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[Pilot study: evaluation of manual methods for modulating the cardinal symptom tinnitus : A prospective randomized
A Fobbe1, A Bökel, A Lesinski-Schiedat
1Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Carl Neuberg Str. 1, 30625, Hannover, Deutschland. Andreas.Fobbe@googlemail.com.
HNO
|August 3, 2022
Summary
Manual therapy effectively reduced symptoms of cervicogenic somatosensory tinnitus and dizziness. This approach is beneficial for patients experiencing these conditions, especially when ear, nose, and throat (ENT) issues are absent.
Area of Science:
- Neurology
- Physical Therapy
- Otolaryngology
Background:
- Tinnitus and vertigo are complex conditions with diverse etiological explanations.
- Dysfunction in jaw and cervical spine musculature can precipitate tinnitus and dizziness.
- Cervicogenic somatosensory tinnitus is a subtype linked to musculoskeletal factors.
Purpose of the Study:
- To evaluate the impact of manual therapy on self-reported tinnitus and dizziness.
- To assess manual therapy's effect on muscular hypertonia in the head and cervical spine.
- To investigate manual therapy for cervicogenic somatosensory tinnitus.
Main Methods:
- Prospective randomized trial with 80 participants.
- Intervention group received targeted manual therapy; control group did not.
- Assessment using Tinnitus Handicap Inventory and Dizziness Handicap Inventory.
Main Results:
- Significant improvements in Tinnitus Handicap Inventory scores post-therapy.
- Significant reductions in Dizziness Handicap Inventory scores observed.
- Marked decrease in muscular hypertonia in the intervention group.
Conclusions:
- Manual examination and therapy demonstrate efficacy for cervicogenic somatosensory tinnitus.
- Recommended for cases without clear ENT pathology.
- Further research needed on specific muscle involvement.
