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briann

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Posts: 141
Reply with quote  #51 
This post had already been discussed in another thread. There was some debate about how conventional and how well supported this understanding is:

http://www.chat-hyperacusis.net/post/tylers-categorization-of-hyperacusis-7607060?pid=1288718123

-Brian
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DrNagler

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Posts: 291
Reply with quote  #52 
Quote:
Originally Posted by briann
This post had already been discussed in another thread.


I thought Rob's excellent post was also worthy of comment right here in this thread, where it originally appeared.

stephen nagler

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Rob

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Reply with quote  #53 

Regarding the view I expressed the other day that “if someone with LDLs of 100 at .5kHz, 1kHz, 2kHz, 3kHz, 4kHz, 6kHz, 8kHz, 10kHz and 12kHz experiences mild pain after being exposed for some period to sound in a given spectrum whose intensity does not exceed his or her LDLs, that isn't hyperacusis” an opposing view was expressed that my perspective is unconventional.  In Seminars in Hearing, Volume 35, Number 2 (2014). the authors of a paper entitled Treatments for Decreased Sound Tolerance (Hyperacusis and Misophonia) write “LDLs are useful for evaluating the potential presence of hyperacusis.  Normal LDL values (approximately 100 dB HL) exclude the presence of hyperacusis.” 

Rob    

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briann

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Posts: 141
Reply with quote  #54 
He does say that. I'm sure from a practical point of view, those who feel pain from sounds above 100dB but below normal pain thresholds aren't really helped much by TRT so I can understand why he would use this to filter them out.

Sheldrake and colleagues (Audiometric characteristics of hyperacusis patients 2015)
analyzed the LDLs of 381 hyperacusis patients and found  the 90% cutoff rate was 100dB. So yes, for the most part, people with hyperacusis have LDLs below 100dB. My point was that there are a portion who have LDLs above 100dB. I was part of this group once, especially as I was finishing my recovery.

Jastreboff also says something else in that paper you referenced that always bothered me. I believe it is possible I am misinterpreting it. 

"In cases of pure hyperacusis, LDLs are in the 60- to 85-dB HL range. In cases of pure misophonia, LDL values as low as 30-dB HL to as high as 120-dB HL can be observed."

So why not put the cutoff at 85dB? Also, there are those of us who have had hyperacusis with LDLs below 60 dB. You were there once too. It's possible i'm reading too much into it, but it seems as though he is stating that LDLs below 60dB are simply the result of misophonia.

-Brian
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albertmol

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Posts: 5
Reply with quote  #55 
Quote:
Originally Posted by Catalanear
Hola, no entiendo.

De entrada me parece un timo esto de el laser, es lo que se comenta en general.

A ver si puede hacer un esfuerzo y escribir en inglés o al menos con un correcto español.

-------------------

Hi, I don't undertand.

At the beging seems a cheat. Normaly in the forum people said that the laser therapy is a cheat.

Can you write in english or in a correct Spanish

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