PDF(Pubmed)
Abstract：
Objective: The objective of this work was to assess the effect of physical therapy in patients with somatosensory tinnitus (ST) and explore the influence of physical therapy on clinical variables obtained before treatment. Methods: A total of 43 patients with ST were randomized to the immediate-start group (n = 20) and delayed-start group (n = 23). All patients received physical therapy for 1 week (seven sessions). Each session lasted 60 min. The Visual Analogue Scale (VAS), Tinnitus Handicap Inventory (THI), and numerical pain rating scale (NPRS) scores were documented at baseline and after treatment (week 1) for all patients. For subjects in the immediate-start group, the THI, VAS, and NPRS scores were measured after therapy (weeks 6, 9, and 12, respectively). Medical history characteristic functional activity scale (HCFA) scores were measured at baseline to assess the association between somatic symptoms and tinnitus. Results: At week 1, VAS, THI, and NPRS scores of patients in the immediate-start group were improved by 1.25 ± 1.59, 11.10 ± 15.10, and 0.95 ± 1.54 points, respectively, and were significantly higher than those in the delayed-start group (p < 0.05). The change in VAS, THI, and NPRS scores in the treatment group was significantly positively correlated with the scores of the HCFA before treatment (r = 0.786, p < 0.001; r = 0.680, p = 0.001; r = 0.796, p < 0.001). There was no significant difference in THI, VAS, and NPRS scores among patients in the immediate-start group between weeks 1, 6, 9, and 12 after treatment (p > 0.05). Conclusions: Although more participants were necessary in the further study, the study implies that physical therapy can reduce physical pain, improve tinnitus symptoms, and quality of life in ST patients without hearing loss, and the short-term curative effect is stable, especially for tinnitus patients with clear somatic symptoms.
摘要：
目的：这项工作的目的是评估物理治疗对体感耳鸣（ST）患者的影响，并探讨物理治疗对治疗前获得的临床变量的影响。方法：将43例ST患者随机分为立即启动组（n=20）和延迟启动组（n=23）。所有患者均接受物理治疗1周（七个疗程）。每节持续60分钟。视觉模拟量表（VAS），耳鸣障碍清单(THI)，所有患者在基线和治疗后(第1周)记录疼痛评分量表(NPRS)评分.对于立即启动组中的受试者，THI,VAS,治疗后（分别为第6、9和12周）测量NPRS评分。在基线测量病史特征功能活动量表（HCFA）评分，以评估躯体症状与耳鸣之间的关联。结果：在第1周，VAS，THI,立即开始组患者的NPRS评分分别提高了1.25±1.59、11.10±15.10和0.95±1.54分，分别,明显高于延迟启动组(p<0.05)。VAS的变化，THI,治疗组NPRS评分与治疗前HCFA评分呈正相关(r=0.786,p<0.001;r=0.680,p=0.001;r=0.796,p<0.001)。THI没有显著差异,VAS,在治疗后第1、6、9和12周之间，立即开始组患者的NPRS评分（p>0.05）。结论：尽管在进一步的研究中需要更多的参与者，这项研究暗示物理治疗可以减轻身体疼痛，改善耳鸣症状，和无听力损失的ST患者的生活质量，近期疗效稳定,尤其适用于躯体症状明显的耳鸣患者。
