کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2624790 1563092 2016 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Does multi-modal cervical physical therapy improve tinnitus in patients with cervicogenic somatic tinnitus?
ترجمه فارسی عنوان
آیا درمان فیزیکی گردن رحم چندمودال باعث بهبود وزوز گوش در بیماران مبتلا به وزوز گوش سوماتیک سردرد می شود؟
کلمات کلیدی
وزوز گوش بدنی؛ ستون فقرات گردنی؛ فیزیوتراپی؛ رفتار
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب مکمل و جایگزین
چکیده انگلیسی


• Tinnitus and neck complaints decreased after physical therapy treatment.
• 53% of the study population experienced substantial improvement of tinnitus.
• Improved patients report TFI decrease of 11.9 points.

BackgroundTinnitus can be related to many different aetiologies such as hearing loss or a noise trauma, but it can also be related to the somatosensory system of the cervical spine, called cervicogenic somatic tinnitus (CST). Case studies suggest a positive effect of cervical spine treatment on tinnitus complaints in patients with CST, but no experimental studies are available.ObjectiveTo investigate the effect of a multimodal cervical physical therapy treatment on tinnitus complaints in patients with CST.DesignRandomized controlled trial.PatientsPatients with a combination of severe subjective tinnitus (Tinnitus Functional Index (TFI): 25–90 points) and neck complaints (Neck Bournemouth Questionnaire (NBQ) > 14 points).InterventionAll patients received cervical physical therapy for 6 weeks (12 sessions). Patients were randomized in an immediate-start therapy group (n = 19) and a 6-week delayed-start therapy group (n = 19).MeasurementsTFI and NBQ-scores were documented at baseline, after the wait-and-see period in the delayed-start group, after treatment and after 6 weeks follow-up. The Global Perceived Effect (GPE) was documented at all measuring moments, except at baseline.ResultsIn all patients (n = 38) TFI and NBQ-scores decreased significantly after treatment (p = 0.04 and p < 0.001). NBQ-scores remained significantly lower after follow-up (p = 0.001). Immediately after treatment, 53% (n = 38) experienced substantial improvement of tinnitus. This effect was maintained in 24% of patients after follow-up at six weeks.ConclusionCervical physical therapy can have a positive effect on subjective tinnitus complaints in patients with a combination of tinnitus and neck complaints. Larger studies, using more responsive outcome measures, are however necessary to prove this effect.Trial registrationNCT02016313.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Manual Therapy - Volume 26, December 2016, Pages 125–131
نویسندگان
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