Evidence map›Paper›PMID 26868680›Full record

ReviewNature reviews. Neurology2016

Maladaptive plasticity in tinnitus--triggers, mechanisms and treatment.

Susan E Shore, Larry E Roberts, Berthold Langguth

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04862572 (Investigating Disinhibitory Brain Mechanism in Tinnitus and Hearing Loss), which is not on this map. Cited by 249 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
249citing papers in PubMed, 6 pooled it
23.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04862572 nacompletednot on this mapstarted 2021, after this paper: background citation

Investigating Disinhibitory Brain Mechanism in Tinnitus and Hearing Loss: Is There a Maladaptive Signature of Auditory Cortex GABA Loss and Dysconnectivity?

TypeinterventionalSponsorUniversity of NottinghamRan2021 to 2022Enrolled76ConditionsTinnitus, Hearing LossArmsMRI scanning
3 · Its place in the literature

Who cites it

249 citing papers in PubMed, 6 syntheses or guidelines pooled it, 453 citations in OpenAlex.

  1. Pooled it
  2. Efficacy of tailor-made notched music training (TMNMT) in the treatment of tinnitus: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2024
    Pooled it
  3. Guideline
  4. Cognitive behavioural therapy for tinnitus.The Cochrane database of systematic reviews · 2020
    Pooled it
  5. Pooled it
  6. Guideline
  7. Trial
  8. Trial
  9. Focal tDCS of auditory cortex in chronic tinnitus: A randomized controlled mechanistic trial.Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology · 2024
    Trial
  10. Trial
  11. Trial
  12. The Gut-Ear Axis: From Dysbiosis to Auditory and Vestibular Disorders.International journal of molecular sciences · 2026
    Review
  13. Article
  14. Article
  15. Review
  16. Genotype-guided Recall Delineates the Adult Auditory Phenotype in GJB2 p.V37I Homozygotes: High-frequency Vulnerability and Environmental Modulation.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2026
    Article
  17. Smartphone-based tinnitus retraining therapy in Ménière's disease patients following vestibular ablation: a feasibility study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Article
  18. The Tinnitus and Hearing Survey-Hebrew and Arabic Translation and Adaptation.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2026
    Article
  19. Article
  20. Review

189 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 3 countries.

Susan E ShoreDepartment of Otolaryngology, Molecular and Integrative Physiology, Biomedical Engineering, University of Michigan, 1150 W Medical Center Drive, Michigan 48104, USA.
Larry E RobertsDepartment of Psychology, Neuroscience, and Behavior, McMaster University, 1280 Main Street West, Hamilton, Ontario L8S 4K1, Canada.
Berthold LangguthDepartment of Psychiatry and Psychotherapy and Interdisciplinary Tinnitus Clinic, University of Regensburg, Universitätsstr. 84, D-93053 Regensburg, Germany.
McMaster University · CAUniversity of Michigan–Ann Arbor · USUniversity of Regensburg · DE

Funding

Scientific Synergy CoreP30DC005188 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SCHACHT, JOCHEN · 2002 to 2016
$10.3M
Function of trigeminal pathways to the cochlear nucleusR01DC004825 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SHORE, SUSAN E · 2001 to 2016
$5.5M
Canadian Institutes of Health ResearchNIDCD NIH HHS P30 DC005188NIDCD NIH HHS P30‑DC05188NIDCD NIH HHS R01 DC004825NIDCD NIH HHS R01-DC004825
6 · The paper itself

Abstract

Tinnitus is a phantom auditory sensation that reduces quality of life for millions of people worldwide, and for which there is no medical cure. Most cases of tinnitus are associated with hearing loss caused by ageing or noise exposure. Exposure to loud recreational sound is common among the young, and this group are at increasing risk of developing tinnitus. Head or neck injuries can also trigger the development of tinnitus, as altered somatosensory input can affect auditory pathways and lead to tinnitus or modulate its intensity. Emotional and attentional state could be involved in the development and maintenance of tinnitus via top-down mechanisms. Thus, military personnel in combat are particularly at risk owing to combined risk factors (hearing loss, somatosensory system disturbances and emotional stress). Animal model studies have identified tinnitus-associated neural changes that commence at the cochlear nucleus and extend to the auditory cortex and other brain regions. Maladaptive neural plasticity seems to underlie these changes: it results in increased spontaneous firing rates and synchrony among neurons in central auditory structures, possibly generating the phantom percept. This Review highlights the links between animal and human studies, and discusses several therapeutic approaches that have been developed to target the neuroplastic changes underlying tinnitus.

Indexed as

AnimalsAuditory CortexAuditory PathwaysCochlear NucleusHumansNeuronal PlasticityNoiseTinnitusTreatment Outcome

Identifiers

PMID26868680
PMCPMC4895692
OpenAlexW2252713678

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.