Format

Send to

Choose Destination
Man Ther. 2016 Jun;23:106-13. doi: 10.1016/j.math.2016.02.006. Epub 2016 Feb 21.

Cervicogenic somatosensory tinnitus: An indication for manual therapy plus education? Part 2: A pilot study.

Author information

1
Department of Manual Therapy, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium; Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; Pain in Motion International Research Group(1), Vrije Universiteit Brussel, Brussels, Belgium. Electronic address: rob.oostendorp@planet.nl.
2
Practice for Manual Therapy, Arnhem, The Netherlands.
3
Department of Public Health and Research, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands; Institute for Methodology and Statistics Beuningen, Beuningen, The Netherlands.
4
Department of Physiotherapy, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland; Rehabilitation Clinic, Military Clinical Hospital No. 10 with Polyclinic, Bydgoszcz, Poland; Neurocognitive Laboratory, Center for Modern Interdisciplinary Technologies, Nicolaus Copernicus University, Toruń, Poland.
5
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; Department of Otorhinolaryngology, Antwerp University Hospital, Antwerp, Belgium.
6
Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
7
Department Medical Psychology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.

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.

KEYWORDS:

Cervical spine; Education; Manual therapy; Outcome; Somatosensory tinnitus; Tinnitus sensitization

PMID:
26971019
DOI:
10.1016/j.math.2016.02.006
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center