Efficacy of Manual Therapy in the Treatment of Somatic Tinnitus

Launched by GAZILER PHYSICAL MEDICINE AND REHABILITATION EDUCATION AND RESEARCH HOSPITAL · May 23, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the effects of manual therapy to see if it can help relieve somatic tinnitus, a type of ringing or buzzing in the ears that isn't caused by any outside sound. The researchers believe that treating the neck area, where muscles and joints can affect how we perceive sound, might improve symptoms for those suffering from this condition. The study is looking for adults aged between 18 and 65 who have neck pain, a limited ability to move their neck, and notice changes in their tinnitus when they move their head or change their posture.

Participants in the trial can expect to undergo manual therapy sessions focused on the neck, and they will be closely monitored for changes in their tinnitus symptoms over time. To be included, participants should not have any other serious ear conditions or history of certain medical issues, and they should not be currently pregnant. This trial offers a chance to explore a new approach to managing tinnitus for those who meet the eligibility criteria, and it aims to provide insights into effective treatment options for this condition.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged ≥ 18 and ≤ 65 years Patients fulfilling the clinical criteria4 defined for sevichogenic somatic tinnitus
• • 1. Neck pain
• • 2. Cervical joint range of motion limitation (especially rotation)
• • 3. Modulation of tinnitus in relation to head and neck movements and posture
• • 4. Tenderness in the cervico-occipital muscles Patients reporting cervical pain between \>2 and \<7 on a visual analogue scale (VAS) on most days of the last month Patients with stable medical and psychological status Patients willing to participate in the study
• Exclusion Criteria:
• • Objective tinnitus Subjective tinnitus with hearing loss Meniere's disease History of vertigo Middle ear pathologies History of intracranial pathology History of whiplash injury History of cervical spinal surgery History of active infection, malignancy, inflammatory rheumatic disease or fibromyalgia Pregnancy Patients who have undergone any exercise or physiotherapy programme for the cervical region in the last 3 months