Sarah Michiels1, Willem De Hertogh, Steven Truijen, Paul Van de Heyning. 1. *Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium; †Department of Otorhinolaryngology, Antwerp University Hospital, Edegem, Belgium; ‡Multidisciplinary Motor Centre Antwerp, University of Antwerp, Antwerp, Belgium; and §Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Abstract
OBJECTIVE: To assess, characterize, and quantify cervical spine dysfunction in patients with cervicogenic somatic tinnitus (CST) compared to patients suffering from other forms of chronic subjective non-pulsatile tinnitus. STUDY DESIGN: Cross-sectional study. SETTING: Tertiary referral center. PATIENTS: Consecutive adult patients suffering from chronic subjective non-pulsatile tinnitus were included. EXCLUSION CRITERIA: Ménière's disease, middle ear pathology, intracranial pathology, cervical spine surgery, whiplash trauma, temporomandibular dysfunction. INTERVENTION: Assessment comprises medical history, ENT examination with micro-otoscopy, audiometry, tinnitus assessment, temporomandibular and cervical spine investigation, and brain MRI. Patients were classified into CST and non-CST population. Cervical spine dysfunction was investigated using the Neck Bournemouth Questionnaire (NBQ) and clinical tests of the cervical spine, containing range of motion, pain provocation (adapted Spurling test, AST), and muscle tests (tenderness via trigger points, strength and endurance of deep neck flexors). MAIN OUTCOME MEASURES: Between-group analysis was performed. The prevalence of cervical spine dysfunction was described for the total group and for CST and non-CST groups. RESULTS: In total, 87 patients were included, of which 37 (43%) were diagnosed with CST. In comparison with the non-CST group, the CST group demonstrated a significantly higher prevalence of cervical spine dysfunction. In the CST group, 68% had a positive manual rotation test, 47% a positive AST, 49% a positive score on both, and 81% had positive trigger points. In the non-CST group, these percentages were 36, 18, 10, and 50%, respectively. Furthermore, 79% of the CST group had a positive NBQ versus 40% in the non-CST group. Significant differences between the both groups were found for all the aforementioned variables (all p < 0.005). CONCLUSIONS: Although a higher prevalence of neck dysfunction was found in the CST group, neck dysfunction is often in non-CST patients.
OBJECTIVE: To assess, characterize, and quantify cervical spine dysfunction in patients with cervicogenic somatic tinnitus (CST) compared to patients suffering from other forms of chronic subjective non-pulsatile tinnitus. STUDY DESIGN: Cross-sectional study. SETTING: Tertiary referral center. PATIENTS: Consecutive adult patients suffering from chronic subjective non-pulsatile tinnitus were included. EXCLUSION CRITERIA: Ménière's disease, middle ear pathology, intracranial pathology, cervical spine surgery, whiplash trauma, temporomandibular dysfunction. INTERVENTION: Assessment comprises medical history, ENT examination with micro-otoscopy, audiometry, tinnitus assessment, temporomandibular and cervical spine investigation, and brain MRI. Patients were classified into CST and non-CST population. Cervical spine dysfunction was investigated using the Neck Bournemouth Questionnaire (NBQ) and clinical tests of the cervical spine, containing range of motion, pain provocation (adapted Spurling test, AST), and muscle tests (tenderness via trigger points, strength and endurance of deep neck flexors). MAIN OUTCOME MEASURES: Between-group analysis was performed. The prevalence of cervical spine dysfunction was described for the total group and for CST and non-CST groups. RESULTS: In total, 87 patients were included, of which 37 (43%) were diagnosed with CST. In comparison with the non-CST group, the CST group demonstrated a significantly higher prevalence of cervical spine dysfunction. In the CST group, 68% had a positive manual rotation test, 47% a positive AST, 49% a positive score on both, and 81% had positive trigger points. In the non-CST group, these percentages were 36, 18, 10, and 50%, respectively. Furthermore, 79% of the CST group had a positive NBQ versus 40% in the non-CST group. Significant differences between the both groups were found for all the aforementioned variables (all p < 0.005). CONCLUSIONS: Although a higher prevalence of neck dysfunction was found in the CST group, neck dysfunction is often in non-CST patients.
Authors: Laure Jacquemin; Sara Demoen; Sarah Michiels; Annick Gilles; Hanne Vermeersch; Iris Joossen; Olivier M Vanderveken; Marc J W Lammers; Annick Timmermans; Vincent Van Rompaey; David Baguley Journal: Eur Arch Otorhinolaryngol Date: 2022-10-13 Impact factor: 3.236
Authors: Laure Jacquemin; Emilie Cardon; Sarah Michiels; Tine Luyten; Annemarie Van der Wal; Willem De Hertogh; Olivier M Vanderveken; Paul Van de Heyning; Marc J W Lammers; Vincent Van Rompaey; Annick Gilles Journal: Eur Arch Otorhinolaryngol Date: 2022-03-17 Impact factor: 3.236
Authors: Veronika Vielsmeier; Martin Schecklmann; Winfried Schlee; Peter M Kreuzer; Timm B Poeppl; Rainer Rupprecht; Berthold Langguth; Astrid Lehner Journal: Front Neurosci Date: 2018-02-20 Impact factor: 4.677
Authors: Sarah Michiels; Annemarie Christien van der Wal; Evelien Nieste; Paul Van de Heyning; Marc Braem; Corine Visscher; Vedat Topsakal; Annick Gilles; Laure Jacquemin; Marianne Hesters; Willem De Hertogh Journal: Trials Date: 2018-10-12 Impact factor: 2.279
Authors: Sarah Michiels; Sebastiaan Naessens; Paul Van de Heyning; Marc Braem; Corine M Visscher; Annick Gilles; Willem De Hertogh Journal: Front Neurosci Date: 2016-11-29 Impact factor: 4.677
Authors: Daniela Ivansic; Christian Dobel; Gerd F Volk; Daniel Reinhardt; Boris Müller; Ulrich C Smolenski; Orlando Guntinas-Lichius Journal: Front Aging Neurosci Date: 2017-06-16 Impact factor: 5.750