The Somatic Connection  |   October 2016
Manual Therapy and OMT May Be of Benefit in the Management of Somatosensory Tinnitus
Author Notes
  • University of California, San Diego School of Medicine 
Article Information
The Somatic Connection   |   October 2016
Manual Therapy and OMT May Be of Benefit in the Management of Somatosensory Tinnitus
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 684-685. doi:10.7556/jaoa.2016.134
The Journal of the American Osteopathic Association, October 2016, Vol. 116, 684-685. doi:10.7556/jaoa.2016.134
Oostendorp RA, Bakker I, Elvers H, et al. Cervicogenic somatosensory tinnitus: an indication for manual therapy plus education? part 2: a pilot study. Man Ther. 2016;23:106-113. doi:10.1016/j.math.2016.02.006. 
Manual therapy researchers in the Netherlands conducted a pilot study that evaluated the effect of manual therapy Utrecht (MTU) in conjunction with tinnitus education on patients with cervicogenic somatosensory tinnitus (CST). Manual therapy Utrecht is a very gentle, low-velocity passive movement of joints of the spine, pelvis, and extremities. Of an initial population of 506 patients who reported having CST, 126 met the inclusion criteria for 1 of 2 groups: a group of patients with CST (n=67) and a subgroup with CST and tinnitus sensitization (TS) (n=55). The inclusion criteria for the CST alone group were neck pain; impairment of cervical range of motion, preferably rotation; modulation of tinnitus by head and neck movements and posture; and tenderness of cervical-occipital muscles. Five of the following criteria had to be met to be placed in the TS subgroup: widespread hyperalgesia and pain remote from the symptomatic region, such as shoulder and back pain; impairment in quality of vision; burning eyes; modulation of tinnitus by psychological stress, such as sound phobia; modulation of tinnitus by sensory stimulation; headache; dizziness; or tingling in arms or legs. 
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