Somatosensory Tinnitus. Tinnitus, unspecified ear
Conditions
Interventions
Intervention 1: Intervention group: Group A: Will recieve dry needling therapy based on Damerhold approach for three sessions every other day at the trigger points site. Intervention 2: Control group:
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients of both sexes with unilateral or bilateral tinnitus and at least 3 months have passed since the onset of symptoms. Existence of Sanchez, Levine and Michiel criteria to determine somatic tinnitus The presence of at least one Latent or active trigger point in the head and neck and shoulder girdle Normal audiometry
Exclusion criteria
Exclusion criteria: Having contraindications for using needles such as fear of needles, lymphedema in the region, Vascular and blood diseases, use of blood thinners such as warfarin Taking pain-reducing drugs such as anti-inflammatories and muscle relaxants in the 30 days before the evaluation Fibromyalgia Having previous experience of using dry needling technique in the head, neck and shoulder girdle region Manual therapy to reduce pain in the craniocervical region in the 30 days prior to evaluation Occurrence of symptoms that indicate that the patient's tinnitus symptoms are otological, such as sudden deafness, infection of ear, damage to the eardrum and suffering from diseases such as Meniere's, perilymphatic fistula, etc. The presence of abnormal posture in the head and neck region caused by neurological lesions The patient's unwillingness to continue the treatment and cooperate in the research
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Tinnitus Annoyance. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: visual analogue scale.;Tinnitus Loudness. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: Visual Analogue Scale.;The amount of pain in the muscles of the head and neck, upper thoracic and TMJ. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: Visual Analogue Scale.;Pain Pressure Threshold. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: Digital Algometer. | — |
Secondary
| Measure | Time frame |
|---|---|
| The range of motion of the neck in direction of flexion, extension, lateral flexion and rotation actively. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: Goniometer.;The range of motion of the temporomandibular joint in the directions of depression, elevation, protrusion, retrogression, lateral extrusion actively. Timepoint: Before intervention, After the 1th intervention session, After the 3rd intervention session, 1 week After the last session. Method of measurement: Ruler.;Quality of life and degree of functional disability caused by tinnitus. Timepoint: Before intervention, After the 3rd intervention session, 1 week After the last session. Method of measurement: Tinnitus Handicap Inventory.;Quality of life and degree of functional disability caused by neck pain. Timepoint: Before intervention, After the 3rd intervention session, 1 week After the last session. Method of measurement: Neck Disability Index.;Quality of life and functional disability caused by temporomandibular joint disorder. Timepoint: Before intervention, After the 3rd intervention session, 1 week After the last session. Method of measurement: Fonseca Anamnestic Questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactKiarash Namiranian
Tehran University of Medical Sciences
Outcome results
None listed