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Prognostic indicators for decrease in tinnitus severity after cervical physical therapy in patients with cervicogenic

S Michiels1, P Van de Heyning2, S Truijen3

  • 1Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Otorhinolaryngology, Antwerp University Hospital, Edegem, Belgium.

Musculoskeletal Science & Practice
|March 14, 2017
PubMed
Summary
This summary is machine-generated.

Cervical physical therapy can reduce tinnitus severity in patients with cervicogenic somatic tinnitus (CST). Prognostic indicators for successful treatment include co-varying tinnitus and neck complaints, and low-pitched tinnitus that worsens with poor neck posture.

Keywords:
Cervical spinePrognostic indicatorsSomatic tinnitus

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Area of Science:

  • Neurology
  • Physical Therapy
  • Audiology

Background:

  • Tinnitus can stem from various causes, including cervical spine issues, termed cervicogenic somatic tinnitus (CST).
  • Multimodal cervical physical therapy shows promise for CST symptom reduction.
  • Predicting treatment outcomes for CST remains a challenge.

Purpose of the Study:

  • To identify prognostic indicators for reduced tinnitus severity following cervical physical therapy in CST patients.

Main Methods:

  • Patients with moderate to severe tinnitus (TFI: 25-90) and neck complaints (NBQ > 14) received 6 weeks of multimodal cervical physical therapy.
  • Tinnitus Functional Index (TFI) and Neck Bournemouth Questionnaire (NBQ) scores were assessed at baseline, post-treatment, and 6-week follow-up.
  • Cervical spine mobility and muscle function were evaluated.

Main Results:

  • Patients with simultaneously varying tinnitus and neck complaints showed significantly lower TFI scores post-treatment and at follow-up.
  • Co-varying symptoms, low-pitched tinnitus, and tinnitus exacerbation with poor cervical posture predicted decreased TFI scores.
  • These factors served as prognostic indicators for treatment success (adjusted R² = 0.357).

Conclusions:

  • Patients benefiting most from cervical physical therapy for tinnitus have co-varying tinnitus and neck complaints.
  • A combination of low-pitched tinnitus and worsening tinnitus with inadequate cervical posture also indicates a positive treatment response.