Effects of Manual Therapy in Somatic Tinnitus Patients Associated with Cervicogenic and Temporomandibular Dysfunction Domain: Systematic Review and Meta Analysis of Randomised Controlled Trials

Abstract

Despite manual therapy has been used as an effective treatment but there is limited of literature emphasizing its role to improve quality of life and pain pressure threshold in patients with somatic tinnitus. In this Meta analysis we compared the effects of manual therapy on quality of life and pain pressure threshold in the patients with somatic tinnitus associated with cervicogenic and temporomandibular dysfunction domain. We systematically searched different databases such as Pubmed, Google Scholar and Scopus to find out the relevant studies compairing the effects of manual therapy with quality of life and pain pressure threshold. Two independent reviewers performed quality check and data extraction. We analyzed the data using RevMan ver. 5.4 software. Total three randomised controlled trials were included in this study. Manual Therapy proven to be effective in improving quality of life as well pain pressure threshold in somatic tinnitus patients. {ORs 0.80; 95% Confidence Interval (95%CI), P = 0.97}. Further clinical trials are needed to explore manual therapy as an effective intervention.

Effectiveness of Physical Therapy Interventions for Temporomandibular Disorders Associated with Tinnitus: A Systematic Review

“…Corroborating the findings of these studies, a clinical trial with 33 patients performed trigger point inactivation and an improvement in tinnitus severity measured by general characteristics (duration, location, type, perception, intensity) and THI was observed [ 18 ]. The use of manual therapy was also shown to be effective in improving quality of life as well as PPT in patients with both cervicogenic somatic tinnitus and TMDs associated with somatic tinnitus [ 29 ].…”

“…However, these studies did not summarize the effectiveness of physical therapy, either isolated or associated with other therapies and included clinical trials and other types of study designs. Another recent review [ 29 ] evaluated the effect of manual therapy on pain pressure threshold and quality of life in patients with somatic tinnitus associated with the cervicogenic and temporomandibular dysfunction domain. These reviews did not provide information regarding specific criteria for the diagnosis of TMDs and the outcomes related to TMDs including mandibular dysfunction, TMJ pain, etc.…”

Effect of adding a supervised physical therapy exercise program to photobiomodulation therapy in the treatment of cervicogenic somatosensory tinnitus: A randomized controlled study

“…A systematic review and meta-analysis of randomized controlled trials concluded that manual therapy has proven to be effective in improving quality of life as well as pain pressure threshold in somatic tinnitus patients. [42]…”

“…[28] A systematic review and meta-analysis of randomized controlled trials concluded that manual therapy has proven to be effective in improving quality of life as well as pain pressure threshold in somatic tinnitus patients. [42] Cote et al conducted a study to explore the effect of a physiotherapy program on the intensity and severity of somatosensory tinnitus, their results revealed significant improvement in tinnitus severity in individuals presenting with somatosensory components received an average of 10 physiotherapy treatments over 6 weeks. Treatments included cervical and thoracic mobilizations, as well as muscular strengthening, stretching, postural instruction, and cervical stabilization.…”