Soylemez Emre, Apaydin Aydin Sinan, Aydoğan Zehra, Şen Neslihan Hazal, Yasar Murat, Argadal Ömer Gökay
Department of Audiometry, Karabuk University, Karabuk, Turkiye.
Department of Neurosurgery, Karabuk University, Karabuk, Turkiye.
Brain Behav. 2025 Mar;15(3):e70429. doi: 10.1002/brb3.70429.
This study aimed to investigate the effectiveness of transcutaneous electrical nerve stimulation (TENS) treatment in patients with chronic somatic tinnitus (CST) originating from the neck and idiopathic chronic subjective tinnitus (ICST).
The study was conducted on 21 CST and 25 ICST individuals. These individuals were divided into two groups. Active TENS therapy was applied to one group, and a placebo was applied to the other group. Tinnitus Handicap Inventory (THI), Visual Analog Scale (VAS), Beck Anxiety Inventory (BAI), and Short Form-36 (SF-36) were applied to the individuals before and after the therapy.
In the CST group that received active treatment, significant improvements were noted in THI, VAS-tinnitus, VAS-neck pain, and SF-36 (energy and pain) after treatment (p < 0.05). In the ICST group that received active treatment, significant improvements were observed in tinnitus loudness, THI, tinnitus loudness, BAI, VAS-Tinnitus, and SF-36 (physical function, mental health, and physical role limitations) after treatment (p < 0.05).
Although cervical TENS therapy is considered to be a more effective treatment method for neck-related CST patients, our placebo-controlled comparative study demonstrates that cervical TENS can be effectively used to alleviate tinnitus and improve the quality of life in both CST and ICST patients.
本研究旨在探讨经皮电刺激神经疗法(TENS)对源于颈部的慢性躯体性耳鸣(CST)患者及特发性慢性主观性耳鸣(ICST)患者的治疗效果。
对21例CST患者和25例ICST患者进行了研究。这些患者被分为两组。一组接受主动TENS治疗,另一组接受安慰剂治疗。在治疗前后对患者应用耳鸣障碍量表(THI)、视觉模拟量表(VAS)、贝克焦虑量表(BAI)和简明健康状况调查量表(SF - 36)。
在接受主动治疗的CST组中,治疗后THI、VAS耳鸣评分、VAS颈部疼痛评分和SF - 36(精力和疼痛)有显著改善(p < 0.05)。在接受主动治疗的ICST组中,治疗后耳鸣响度、THI、耳鸣响度、BAI、VAS耳鸣评分和SF - 36(身体功能、心理健康和身体角色限制)有显著改善(p < 0.05)。
虽然颈部TENS疗法被认为是治疗与颈部相关的CST患者更有效的方法,但我们的安慰剂对照比较研究表明,颈部TENS可有效用于减轻CST和ICST患者的耳鸣并改善其生活质量。