Somatosensory Tinnitus, Subjektif tınnitus
Conditions
Keywords
Tinnitus, Subjective, manuel therapy, tınnıtus retraining therapy, life quality, somatosenrial tınnitus
Brief summary
This randomized controlled trial aims to compare the effectiveness of Manual Therapy (MT), Tinnitus Retraining Therapy (TRT), and their combination in adults with somatosensory tinnitus. Sixty-five participants will be randomly assigned to one of three parallel groups. Primary and secondary outcomes include tinnitus severity, tinnitus-related disability, neck disability, cervical range of motion, audiological measures, pressure pain threshold, anxiety, depression, and quality of life. Outcomes will be assessed before treatment and immediately after the six-week intervention period.
Interventions
BEHAVIORALManuel therapy
This study is a prospective, single-center, assessor-blinded, three-arm, parallel-group randomized controlled trial designed to compare the effectiveness of Tinnitus Retraining Therapy (TRT), Manual Therapy (MT), and the combination of TRT plus MT in adults with somatosensory tinnitus. Participants will be randomly assigned in a 1:1:1 ratio using a computer-generated block randomization sequence. Allocation concealment will be ensured using the sequence.
Sponsors
Suleyman Demirel University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adults aged 18 to 65 years. * Diagnosis of chronic subjective somatosensory tinnitus persisting for at least 3 months. * Tinnitus that can be modulated by head, neck, jaw, or temporomandibular movements and/or cervical muscle palpation. * Ability to understand the study procedures and provide written informed consent. * Willingness to comply with the treatment protocol and attend all scheduled assessment and treatment sessions. * Normal middle ear function as confirmed by immittance (tympanometry) testing.
Exclusion criteria
Objective or pulsatile tinnitus. * Tinnitus duration of less than 3 months. * Diagnosis of Ménière's disease, otosclerosis, vestibular schwannoma (acoustic neuroma), or other retrocochlear pathology. * Active middle ear disease or abnormal immittance (tympanometry) findings. * History of cervical spine surgery or severe cervical trauma. * Presence of cervical spine fracture, instability, malignancy, inflammatory rheumatic disease, or other contraindications to manual therapy. * Previous temporomandibular joint surgery or severe temporomandibular disorders requiring surgical treatment. * Current participation in another clinical trial. * Receipt of manual therapy, Tinnitus Retraining Therapy (TRT), or other tinnitus-specific rehabilitation within the previous 3 months. * Severe neurological or psychiatric disorders that could interfere with participation or outcome assessment. * Pregnancy. Inability to understand study procedures, provide informed consent, or comply with the intervention schedule. \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The TPFQ is a validated patient-reported questionnaire | Baseline and Week 6 (end of treatment) | The TPFQ is a validated patient-reported questionnaire used to assess tinnitus severity and its functional impact. Higher scores indicate greater tinnitus-related impairm |
| The THI is a validated questionnaire | Baseline and Week 6 | The THI is a validated questionnaire assessing the degree of tinnitus-related handicap. Higher scores indicate greater tinnitus-re |
Contacts
CONTACTEMİNE METİN, phd,
CONTACTDr. Ziya Yıldız phd, phd
STUDY_DIRECTORziya YILDIZ
Isparta University of Applied Sciences
Outcome results
None listed