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Response of Tinnitus to Osteopathic Manipulation

Journal: Journal of Integrative and Complementary Medicine Date: 2016/06, 22(6):Pages: A62. doi: Subito , type of study: retrospective study

Full text    (https://www.liebertpub.com/doi/10.1089/acm.2016.29003.abstracts)

Keywords:

conference abstract [120]
OMT [3750]
osteopathic manipulative treatment [3770]
retrospective study [312]
tinnitus [21]

Abstract:

Purpose: Osteopathic manipulative treatment (OMT) manages musculoskeletal dysfunction, yet treatment of somatosensory tinnitus has not been described. This study explores the use of OMT as a treatment for tinnitus. Our hypothesis is that patients with musculoskeletal dysfunction that modulates their tinnitus respond to OMT. Methods: Tinnitus patients were identified through a retrospective design. All tinnitus patients who were treated with OMT were included. Tinnitus patients who did not have OMT and those that did not follow up were excluded. A standardized structured data abstraction form was used. The history, exam, and treatment sections were reviewed. Patients were divided into those who responded to manipulation and those who did not. Response was defined as having a subjective decrease in perceived tinnitus severity. Results: Nineteen of 20 tinnitus patients met inclusion criteria Responders comprise 52.6%. Females comprised 40% of the responsive group and 67% of non-responders. 80% of the treatment responsive patients endorsed worsening of tinnitus with musculoskeletal activity whereas none of the unresponsive patients reported this (p = 0.0007). All responders had osteopathic exams showing somatic dysfunction, while only 33.3% of non-responders had these findings (p = 0.003). Responders had an average of 3.25 treatments and treated total of 5.89 times. Tinnitus treatments showed an average reduction of 76.9%. Tinnitus patients who responded to manipulation were more likely to report worsening of tinnitus with head or neck movement (Fisher exact 0.000714; p < 0.05). Conclusion: Tinnitus patients who respond report aggravation from musculoskeletal activity and have somatic dysfunction of the head and neck. This group likely has somatosensory tinnitus, thus suggesting this responds to OMT. However, this study was limited by the small sample size, and further limited by the retrospective design. The data from this review are being used to prepare for a clinical trial to evaluate OMT for the treatment of somatosensory tinnitus..


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