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手法治疗对与颈源性和颞下颌关节功能障碍相关的躯体性耳鸣患者的影响:随机对照试验的系统评价和荟萃分析

Effects of Manual Therapy in Somatic Tinnitus Patients Associated with Cervicogenic and Temporomandibular Dysfunction Domain: Systematic Review and Meta Analysis of Randomised Controlled Trials.

作者信息

Sharma Palak, Singh Gurchand, Kothiyal Saumya, Goyal Manu

机构信息

Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Maharishi Markandeshwar (Deemed To Be University), Mullana, Haryana 133207 India.

Department of E.N.T, Maharishi Markandeshwar Institute of Medical Sciences and Research, Maharishi Markandeshwar (Deemed To Be University), Mullana, Haryana 133207 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2022 Jun;74(2):247-253. doi: 10.1007/s12070-021-02426-x. Epub 2021 Feb 8.

DOI:10.1007/s12070-021-02426-x
PMID:35813786
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9256884/
Abstract

Despite manual therapy has been used as an effective treatment but there is limited of literature emphasizing its role to improve quality of life and pain pressure threshold in patients with somatic tinnitus. In this Meta analysis we compared the effects of manual therapy on quality of life and pain pressure threshold in the patients with somatic tinnitus associated with cervicogenic and temporomandibular dysfunction domain. We systematically searched different databases such as Pubmed, Google Scholar and Scopus to find out the relevant studies compairing the effects of manual therapy with quality of life and pain pressure threshold. Two independent reviewers performed quality check and data extraction. We analyzed the data using RevMan ver. 5.4 software. Total three randomised controlled trials were included in this study. Manual Therapy proven to be effective in improving quality of life as well pain pressure threshold in somatic tinnitus patients. {ORs 0.80; 95% Confidence Interval (95%CI),  = 0.97}. Further clinical trials are needed to explore manual therapy as an effective intervention.

摘要

尽管手法治疗已被用作一种有效的治疗方法,但强调其对改善躯体性耳鸣患者生活质量和疼痛压力阈值作用的文献有限。在这项荟萃分析中,我们比较了手法治疗对与颈源性和颞下颌功能障碍相关的躯体性耳鸣患者生活质量和疼痛压力阈值的影响。我们系统地检索了不同的数据库,如PubMed、谷歌学术和Scopus,以找出比较手法治疗与生活质量和疼痛压力阈值影响的相关研究。两名独立的评审员进行了质量检查和数据提取。我们使用RevMan 5.4版软件分析数据。本研究共纳入三项随机对照试验。手法治疗被证明对改善躯体性耳鸣患者的生活质量以及疼痛压力阈值有效。{比值比0.80;95%置信区间(95%CI),=0.97}。需要进一步的临床试验来探索手法治疗作为一种有效干预措施的效果。

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Complement Ther Clin Pract. 2020 May;39:101100. doi: 10.1016/j.ctcp.2020.101100. Epub 2020 Jan 21.
2
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Pain Med. 2020 Mar 1;21(3):613-624. doi: 10.1093/pm/pnz278.
3
Cervical Trigger Point Acupuncture for Treatment of Somatic Tinnitus.颈部触发点针刺疗法治疗躯体性耳鸣
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Conservative therapy for the treatment of patients with somatic tinnitus attributed to temporomandibular dysfunction: study protocol of a randomised controlled trial.颞下颌关节紊乱所致躯体性耳鸣患者的保守治疗:一项随机对照试验的研究方案
Trials. 2018 Oct 12;19(1):554. doi: 10.1186/s13063-018-2903-1.
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Is Electroacupuncture Treatment More Effective in Somatic Tinnitus Than in Nonsomatic Tinnitus?电针治疗躯体性耳鸣比非躯体性耳鸣更有效吗?
Med Acupunct. 2017 Jun 1;29(3):138-144. doi: 10.1089/acu.2017.1223.
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Does multi-modal cervical physical therapy improve tinnitus in patients with cervicogenic somatic tinnitus?多模式颈椎物理治疗能否改善颈源性躯体性耳鸣患者的耳鸣症状?
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