Investigating the effectiveness of music therapy combined with binaural beats on chronic tinnitus: A randomized controlled trial

Somayeh Bakhtarikia; Elham Tavanai; Nematollah Rouhbakhsh; Azadeh Jafari Sayadi; Vida Khorsand Sabet

doi:10.1016/j.amjoto.2024.104308

Investigating the effectiveness of music therapy combined with binaural beats on chronic tinnitus: A randomized controlled trial

Am J Otolaryngol. 2024 Apr 19;45(4):104308. doi: 10.1016/j.amjoto.2024.104308. Online ahead of print.

Authors

Somayeh Bakhtarikia¹, Elham Tavanai², Nematollah Rouhbakhsh¹, Azadeh Jafari Sayadi³, Vida Khorsand Sabet¹

Affiliations

¹ Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Iran.
² Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences, Iran. Electronic address: etavanai@sina.tums.ac.ir.
³ School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Iran.

PMID: 38723376
DOI: 10.1016/j.amjoto.2024.104308

Abstract

Background: Binaural beat stimulation (BBS) involve presenting two sinusoidal waves with specific frequency differences to induce neural changes in the brain, often used for mental state induction and symptom reduction. However, there are limited studies on its effectiveness for tinnitus. This study aimed to assess the effectiveness of combining binaural beats with music containing nature sounds for chronic tinnitus.

Methods: A total of 30 men, aged 45.87 on average (SD = 8.09), who had chronic tinnitus and symmetrical mild to moderate hearing loss, were included in this study. The participants were randomly assigned to two groups: MT group (Music therapy; n = 15), which received relaxing music containing the sound of sea waves, and MT + BBS group (Music therapy plus binaural beats; n = 15), which received the same music combined with alpha frequency (8 Hz) binaural beats. The therapy sessions were conducted twice a day for 15 min, over a period of 4 weeks. Outcome measures, including the Tinnitus Handicap Inventory (THI), Tinnitus Functional Index (TFI), Hospital Anxiety and Depression Scale (HADS), Visual Analog Scale (VAS) and the pitch and loudness of tinnitus were administered before, immediately after, and during the three-month follow-up period.

Results: The findings revealed improvements in loudness and annoyance VAS, as well as THI total and all subscale scores in both groups (p < 0.001). Additionally, TFI total score showed improvement in both groups (MT: p = 0.001; MT + BBS: p < 0.001) except for the sense of control subscale in both groups and the cognitive subscale in the MT group after the treatment and during the three-month follow-up period. Furthermore, both groups exhibited a decrease in scores for both subscales of HADS. However, there were no significant differences between the two groups in any of the measurement outcomes (p > 0.05), except for the emotional subscale scores of TFI (p = 0.049) and the functional subscale scores of THI (p = 0.034). In other words, during the follow-up period, the MT + BBS group exhibited lower scores in these two subscales compared to the MT group.

Conclusion: Although our study failed to demonstrate the superiority of combining binaural beats with music, both groups experienced significant improvements. This suggest that there are potential benefits to be gained from these types of stimuli. Given the sustained effect of both methods and the even greater improvements in follow-up observed in the binaural beats group for some scales, it seems that the changes in neural response and brain waves caused by our stimulations are persistent. This necessitates further research involving brain mapping, especially with longer follow-up durations.

Keywords: Binaural beats stimulation; Handicap; Music therapy; Tinnitus.