Executive Abstract & Clinical Overview

Trahreg Tinnitus Therapy Suite (v2026.06.10)

Clinical Review Copy

Project Vision

The Trahreg Suite is an open-source Research Platform designed to bridge the gap between clinical neuromodulation research and home-based patient habituation. It provides high-precision implementation of established sound therapy protocols in a privacy-first, browser-based environment.

Scientific Pillars

Lateral Inhibition: Notched Noise (Okamoto, 2010).
Neural Desynchronization: Acoustic CR (Tass, 2012).
Bimodal Integration: Dual-Stimulus Haptics (Conlon, 2020).

Core Philosophies

The Mixing Point: Enforces habituation over masking.
System Validation: Weekly hardware auditing.
Transparency: Auditable, open-source DSP code.

Clinical Utility for Audiologists

This suite is intended to complement, not replace, professional care. It provides clinicians with a standardized way to monitor patient adherence and setting calibration through:

Adherence Tracking: Detailed daily usage logs stored locally.
Symptom Mapping: Serial THI scoring and Minimum Masking Level (MML) trends.
Standardized Export: PDF/TXT clinical reports and comprehensive printable user manuals.

Access the Suite: tinnitus.trahreg.com

Technical Specifications

DSP & Hardware Verification

Digital Signal Processing (DSP) Integrity

All signal generation utilized the Web Audio API with a focus on clinical-grade precision:

Filter Attenuation	> 40dB at target center frequency.
Frequency Precision	± 1.0% (calibrated against 44.1/48kHz sample rates).
Stereo Separation	Discrete L/R routing with hardware phase audit.
CR Modulation	1.5 Hz clinical cycle rate (120ms tone duration).
Engine Monitoring	Automated watchdog recovery for browser-induced suspensions.

Clinical Pilot & Outcome Tracking

We are currently seeking clinical partners to transition this suite from a research prototype to a validated therapy tool. We are prepared to support a pilot program to document:

Adherence Rates: Correlating daily usage logs with long-term THI score reduction.
Bimodal Efficacy: Measuring RI suppression duration comparing sound-only vs. haptic-paired sessions.
Notch Precision: Analyzing the impact of ±1% frequency matching accuracy on habituation timelines.

To apply for a clinical pilot, visit the suite dashboard or contact the project team via the Feedback tool.

Note: As an open-source initiative, we prioritize institutional feedback over commercial testimonials to ensure the highest level of scientific integrity.

Cleveland Hearing & Speech Partnership Goals

We are seeking a dialogue with the CHSC clinical staff regarding:

Algorithm Validation: Comparing our open-source DSP results against clinical audiometer outputs.
User Experience: Optimizing UI for patients with asymmetric hearing loss or age-related challenges.
Data Standards: Refining clinical reports to provide the most actionable data for TRT workflows.

Access the Suite: tinnitus.trahreg.com