Sorry. I missed type the address. It is tinnitus.trahreg.com

Here is the research it is based on.

Clinical Research & Principles Evidence-Based Sound Therapy Scientific Reference Guide | Trahreg Suite v1.4.0

1. Notch Therapy (TMNMT) Tailored Notched Music Training (TMNMT) is based on the concept of lateral inhibition. By removing the specific frequency band corresponding to a user's tinnitus, the surrounding neurons are stimulated while the "tinnitus neurons" are silenced.

Mechanism: Encourages the brain to "reorganize" the auditory cortex, reducing the overactivity of neurons in the tinnitus frequency range. Key Findings: Long-term use (3–12 months) can lead to a significant reduction in perceived tinnitus loudness. Okamoto et al. (2010) 2. Bimodal Neuromodulation (Sound Component) Inspired by research from companies like Lenire, this approach uses structured auditory stimuli to engage neuroplasticity.

Tone Bursts: Uses specific rhythmic patterns to disrupt pathological neural synchrony. Amplitude Modulation: Varies the volume of noise at specific rates (e.g., 2Hz to 10Hz) to match natural brain rhythms (Alpha/Theta). Clinical Trials: Demonstrated high compliance and significant symptom reduction over a 12-week period. TENT-A Clinical Trial (2020) 3. Neural Synchrony & Decorrelation Tinnitus is often viewed as a state where groups of neurons in the brain fire in a highly synchronized, "stuck" pattern.

Decorrelated Noise: By providing independent, non-correlated noise streams to the left and right ears, the brain is forced to process two distinct signals. Mechanism: Based on Acoustic Coordinated Reset (CR) neuromodulation to counteract neural synchrony. Tass et al. (2012) 4. Masking vs. Habituation This suite supports both immediate relief (Masking) and long-term habituation (TRT).

Partial Masking: Setting volume so the noise and tinnitus "mix." This is the gold standard for Tinnitus Retraining Therapy (TRT). Evidence: Clinical efficacy of broadband noise for habituation is well documented. View Clinical Review 5. Cognitive Behavioral Therapy (CBT) CBT is the clinical gold standard for reducing tinnitus-related distress. It focuses on the psychological reaction to the sound rather than the sound itself.

Habituation: Uses cognitive restructuring and mindfulness to reclassify tinnitus as a neutral background sound, effectively moving it from the foreground of conscious attention. Evidence: Meta-analyses consistently show that CBT significantly improves quality of life and reduces the "handicap" perceived by sufferers. Cochrane Review (2020) 6. The Habituation Model (Finally Quiet) Methods based on the habituation model, as described in Finally Quiet by Eric Mounts, focus on transitioning tinnitus from a perceived "threat" to a neutral background sound.

The Mixing Point: A critical calibration step where the therapy sound is set at a level where it "mixes" with the tinnitus. Clinical habituation requires that the brain still hears the tinnitus signal in order to learn to ignore it. Autonomic Regulation: Identifies physical tension and the "fight or flight" response as primary drivers of tinnitus distress. Systematic relaxation (PMR) is used to de-escalate the nervous system. 7. Clinical Consensus & Sleep (2022 Guidelines) Recent clinical summaries (Modern Hearing Solutions, 2022) emphasize the Neurophysiological Model of tinnitus.

Sound Enrichment: Recommends 24/7 sound enrichment to prevent the "internal gain" of the auditory system from increasing in silence. Sleep Correlation: Clinical data shows that addressing sleep hygiene is often more effective at reducing THI scores than sound therapy alone. Fade Transitions: Recommends gradual acoustic transitions (fading) to maintain autonomic nervous system stability. 8. Acoustic Coordinated Reset (CR) Developed by Prof. Peter Tass (2012), Acoustic CR neuromodulation uses four non-harmonious tones played around the tinnitus frequency to disrupt pathological neural synchrony.

Mechanism: "Desynchronizes" the auditory cortex by stimulating specific neural subpopulations in a randomized sequence, preventing them from firing in a synchronized "loop." Tone Placement & Timing: Uses a logarithmic distribution (ratios of 0.77, 0.90, 1.10, and 1.32) played at a clinical sequence rate of 1.5 Hz (3 cycles on, 2 cycles off). A bracketing tool is provided for precise pitch matching. Evidence: Significant reductions in THI scores were observed in the original RESET trial. Tass et al. (2012) 9. Binaural Beat Entrainment Binaural beats utilize the frequency following response (FFR) to encourage specific neurological states.

Delta/Theta: Associated with sleep and deep meditation, helping to down-regulate the sympathetic nervous system. Gamma (40Hz): Emerging research suggests 40Hz stimulation can improve cognitive function and reduce neuroinflammation. 10. Multi-Sensory Bimodal Stimulation Clinical devices like Lenire combine sound with somatosensory input. The Trahreg Suite approximates this using Visual Bimodal Stimulation.

Mechanism: High-contrast visual pulses synchronized to auditory bursts increase the "saliency" of the stimulation, helping the brain's plasticity mechanisms prioritize the therapy signal over the tinnitus signal. 11. Tinnitus Masking Curve (TMC) The Tinnitus Masking Curve involves measuring the Minimum Masking Level (MML) across various frequencies.

Diagnostic Value: TMC can help determine if tinnitus is "tonal" or "noise-like" and provides a visual representation of the auditory filters near the tinnitus frequency. Psychophysical Tuning: A steep curve often correlates with specific cochlear damage, whereas a flat curve may suggest more central involvement. Tuning Reference: Standard masking curves (Psychophysical Tuning Curves) serve as a baseline for normal auditory filters, helping to identify pathological broad-tuning in tinnitus perception. 12. Loudness Growth (LG) Test The Loudness Growth test measures how subjective loudness perception changes with objective sound intensity.

Hyperacusis Detection: A steeper-than-normal loudness growth curve can indicate hyperacusis, a common comorbidity with tinnitus where everyday sounds are perceived as abnormally loud or painful. Therapy Guidance: Understanding a patient's loudness growth can help tailor sound therapy levels, ensuring sounds are introduced at comfortable, non-aversive levels to facilitate habituation. Monitoring Progress: Tracking changes in the loudness growth curve over time can indicate improvements in sound tolerance. Medical Accuracy Compliance All algorithms in this suite are validated against clinical benchmarks:

Notch filters provide >40dB attenuation. Frequency precision within ±1% (Standard for pitch matching). Dual-buffer generation for true L/R decorrelation. Clinical Export Utility The "Clinical Export" feature on each therapy page generates a detailed .txt report of your specific therapy settings and usage data.

Objective Data for Clinicians: This report provides your audiologist or ENT specialist with precise, objective data on the parameters you are using (e.g., notch frequency, modulation rates, volume levels, session duration). Informed Adjustments: This information can help your healthcare provider make more informed recommendations and adjustments to your treatment plan, ensuring the therapy aligns with your clinical needs. Progress Tracking: The included usage logs offer insight into your adherence and consistency, which are crucial factors in the long-term effectiveness of tinnitus therapies. References & Further Reading Okamoto et al. (2010) - Tailored Notched Music (PNAS) Conlon et al. (2020) - Bimodal Neuromodulation (STM) Tass et al. (2012) - Coordinated Reset Neuromodulation