CN115779225B - A method, system and storage medium for training attention ability of tinnitus patients - Google Patents
A method, system and storage medium for training attention ability of tinnitus patients Download PDFInfo
- Publication number
- CN115779225B CN115779225B CN202211629532.2A CN202211629532A CN115779225B CN 115779225 B CN115779225 B CN 115779225B CN 202211629532 A CN202211629532 A CN 202211629532A CN 115779225 B CN115779225 B CN 115779225B
- Authority
- CN
- China
- Prior art keywords
- tinnitus
- attention
- training
- patient
- auditory
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
- 208000009205 Tinnitus Diseases 0.000 title claims abstract description 311
- 231100000886 tinnitus Toxicity 0.000 title claims abstract description 311
- 238000012549 training Methods 0.000 title claims abstract description 156
- 238000000034 method Methods 0.000 title claims abstract description 46
- 238000012360 testing method Methods 0.000 claims abstract description 58
- 230000000007 visual effect Effects 0.000 claims abstract description 52
- 230000013707 sensory perception of sound Effects 0.000 claims abstract description 33
- 230000000694 effects Effects 0.000 claims abstract description 27
- 210000005069 ears Anatomy 0.000 claims abstract description 13
- 230000035484 reaction time Effects 0.000 claims abstract description 12
- 230000004044 response Effects 0.000 claims description 19
- 230000008569 process Effects 0.000 claims description 11
- 238000011156 evaluation Methods 0.000 claims description 10
- 208000019901 Anxiety disease Diseases 0.000 claims description 8
- 230000036506 anxiety Effects 0.000 claims description 8
- 230000006735 deficit Effects 0.000 claims description 6
- 238000012935 Averaging Methods 0.000 claims description 3
- 238000004364 calculation method Methods 0.000 claims description 3
- 230000036651 mood Effects 0.000 claims description 3
- 238000004904 shortening Methods 0.000 claims description 2
- 230000000638 stimulation Effects 0.000 abstract description 11
- 230000003935 attention Effects 0.000 description 152
- 238000011282 treatment Methods 0.000 description 16
- 230000000873 masking effect Effects 0.000 description 8
- 238000010586 diagram Methods 0.000 description 5
- 238000002560 therapeutic procedure Methods 0.000 description 4
- 206010052804 Drug tolerance Diseases 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 238000009225 cognitive behavioral therapy Methods 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 230000026781 habituation Effects 0.000 description 2
- 238000012545 processing Methods 0.000 description 2
- 238000005070 sampling Methods 0.000 description 2
- 230000002459 sustained effect Effects 0.000 description 2
- 230000001360 synchronised effect Effects 0.000 description 2
- 238000011491 transcranial magnetic stimulation Methods 0.000 description 2
- 206010010144 Completed suicide Diseases 0.000 description 1
- 206010013954 Dysphoria Diseases 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000001149 cognitive effect Effects 0.000 description 1
- 238000004590 computer program Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000011443 conventional therapy Methods 0.000 description 1
- 238000009223 counseling Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 230000003631 expected effect Effects 0.000 description 1
- 210000002768 hair cell Anatomy 0.000 description 1
- 230000001771 impaired effect Effects 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 208000024714 major depressive disease Diseases 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000008447 perception Effects 0.000 description 1
- 230000002688 persistence Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 208000020016 psychiatric disease Diseases 0.000 description 1
- 230000010332 selective attention Effects 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 208000024891 symptom Diseases 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
Landscapes
- Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
Abstract
本发明公开了一种耳鸣患者的注意能力训练方法、系统及存储介质，方法包括下述步骤：获取耳鸣患者的耳鸣侧别及双耳的平均听力阈值，并得到舒适响度；通过问卷方式采集耳鸣状况得分及心理状况得分；基于舒适响度，进行注意能力测试获取注意能力得分；依据耳鸣侧别及舒适响度，使用听觉刺激和视觉刺激进行注意训练，训练结束后进行注意能力测试；多次对耳鸣患者进行注意训练，并基于每次训练结束后注意能力测试得到的反应时间及正确率，调整下次注意训练的参数；注意训练结束后，进行注意能力测试，评估注意训练效果。本发明通过显著的视听刺激训练患者的主动注意能力，让患者主动将注意从耳鸣声中解除并转移，有效地改善耳鸣状况。
The present invention discloses a method, system and storage medium for training the attention ability of tinnitus patients. The method includes the following steps: obtaining the tinnitus side and the average hearing threshold of both ears of the tinnitus patient, and obtaining the comfortable loudness; collecting the tinnitus condition score and the psychological condition score by questionnaire; conducting an attention ability test based on the comfortable loudness to obtain the attention ability score; conducting attention training using auditory stimulation and visual stimulation according to the tinnitus side and the comfortable loudness, and conducting an attention ability test after the training; conducting attention training on the tinnitus patient for many times, and adjusting the parameters of the next attention training based on the reaction time and accuracy obtained from the attention ability test after each training; conducting an attention ability test after the attention training to evaluate the effect of the attention training. The present invention trains the patient's active attention ability through significant audio-visual stimulation, allowing the patient to actively release and divert attention from the tinnitus sound, and effectively improves the tinnitus condition.
Description
Technical Field
The invention belongs to the technical field of tinnitus attention training, and particularly relates to an attention training method, system and storage medium for tinnitus patients.
Background
Tinnitus is a common clinical condition that is manifested mainly by subjective perception of sound in the ear in the absence of an objective external sound source or electrical stimulus, often characterized by hissing or buzzing. Statistics based on epidemiological data show that china has over 1.2 billions of tinnitus patients and that tinnitus onset has a tendency to be younger. Tinnitus has only a slight effect on most patients, but some patients experience anxiety, depression, even with mental illness or suicide. Because of complex cause of tinnitus and unclear mechanism, no method for treating tinnitus which is widely applied, convenient and efficient clinically at present.
In the prior art, a masking method (Tinnitus MASKING THERAPY, TMT), xi Fufa (Tinnitus habituation therapy, THT), a cognition-behavior method (Cognitive behavioral therapy, CBT) and the like are often adopted to treat tinnitus, the Masking Treatment (TMT) mainly adjusts and controls the activity of hair cells outside a machine body to change the tinnitus perception of a patient, generally, narrow-band noise corresponding to the tinnitus frequency of the patient is used, the patient can not temporarily feel tinnitus sound by increasing the loudness of sound to cover the tinnitus sound, the masking treatment is effective for all tinnitus patients and can be influenced by the individual reporting accuracy of the tinnitus patients, if the tinnitus frequency of some patients is variable, the treatment process can not timely adjust the tinnitus matching sound and the masking sound, so that the treatment effect is not obvious, in addition, the persistence of the masking treatment effect is only temporarily relieved, the patient usually notices the tinnitus sound again, and the effect can only be maintained for a few seconds to tens of minutes. The conventional method needs a longer treatment period and mainly consists of two parts, i.e. consultation treatment and sound treatment. The counseling treatment mainly changes psychological states of patients such as anxiety, dysphoria, worry and the like, guides the patients to look ahead for tinnitus symptoms, relieves psychological pressure, has important significance for clinical treatment, is basically incompletely masked, and claims masking sound intensity to not mask tinnitus and coexist with tinnitus. Although the application range of the conventional therapy is wide, the therapy is long, and meanwhile, the therapy is not easy to finish due to the fact that the compliance and the importance of most patients are not high.
Besides the above treatment methods, medicines, transcranial Magnetic Stimulation (TMS) and the like are used for tinnitus treatment, but no widely applied, convenient and efficient method exists so far. Although medical staff often remind patients to pay more attention in daily life and not pay much attention to the tinnitus, there is currently no way for patients to actively pay attention. The masking and taking methods described above only allow the patient to passively divert attention. Furthermore, it is noted that tinnitus patients often suffer from attention deficit, manifested as a decrease in sustained attention, with the tinnitus patient's attention passively directed to the tinnitus side, long-term tinnitus impairing the patient's ability to divert attention to new different stimuli, severe tinnitus impairing cognitive control processing rather than automatic processing, and tinnitus patients suffering from impaired binaural information integration, auditory selective attention, and auditory sustained attention. Since tinnitus patients pay more attention to internal disturbing sounds, such attention deficit hinders the habituation of the patient to the disturbing sounds, making the patient unable to adapt to such abnormal hearing, but there is currently no solution to the attention deficit of tinnitus patients on the market.
Disclosure of Invention
The invention aims to overcome the defects and shortcomings of the prior art and provide a method, a system and a storage medium for training attention of a tinnitus patient, wherein the attention of the tinnitus patient is trained by combining visual stimulus and auditory stimulus, the attention of the tinnitus patient is improved, the attention defect of the tinnitus patient is improved and the tinnitus condition is relieved; meanwhile, according to the response of tinnitus patients, attention ability scores, tinnitus condition scores and psychological condition scores are calculated and evaluated, so that the effectiveness of training effects is guaranteed.
To achieve the above object, the present invention adopts, in one aspect, a method for training attention of tinnitus patients, comprising the steps of:
Using conventional pure-tone audiometric equipment to obtain the tinnitus side and the average hearing threshold of the ears of a tinnitus patient and obtain the comfortable loudness of the tinnitus patient;
collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
performing an attention test on the tinnitus patient based on the comfortable loudness of the tinnitus patient to obtain an attention score;
According to the tinnitus side and comfortable loudness of a tinnitus patient, performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus, and performing attention capability test on the tinnitus patient after the training is finished;
Carrying out attention training on tinnitus patients for a plurality of times, and adjusting parameters of the next attention training based on response time and accuracy obtained by attention capability test after each training;
after the attention training is finished, an attention capability test is performed to evaluate the attention training effect.
As a preferable technical scheme, the tinnitus side category S refers to a side category of a sound felt when tinnitus patients tinnitus, and comprises a monaural side and a binaural side;
the average hearing threshold value comprises an average hearing threshold value L1 of a left ear and an average hearing threshold value L2 of a right ear, and the acquisition method comprises the following steps:
Checking the left ear and the right ear by using conventional pure-tone audiometric equipment, respectively, emitting pure-tone acoustic signals with different loudness at a plurality of set frequencies, repeatedly adjusting loudness parameters of the set frequencies until a tinnitus patient just hears the loudness value of sound at the set frequencies, and then averaging the loudness values of the plurality of set frequencies to obtain and record an average hearing threshold L1 of the left ear and an average hearing threshold L2 of the right ear;
the tinnitus condition score is obtained by a tinnitus disability meter and a visual analog meter;
The psychological condition score is obtained by adopting a Beck depression scale and a Beck anxiety scale.
As a preferable technical scheme, the set frequency comprises 0.5kHz, 1kHz, 2kHz and 4kHz.
As a preferable technical scheme, the attention capability test for tinnitus patients specifically comprises:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed and prompting the tinnitus patient to pay attention to the sound of a certain ear side;
generating a two-frequency pure-tone auditory stimulus by an auditory signal generator and adjusting the pure-tone auditory stimulus to the comfortable loudness L3 of a tinnitus patient;
Randomly and equiprobability transmitting the pure-tone auditory stimuli of two frequencies to an audio player, and equiprobability playing the pure-tone auditory stimuli on the left ear or the right ear of a tinnitus patient;
Tinnitus patients recognize auditory stimuli played in the left or right ear and respond by feedback devices;
The response time and accuracy of tinnitus patients were recorded and the attention score was calculated.
As a preferable technical scheme, the two frequencies are respectively 1500Hz and 300Hz, the duration of the auditory stimulus is 200ms, and the gaze point display time is 300ms;
recording the response time and the accuracy of the tinnitus patient, wherein the recording of the response time and the accuracy of the tinnitus patient refers to recording the response made within the test time of the tinnitus patient;
the calculation formula of the attention score S is as follows:
wherein the unit of reaction time is milliseconds;
the attention test is carried out in a plurality of groups, each group is carried out for a plurality of times, the test time is 2000ms each time, the test interval time is 300ms each time, and the test interval time of each group is 2-5min.
As a preferable technical solution, if the tinnitus side of the tinnitus patient is a monaural side, then the attention training of the monaural side is performed, specifically:
presenting a fixed gaze point on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the non-tinnitus side sounds and simultaneously present visual stimuli on the non-tinnitus side;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness L3 for the tinnitus patient;
Presenting a white noise auditory stimulus as a target auditory stimulus to a non-tinnitus side of a tinnitus patient simultaneously with a visual stimulus;
presenting auditory stimulus to a tinnitus patient for a plurality of times through an audio player with equal probability, reacting through a feedback device in training time when a non-tinnitus side receives target auditory stimulus and visual stimulus at the same time, and recording reaction time and accuracy;
If tinnitus sides of tinnitus patients are binaural sides, then binaural attention training is performed, specifically:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the sound of a side of the ear and simultaneously present visual stimuli on that side of the ear;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness L3 for the tinnitus patient;
Taking white noise auditory stimulus as target auditory stimulus, and presenting the target auditory stimulus and visual stimulus on the same ear side of a tinnitus patient simultaneously;
And presenting the auditory stimulus to a tinnitus patient through an audio player for a plurality of times with equal probability, reacting through a feedback device in training time when a certain ear of the tinnitus patient receives the target auditory stimulus and the visual stimulus, and recording the reaction time and the accuracy.
As a preferable technical scheme, the auditory signal generator generates auditory stimulus by using Adobe Audition 3.0.0 software, the sampling rate of Adobe Audition 3.0.0 software is 44.1kHz, the visual signal generator generates visual stimulus by using Matlab 2016b software, the gaze point display time is 300ms, and the auditory stimulus and visual stimulus duration are 200ms;
The visual stimulus is a white dot, the center of the white dot is at a viewing angle of 4 degrees on the left side or the right side of a display area of the display equipment, and the viewing angle corresponding to the diameter is 1 degree;
The attention training is carried out in a plurality of groups, each group is carried out for a plurality of times, the duration of each training is 2000ms, the interval time of each training is 300ms, and the interval time of each group of training is 2-5min.
As a preferable technical solution, the adjusting parameters of the next attention training specifically includes:
Based on the response time and the accuracy rate of the auditory stimulus and the visual stimulus presentation time in each training process, if the accuracy rate is higher than a set threshold value, shortening the auditory stimulus and the visual stimulus presentation time in the attention training process, and increasing the difficulty;
The evaluation notices training effect, specifically:
If the final attention score is less than the initial attention score, then the attention training is deemed to have an improving effect on the attention deficit of the tinnitus patient;
If the score of the final tinnitus condition is less than the score of the initial tinnitus condition or the tinnitus condition is improved after attention training, the attention training is considered to have an improving effect on the tinnitus condition of the tinnitus patient;
If the score of the final psychological condition is less than the score of the initial psychological condition, attention training is considered to improve the mood of the tinnitus patient.
On the other hand, the invention also provides an attention training system for tinnitus patients, which comprises a display device, a feedback device, an audio player and an attention training module, wherein the attention training module stores an attention training program and is used for executing the attention training method for tinnitus patients;
the attention training program comprises an input unit, a questionnaire unit, an attention test unit, an attention training unit and an evaluation unit;
The input unit is used for acquiring tinnitus side categories and average hearing thresholds of ears of a tinnitus patient and acquiring comfortable loudness of the tinnitus patient according to the average hearing thresholds of the ears;
The questionnaire unit is used for collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
The attention test unit is used for carrying out attention test on the tinnitus patient based on the comfortable loudness of the tinnitus patient and obtaining attention scores;
The attention training unit is used for performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus according to the tinnitus side and comfortable loudness of the tinnitus patient, and performing attention capability test on the tinnitus patient after the completion of the training;
and the evaluation unit is used for carrying out attention capability test after the attention training is finished and evaluating the attention training effect.
In yet another aspect, the present invention provides a computer readable storage medium storing a program which, when executed by a processor, implements the above-described attention training method for tinnitus patients
Compared with the prior art, the invention has the following advantages and beneficial effects:
According to the tinnitus treatment method, the tinnitus side and the binaural average hearing threshold are obtained for each tinnitus patient, attention training is conducted based on the tinnitus side and the binaural average hearing threshold, the attention of the patient is guaranteed to be released from tinnitus sound, the tinnitus condition is relieved, pertinence is achieved, the treatment effect is effectively guaranteed, the attention training can effectively improve the attention of the patient, the effect of treating tinnitus is achieved for tinnitus patients with different tinnitus sides, practicability is achieved, the operation is simple, the dominant operation of tinnitus patients is achieved, and the applicability is wide.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings required for the description of the embodiments will be briefly described below, and it is apparent that the drawings in the following description are only some embodiments of the present application, and other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a flowchart of a method for attention training of a tinnitus patient according to an embodiment of the present invention;
FIG. 2 is a schematic diagram of an attention test in an embodiment of the present invention;
FIG. 3 is a schematic diagram of a single ear side attention training with the right ear as the tinnitus side in an embodiment of the present invention;
Fig. 4 is a schematic diagram of binaural attention training in an embodiment of the invention;
FIG. 5 is an overall block diagram of a tinnitus patient attention training system according to one embodiment of the present invention;
Fig. 6 is a schematic diagram of a computer-readable storage medium according to an embodiment of the present invention.
Detailed Description
In order to enable those skilled in the art to better understand the present application, the following description will make clear and complete descriptions of the technical solutions according to the embodiments of the present application with reference to the accompanying drawings. It will be apparent that the described embodiments are only some, but not all, embodiments of the application. All other embodiments, which can be made by those skilled in the art based on the embodiments of the application without making any inventive effort, are intended to be within the scope of the application.
Reference in the specification to "an embodiment" means that a particular feature, structure, or characteristic described in connection with the embodiment may be included in at least one embodiment of the application. The appearances of such phrases in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments. Those of skill in the art will explicitly and implicitly appreciate that the described embodiments of the application may be combined with other embodiments.
As shown in fig. 1, the attention training method for tinnitus patients according to the present embodiment includes the following steps:
S1, acquiring an average hearing threshold of tinnitus side and ears of a tinnitus patient by using conventional pure-tone audiometric equipment, and acquiring comfortable loudness of the tinnitus patient;
the tinnitus side S of the tinnitus patient refers to the side of the tinnitus patient, which is sensitive to sound, and is divided into a monaural side and a binaural side, wherein the monaural side is divided into a left ear side and a right ear side, and the tinnitus patient is asked to obtain the tinnitus patient.
The average hearing threshold is divided into an average hearing threshold L1 of the left ear and an average hearing threshold L2 of the right ear, and the acquisition method comprises the following steps:
And checking the left ear and the right ear by using conventional pure-tone audiometric equipment, sending out pure-tone acoustic signals with different loudness at a plurality of set frequencies, repeatedly adjusting loudness parameters of the set frequencies until a tinnitus patient just hears the loudness value of sound at the set frequencies, and then averaging the loudness values of the plurality of set frequencies to obtain and record an average hearing threshold L1 of the left ear and an average hearing threshold L2 of the right ear.
For the purposes of protecting hearing and improving therapeutic pertinence, the loudness of the auditory stimulus is not set to be too large or too small, so that based on the average hearing threshold values L1 and L2 of ears of a tinnitus patient, the loudness of the initial auditory stimulus is given first, and then an operator repeatedly adjusts the loudness to find the loudness L3 felt comfortable by the tinnitus patient.
The average hearing threshold of the ears is tested in this example using conventional pure tone audiometric equipment at four frequencies of 0.5kHz, 1kHz, 2kHz, 4 kHz.
S2, acquiring tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
In THIs example, tinnitus severity was evaluated using a tinnitus residual person scale (THI) and Visual Analog Scale (VAS) for tinnitus patients, with the evaluation criteria being that the total score was 100 points for THI, the severity of tinnitus was graded according to a scale score of 0-100 (0-16 mild, 18-36 mild, 38-56 moderate, 58-76 severe, 78-100 severe) for THI, and 0 to 10 points for VAS, the higher the score, indicating greater tinnitus impact.
For the psychological condition score of tinnitus patients, the Beck depression scale (BDI) and Beck anxiety scale (BAI) were used to evaluate the depression and anxiety conditions of tinnitus patients, both scales were 21, each scale was 0-3, the total score was normal for the Beck depression scale, the total score was normal for 0-13, the mild depression for 14-19, the moderate depression for 20-28, the major depression for 29-63, and the total score was 45 or higher for the Beck anxiety scale, which was considered anxiety.
S3, carrying out attention capability test on the tinnitus patient based on comfortable loudness of the tinnitus patient, and obtaining attention capability scores;
before attention training, an attention capability test (front test) needs to be performed on tinnitus patients in an initial state, so that subsequent training effects can be evaluated, and the front test specifically comprises:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed and prompting the tinnitus patient to pay attention to the sound of a certain ear side;
generating a two-frequency pure-tone auditory stimulus by an auditory signal generator and adjusting the pure-tone auditory stimulus to the comfortable loudness L3 of a tinnitus patient;
Randomly and equiprobability transmitting the pure-tone auditory stimuli of two frequencies to an audio player, and equiprobability playing the pure-tone auditory stimuli on the left ear or the right ear of a tinnitus patient;
Tinnitus patients recognize auditory stimuli played in the left or right ear and respond by feedback devices;
The response time and accuracy of tinnitus patients were recorded and the attention score was calculated.
In this embodiment, as shown in fig. 2, the left ear of the tinnitus patient is tested for attentiveness, firstly, the tinnitus patient wears a headset to sit at the front 60 cm of the computer screen, and is required to look at a fixed point of gaze generated on the computer screen (such as "+" in fig. 2, the duration is 300 ms), and prompt the tinnitus patient to notice sounds on the left ear side (such as "hear sounds with high frequency on left side to press left key", "hear sounds with low frequency on left side to press right key"), then, pure-tone auditory stimuli with frequencies of 1500Hz and 300Hz are generated by Adobe Audition 3.0.0 software, and the sound auditory stimuli are played (for 200 ms) with moderate probability in the left ear or right ear by the headset worn by the tinnitus patient, when the auditory stimuli are received and are identical to the prompts, the corresponding keys are pressed down, and the response of the tinnitus patient is automatically recorded within the test time (i.e. the hollow screen time 2000 ms), including the response time and the correct rate, and the attention score S are calculated by the calculation formula:
wherein the unit of reaction time is milliseconds;
In this example, 4 groups of attention capability tests were performed 36 times, each for 2000ms, 300ms each, and 2-5min each. In this embodiment, the interval time between each group is 2 minutes, and after the interval time is over, the tinnitus patient presses a button to enter the next group of tests.
S4, performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus according to the tinnitus side and comfortable loudness of the tinnitus patient, and performing attention capability test on the tinnitus patient after the training is finished;
when attention training is performed, attention training is performed by using different modes according to different tinnitus side categories of tinnitus patients:
S41, if tinnitus sides of tinnitus patients are not monaural sides, attention training of the monaural sides is performed, specifically:
presenting a fixed gaze point on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the non-tinnitus side sounds and simultaneously present visual stimuli on the non-tinnitus side;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness L3 for the tinnitus patient;
presenting a white noise auditory stimulus as a target auditory stimulus to a non-tinnitus side of a tinnitus patient simultaneously with a visual stimulus;
The auditory stimulus is presented to a tinnitus patient for a plurality of times through the probability of an audio player, when the non-tinnitus side receives the target auditory stimulus and the visual stimulus, the target auditory stimulus and the visual stimulus react through the feedback equipment in the training time, and the reaction time and the accuracy rate are recorded.
As shown in fig. 3, when a tinnitus patient takes the right ear as the tinnitus side and performs attention training on the single ear side, a fixed point of regard (i.e., "+" in fig. 3 for 300 ms) is firstly generated on a computer screen and the tinnitus patient is required to keep looking, then when the tinnitus patient notices that the target auditory stimulus (i.e., white noise for 200 ms) is played on the left ear and the visual stimulus (i.e., white dot in fig. 3 for 200 ms) appears on the computer screen simultaneously, a key is pressed for reaction during training time (i.e., blank screen 2000ms in fig. 3), the reaction time and the accuracy are recorded, and multiple groups of attention training on the single ear side are performed, each group is performed for multiple times, each training duration is 2000ms, and each training interval time is 300ms. In this example, 8 groups of monaural attention training were performed, 48 audiovisual stimuli were performed for each group, and the next group was entered after 2min of each group training interval.
S42, if the tinnitus side of the tinnitus patient is binaural, performing binaural attention training, specifically:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the sound of a side of the ear and simultaneously present visual stimuli on that side of the ear;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness L3 for the tinnitus patient;
Taking white noise auditory stimulus as target auditory stimulus, and presenting the target auditory stimulus and visual stimulus on the same ear side of a tinnitus patient simultaneously;
And presenting the auditory stimulus to a tinnitus patient through an audio player for a plurality of times with equal probability, reacting through a feedback device in training time when a certain ear of the tinnitus patient receives the target auditory stimulus and the visual stimulus, and recording the reaction time and the accuracy.
As shown in fig. 4, assuming that the tinnitus patient is binaural, a fixed point of regard (i.e., "+" in fig. 4 for 300 ms) is first generated on the computer screen and the tinnitus patient is required to remain gazed, then when the tinnitus patient notices the target auditory stimulus (i.e., white noise for 200 ms) and the visual stimulus (i.e., white dots in fig. 4 for 200 ms) appearing on the same side at the same time, the key is pressed for reaction during the training time (i.e., blank screen 2000ms in fig. 4) and the reaction time and accuracy are recorded, and multiple sets of binaural attention exercises are performed for each set, each set having a duration of 2000ms and each training interval time of 300ms. In this example, a total of 8 sets of binaural attention training were performed, 48 audiovisual stimuli each, each set being 2 minutes apart and the next set being entered.
The auditory signal generator in the embodiment adopts Adobe Audition 3.0.0 software, the sampling rate is 44.1kHz (16 bits), the visual signal generator adopts Matlab 2016b software, the gaze point display time is 300ms, the duration of auditory stimulus and visual stimulus is 300ms, the generated visual stimulus is a white dot, the center of the white dot is at a viewing angle of 4 degrees on the left side or the right side of the display area of the display device, and the viewing angle corresponding to the diameter is 1 degree.
S5, carrying out attention training on the tinnitus patient for a plurality of times, and adjusting parameters of the next attention training based on response time and accuracy obtained by the attention capability test after each training is finished;
The parameters of the attention training process are the time of presentation of all the stimuli, the range is 100ms to 300ms, the initial duration time when the attention training is started is 300ms, the response time and the accuracy rate of the auditory stimulation and the visual stimulation of the patient in each training process are based on, if the accuracy rate is higher than a set threshold value, the duration time of presentation of the auditory stimulation and the visual stimulation in the attention training process is shortened, the difficulty is increased, if the accuracy rate is lower than the set threshold value, the duration time of presentation of the auditory stimulation and the visual stimulation in the attention training process is prolonged, the difficulty is reduced, and the shorter the duration time of presentation of the auditory stimulation and the visual stimulation is, the greater the difficulty is.
In this embodiment, when the accuracy is lower than 70%, the presentation time of the audio-visual stimulus is increased every 10ms, otherwise, the presentation time of the audio-visual stimulus is shortened every 10ms, so as to adjust the training difficulty.
And S6, after the attention training is finished, performing an attention capability test, and evaluating the attention training effect.
After the attention training is finished, the tinnitus patient needs to carry out attention ability test (post test) again to evaluate the attention training effect, and the final attention ability score, tinnitus condition score and psychological condition score are obtained by adopting the post test to evaluate the attention training effect:
If the final attention score is less than the initial attention score, then the attention training is deemed to have an improving effect on the attention deficit of the tinnitus patient;
If the score of the final tinnitus condition is less than the score of the initial tinnitus condition or the tinnitus condition is improved after attention training, the attention training is considered to have an improving effect on the tinnitus condition of the tinnitus patient;
if the score of the final psychological condition is less than the score of the initial psychological condition, attention training is considered to improve the mood of the tinnitus patient.
It should be understood that according to the evaluation result and according to the actual requirement of the tinnitus patient, the method may be periodically implemented, for example, taking 7 days as a period, carrying out the attention test and the attention training on the 1 st day, carrying out the attention training only on the 2 nd to 6 th days, carrying out the attention test after the attention training on the 7 th day, and so on until the expected effect is achieved.
It should be noted that, for the sake of simplicity of description, the foregoing method embodiments are all expressed as a series of combinations of actions, but it should be understood by those skilled in the art that the present invention is not limited by the order of actions described, as some steps may be performed in other order or simultaneously in accordance with the present invention.
As shown in fig. 5, another embodiment of the present invention provides an attention training system for tinnitus patients, which includes a display device, a feedback device, an audio player, and an attention training module, wherein the attention training module stores an attention training program for executing an attention training method for tinnitus patients as described above;
The attention training program comprises an input unit, a questionnaire unit, an attention test unit, an attention training unit and an evaluation unit;
the input unit is used for acquiring tinnitus side categories and average hearing thresholds of ears of a tinnitus patient and acquiring comfortable loudness of the tinnitus patient according to the average hearing thresholds of the ears;
The questionnaire unit is used for collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
the attention test unit is used for carrying out attention test on the tinnitus patient based on the comfortable loudness of the tinnitus patient and obtaining attention scores;
The attention training unit is used for carrying out attention training on the tinnitus patient by using auditory stimulus and visual stimulus according to the tinnitus side and comfortable loudness of the tinnitus patient, and carrying out attention capability test on the tinnitus patient after the training is finished;
and the evaluation unit is used for carrying out attention capability test after the attention training is finished and evaluating the attention training effect.
It should be noted that, in the foregoing embodiment of the attention training system for tinnitus patients, the logic division of each program module is merely illustrative, and in practical application, the above-mentioned function allocation may be performed by different program modules according to needs, for example, for the configuration requirement of corresponding hardware or the convenience of implementation of software, that is, the internal structure of the attention training system for tinnitus patients is divided into different program modules to perform all or part of the functions described above.
As shown in fig. 6, in one embodiment, a computer readable storage medium is provided, and a program is stored in a memory, and when the program is executed by a processor, the method for training the attention of a tinnitus patient is specifically:
Using conventional pure-tone audiometric equipment to obtain the tinnitus side and the average hearing threshold of the ears of a tinnitus patient and obtain the comfortable loudness of the tinnitus patient;
collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
performing an attention test on the tinnitus patient based on the comfortable loudness of the tinnitus patient to obtain an attention score;
According to the tinnitus side and comfortable loudness of a tinnitus patient, performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus, and performing attention capability test on the tinnitus patient after the training is finished;
Carrying out attention training on tinnitus patients for a plurality of times, and adjusting parameters of the next attention training based on response time and accuracy obtained by attention capability test after each training;
after the attention training is finished, an attention capability test is performed to evaluate the attention training effect.
Those skilled in the art will appreciate that all or part of the processes in the methods of the above embodiments may be implemented by a computer program for instructing relevant hardware, where the program may be stored in a non-volatile computer readable storage medium, and where the program, when executed, may include processes in the embodiments of the methods described above. Any reference to memory, storage, database, or other medium used in embodiments provided herein may include non-volatile and/or volatile memory. The nonvolatile memory can include Read Only Memory (ROM), programmable ROM (PROM), electrically Programmable ROM (EPROM), electrically Erasable Programmable ROM (EEPROM), or flash memory. Volatile memory can include Random Access Memory (RAM) or external cache memory. By way of illustration and not limitation, RAM is available in a variety of forms such as Static RAM (SRAM), dynamic RAM (DRAM), synchronous DRAM (SDRAM), double Data Rate SDRAM (DDRSDRAM), enhanced SDRAM (ESDRAM), synchronous link (SYNCHLINK) DRAM (SLDRAM), memory bus (Rambus) direct RAM (RDRAM), direct memory bus dynamic RAM (DRDRAM), and memory bus dynamic RAM (RDRAM), among others.
The technical features of the above embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.
The above examples are preferred embodiments of the present invention, but the embodiments of the present invention are not limited to the above examples, and any other changes, modifications, substitutions, combinations, and simplifications that do not depart from the spirit and principle of the present invention should be made in the equivalent manner, and the embodiments are included in the protection scope of the present invention.
Claims (7)
1. A method of attention training for tinnitus patients, the method comprising the steps of:
Using conventional pure-tone audiometric equipment to obtain the tinnitus side and the average hearing threshold of the ears of a tinnitus patient and obtain the comfortable loudness of the tinnitus patient;
collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
the tinnitus side is the side of the tinnitus patient which receives the sound when tinnitus, and comprises a monaural side and a binaural side;
The average hearing threshold comprises an average hearing threshold of a left ear and an average hearing threshold of a right ear, and the acquisition method comprises the following steps:
Checking the left ear and the right ear by using conventional pure-tone audiometric equipment, respectively, emitting pure-tone acoustic signals with different loudness at a plurality of set frequencies, repeatedly adjusting loudness parameters of the set frequencies until a tinnitus patient just hears the loudness value of sound at the set frequencies, and then averaging the loudness values of the plurality of set frequencies to obtain and record an average hearing threshold value of the left ear and an average hearing threshold value of the right ear;
the tinnitus condition score is obtained by a tinnitus disability meter and a visual analog meter;
the psychological condition score is obtained by adopting a Beck depression scale and a Beck anxiety scale;
based on the comfortable loudness of tinnitus patients, attention capability test is carried out on tinnitus patients, attention capability scores are obtained, and the attention capability scores are specifically as follows:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed and prompting the tinnitus patient to pay attention to the sound of a certain ear side;
generating a pure tone auditory stimulus of two frequencies by an auditory signal generator and adjusting to the comfortable loudness of a tinnitus patient;
Randomly and equiprobability transmitting the pure-tone auditory stimuli of two frequencies to an audio player, and equiprobability playing the pure-tone auditory stimuli on the left ear or the right ear of a tinnitus patient;
Tinnitus patients recognize auditory stimuli played in the left or right ear and respond by feedback devices;
recording response time and accuracy of tinnitus patients, and calculating attention scores;
According to the tinnitus side and comfortable loudness of a tinnitus patient, performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus, and performing attention capability test on the tinnitus patient after the training is finished;
if tinnitus side of tinnitus patient is single ear side, then carry out the attention training of single ear side, specifically:
presenting a fixed gaze point on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the non-tinnitus side sounds and simultaneously present visual stimuli on the non-tinnitus side;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness of a tinnitus patient;
Presenting a white noise auditory stimulus as a target auditory stimulus to a non-tinnitus side of a tinnitus patient simultaneously with a visual stimulus;
presenting auditory stimulus to a tinnitus patient for a plurality of times through an audio player with equal probability, reacting through a feedback device in training time when a non-tinnitus side receives target auditory stimulus and visual stimulus at the same time, and recording reaction time and accuracy;
If tinnitus sides of tinnitus patients are binaural sides, then binaural attention training is performed, specifically:
Presenting a fixed point of gaze on the display device, requiring the tinnitus patient to remain gazed, and requiring the tinnitus patient to notice the sound of a side of the ear and simultaneously present visual stimuli on that side of the ear;
Generating a white noise, an auditory stimulus of 300Hz, 1000Hz, 1500Hz using an auditory signal generator and adjusting to a comfortable loudness of a tinnitus patient;
Taking white noise auditory stimulus as target auditory stimulus, and presenting the target auditory stimulus and visual stimulus on the same ear side of a tinnitus patient simultaneously;
Presenting the auditory stimulus to a tinnitus patient through the audio player for a plurality of times with equal probability, reacting through the feedback equipment in the training time when a certain ear of the tinnitus patient receives the target auditory stimulus and the visual stimulus, and recording the reaction time and the accuracy;
Carrying out attention training on tinnitus patients for a plurality of times, and adjusting parameters of the next attention training based on response time and accuracy obtained by attention capability test after each training;
after the attention training is finished, an attention capability test is performed to evaluate the attention training effect.
2. A method of attention training for tinnitus patients according to claim 1 wherein the set frequency comprises 0.5 kHz, 1 kHz, 2 kHz, 4kHz.
3. A method of attention training for tinnitus patients according to claim 1 wherein the two frequencies are 1500Hz and 300Hz, respectively, the auditory stimulus is 200ms in duration, the gaze point display time is 300ms;
recording the response time and the accuracy of the tinnitus patient, wherein the recording of the response time and the accuracy of the tinnitus patient refers to recording the response made within the test time of the tinnitus patient;
the attention score The calculation formula of (2) is as follows:
,
wherein the unit of reaction time is milliseconds;
the attention test is carried out in a plurality of groups, each group is carried out for a plurality of times, the test time is 2000ms each time, the test interval time is 300ms each time, and the test interval time of each group is 2-5min.
4. The attention training method for tinnitus patients of claim 1 wherein the auditory signal generator generates auditory stimuli using Adobe Audition 3.0.0 software with a Adobe Audition 3.0.0 software sample rate of 44.1kHz, wherein the visual signal generator generates visual stimuli using Matlab 2016b software, wherein the gaze point display time is 300ms, wherein the auditory stimulus and visual stimulus duration is 200ms;
The visual stimulus is a white dot, the center of the white dot is at a viewing angle of 4 degrees on the left side or the right side of a display area of the display equipment, and the viewing angle corresponding to the diameter is 1 degree;
The attention training is carried out in a plurality of groups, each group is carried out for a plurality of times, the duration of each training is 2000ms, the interval time of each training is 300ms, and the interval time of each group of training is 2-5min.
5. A method of attention training for tinnitus patients according to claim 1 wherein the adjustment of the parameters of the next attention training is specifically:
Based on the response time and the accuracy rate of the auditory stimulus and the visual stimulus presentation time in each training process, if the accuracy rate is higher than a set threshold value, shortening the auditory stimulus and the visual stimulus presentation time in the attention training process, and increasing the difficulty;
The evaluation notices training effect, specifically:
If the final attention score is less than the initial attention score, then the attention training is deemed to have an improving effect on the attention deficit of the tinnitus patient;
If the score of the final tinnitus condition is less than the score of the initial tinnitus condition or the tinnitus condition is improved after attention training, the attention training is considered to have an improving effect on the tinnitus condition of the tinnitus patient;
If the score of the final psychological condition is less than the score of the initial psychological condition, attention training is considered to improve the mood of the tinnitus patient.
6. An attention training system for tinnitus patients, comprising a display device, a feedback device, an audio player and an attention training module, wherein the attention training module stores an attention training program for performing an attention training method for tinnitus patients according to any one of claims 1-5;
the attention training program comprises an input unit, a questionnaire unit, an attention test unit, an attention training unit and an evaluation unit;
The input unit is used for acquiring tinnitus side categories and average hearing thresholds of ears of a tinnitus patient and acquiring comfortable loudness of the tinnitus patient according to the average hearing thresholds of the ears;
The questionnaire unit is used for collecting tinnitus condition scores and psychological condition scores of tinnitus patients in a questionnaire mode;
The attention test unit is used for carrying out attention test on the tinnitus patient based on the comfortable loudness of the tinnitus patient and obtaining attention scores;
The attention training unit is used for performing attention training on the tinnitus patient by using auditory stimulus and visual stimulus according to the tinnitus side and comfortable loudness of the tinnitus patient, and performing attention capability test on the tinnitus patient after the completion of the training;
and the evaluation unit is used for carrying out attention capability test after the attention training is finished and evaluating the attention training effect.
7. A computer readable storage medium storing a program, which when executed by a processor, implements a method of attention training for tinnitus patients according to any one of claims 1-5.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211629532.2A CN115779225B (en) | 2022-12-19 | 2022-12-19 | A method, system and storage medium for training attention ability of tinnitus patients |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202211629532.2A CN115779225B (en) | 2022-12-19 | 2022-12-19 | A method, system and storage medium for training attention ability of tinnitus patients |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN115779225A CN115779225A (en) | 2023-03-14 |
| CN115779225B true CN115779225B (en) | 2025-01-24 |
Family
ID=85425601
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202211629532.2A Active CN115779225B (en) | 2022-12-19 | 2022-12-19 | A method, system and storage medium for training attention ability of tinnitus patients |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN115779225B (en) |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018101590A1 (en) * | 2016-11-30 | 2018-06-07 | 사회복지법인 삼성생명공익재단 | Tinnitus treating system |
Family Cites Families (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2002096154A1 (en) * | 2001-05-21 | 2002-11-28 | Gn Otometrics A/S | A system and methods for treating persistent tinnitus perception |
| WO2009126990A1 (en) * | 2008-04-18 | 2009-10-22 | Neuromonics Pty Ltd | Systems methods and apparatuses for rehabilitation of auditory system disorders |
| WO2010092566A1 (en) * | 2009-02-02 | 2010-08-19 | Carmel - Haifa University Economic Corp Ltd. | Auditory diagnosis and training system apparatus and method |
| US9808715B2 (en) * | 2011-05-30 | 2017-11-07 | Auckland Uniservices Ltd. | Interactive gaming system |
| WO2013081801A1 (en) * | 2011-11-10 | 2013-06-06 | Microtransponder, Inc. | Methods, systems, and devices for treating tinnitus with vns pairing |
| US9795325B1 (en) * | 2013-03-14 | 2017-10-24 | Posit Science Corporation | Auditory perceptual systems |
| CN103211600B (en) * | 2013-04-27 | 2015-10-21 | 江苏贝泰福医疗科技有限公司 | Audition diagnosing and treating apparatus |
| KR102533054B1 (en) * | 2021-04-23 | 2023-05-15 | 고려대학교 산학협력단 | Apparatus for diagnosis and prediction of tinnitus based on electroencephalography, method for processing electroencephalography signal and computer program for the same |
-
2022
- 2022-12-19 CN CN202211629532.2A patent/CN115779225B/en active Active
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2018101590A1 (en) * | 2016-11-30 | 2018-06-07 | 사회복지법인 삼성생명공익재단 | Tinnitus treating system |
Also Published As
| Publication number | Publication date |
|---|---|
| CN115779225A (en) | 2023-03-14 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| Jastreboff et al. | Neurophysiological approach to tinnitus patients | |
| US7081085B2 (en) | EEG feedback controlled sound therapy for tinnitus | |
| Musiek et al. | Assessment and remediation of an auditory processing disorder associated with head trauma | |
| Tong et al. | Perceptual studies on cochlear implant patients with early onset of profound hearing impairment prior to normal development of auditory, speech, and language skills | |
| Hazell | The TRT method in practice | |
| CN105662426A (en) | Tinnitus sound diagnosis and treatment method | |
| Aytac et al. | Masking treatment and its effect on tinnitus parameters | |
| RU2414168C1 (en) | Method of determining optimal parametres of hearing aid | |
| van Heteren et al. | The acoustic change complex compared to hearing performance in unilaterally and bilaterally deaf cochlear implant users | |
| Sweetow et al. | A new integrated program for tinnitus patient management: Widex Zen Therapy | |
| Lenhardt | Childhood central auditory processing disorder with brainstem evoked response verification | |
| CN115779225B (en) | A method, system and storage medium for training attention ability of tinnitus patients | |
| Ila et al. | Assessment of temporal auditory processing in individuals with misophonia | |
| Bordley et al. | XXXIX The Role of the Cerebrum in Hearing | |
| Baum et al. | The impact of auditory white noise on cognitive performance | |
| Ince et al. | A matching-to-sample feedback technique for training self-control of tinnitus. | |
| Biot et al. | Validation of the acoustic change complex (ACC) prediction model to predict speech perception in noise in adult patients with hearing loss: a study protocol | |
| Çildir et al. | Cochlear synaptopathy causes loudness perception impairment without hearing loss | |
| Bernard et al. | Research project: hidden hearing loss in music students | |
| Harold | The effect of variations in intensity on the capacity of deaf children and adults to hear speech with hearing aids | |
| Spankovich et al. | Psychoacoustics of tinnitus: lost in translation | |
| Kaplun et al. | Development and evaluation of the program for auditory training in the correction of central auditory processing disorders | |
| Burnham | Normal masking level difference parameters for use in the clinical evaluation of auditory processing disorders | |
| Nassar et al. | Speech evoked potentials in cochlear implant recipients with auditory neuropathy spectrum disorder | |
| Shin et al. | Initial Response to Combination Therapies for Tinnitus: Lessons Learned From a Retrospective Analysis |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |