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[一种为耳鼻喉科医生设计的用于潜在体感耳鸣的临床筛查工具:用于手动识别相关功能障碍的SOMASENSO检查]

[A clinical screening tool for potential somatosensory tinnitus designed for otorhinolaryngologists : The SOMASENSO check for manual identification of relevant dysfunctions].

作者信息

Reißhauer Anett, Hoffmann Isabelle, Mazurek Birgit, Best Norman, Liebl Max E

机构信息

Arbeitsbereich Physikalische Medizin, Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

Arbeitsbereich Physikalische Medizin, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.

出版信息

HNO. 2025 Jun;73(6):395-400. doi: 10.1007/s00106-025-01603-6. Epub 2025 Mar 27.

Abstract

BACKGROUND

Somatosensory tinnitus is associated with functional disorders of the cervical spine and/or temporomandibular joint region. Manual medicine can be helpful here. However, the diagnostic criteria for somatosensory tinnitus can only partly be derived from the specific anamnesis; in some cases, clinical manual examination techniques are also necessary. The aim of this work was to design a pragmatic screening instrument for somatosensory tinnitus that can be carried out in the ENT practice with a seated patient.

MATERIALS AND METHODS

In a modified Delphi procedure, a group of manual medicine specialists and otorhinolaryngologists identified suitable manual medicine procedures and evaluated them for their feasibility in the ENT practice.

RESULTS

The SOMASENSO check is a pragmatic examination tool that makes it easier for otorhinolaryngologists to identify potential somatosensory tinnitus patients.

CONCLUSION

The technical difficulty and lack of test-retest reliability of many manual segmental function tests has led to a focus on the detection of movement disorders, pain, and tinnitus modulation.

摘要

背景

躯体感觉性耳鸣与颈椎和/或颞下颌关节区域的功能障碍有关。手法医学在此可能有所帮助。然而,躯体感觉性耳鸣的诊断标准只能部分从特定的病史中得出;在某些情况下,临床手法检查技术也是必要的。这项工作的目的是设计一种用于躯体感觉性耳鸣的实用筛查工具,该工具可在耳鼻喉科诊所对坐着的患者进行操作。

材料与方法

在改良的德尔菲法程序中,一组手法医学专家和耳鼻喉科医生确定了合适的手法医学程序,并评估了它们在耳鼻喉科诊所的可行性。

结果

SOMASENSO检查是一种实用的检查工具,可使耳鼻喉科医生更容易识别潜在的躯体感觉性耳鸣患者。

结论

许多手法节段性功能测试的技术难度和缺乏重测可靠性导致了对运动障碍、疼痛和耳鸣调制检测的关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5727/12102134/36bd2fe2e603/106_2025_1603_Fig1_HTML.jpg

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