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[The efficiency of spinal manipulation in otorhinolaryngology. A retrospective long-term study]
1Abt. Phoniatrie, Pädaudiologie und Neurootologie, Univ.-HNO-Klinik Mannheim. manfred.huelse@hno.ma.uni-heidelberg.de
Background:
The vertebral genesis of many functional disorders in otorhinolaryngology, such as dizziness, hearing-impairment, ear-pressure, ear-pain, foreign body sensation in the throat and dysphonia, is suggested by the success of spinal manipulative therapy, particularly of the atlanto-occipital joint. Up to now, there are no retrospective investigations which show the duration of the therapeutic effect.
Methods:
We examined 220 patients with cervical otorhinolaryngological disorders (100 patients with dizziness, 49 with hearing impairment, 47 with tinnitus and 24 with dysphonia) after cervical manipulation lasting more than 6 months.
Results And Conclusions:
The extraordinary satisfaction with the manipulative therapy in 82% of patients with dizziness (46% total relief, 36% high improvement) reflects the high efficiency of this manual therapy. In contrast to these results, only 10% of patients with tinnitus showed an improvement (P<0.001). This retrospective investigation demonstrates that a successful outcome after manual therapy is not based on a "placebo effect".
