Publications

  • Argstatter H, Grapp M, Hutter E, Plinkert P, Bolay HV. Long-term effects of the "Heidelberg Model of Music Therapy" in patients with chronic tinnitus. Int J Clin Exp Med. 2012;5(4):273-88. Epub 2012 Aug 22. PubMed 22993646 ↗
  • Argstatter H, Grapp M, Hutter E, Plinkert PK, Bolay HV. The effectiveness of neuro-music therapy according to the Heidelberg model compared to a single session of educational counseling as treatment for tinnitus: a controlled trial. J Psychosom Res. 2015 Mar;78(3):285-92. doi: 10.1016/j.jpsychores.2014.08.012. Epub 2014 Sep 3. PubMed 25224125 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01845155
Lead sponsor
German Center for Music Therapy Research
Responsible party
Sponsor
First posted
May 3, 2013
Start date
Mar 2006
Primary completion
Jan 2013
Completion
Feb 2013
Results posted
Nov 18, 2013
Last update
Mar 17, 2014

Study contacts

Heike Argstatter, Dr
principal investigator · German Center for Music Therapy Research
View the source record on ClinicalTrials.gov ↗

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