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Wobbly_Bob
 #1 
Hi -
I would like to share with you all a free "residual inhibition" device I created that people are using and finding some short term relief.
It would be interesting to know other people experiences using residual inhibition techniques - I know this technique is not a real long term solution - but its great to know that " the beast can be tamed" even for a few minutes.

It would also be great if Dr Nagler can offer his scientific knowledge on the subject -- thsoftware  can be found here  http://lets-beat-tinnitus.co.uk/blog/free-tinnitus-pulse-therapy/

winterbridge55
 #2 

I tried it. At least it was free. I applaude the young man who did this. It can't hurt and has been reported by some people to offer some relief. Could it be a placebo effect?

DrNagler
 #3 
Wobbly Bob posted:

It would also be great if Dr Nagler can offer his scientific knowledge on the subject [of residual inhibition]."

............

Sorry, I really don't have much to offer.

Residual inhibition of tinnitus - the temporary disappearance of tinnitus upon presentation and cessation of a masking stimulus - was first described in the literature by Dr. Jack Vernon.  To the best of my knowledge residual inhibition has no clinical significance save for the relief it affords when it occurs.  There have been numerous attempts to find a way (phase shifting, etc.) to predictably lengthen residual inhibition, but to date none has been successful - at least I am unaware of any statistically significant achievements in this area.

smn


ericsch
 #4 
Dr. Nagler, I believe researchers at UC Irvine have had some success prolonging residual inhibition. Are you familiar with their studies and/or progress?
Eric
DrNagler
 #5 
Ericsch posted:

Dr. Nagler, I believe researchers at UC Irvine have had some success prolonging residual inhibition. Are you familiar with their studies and/or progress?

........

No, I am not.

But I am familiar with a number of other groups that have initially felt they could unlock the mystery - only to be disappointed when moving from uncontrolled pilot studies to larger properly blinded controlled studies.

smn
ericsch
 #6 
Dr. Nagler,
I was able to find the article. For what it's worth, here it is:

 http://today.uci.edu/news/release_detail.asp?key=1570

Eric

DrNagler
 #7 
Thank you, Eric.  I greatly appreciate the citing.

As an exercise, perhaps somebody would like to read the article critically, and tell us what it says ... and what it doesn't say.

smn
ericsch
 #8 
OK, I'll give it a shot.
This "treatment" was tried on only one patient.
The patient has a cochlear implant which, of course, is not typical.
The tinnitus returns shortly after treatment.
The article does not mention if they are going to do additional research, trials, etc.

Eric
DrNagler
 #9 
Sure, Eric.  Well done.

There are other problems with the article (like for instance the first paragraph, which is misleading and inaccurate), but you have hit the main ones.

All-too-often that's the type of unjustified excitement that is created by anecdotal reports.

smn
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