Table 6.
(a) Studies Reporting on Intracochlear Electrical Stimulation | ||||||
---|---|---|---|---|---|---|
Authors, Year | Stimulation Type (CI) | AC/DC | Parameter(s) Tested | Value Tested | Parameter Comparison in Terms of Tinnitus Reduction | p-Value |
Arts et al., 2015 [82] | CI | AC | C | sham stimulation, −10, 20, 50, 80% DR | 50% > sham stimulation | 0.033 |
80% > sham stimulation | 0.014 | |||||
E | Basal (x1, x3), central (x1, x3), apical (x1, x3), pitch-matched (x1, x3) | Apical > pitch-matched | 0.042 | |||
Central > pitch-matched | 0.043 | |||||
A | Random, sine wave, fixed | No comparison performed | NA | |||
Arts et al., 2016 [51] | CI | AC | C | 2.5–12.1 nC | Low > high | NI |
E | 1–all | No comparison performed | NA | |||
P | (+), (−) first charge-balanced | No comparison performed | NA | |||
PR | 200–5000 pps/channel | High > low | NI | |||
Pulse width | 60–88 μs | No comparison performed | NA | |||
Dependency of environmental sounds | Independent, dependent | Not statistically different | >0.05 | |||
Chang et al., 2012 [83] | CI | AC | C | Soft, medium, loud | Loud > soft | 0.027 |
High rate: medium > soft | 0.043 | |||||
High rate: medium > loud | 0.008 | |||||
E | Apical, middle, basal | Not statistically different | NI | |||
PR | 100–200, 5000 pps | Not statistically different | NI | |||
Dauman et al., 1993 [57] | CI | AC | C | 0.1–1.7 mA | No comparison performed | NA |
E | Apical, middle, basal | No comparison performed | NA | |||
PR | 80, 125, 250 Hz | No comparison performed | NA | |||
Kloostra et al., 2020 [72] | CI | AC | C | Near-threshold (T level), moderate (C level) | Moderate > near-threshold | <0.001 |
E | Basal, apical Single electrode, full array |
Not statistically different Not statistically different |
0.712 NI |
|||
PR | 720, 1200, 2400 Hz | Not statistically different | 0.493 | |||
Olze et al., 2018 [64] | CI | AC | A | Square wave | No comparison performed | NA |
PR | 62 Hz | No comparison performed | NA | |||
Punte et al., 2013 [65] | CI | AC | E | 1, 2, 3, 4 most basal electrodes, all | All > most basal electrodes | 0.042 |
Rothholtz et al., 2019 [71] | CI | AC | C | 0–120 μA | No comparison performed | NA |
E | E1–E16 | 60 pps at most apical, high rates close to tinnitus matched pitch | NST | |||
PR | 40–10000 Hz | |||||
Rubinstein et al., 2003 [71] | CI | AC | C | 300 μA–1.5 mA | No comparison performed | NA |
PR | 4800 pps | No comparison performed | NA | |||
Pulse duration | 25, 50, 80 μs/phase | No comparison performed | NA | |||
E | tinnitus pitch-matched | Not comparison performed | NA | |||
Zeng et al., 2011 [70] | CI | AC | C | subthreshold, 0–10 loudness scale | 1–6 > 7–10 | NST |
E | Apical, basal | 4 most apical > 4 most basal | NST | |||
PR | 20–100, 5000 Hz | 20–100 Hz > 5000 Hz | NST | |||
(b) Studies Reporting on Extracochlear Electrical Stimulation | ||||||
Authors, Year | Stimulation Type (RW, PM, OW) | AC/DC | Parameter(s) Tested | Value Tested | Parameter Comparison in Terms of Tinnitus Reduction | p -Value |
Péan et al., 2010 [79] | OW | AC | C | NI | No comparison performed | NA |
P | (+), (−) first charge-balanced | (+) > (−) | NST | |||
PR | NI | No comparison performed | NA | |||
Pulse shape | Square pulse, capacitive discharge | Square pulse followed by a capacitive discharge | NST | |||
Daneshi et al., 2005 [56] | PM | AC | C | 60–500 μA | No comparison performed | NA |
PR | 50–600 Hz | No comparison performed | NA | |||
Di Nardo et al., 2009 [58] | PM | DC+ | C | 0–500 μA | No comparison performed | NA |
PR | 50–1600 Hz | 50, 100 Hz > 200–1600 Hz | NST | |||
Graham et al., 1977 [74] | PM | AC | C | 1–100 μA | No comparison performed | NA |
PR | 1–10000 Hz | No comparison performed | NA | |||
Ito et al., 1994 [87] | PM | NI | NI | NI | No comparison performed | NA |
Konopka et al., 2001 [60] | PM | DC+ | C | 20–600 mA | No statistically different | NI |
PR | 60–10000 Hz | No statistically different | NI | |||
Konopka et al., 2008 [59] | PM | AC | C | 0.15–1.15 mA | No comparison performed | NA |
PR | Tinnitus pitch-matched | No comparison performed | NA | |||
Mahmoudian et al., 2013 [62] | PM | AC | C | 60–500 μA | No statistical difference between RI and NRI | 0.61 |
PR | 1 Hz | No comparison performed | NA | |||
Frequency modulation |
50 Hz | No comparison performed | NA | |||
Mahmoudian et al., 2015 [61] | PM | AC | C | 50–500 μA | No statistical difference between RI and NRI |
>0.05 |
PR | 1 Hz | No comparison performed | NA | |||
Frequency modulation |
50 Hz | No comparison performed | NA | |||
Matsushima et al., 1994 [85] | PM | AC | A | Sinusoidal, 1 kHz | No comparison performed | NA |
C | 0–70 μA | No comparison performed | NA | |||
PR | 10 kHz | No comparison performed | NA | |||
Matsushima et al., 1996a [63] | PM | AC | A | Sinusoidal, 100 Hz | No comparison performed | NA |
C | 0–300 μA | No comparison performed | NA | |||
PR | 10 kHz | No comparison performed | NA | |||
Matsushima et al., 1996b [55] | PM | AC | A | Sinusoidal | No comparison performed | NA |
C | 200 μA | No comparison performed | NA | |||
PR | 10 kHz | No comparison performed | NA | |||
Okusa et al., 1993 [86] | PM | AC | C | 0–100 μA | No comparison performed | NA |
PR | 50, 100, 200, 400 Hz | 50 > 100 >200 > 400 Hz | NST | |||
Rothera et al., 1986 [66] | PM | AC, DC | C | 0–100 μA | AC suprathreshold, DC (+) subthreshold | NST |
DC | P | (+)/(−) | (+) > (−) | NST | ||
AC | PR | 30–3000 Hz | No comparison performed | NA | ||
Watanabe et al., 1997 [68] | PM | AC | C | 5–160 μA | No comparison performed | NA |
PR | 400 Hz | No comparison performed | NA | |||
Carlson et al., 2020 [84] | PM | AC | C | NI | NA | NA |
E | ||||||
P | ||||||
PR | ||||||
Aran et al., 1981 [77] | RW, PM | AC, DC | Tinnitus side | Ipsilateral, contralateral | Ipsilateral > contralateral | NST |
AC, DC | E | RM, PM | RW > PM | NST | ||
AC | PR | Low (<100 Hz), high (>200 Hz) | High > low | NST | ||
AC | C | 5–300 μA | No comparison performed | NA | ||
RW | AC, DC | P | (+)/(−) | (+) > (−) | NST | |
Cazals et al., 1978 [75] | RW, PM | AC, DC | C | 20–300 μA | No comparison performed | NA |
AC, DC | E | RW, PM | RW > PM | NST | ||
AC, DC | P | (+)/(−) | (+) > (−) | NST | ||
AC | PR | >50–200 Hz | No comparison performed | NA | ||
Cazals et al., 1984 [78] | RW | DC+ | C | 2, 5V | No comparison performed | NA |
Hazell et al., 1993 [76] | RW | AC | A | Square, ramp, sinusoid | Sinusoid > (ramp, square) | NST |
C | 0–300 μA | >+6 μA for hearing threshold | NST | |||
PR | 10–200 Hz | (20–50 Hz) < 100 Hz | NST | |||
House et al., 1984 [73] | PM | AC | A | Carrier wave dependent of sound | No comparison performed | NA |
RW (control) | AC | PR | 60, 1600 Hz | No comparison performed | NA | |
Portmann et al., 1979 [80] | RW, PM | AC, DC | C | 0–500 μA | No comparison performed | NA |
E | RW, PM | RW > PM | NST | |||
P | (+)/(−) | (+) > (−) | NST | |||
PR | 50–6400 Hz | No comparison performed | NA | |||
Portmann et al., 1983 [81] | RW, PM | DC+ | C | 1–5V | No comparison performed | NA |
E | RW, PM | RW > PM | NST | |||
Rubinstein et al., 2003 [67] | RW | AC | C | 300 μA–1.5 mA | No comparison performed | NA |
PR | 4800 pps | No comparison performed | NA | |||
Pulse duration | 25, 50, 80 μs/phase | No comparison performed | NA | |||
Wenzel et al., 2015 [69] | RW | AC | C | 0–3 mA | No comparison performed | NA |
PR | 0–100 Hz | No comparison performed | NA | |||
Pulse duration | 50 μs–8 ms | No comparison performed | NA |
A: amplitude modulation; AC: alternative current; C: current level; CI: cochlear implant; DC: direct current; E: electrode location; NA: not applicable; NI: no information; NRI: non-residual inhibition group; NST: no statistical test performed; OW: oval window; P: polarity; PM: promontory; PR: pulse rate; RI: residual inhibition group; RW: round window. The p-value is the result of a statistical comparison test between the tinnitus questionnaire scores used for specific parameter values. Significant p-values are in bold.