2002
DOI: 10.1159/000066155
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Abstract: Objective: To evaluate the frequency of tinnitus onset (in normal subjects) and modulation (in tinnitus patients) during muscle contractions, estimating possible risk factors. Material and Method: This case-control study enrolled 121 tinnitus patients and 100 healthy volunteers who underwent medical history, ENT examination and 16 maneuvers of muscular contraction (head, neck and limbs). Modulation data were compared between patients with and without normal audiometry, well-defined diagnosis and symptoms of cr… Show more

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Cited by 99 publications
(125 citation statements)
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“…The identification of a somatic origin for her tinnitus thanks to the matching of self-reported history and modulation in the same somatic regions helped in addressing this patient to multidisciplinary somatic evaluation and treatment. Furthermore, the characteristics of tinnitus modulation found in this patient are consistent with what reported in the literature by some authors 32,33,41,42 . TMJ maneuvers induced an increase in tinnitus loudness, while NECK maneuvers induced a decrease of loudness.…”
Section: Comments On This Casesupporting
confidence: 92%
See 1 more Smart Citation
“…The identification of a somatic origin for her tinnitus thanks to the matching of self-reported history and modulation in the same somatic regions helped in addressing this patient to multidisciplinary somatic evaluation and treatment. Furthermore, the characteristics of tinnitus modulation found in this patient are consistent with what reported in the literature by some authors 32,33,41,42 . TMJ maneuvers induced an increase in tinnitus loudness, while NECK maneuvers induced a decrease of loudness.…”
Section: Comments On This Casesupporting
confidence: 92%
“…These patients are considered to have otic tinnitus 2 ; extensive research has been done to identify protective drugs and management strategies for patients with tinnitus and hearing loss [26][27][28][29][30] . Tinnitus can be evoked or modulated by inputs from the somato-sensory, somato-motor and visualmotor systems in some individuals [31][32][33][34][35][36][37][38][39] . This means that the psychoacoustic attributes of tinnitus (loudness and pitch) might change-though often only temporarilyfollowing external stimuli, such as the forceful muscle contractions of head, neck and limbs 31,[40][41][42][43][44] , orofacial movements 45 , eye movements in the horizontal or vertical axis 46,47 , pressure on myofascial trigger points 48,49 , cutaneous stimulation of the hand/fingertip region 50 , and of the face 43 ; electrical stimulation of the median nerve and hand or finger movements 51 .…”
Section: Introductionmentioning
confidence: 99%
“…Os resultados alcançados com a RV confirmariam o envolvimento do sistema sensório-motor na geração e modulação do zumbido 12 ? A melhora da hipersensibilidade auditiva teria ocorrido pelas mesmas razões que levaram à melhora do zumbido?…”
Section: Discussionunclassified
“…Several authors reported a prevalent increase of tinnitus loudness following jaw maneuvers 14,[18][19][20] ; this could be explained by the mainly excitatory input of trigeminal nerve stimulated by temporomandibular movements. Rubinstein reported modulation of tinnitus in one-third of studied subjects following jaw movements or pressure on the temporomandibular joint.…”
Section: Temporomandibular Jointmentioning
confidence: 99%
“…16,17 The modulation of tinnitus by somatic movements is widely diffused among acute and chronic tinnitus sufferers and has been reported to involve one to two-thirds of them with different patient series ranging between 65% and 83%. [18][19][20][21][22] Several authors have developed sets of maneuvers to modulate tinnitus; a detailed description of these maneuvers has been published by Won in 2013 comparing the prevalence and characteristics of somatic modulation found in six previous studies.…”
Section: Introductionmentioning
confidence: 99%