Improving Tinnitus with Mechanical Treatment of the Cervical Spine and Jaw

Cherian, Kay; Cherian, Neil; Cook, Chad; Kaltenbach, James A.

doi:10.3766/jaaa.24.7.3

Cited by 18 publications

(33 citation statements)

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“…Muscular problems of the head and neck regions, neck pain, and a decrease in cervical mobility are frequently reported to be present in tinnitus cases (Cherian et al, 2013). Because of the apparent association between musculoskeletal disorders of the cervicothoracic vertebral column and the temporomandibular joint, treatment of these disorders is considered to have the potential to decrease or eliminate tinnitus perception.…”

Section: Introductionmentioning

confidence: 99%

Long-Term Effects of a Multimodal Physiotherapy Program on the Severity of Somatosensory Tinnitus and Identification of Clinical Indicators Predicting Favorable Outcomes of the Program

et al. 2019

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Tinnitus, the perception of sound in the absence of external auditory stimuli, is commonly associated with problems of the auditory system. Head and neck disorders can also be involved in tinnitus emergence. In such cases, the term somatosensory tinnitus is used. Physiotherapy treatments have been identified as a promising avenue in the treatment of somatosensory tinnitus.The aim of the study was to explore the effect of a physiotherapy program on the intensity and severity of somatosensory tinnitus and to identify the clinical characteristics of the patients who respond well to this treatment.Quasi-experimental pre–post single-group design.Thirty-one adults with presumed somatosensory tinnitus.All participants received on average ten physiotherapy treatments over six weeks. Treatments included cervical and thoracic mobilizations, as well as muscular strengthening, stretching, postural instruction, and cervical stabilization.Outcomes were measured at baseline, at the end of the physiotherapy program, and three months later. The primary outcomes were the Tinnitus Handicap Inventory and visual analog scales for loudness and annoyance caused by tinnitus.After the last evaluation, participants were divided into two groups: improved and unimproved participants. Participants were considered improved if they (1) showed significant improvement in at least two of the three primary outcome measures and (2) indicated subjective improvement. Thereafter, the baseline characteristics that correctly identify participants susceptible to improve significantly following treatment were determined (Cohen’s effect size d > 0.8).A significant improvement in tinnitus intensity was observed at the end of the program. Of the 31 participants, 14 experienced persistent improvement in the intensity of their tinnitus and were classified as improved. Baseline characteristics strongly associated with tinnitus improvement were no increase in tinnitus when exposed to noise (d = −1.57), no family history of tinnitus (d = −1.16), somatosensory modulation in response to the contraction used to resist pressure applied to the forehead (d = 1.20), and recent onset of tinnitus (d = 1.03).This exploratory study showed that a multimodal physiotherapy program is effective in decreasing the severity of tinnitus, principally in individuals presenting with somatosensory tinnitus in combination with specific clinical characteristics.

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Section: Introductionmentioning

confidence: 99%

Long-Term Effects of a Multimodal Physiotherapy Program on the Severity of Somatosensory Tinnitus and Identification of Clinical Indicators Predicting Favorable Outcomes of the Program

et al. 2019

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“…Pesquisas anteriores 7,8 usaram a terapia manual como tratamento em pacientes com TMD e zumbido somático induzido pela coluna cervical e concluíram sua eficácia na melhora da qualidade de vida e do limiar de pressão à dor. Para o melhor conhecimento dos autores, a lacuna de pesquisa identificada na literatura publicada anterior é que eles não discutiram sobre o efeito combinado do tratamento da TMD e dos músculos da coluna cervical em pacientes com zumbido somático e os estudos anteriores tiveram como alvo apenas os músculos superficiais, mas este estudo atual vai se concentrar nos músculos profundos e superficiais.…”

Section: Introductionunclassified

Efficacy of manual therapy on somatic tinnitus dual modulatory factors: a study protocol

2020

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JUSTIFICATIVA E OBJETIVO: A literatura tem demonstrado efeito promissor da terapia manual na melhora da gravidade do zumbido somático. No entanto, nenhum estudo anterior se concentrou na avaliação do efeito combinado da articulação temporomandibular e dos músculos da coluna cervical. O objetivo do estudo é avaliar a eficácia da terapia manual nos fatores modulatórios duais do zumbido somático (TMJ e coluna cervical). MÉTODOS / PROJETO: Trinta e nove pacientes com zumbido somático serão aleatoriamente designados para um dos três grupos, ou seja, A (zumbido somático cervicogênico), B (zumbido somático induzido pela TMJ) e C (fatores modulatórios duplos induzidos ao zumbido somático), respectivamente. Este ensaio clínico randomizado de vários grupos, braços paralelos, pré-teste pós-teste, centro único, com três grupos paralelos receberá seis sessões de tratamento de terapia manual integrada em dias alternados durante duas semanas. Os exercícios de reeducação postural serão aconselhados aos pacientes como exercícios em casa. O desfecho primário será o Tinnitus Handicap Inventory (THI) e os desfechos secundários incluem Escala Visual Analógica (VAS) e Algômetro Calibrado Digitalizado (DCA) para medir pré e pós efeito de intervenção dos tratamentos. DISCUSSÃO: A eficácia da terapia manual em pacientes com zumbido somático em cada grupo será estabelecida com este estudo.REGISTRO DE ENSAIO: Registro de Ensaios Clínicos - Índia. (CTRI / 2020/03/024394)Número universal do ensaio - U1111-1248-3141

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“…In the literature, some authors claimed the cause of tinnitus might be from different factors such as, racial, physiological, genetic and anatomical factors [8,28,30]. Musculature and joint problems on the head and neck region are commonly related with tinnitus and have been theorised to carry an important role in tinnitus' aetiology [6,16]. Neural hyperactivity in the auditory cortex may cause bilateral tinnitus.…”

Section: Introductionmentioning

confidence: 99%

Volumetric evaluation of temporal bone structures in the cases with bilateral tinnitus: clinical and morphometrical study

et al. 2018

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Improving Tinnitus with Mechanical Treatment of the Cervical Spine and Jaw

Cited by 18 publications

References 68 publications

Long-Term Effects of a Multimodal Physiotherapy Program on the Severity of Somatosensory Tinnitus and Identification of Clinical Indicators Predicting Favorable Outcomes of the Program

Long-Term Effects of a Multimodal Physiotherapy Program on the Severity of Somatosensory Tinnitus and Identification of Clinical Indicators Predicting Favorable Outcomes of the Program

Efficacy of manual therapy on somatic tinnitus dual modulatory factors: a study protocol

Volumetric evaluation of temporal bone structures in the cases with bilateral tinnitus: clinical and morphometrical study

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