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Altay B, Çoban E, Yurttaş M, Arık Ö, Türkoğlu A. Dental patients' tinnitus profile: prevalence, types, and associated factors with oral and maxillofacial diseases. Acta Odontol Scand 2024; 83:210-218. [PMID: 38682700 DOI: 10.2340/aos.v83.40572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 03/29/2024] [Indexed: 05/01/2024]
Abstract
INTRODUCTION Maxillofacial diseases may pose a risk factor for the onset of tinnitus, and may influence the severity of its symptoms. The objective of this study was to investigate the prevalence of tinnitus among patients routinely visiting the Faculty of Dentistry and to assess the relationship between tinnitus and maxillofacial diseases. MATERIALS AND METHODS This was a prospective cross-sectional study conducted on 3,626 patients. Demographic data, information on tinnitus symptoms, temporomandibular disorder (TMD) presence, the existence of trigger points in masticatory muscles, toothache, and bruxism were evaluated. RESULTS Tinnitus was detected in 385 patients, resulting in a prevalence rate of 10.61%. Of the patients, 38.4% were male and 61.6% were female, and the mean age was 42.66 ± 16.34 years. Tinnitus was categorised as normal in 47.8% of the patients and pathological in 52.2% of the patients. Bruxism was identified in 65.5% of the patients, toothache in 42.9%, TMD in 33.8%, and masticatory trigger points in 27.0% of the patients. A tendency towards tinnitus provoked by toothache was observed in 5.9% of the patients. The presence of pathological tinnitus was found to increase the risk by 1.839 times for toothache and 1.456 times for bruxism. CONCLUSION There may be an association between oral and maxillofacial diseases and tinnitus, especially bruxism and toothache. Therefore, the evaluation of these conditions may be a routine part of tinnitus management.
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Affiliation(s)
- Berkan Altay
- Department of Oral and Maxillofacial Surgery, Kırıkkale University, Kırıkkale, Turkey
| | - Elif Çoban
- Department of Oral and Maxillofacial Surgery, Kırıkkale University, Kırıkkale, Turkey.
| | - Melike Yurttaş
- Department of Oral and Maxillofacial Radiology, Kütahya Health Sciences University, Kütahya, Turkey
| | - Özlem Arık
- Department of Biostatistics, Kütahya Health Sciences University, Kütahya, Turkey
| | - Arif Türkoğlu
- Department of Oral and Maxillofacial Radiology, Kütahya Health Sciences University, Kütahya, Turkey
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Yang L, Li Y, Pang X, Li D, Wu Y, Chen X, Peng B. Anterior Cervical Decompression and Fusion Surgery for Cervical Spondylosis with Concomitant Tinnitus: A Multicenter Prospective Cohort Study. Orthop Surg 2022; 15:133-140. [PMID: 36394075 PMCID: PMC9837213 DOI: 10.1111/os.13578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2022] [Revised: 10/10/2022] [Accepted: 10/11/2022] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE Cervical spondylosis is often accompanied by tinnitus. Up to now, there is a lack of large samples and prospective studies to investigate the effect of anterior cervical decompression and fusion (ACDF) on tinnitus associate with cervical spondylosis. To this end, we performed a prospective cohort study to assess the effectiveness of ACDF on the relief of tinnitus. METHODS This was a multicenter, prospective, cohort clinical study. Between August 2017 and August 2018, 174 patients with cervical spondylosis accompanied by tinnitus were enrolled, with a follow-up of 12 months. Among the 174 patients, 142 received anterior cervical surgery (surgery group) and 32 received conservative treatment (conservative group). The primary end point was the mean change in scores on the tinnitus functional index (TFI). The secondary end points included tinnitus loudness, modified Japanese orthopaedic association scores (mJOA) for spinal cord function, and visual analogue scale (VAS) for neck pain. All the above indexes were measured before treatments and at 1, 3, 6, and 12 months after treatments. One-way analysis of variance and paired samples t-test was adopted for statistical analysis. RESULTS The TFI score was reduced immediately after cervical decompression surgery (from 54.7 ± 15.6 to 32.3 ± 12.5, P < 0.001) and this was sustained at 12 months (P < 0.001). The TFI score of the conservative group also decreased (from 53.9 ± 16.8 to 45.2 ± 13.6, P < 0.001), but the effect was not maintained at 12 months (P = 0.069). There was a significant improvement in tinnitus loudness (from 5.2 ± 1.6 to 2.6 ± 1.9, P < 0.001), mJOA (from 12.0 ± 1.6 to 14.2 ± 1.6, P < 0.001), and VAS for neck pain (from 58.5 ± 9.6 to 22.0 ± 16.4, P < 0.001) in the surgical group. Improvements in the surgical group were statistically significantly greater than that in the conservative group (P < 0.001). CONCLUSION This study indicates that anterior cervical surgery can relieve tinnitus in patients with cervical spondylosis and that tinnitus is an accompanying manifestation of cervical spondylosis.
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Affiliation(s)
- Liang Yang
- Department of OrthopaedicsFeatured Medical Center of Chinese People's Armed Police ForcesTianjingChina,Department of OrthopaedicsThe Third Medical Center of Chinese PLA General HospitalBeijingChina
| | - Yongchao Li
- Department of OrthopaedicsThe Third Medical Center of Chinese PLA General HospitalBeijingChina
| | - Xiaodong Pang
- Department of OrthopaedicsThe Third Medical Center of Chinese PLA General HospitalBeijingChina
| | - Duanming Li
- Department of OrthopaedicsThe Third Medical Center of Chinese PLA General HospitalBeijingChina
| | - Ye Wu
- Department of OrthopaedicsBeijing 304th HospitalBeijingChina
| | - Xiongsheng Chen
- Spine Center, Department of OrthopaedicsShanghai Changzheng Hospital, Second Affiliated Hospital of Naval Medical UniversityShanghaiChina
| | - Baogan Peng
- Department of OrthopaedicsThe Third Medical Center of Chinese PLA General HospitalBeijingChina
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The effects of photobiomodulation therapy in individuals with tinnitus and without hearing loss. Lasers Med Sci 2022; 37:3485-3494. [PMID: 35947315 DOI: 10.1007/s10103-022-03614-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Accepted: 03/22/2021] [Indexed: 10/15/2022]
Abstract
To verify the effect of photobiomodulation therapy (PBMT) in individuals with chronic tinnitus without hearing loss, 20 patients who met the inclusion criteria were randomly divided into group 1: active low-level laser (LLL) and group 2: equipment without laser (placebo). Upon anamnesis, data collection, and audiological exams, the Tinnitus Handicap Inventory (THI) and the Visual-Analog Scale (EVA) were applied to measure the level of discomfort with tinnitus and the level of discomfort before and after laser treatment. The protocol used included 12 active LLL sessions for group 1 and not active for group 2, varying red and infrared wavelengths. There was a reduction in the disadvantage of individuals with tinnitus after the intervention and between the initial and final sessions, regardless of the intervention, although group 1 showed a greater reduction than group 2, regardless of point in time of assessment and number of session. There was no statistical difference as to group and point in time for the high-frequency audiometry and acuphenometry outcomes. Individuals with chronic tinnitus reduced the complaint, regardless of point in time and group of intervention; however, the group that received PBMT improved the level of satisfaction, regardless of point in time of assessment and number of session.
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Fobbe A, Bökel A, Lesinski-Schiedat A, Gutenbrunner C, Sturm C. [Pilot study: evaluation of manual methods for modulating the cardinal symptom tinnitus : A prospective randomized study]. HNO 2022; 70:675-684. [PMID: 35920880 PMCID: PMC9362424 DOI: 10.1007/s00106-022-01198-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2022] [Indexed: 11/11/2022]
Abstract
Hintergrund Tinnitus und Schwindel wurden schon auf vielfältige Weise untersucht. Daraus ergaben sich multiple Erklärungsansätze aus verschiedenen medizinischen Disziplinen. Auch die Muskulatur des Kiefers und der Halswirbelsäule wurde diesbezüglich erforscht. Es zeigten sich deutliche Hinweise dafür, dass bei Funktionsstörungen dieser Muskulatur Tinnitus ausgelöst werden kann. Diese Unterart des Tinnitus wird als sog. zervikogener somatosensorischer Tinnitus bezeichnet. Ziel der Studie Das Ziel war die Untersuchung des Effekts der manuellen Therapie auf die von Probanden berichtete, individuell empfundene Beeinträchtigung durch zervikogenen somatosensorischen Tinnitus (Tinnitus Handicap Inventory), auf die Schwindelsymptomatik (Dizziness Handicap Inventory) und auf die hypertone zervikokraniale Muskulatur. Methodik In einer prospektiven randomisierten Studie wurden 80 Patient*innen (40 in der Interventionsgruppe und 40 in der Kontrollgruppe) ärztlich untersucht und befragt. Anschließend erhielten sie manuelle Therapie. Ergebnisse Nach manueller Therapie zeigten sich bzgl. des Tinnitus Handicap Inventory, des Dizziness Handicap Inventory und muskulärer Hypertonien signifikante Unterschiede zwischen den Gruppen zugunsten der Interventionsgruppe. Schlussfolgerung Die manuelle Untersuchung und Therapie stellten sich als wirksam heraus. Sie sollte bei ausbleibender HNO-ärztlicher Organpathologie und Verdacht auf zervikogenen somatosensorischen Tinnitus verstärkt zur Anwendung kommen. Die Rolle der einzelnen Muskeln gilt es tiefergehend zu untersuchen.
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Affiliation(s)
- A Fobbe
- Klinik für Rehabilitationsmedizin, Medizinische Hochschule Hannover, Carl Neuberg Str. 1, 30625, Hannover, Deutschland.
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Demoen S, Jacquemin L, Timmermans A, Van Rompaey V, Vanderveken O, Vermeersch H, Joossen I, Van Eetvelde J, Schlee W, Marneffe W, Luyten J, Gilles A, Michiels S. Cost-effectiveness of a smartphone Application for Tinnitus Treatment (the CATT trial): a study protocol of a randomised controlled trial. Trials 2022; 23:435. [PMID: 35606823 PMCID: PMC9125968 DOI: 10.1186/s13063-022-06378-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 05/04/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Tinnitus is a highly prevalent symptom, affecting 10-15% of the adult population. Tinnitus influenced by alterations in somatosensory afference from the neck or jaw is referred to as somatic tinnitus (ST). ST is known to respond positively to physiotherapy treatment; however, it is challenging to motivate patients to systematically perform home exercises correctly, and the necessary tinnitus counselling is often lacking. The aim of this study is twofold, namely to investigate both the effectiveness and cost-effectiveness of a blended physiotherapy program for ST, including a smartphone application designed to increase exercise therapy compliance and provide tinnitus counselling. METHODS This study is designed as a single-blind two-arm 1:1 randomised controlled trial (RCT). Adult patients diagnosed with ST, without psychiatric comorbidities and with experience in using a smartphone, will be recruited at the Ear Nose Throat (ENT) department of the Antwerp University Hospital (UZA). Patients will be randomised into two groups. The experimental group will receive the blended physiotherapy program comprising six in-clinic physiotherapy sessions over a period of 12 weeks (1x/2 weeks) and an exercise and counselling program provided by the smartphone application. The control group will receive the standard care program comprising twelve weekly in-clinic physiotherapy sessions. Each physiotherapy session has a duration of 30 min. The primary outcome measure is the change in Tinnitus Functional Index (TFI) score. Additionally, a cost-effectiveness analysis will be performed from a societal perspective considering both direct and indirect costs. There will be follow-up assessments at one and 3 months after the final treatment session. DISCUSSION Our study is the first to combine both tinnitus counselling and neck/jaw treatment provided by a digital application in a blended physiotherapy program. This, in order to empower ST patients to improve and better manage their own health and, possibly, reduce economic costs by alleviating the tinnitus burden that ST patients experience. The strengths of the planned RCT are the high-quality methodological design, the large sample size and the expertise of the involved multidisciplinary research team. TRIAL REGISTRATION Clinicaltrials.gov NCT05245318 . Registered on 26 January 2022.
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Affiliation(s)
- Sara Demoen
- Rehabilitation Research Center, REVAL, faculty of Rehabilitation Sciences, Hasselt University, 3500, Hasselt, Belgium. .,Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium. .,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University Antwerp, 2000, Antwerp, Belgium.
| | - Laure Jacquemin
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University Antwerp, 2000, Antwerp, Belgium
| | - Annick Timmermans
- Rehabilitation Research Center, REVAL, faculty of Rehabilitation Sciences, Hasselt University, 3500, Hasselt, Belgium
| | - Vincent Van Rompaey
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University Antwerp, 2000, Antwerp, Belgium
| | - Olivier Vanderveken
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University Antwerp, 2000, Antwerp, Belgium
| | - Hanne Vermeersch
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium
| | - Iris Joossen
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium
| | - Julie Van Eetvelde
- Rehabilitation Research Center, REVAL, faculty of Rehabilitation Sciences, Hasselt University, 3500, Hasselt, Belgium.,Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium
| | - Winfried Schlee
- Department of Psychiatry and Psychotherapy, University of Regensburg, 93053, Regensburg, Germany
| | - Wim Marneffe
- Faculty of Business Economics, Hasselt University, 3500, Hasselt, Belgium
| | - Janis Luyten
- Faculty of Business Economics, Hasselt University, 3500, Hasselt, Belgium
| | - Annick Gilles
- Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium.,Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University Antwerp, 2000, Antwerp, Belgium.,Department of Human and Social Welfare, University College Ghent, 9000, Ghent, Belgium
| | - Sarah Michiels
- Rehabilitation Research Center, REVAL, faculty of Rehabilitation Sciences, Hasselt University, 3500, Hasselt, Belgium.,Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, 2650, Edegem, Belgium
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Womack A, Butts R, Dunning J. Dry needling as a novel intervention for cervicogenic somatosensory tinnitus: a case study. Physiother Theory Pract 2020; 38:1319-1327. [PMID: 33000979 DOI: 10.1080/09593985.2020.1825579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Tinnitus is defined as conscious perception of sound in the absence of a corresponding external stimulus. A condition that affects 10 - 15% of the adult population, tinnitus may be caused by an interaction between the somatosensory and auditory system, more formally known as somatosensory tinnitus. Cervicogenic somatosensory tinnitus is a subgroup of somatosensory tinnitus involving anatomical structures and physiological mechanisms associated with the cervical spine. A limited number of studies have reported inconsistent outcomes for treating cervicogenic somatosensory tinnitus with conservative treatment strategies such as manual therapy and exercise. However, dry needling is a skilled, manual therapy intervention that has recently gained popularity among the physical therapy profession that may be useful for both evaluating and treating the condition. The following case report describes the use of dry needling to evaluate and treat a patient with cervical somatosensory tinnitus and concurrent cervicogenic headaches. Physical therapy that targeted the muscles of the upper cervical spine with dry needling resulted in a meaningful reduction in cervicogenic somatosensory tinnitus, and the improvements persisted at 1-year follow-up. Further research, including randomized control trials, is warranted to fully determine the potential of dry needling to treat cervicogenic somatosensory tinnitus.
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Affiliation(s)
- Aaron Womack
- Alliance Health Midwest Rehabilitation, Midwest City, OK, USA.,American Academy of Manipulative Therapy, Montgomery, AL, USA
| | - Raymond Butts
- American Academy of Manipulative Therapy, Montgomery, AL, USA.,Research Physical Therapy Specialists, Columbia, SC, USA
| | - James Dunning
- American Academy of Manipulative Therapy, Montgomery, AL, USA.,Montgomery Osteopractic Physiotherapy and Acupuncture Clinic, Montgomery, AL, USA
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Dommerholt J, Hooks T, Thorp JN, Chou LW. A critical overview of the current myofascial pain literature - July 2020. J Bodyw Mov Ther 2020; 24:307-320. [PMID: 32826005 DOI: 10.1016/j.jbmt.2020.07.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
We are sad to report that following this issue, Dr. Li-Wei Chou will no longer be able to contribute to this quarterly literature overview. Unfortunately, his work responsibilities have increased to such an extent that they need to take priority. On behalf of the team, we would like to thank Dr. Chou for his thoughtful and balanced reviews during the past few years. Not only were we able to include an occasional Chinese-language study, he also was able to assist us in interpreting more complex medical studies. Li-Wei, we wish you all the best professionally and personally, and of course, we cannot wait until our paths will cross again sometime in the future! You may have noted that this overview article was missing from the January 2020 issue of the journal due to an administrative mix up. With the current issue we aimed to catch up and therefore, you will find a greater number of reviewed articles than usual. It becomes increasingly challenging to cover the wide range of the published myofascial pain and trigger point (TrP) literature just due to its volume. In this edition, we included 10 basic research articles, 4 reviews, 14 articles on dry needling (DN), acupuncture, and injections, 3 on manual therapies, and 4 on other clinical approaches.
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Affiliation(s)
- Jan Dommerholt
- Bethesda Physiocare, Bethesda, MD, USA; Myopain Seminars, Bethesda, MD, USA.
| | - Todd Hooks
- Myopain Seminars, Bethesda, MD, USA; New Orleans Pelicans, New Orleans, LA, USA.
| | - Jacob N Thorp
- Myopain Seminars, Bethesda, MD, USA; Charleston Southern University, North Charleston, SC, USA.
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Wu D, Ham D, Rosedale R. Physiotherapy assessment and treatment of chronic subjective tinnitus using mechanical diagnosis and therapy: a case report. J Man Manip Ther 2020; 28:119-126. [PMID: 31942839 DOI: 10.1080/10669817.2020.1714160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
Objectives: Tinnitus is the perception of sound without any external auditory stimulus. Cervicogenic somatic tinnitus (CST) is a subset in which symptoms are modulated by maneuvers of the neck. The evidence for effective diagnosis and treatment of CST is limited. Mechanical Diagnosis and Therapy (MDT) is a biopsychosocial assessment and management system that uses the response to mechanical forces to classify clinical presentations accurately. The purpose of this case report is to describe the MDT assessment and management of a patient with chronic subjective tinnitus.Methods: A 67-year-old female with a 5-year history of left-sided subjective tinnitus, neck pain, and headache was referred for physiotherapy. Outcome measures included the Visual Analogue Scale (VAS), Tinnitus Handicap Inventory (THI), and Neck Disability Index (NDI). She was evaluated and treated according to MDT principles with management consisting of individualized directional preference exercises and postural correction.Results: Significant improvements in symptoms, cervical range of motion, function, and psychosocial status were observed over the long-term. At 6 months, THI scores dropped from 62/100 to 18/100 and NDI scores dropped from 18/50 to 3/50.Discussion: A comprehensive MDT assessment led to a classification of Derangement, with treatment focusing on tailored self-management. Contrary to other interventions described for CST, the patient was able to make significant and lasting changes to her symptoms without the need for any externally applied interventions. The emphasis on self-management dovetails well with the biopsychosocial model of care. This case provides preliminary evidence for the utility of screening for Derangement in conservative tinnitus assessments.Level of Evidence: 4.
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Affiliation(s)
- Di Wu
- Physio Cabrini, Montreal, QC, Canada
| | - David Ham
- Bowmanville Family Physiotherapy, Bowmanville, ON, Canada
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Cima RFF, Mazurek B, Haider H, Kikidis D, Lapira A, Noreña A, Hoare DJ. A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment. HNO 2019; 67:10-42. [DOI: 10.1007/s00106-019-0633-7] [Citation(s) in RCA: 157] [Impact Index Per Article: 31.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Bousema EJ, Koops EA, van Dijk P, Dijkstra PU. Association Between Subjective Tinnitus and Cervical Spine or Temporomandibular Disorders: A Systematic Review. Trends Hear 2019; 22:2331216518800640. [PMID: 30269683 PMCID: PMC6168723 DOI: 10.1177/2331216518800640] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022] Open
Abstract
Movements of the neck and jaw may modulate the loudness and pitch of tinnitus. The aim of the present study was to systematically analyze the strength of associations between subjective tinnitus, cervical spine disorders (CSD), and temporomandibular disorders (TMD). A systematic literature search of the Medline, Embase, and Pedro databases was carried out on articles published up to September 2017. This covered studies in which tinnitus and CSD or TMD were studied as a primary or a secondary outcome and in which outcomes were compared with a control group. Included articles were evaluated on nine methodological quality criteria. Associations between tinnitus and CSD or TMD were expressed as odds ratios. In total, 2,139 articles were identified, of which 24 studies met the inclusion criteria. Twice, two studies were based on the same data set; consequently, 22 studies were included in the meta-analysis. Methodological quality was generally limited by a lack of blinding, comparability of groups, and nonvalidated instruments for assessing CSD. Results indicated that patients with tinnitus more frequently reported CSD than subjects without tinnitus. The odds ratio was 2.6 (95% CI [1.1, 6.4]). For TMD, a bidirectional association with tinnitus was found; odds ratios ranged from 2.3 (95%CI [1.5, 3.6]) for arthrogenous TMD to 6.7 (95%CI [2.4, 18.8]) for unspecified TMD. Funnel plots suggested a publication bias. After adjusting for this, the odds ratios decreased, but associations persisted. There is weak evidence for an association between subjective tinnitus and CSD and a bidirectional association between tinnitus and TMD.
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Affiliation(s)
- E J Bousema
- 1 Department of Otorhinolaryngology, Head & Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,2 Fysiotherapie Sittard Oost, the Netherlands
| | - E A Koops
- 1 Department of Otorhinolaryngology, Head & Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, the Netherlands
| | - P van Dijk
- 1 Department of Otorhinolaryngology, Head & Neck Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,3 Research School of Behavioral and Cognitive Neurosciences, Graduate School of Medical Sciences, University of Groningen, the Netherlands
| | - P U Dijkstra
- 4 Department of Oral and Maxillofacial Surgery, University Medical Center Groningen, University of Groningen, the Netherlands.,5 Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, the Netherlands
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Selbstmanagement in der Manualtherapie bei Patienten mit chronischen Rückenschmerzen. MANUELLE MEDIZIN 2017. [DOI: 10.1007/s00337-017-0291-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Haider HF, Hoare DJ, Costa RFP, Potgieter I, Kikidis D, Lapira A, Nikitas C, Caria H, Cunha NT, Paço JC. Pathophysiology, Diagnosis and Treatment of Somatosensory Tinnitus: A Scoping Review. Front Neurosci 2017; 11:207. [PMID: 28503129 PMCID: PMC5408030 DOI: 10.3389/fnins.2017.00207] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2016] [Accepted: 03/27/2017] [Indexed: 11/13/2022] Open
Abstract
Somatosensory tinnitus is a generally agreed subtype of tinnitus that is associated with activation of the somatosensory, somatomotor, and visual-motor systems. A key characteristic of somatosensory tinnitus is that is modulated by physical contact or movement. Although it seems common, its pathophysiology, assessment and treatment are not well defined. We present a scoping review on the pathophysiology, diagnosis, and treatment of somatosensory tinnitus, and identify priority directions for further research. Methods: Literature searches were conducted in Google Scholar, PubMed, and EMBASE databases. Additional broad hand searches were conducted with the additional terms etiology, diagnose, treatment. Results: Most evidence on the pathophysiology of somatosensory tinnitus suggests that somatic modulations are the result of altered or cross-modal synaptic activity within the dorsal cochlear nucleus or between the auditory nervous system and other sensory subsystems of central nervous system (e.g., visual or tactile). Presentations of somatosensory tinnitus are varied and evidence for the various approaches to treatment promising but limited. Discussion and Conclusions: Despite the apparent prevalence of somatosensory tinnitus its underlying neural processes are still not well understood. Necessary involvement of multidisciplinary teams in its diagnosis and treatment has led to a large heterogeneity of approaches whereby tinnitus improvement is often only a secondary effect. Hence there are no evidence-based clinical guidelines, and patient care is empirical rather than research-evidence-based. Somatic testing should receive further attention considering the breath of evidence on the ability of patients to modulate their tinnitus through manouvers. Specific questions for further research and review are indicated.
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Affiliation(s)
- Haúla F. Haider
- ENT Department, Hospital Cuf Infante Santo—Nova Medical SchoolLisbon, Portugal
| | - Derek J. Hoare
- NIHR Nottingham Biomedical Research Centre, Division of Clinical Neuroscience, School of Medicine, University of NottinghamNottingham, UK
| | - Raquel F. P. Costa
- Centro em Rede de Investigação em Antropologia (CRIA), Network Centre for Research in Anthropology, Universidade Nova de LisboaLisbon, Portugal
| | - Iskra Potgieter
- NIHR Nottingham Biomedical Research Centre, Division of Clinical Neuroscience, School of Medicine, University of NottinghamNottingham, UK
| | - Dimitris Kikidis
- First Department of Otorhinolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General HospitalAthens, Greece
| | - Alec Lapira
- Institute of Health Care, Mater Dei HospitalMsida, Malta
| | - Christos Nikitas
- First Department of Otorhinolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General HospitalAthens, Greece
| | - Helena Caria
- Deafness Research Group, BTR Unit, BioISI, Faculty of Sciences, University of LisbonLisbon, Portugal
- ESS/IPS–Biomedical Sciences Department, School of Health, Polytechnic Institute of SetubalLisbon, Portugal
| | - Nuno T. Cunha
- ENT Department, Hospital Pedro Hispano—MatosinhosLisbon, Portugal
| | - João C. Paço
- ENT Department, Hospital Cuf Infante Santo—Nova Medical SchoolLisbon, Portugal
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Cervicogenic somatosensory tinnitus: An indication for manual therapy plus education? Part 2: A pilot study. ACTA ACUST UNITED AC 2016; 23:106-13. [PMID: 26971019 DOI: 10.1016/j.math.2016.02.006] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Revised: 02/11/2016] [Accepted: 02/14/2016] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The aim of this study was to evaluate the efficacy of Manual Therapy Utrecht (MTU) plus education in patients with cervicogenic somatosensory tinnitus (CeT). STUDY DESIGN Pretest-posttest design. METHOD Five hundred and six patients were referred or referred themselves. A subgroup of patients was identified with CeT, and within this a subgroup with tinnitus sensitization (TS). Two CeT groups were created based on the presence or absence of TS. Both groups underwent manual therapy combined with tinnitus education. Tinnitus intensity (VAS-tin 0-100 mm) was the primary outcome measure. Number of treatments and adverse effects were the secondary outcome measures. RESULTS A total of 122 patients with CeT (24.1%) were included (average age 53.3 years [±9.8], female 38.5% and duration of tinnitus 7.3 years [±8.9]). Patients were divided into two groups: 55 patients (45.1%) with TS (CeT + TS group) and 67 patients (54.9%) without TS (CeT - TS group). Pretest to posttest differences on the VAS-tin were statistically significant within both groups (CeT - TS group: difference VAS-tin 5.9 [p = 0.01]; CeT + TS group: difference VAS-tin 18.2 [p = 0.00]), and between the groups in favor of the CeT + TS group (difference VAS-tin 12.3 [p = 0.01]). Pretest to posttest differences were clinically significant for the CeT + TS group (difference VAS-tin 18.2 [MCIC = ≥10 mm VAS-tin]) and between the groups (difference VAS-tin 12.3 in favor of the CeT + TS group). The average number of treatment sessions was 9.6 (±2.6) for the CeT - TS group and 10.3 (±2.5) for the CeT + TS group, a non-significant difference. There were no adverse effects in either group. CONCLUSIONS Despite its limitations, this study provides valuable information on both the characteristics of patients with CeT and TS in a Dutch primary care manual therapy practice and on the potential effectiveness of MTU combined with tinnitus education for the subgroup of CeT + TS patients.
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