The Effect of Cervical Physical Therapy Treatment in Patients With Somatic Tinnitus

The Effect of Cervical Physical Therapy Treatment in Patients With Somatic Tinnitus

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.

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