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Table 2 Summary of eighteen articles on the effect of tinnitus on CAP

From: Central auditory processing abilities in individuals with tinnitus and normal hearing sensitivity: a systematic review

Author and year

Objectives of the study

Population type

Tests used

Results

Rossiter and Walker [13]

To investigate the relationship between tinnitus and cognition

Clinical group: 19 adult patients with tinnitus, with 34 to 3 years old (mean = 48.9 years, SD = 8.2)

Control group: 19 normal hearing adults without tinnitus, with 34 to 63 years old (mean = 48.8 years, SD = 8.8)

Reading span test

Reading span affected in tinnitus group

Huang et al. [7]

To investigate the following:

• The effect of tinnitus on speech perception

Clinical group: 20 adults (13 M and 7 F) with tinnitus, mean age — 40.75 years old (range 22–62 years)

Control group: 20 healthy adults (12 M and 8 F) without tinnitus, mean age — 38.35 years old (range — 29–56 years)

MSPIN, tinnitus loudness scale, THI

• MSPIN-tinnitus group had less scores in high and low predictability list scores

Sanches et al. [4]

• To compare the results of the GIN test in normal listeners with and without tinnitus

Clinical group: 18 tinnitus patients with normal hearing (3 M, 15 F) aged between 21 and 45 years, mean age — 31.3 years

Control group: 23 normal hearing participants (8 M, 15 F) aged between 21 and 45 years, mean age — 29.7 years

GIN test

GIN is affected in tinnitus group

Gabriela, Sanches, and Ganz [21]

To analyze auditory temporal resolution in tinnitus patients using GIN

Clinical group: 20 adults with tinnitus, mean age: 33.5 years

Control group: 28 participants with no tinnitus

Mean age: 28.8 years

GIN

GIN is affected in tinnitus group

An et al. [22]

Effect of tinnitus on localization

Clinical group: 40 adults (15 M and 25 F) with tinnitus

Mean age — 36.7 years (range — 14–63 years)

Control group: 40 adults (14 males and 26 females)

Mean age — 39.3 years (range = 16–62 years)

SLT at 30-degree resolution for a total of 180° on the horizontal plane in front of the listener

Distance 1 m

• Mean TES significantly greater in the tinnitus group than in the control group

Ryu et al. [14]

To evaluate the effects of masking noise on speech perception ability in patients with normal hearing but unilateral chronic tinnitus

Clinical group: 20 adult patients with unilateral tinnitus, with 20 to 35 years old tinnitus

Control group: 20 normally hearing adults without tinnitus, with 20 to 35 years old

K-HINT

RTS (quiet)

SNR

Tinnitus group had reduced values than the control group

Gilani et al. [5]

To assess temporal processing in individuals with tinnitus

Clinical group: 20 individuals with tinnitus

Mean age: 30.31 ± 9.35 years

Control group: 20 individuals without tinnitus, mean age: 27.80 ± 7.74 years

GIN, DPT

GIN is affected in tinnitus group

Fournier and Hébert [20]

To investigate the gap paradigm in high-frequency tinnitus

Clinical group: 15 adult patients, 19 to 61 years old (mean age = 28.5 years, SD = 6), with tinnitus

Control group: 17 normally hearing adults without tinnitus; mean age = 23 years (SD = 3)

Gap startle paradigm

Impaired perception of gap in tinnitus group

Jain and Sahoo [8]

To investigate the effect of tinnitus on the temporal perception, frequency, and intensity discrimination and speech perception ability in noise in persons with normal hearing sensitivity

Clinical group: 20 normal hearing individuals with tinnitus

Age range: 18–55 years (mean age: 38.1 years)

The clinical group was further subdivided into mild tinnitus group (10 subjects; 6 M, 4 F) and moderate tinnitus group (10 subjects; 6 M,4 F)

Control group: 20 normal hearing participants without tinnitus

Age range: 18–55 years (mean age: 38.1 years)

GDT, MDT, DLF, DLI, Kannada QuickSIN

GDT, MDT, DLF, and Kannada QuickSIN were affected in tinnitus group, and no difference was seen in DLI

Shakarami et al. [29]

To compare the verbal auditory memory between individuals with normal hearing with and without tinnitus

Clinical group: 16 adults (6 males and 10 females) with tinnitus

Mean age — 36.44 years (range — 23–53 years)

Control group: 20 adults (3 males and 17 females) without tinnitus

Mean age — 33.65 years (range — 21–49 years)

DAVMT, RDDT

• No significant differences seen

Moon et al. [10]

To investigate the pathophysiology of tinnitus using psychoacoustic assessments of auditory spectral and temporal resolution and speech perception in noise

Clinical group: 9 unilateral tinnitus subjects with normal hearing thresholds (group 1 mean age — 28.22 +  − 9.22 years), 12 unilateral tinnitus subjects with hearing loss (group 2 mean age — 56.08 +  − 12.92 years), 9 bilateral tinnitus subjects with symmetrical hearing loss (group 3 mean age — 60.67 +  − 10.98 years)

Control group: 15 normally hearing adults without tinnitus, with less than 30 years old (mean age − 44.93 +  − 9 years)

SRD, TMD SPD, and SRT

• No significant differences in SRD, TMD, and SPD

• The TEs showed poorer SRTs than the NTEs

Gilles et al. [6]

To assess differences in audiological characteristics between noise-exposed adolescents with and without NIT

Clinical group: 19 adult patients with unilateral tinnitus, participants age was less than 30 years old

Control group: 68 normally hearing adults without tinnitus, with less than 30 years old

Speech-in-noise testing list

Scores were affected in tinnitus group

Jain and Dwarkanath [9]

To assess psychoacoustic abilities in individuals with tinnitus

Control group: 38 participants (19 M & 19 F)

Mean age — 33.7 years

UTG — 22 participants (9 M and 13 F)

Mean age — 34.7 years

BTG — 16 participants (8 M and 8 F)

Mean age — 38.3 years

All participants were in the age range of 24–50 years

GIN, TMTF, DDT, backward masking, DPT

DPT — no difference was observed

GIN, TMTF, DDT, and backward masking affected in tinnitus

Tai & Husain [15]

To investigate how tinnitus interferes with speech recognition ability in noise, and to examine the impact of tinnitus (severity or loudness) on speech recognition

Clinical group: 14 adults with chronic bilateral tinnitus, mean age — 43.86 years

Control group: 14 adults with no history of tinnitus, mean age — 44 years

QuickSIN

Tinnitus group required more SNR than the control group

• At 10–25-dB SNR conditions, there was no significant between-group difference

• No significant correlation

Ravirose, Thanikaiarasu, and Prabhu [12]

To determine the DDT, DLI, and DLF thresholds in patients with tinnitus

Fifteen participants with tinnitus in the age range of 18 to 40 years (mean age = 29.47 and SD = 7.20) with their hearing thresholds at normal limits

DDT, DLI, and DLF

DDT, DLI, and DLF are affected in tinnitus

Kondli, Amruthavarshini, and Prashanth [30]

• To evaluate the performance of auditory working memory tasks in adults with tinnitus

Clinical group: 15 individuals with tinnitus

Mean age: 32.7 years (SD = 6.25)

Control group: 15 individuals without tinnitus

Mean age: 33.4 years (SD = 9.7)

Digit forward span, backward span, ascending span, and descending span tasks

• Poor backward span, ascending span, and descending span tasks but not the forward digit span

Mohanapriya [31]

To evaluate the amplitude modulation discrimination function in terms of depth and rate discrimination in individuals with normal hearing sensitivity having tinnitus

Clinical group: 20 individuals with normal hearing sensitivity with tinnitus

Age rage — 18–45 years

Control group: 20 individuals with normal hearing sensitivity without tinnitus

PTA, immittance audiometry, tinnitus evaluation, AMDD, AMRD

Depth discrimination was comparable, but the rate discrimination was affected in tinnitus group

Raj et al. [11]

To compare the auditory processing abilities of two groups: those with normal hearing and tinnitus and a similar group who did not have tinnitus

Clinical group: 54 adult patients, 19 to 61 years old (mean age 37.1 years, SD = 10.7)

Tinnitus for 3.8 (SD = 2.5) years

Control group: 43 normally hearing adults without tinnitus. The mean age was 35.5 years (SD = 11.1)

FPT, DPT, GDT, and DLT

GDT and DLT were affected in tinnitus group, and no difference was seen in FPT and DPT. And right ear advantage was absent

  1. GIN Gap in noise, PTA Pure-tone audiometry, M Males, F Females, GDT Gap detection test, MDT Modulation detection test, DLF Difference limen for frequency, DLI Difference limen for intensity, SPIN Speech perception in noise, THI Tinnitus Handicap Inventory, SD Standard deviation, DPT Duration pattern test, MSPIN Mandarin speech in noise, TLS Tinnitus loudness scale, UTG Unilateral tinnitus group, BTG Bilateral tinnitus group, TMTF Temporal modulation transfer function, DDT Duration discrimination test, FPT Frequency pattern test, DLT Dichotic listening test, REA Right ear advantage, DPOAE Distortion product otoacoustic emissions, DAVMT Dichotic auditory verbal memory test, RDDT Randomized dichotic digit test, SLT Sound localization test, TES Total error score, ES Error score, K-HINT Korean version of hearing in noise test, RTS Reception threshold for speech, SNR Signal-to-noise ratio, SRD Spectral ripple discrimination test, TMD Temporal modulation detection test, SPD Schroeder-phase discrimination test, SRT Speech recognition threshold, TE Tinnitus-affected ears, NTE Non-tinnitus ears, NIT Noise-induced tinnitus, LIST Leuven intelligibility sentence test, AMRD Amplitude modulation rate discrimination, AMDD Amplitude modulation depth discrimination