Tinnitus, Subjective
Conditions
Keywords
Somatic tinnitus
Brief summary
This study investigates the effect of cervical physical therapy on tinnitus annoyance in patients with somatic tinnitus. This study specifically enrolls patients with co-varying tinnitus and neck complaints, with low-pitched tinnitus or patients who's tinnitus can be influenced by neck movements or positions. These inclusion criteria were chosen, since a prior study showed that these factors were good prognostic indicators for a positive treatment effect.
Interventions
OTHERCervical physical therapy
Patients receive a multimodal cervical physical therapy treatment
Sponsors
University Hospital, Antwerp
Universiteit Antwerpen
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Intervention model description
We use a delayed treatment design, where both groups receive the same treatment. One group receives the treatment immediately after the inclusion. The other group receives the treatment after a 9-weeks delay.
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* Patients with subjective tinnitus (Tinnitus Functional Index between 25 and 90 point) in combination with self-reported neck complaints (Neck Bournemouth Questionnaire \> 13 points) are included in case one of the following is present: * Tinnitus and neck complaints increase and decrease together * Tinnitus is low-pitched and increases during inadequate neck postures
Exclusion criteria
* Tinnitus related to Ménière's disease, clear otological or neurological causes * Serious depression * Contra-indications for cervical spine treatment * Patient already received cervical physical therapy in the past 2 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tinnitus Questionnaire | Baseline, 9 weeks, 18 weeks | change in tinnitus distress after treatment and after follow-up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck Bournemouth Questionnaire | Baseline, 9 weeks, 18 weeks | change in neck complaints after treatment and after follow-up |
| Change in Auditory evoked potentials | Baseline, 9 weeks | EEG measurement during auditory task |
| Change in Manual Rotation test | Baseline, 9 weeks | clinical test |
| change in adapted Spurling test | baseline, 9 weeks | clinical test |
| Tinnitus Functional Index | Baseline, 9 weeks, 18 weeks | change in tinnitus severity after treatment and after follow-up |
| change in Craniocervical flexion test | baseline, 9 weeks | clinical test |
| change in Coordination and strength test of cervical extensor muscles | baseline, 9 weeks | clinical test |
| change in Speech in noise test | baseline, 9 weeks | audiological test |
| change in presence of active triggerpoints | baseline, 9 weeks | clinical test |
Countries
Belgium
Outcome results
None listed