The minimum is 1 x 15 min. daily. Already with 15 minutes you should get a rapid success. Improved: 2-3 x daily 15 min., if you get some peace and quiet. To the best advantage is the time in the evening before going to bed. If one performs a treatment unit once daily it should happen to the same time of day if possible.
The principle of the reprogramming is that you find out your tinnitus profile (e.g. a tone and/or noise) and mix it with a convenient sound of nature and/or a music. It is not necessary that a music is in this mix but the built in music files have been approved. In case you do not like the music very much it is better not to have them in your mix. The main thing for habituation is that your individually setting includes your tinnitus sound and something convenient for example the "small waterfall". If this mix sounds well for you the effect is that your brain will no longer point out the tinnitus.
The duration to exceed the point of habituation is very difficult to say. This depends on many things like also the grade of your tinnitus. But please - use the app at least once a day (minimum is a quater of an hour each day, the more the better) - concentrate yourself unconstrained listening to the app (some people may want to check emails etc. while listening to tinnitus help. That is definitely not favourable!)
The method of tinniuts help is approved in practice for many years. Many patients need only a few days or weeks, but there are cases of months and for example due to certain medical reasons others do not get rid of their tinnitus.
In general the tinnitus has the same frequency as the peak in your hearing loss (mostly a hearing loss in high frequencies). Therefore it is normal, that you can hardly hear your own tinnitus frequency, especially if your hearing loss is profoundly. Don’t be irritated, use a frequency, which marks the peak of your hearing loss (you can see it at your audiogram). Be careful with the loudness. Ask a person with normal hearing to check the volume of this frequency. It is extremely important, that it is not too loud; otherwise you could damage your hearing – even if you don’t hear this frequency! Your brain and your auditory cortex still work and process the sound! Even with a quiet frequency you will definitely notice that there are changes in tinnitus perception and hearing!
Yes, you should hear your individual tinnitus profile (that is your tinnitus setting of tinnitus help) in the background. BUT: Please note that the tinnitus always reflects your hearing loss - regardless of wether your hearing loss is light or severe. That means: if you do have a severe hearing loss, you cannot hear your tinnitus frequency properly. In this case do not amplify your individual tinnitus frequency. Ask a normal-hearing person to listen to your tinnitus-frequency and let her set a "normal" - not too loud volume. Even if you don't hear your tinnitus frequency your brain will catch it, via bottom up- processes your tinnitus will gradually fade into the background and besides your central hearing will be stimulated. Many studies in the filed of tinnitus-auditory trainings have prooved these effects.
In any case you should go on working with the program, but the intervals can gradually increase. Let it "slowly taper". The brain is good trainable. If the situation should once get worse use the program mor intensive again.
At best, set the tinnitus profile for both ears equally. Even if you perceive nothing more left, the vibrations reach the auditory cortex and still can lead to changes. The training programs with tinnitus patients who beacme deaf have shown this.
Please make sure that you do not set your tinnitus profile too loud. Let a normal hearing person check this. Always remember: even if the ear perceives seemingly nothing, the sound vibration will reach the brain.
There are regions in the brain that "hear" independent of the ears. So: Set the tinnitus profile for both ears equally.
It happens very often that tinnitus changes loudness and frequency. We guess mostly to maintain the setting because it moves ultimately always in the same range around the frequency, something higher, something deeper. The reprogramming performs in any case, even if you stay only in the vicinity of the tinnitus frequency.
If the tinnitus, however, change COMPLETELY, we recommend that you save different profiles and then use them various.
(The following text was translated by software - so please excuse some literary bumps.)
There are two approaches to auditory training:
1 Auditory training within the tinnitus frequency (which is the approach that the app tinnitus help persecuted):
If an auditory training is to act, it must match the mechanisms that produce tinnitus - of which go to the proponents of this method. It is hoped that a decrease in the synchronous network activity in the primary auditory cortex. In fact, studies have shown inter alia Professor Herta Flor (Germany) and Prof. Donald Grant Search Field (New Zealand), it came up with these training methods to optimal "residual inhibition". Sub-residual inhibition is defined as a "permanent occlusion", ie, the phenomenon that tinnitus after auditory stimulation for short or long time is no longer heard. The results of the studies confirmed, therefore, that such sounds with the mechanisms that generate the tinnitus are in interaction. There were significant decreases in tinnitus compared to the untreated control groups. It is assumed that the extreme activity on the auditory cortex in the region of the tinnitus frequency is going down in this approach because by listening to the tinnitus frequency, which now comes from outside, the brain no longer even needs to generate this frequency (the faulty brain software will be repaired so to speak). At the same time there will be a strong stimulation of hearing. The brain of tinnitus patients responded yes to the hearing loss (which is present in approximately 90% of patients) to the tinnitus frequency in the range of hearing loss with a feed back, like a hearing aid that is wrong and whistles. This type of training has summarized the following effects: I. The tinnitus is reduced (virtually from the outside through the same frequency deleted) II There will be a Verbesserrung the central auditory perception III. The brain "learns" to hide tinnitus more and more, because you can hear pleasant relaxing music or nature sounds that are above the quiet "unimportant" tinnitus frequency. But this is only with the app "tinnitus help" is possible because - only work with standard pieces unlike other auditory training that often - in addition multiple offers opportunities to mix their own determined tinnitus frequency: with its own soft music, sounds of nature, with noise with noise or music that was specially composed for tinnitus patients.
2 Auditory training outside the tinnitus frequency:
As a tinnitus patient usually has his hearing loss in the tinnitus frequency, it makes sense to train in an area that is outside of the tinnitus frequency, because here listening to the person best - of which go to the proponents of this approach. The tinnitus frequency will be filtered out of music. The tinnitus hearing cells are thus to be less "left alone". This decoupling will lead to a healthy reconstruction of disturbed listening region in the brain. The healthy, not affected by tinnitus neurons remain unaffected healthy. A first very small study by Prof. Pantev from Münster also showed good results with significant improvements compared with an untreated control group. Further studies are still required.
Why both approaches seem to work?
What exactly happens in an auditory training in the course of auditory processing, is not yet completely understood. What is certain is that attentive listening basically leads to increased brain metabolism and to a change in the auditory cortex. So long as you actively listening to music, having a very high frequency content, it can lead to a modification in the auditory cortex and to forge new Synpasen.