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Ongoing insights required a different approach
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| Name | Class |
|---|---|
| University Hospital, Antwerp | OTHER |
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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Direct treatment | Experimental |
| |
| Delayed treatment | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cervical physical therapy | Other | Patients receive a multimodal cervical physical therapy treatment |
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| Measure | Description | Time Frame |
|---|---|---|
| Tinnitus Questionnaire | change in tinnitus distress after treatment and after follow-up | Baseline, 9 weeks, 18 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Tinnitus Functional Index | change in tinnitus severity after treatment and after follow-up | Baseline, 9 weeks, 18 weeks |
| Neck Bournemouth Questionnaire | change in neck complaints after treatment and after follow-up |
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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:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital of Antwerp | Edegem | Antwerp | 2650 | Belgium |
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| ID | Term |
|---|---|
| D014012 | Tinnitus |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
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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.
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| Baseline, 9 weeks, 18 weeks |
| Change in Auditory evoked potentials | EEG measurement during auditory task | Baseline, 9 weeks |
| Change in Manual Rotation test | clinical test | Baseline, 9 weeks |
| change in adapted Spurling test | clinical test | baseline, 9 weeks |
| change in presence of active triggerpoints | clinical test | baseline, 9 weeks |
| change in Craniocervical flexion test | clinical test | baseline, 9 weeks |
| change in Coordination and strength test of cervical extensor muscles | clinical test | baseline, 9 weeks |
| change in Speech in noise test | audiological test | baseline, 9 weeks |
| D009461 |
| Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |