Open AccessEfficacy of manual therapy on somatic tinnitus dual modulatory factors: a study protocol
Author(s) -
Palak Sharma,
Manu Goyal,
Saumya Kothiyal
Publication year - 2020
Publication title -
revista de pesquisa em fisioterapia
Language(s) - English
Resource type - Journals
ISSN - 2238-2704
DOI - 10.17267/2238-2704rpf.v10i4.3326
Subject(s) - tinnitus , medicine , physical therapy , randomized controlled trial , clinical trial , visual analogue scale , manual therapy , audiology , surgery , alternative medicine , pathology
BACKGROUND AND PURPOSE: The literature has shown promising effect of manual therapy in improving the severity of somatic tinnitus.However, no previous study has concentrated onevaluating the combined effect of temporomandibular joint and cervical spine muscles. The purpose of the study is to evaluate the efficacy of manual therapy on somatic tinnitus dual modulatory factors (TMD and cervical spine). METHODS/DESIGN: Thirty nine patients with somatic tinnitus will be randomly assigned to one of the three groups i.e., A(Cervicogenic somatic tinnitus),B(TMJ induced somatic tinnitus) and C(Dual modulatory factors induced somatic tinnitus) respectively. This multi group, parallel arms, pre-test post-test, single centre, randomized clinical trial with three parallel groups will receive six treatment sessions of integrated manual therapy on alternate days for two weeks. Postural re-education exercises will be advised to the patients as home exercises.The primary outcome measure will be Tinnitus Handicap Inventory (THI) and secondary outcome measures include Visual Analogue Scale (VAS) and Digitalized Calibrated Algometer (DCA) to measure pre and post intervention effect of the treatments. DISCUSSION: The efficacy of manual therapy in patients with somatic tinnitus in each group will be established with this study.TRIAL REGISTRATION: Clinical Trials Registry - India. (CTRI/2020/03/024394)Universal trial number- U1111-1248-3141