Cervical Spine Dysfunctions in Patients With Chronic Subjective Tinnitus

Michiels, Sarah; Hertogh, Willem De; Truijen, Steven; Heyning, Paul Van de

doi:10.1097/mao.0000000000000670

Cited by 48 publications

(63 citation statements)

References 18 publications

(20 reference statements)

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“…This is in accordance with the findings of a recent study [11] that found no differences in CCFT comparing neck related symptoms in CST and non-CST patients. No information is available on differences in CCFT between CST patients and asymptomatic controls, which could be interesting, because in other neck related populations such as cervicogenic headache patients, a significant difference in CCFT could be found between patients and asymptomatic controls [16].…”

Section: Discussionsupporting

confidence: 94%

“…These findings might explain the ability of some tinnitus patients to modulate their tinnitus by certain head or neck movements. For example: some patients indicate that their tinnitus worsens when performing a combined cervical spine extension and rotation [11].…”

Section: Introductionmentioning

confidence: 99%

“…In these cases, physical therapy treatment can be considered as a treatment option, as suggested in several case studies [3]. In previous research [11], a group of CST patients was characterized by: a positive score on the Neck Bournemouth Questionnaire (NBQ), a positive manual rotation and adapted Spurling test (AST) and the presence of sensitive trigger points. To date however, little information is available on the diagnostic value of these tests and the causal relation with the tinnitus.…”

Section: Introductionmentioning

confidence: 99%

“…As tinnitus often co-occurs with neck complaints [11], patients regularly seek help through cervical spine treatment. In these cases, physical therapy treatment can be considered as a treatment option, as suggested in several case studies [3].…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Value of Clinical Cervical Spine Tests in Patients With Cervicogenic Somatic Tinnitus

et al. 2015

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Section: Discussionsupporting

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnostic Value of Clinical Cervical Spine Tests in Patients With Cervicogenic Somatic Tinnitus

et al. 2015

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“…This type of tinnitus is called somatic tinnitus and has been described in 36–43% of a population with subjective tinnitus (Abel and Levine, 2004; Michiels et al, 2015). A physiological explanation is proposed by several animal studies, which have found connections between the somatosensory system of the cervical spine and temporomandibular area on the one hand and the cochlear nuclei (CN) on the other hand (Pfaller and Arvidsson, 1988; Zhan et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Physical Therapy Treatment in Patients with Subjective Tinnitus: A Systematic Review

et al. 2016

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Background: Tinnitus is a very common symptom that often causes distress and decreases the patient's quality of life. Apart from the well-known causes, tinnitus can in some cases be elicited by dysfunctions of the cervical spine or the temporomandibular joint (TMJ). To date however, it is unclear whether alleviation of these dysfunctions, by physical therapy treatment, also decreases the tinnitus complaints. Such physical therapy could be an interesting treatment option for patients that are now often left without treatment.Objectives: The aim of this review was to investigate the current evidence regarding physical therapy treatment in patients with tinnitus.Data sources: The online databases Pubmed, Web of Science, Cochrane, and Embase were searched up to March 2016. Two independent reviewers conducted the data extraction and methodological quality assessment.Study eligibility criteria: Only randomized controlled trials and quasi-experimental trials were included in the review. Studies had to be written in English, French, Dutch, or German.Participants and interventions: The included studies investigated the effect of physical therapy treatment modalities on tinnitus severity in patients suffering from subjective tinnitus.Results: Six studies were included in this review, four investigating cervical spine treatment and two investigating TMJ treatment. These studies show positive effects of cervical spine treatment (manipulations, exercises, triggerpoint treatment) on tinnitus severity. Additionally, decrease in tinnitus severity and intensity was demonstrated after TMJ treatment, following splints, occlusal adjustments as well as jaw exercises.Limitations: The risk of bias in the included studies was high, mainly due to lack of randomization, lack of blinding of subjects, therapists, and/or investigators. Additionally, risk of bias is present due to incomplete presentation of the data and selective reporting. A major issue of the reviewed papers is the heterogeneity of the included study populations, treatments and outcome measures, which inhibit data pooling and meta-analysis.Conclusions: Despite the methodological issues in the included studies and the consequent low quality evidence, it is noteworthy that all included studies show positive treatment effects. Before recommendations can be made, these results need to be confirmed in larger, high quality studies, using unambiguous inclusion criteria, state-of-the-art treatment, and high quality outcome measures.

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Similarities Between Tinnitus and Pain

De Ridder,

Møller

2024

Textbook of Tinnitus

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Cervical Spine Dysfunctions in Patients With Chronic Subjective Tinnitus

Abstract: Although a higher prevalence of neck dysfunction was found in the CST group, neck dysfunction is often in non-CST patients.

Cited by 48 publications

References 18 publications

Diagnostic Value of Clinical Cervical Spine Tests in Patients With Cervicogenic Somatic Tinnitus

Diagnostic Value of Clinical Cervical Spine Tests in Patients With Cervicogenic Somatic Tinnitus

The Effect of Physical Therapy Treatment in Patients with Subjective Tinnitus: A Systematic Review

Similarities Between Tinnitus and Pain

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