Information What can I do? Treatments Tinnitus and the Levo Therapy System Name of treatment Levo® Therapy System Type of treatment Sound therapy Claims for treatment Encourages habituation, reduces perceptual loudness and annoyance[1]. How treatment is delivered Personalised therapy sound delivered via iPhone and earbuds whilst the patient is asleep. Used for 90 days initially. Potential negative consequences Sound therapy is generally regarded as safe Evidence offered: Papers available 4 Conclusions drawn Using the device shows a greater reduction in tinnitus loudness and greater reduction in TFI (Tinnitus Functional Index) scores than other forms of sound therapy[2] Quality of evidence[3] B Does the BTA recommend this treatment? No, until more high-quality evidence is available BTA opinion on this treatment: Little independent evidence of the effectiveness of Levo ® Therapy System (one study). Would the BTA support further studies into this treatment? Yes, provided that the study is of high quality and fully independent Verdict: Safety - is this treatment harmful? Generally regarded as safe Verdict: Efficacy - does this treatment work? Limited evidence that it is effective [1] Treating your tinnitus while you sleep: the new Levo® Therapy System for tinnitus. The Tinnitus Clinic. https://www.thetinnitusclinic.co.uk/tinnitus-treatment/tinnitus-sound-stimulation-during-sleep [accessed 28 June 2019] [2] Theodoroff SM, McMillanGP, Zaugg TL, Cheslock M, Roberts C, Henry JA. Randomized Controlled Trial of a Novel Device for Tinnitus Sound Therapy During Sleep American Journal of Audiology 2017;26 (4):543-554 doi: 10.1044/2017_AJA-17-0022 [3] A = Systematic review/meta analysis. B = Randomised control studies. C = Cohort studies. D = Case control studies. E = case studies/reports. +/- to be used to indicate quality within bands Download this information: Tinnitus_and_Levo_Therapy_System_June_2019.pdf Photo by freestocks.org on Unsplash Updated 28 June 2019