COMPARISON OF MANUAL THERAPY, TINNITUS RETRAINING THERAPY

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-60
SponsorSuleyman Demirel University

About this trial

This randomized controlled trial aims to compare the effectiveness of Manual Therapy (MT), Tinnitus Retraining Therapy (TRT), and their combination in adults with somatosensory tinnitus. Sixty-five participants will be randomly assigned to one of three parallel groups. Primary and secondary outcomes include tinnitus severity, tinnitus-related disability, neck disability, cervical range of motion, audiological measures, pressure pain threshold, anxiety, depression, and quality of life. Outcomes will be assessed before treatment and immediately after the six-week intervention period.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Adults aged 18 to 65 years.

Diagnosis of chronic subjective somatosensory tinnitus persisting for at least 3 months.

Tinnitus that can be modulated by head, neck, jaw, or temporomandibular movements and/or cervical muscle palpation.

Ability to understand the study procedures and provide written informed consent.

Disqualifiers

Tinnitus duration of less than 3 months.

Diagnosis of Ménière's disease, otosclerosis, vestibular schwannoma (acoustic neuroma), or other retrocochlear pathology.

Active middle ear disease or abnormal immittance (tympanometry) findings.

History of cervical spine surgery or severe cervical trauma.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Manuel therapy

    Behavioral

    This study is a prospective, single-center, assessor-blinded, three-arm, parallel-group randomized controlled trial designed to compare the effectiveness of Tinnitus Retraining Therapy (TRT), Manual Therapy (MT), and the combination of TRT plus MT in adults with somatosensory tinnitus. Participants will be randomly assigned in a 1:1:1 ratio using a computer-generated block randomization sequence. Allocation concealment will be ensured using the sequence.

Treatment groups

65 Participants
are divided into 3 treatment groups
Group A: Manual Therapy,Experimental treatment 1 intervention
Group B: Tinnitus Retraining TherapyActive comparator 1 intervention
Group C: Combined Manual Therapy and Tinnitus Retraining TherapyActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

The TPFQ is a validated patient-reported questionnaire

The TPFQ is a validated patient-reported questionnaire used to assess tinnitus severity and its functional impact. Higher scores indicate greater tinnitus-related impairm

Time frame
Baseline and Week 6 (end of treatment)
2

The THI is a validated questionnaire

The THI is a validated questionnaire assessing the degree of tinnitus-related handicap. Higher scores indicate greater tinnitus-re

Time frame
Baseline and Week 6

Secondary outcomes

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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