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1.
Braz. j. otorhinolaryngol. (Impr.) ; 78(6): 21-26, nov.-dez. 2012.
Artigo em Português | LILACS | ID: lil-660406

RESUMO

Dor crônica nas imediações do ouvido pode influenciar o zumbido. OBJETIVO: Investigar a eficácia da desativação de pontos-gatilho miofasciais na melhora do zumbido. MÉTODO: Ensaio clínico randomizado com 71 pacientes com zumbido e síndrome dolorosa miofascial. O Grupo Experimental (n = 37) foi submetido a 10 sessões de desativação dos pontos-gatilho miofasciais e o Grupo Controle (n = 34), a 10 sessões de desativação placebo. RESULTADOS: O tratamento do Grupo Experimental foi eficaz para o controle do zumbido (p < 0,001). Houve associação entre as melhoras de dor e zumbido (p = 0,013) e entre os lados da orelha com pior zumbido e do corpo com mais dor (p < 0,001). A presença de modulação (aumento ou diminuição) temporária do zumbido durante a palpação inicial dos pontos foi frequente em ambos os grupos, mas a diminuição temporária foi associada à melhora persistente do zumbido ao fim do tratamento (p = 0,002). CONCLUSÃO: Além da avaliação médica e audiológica, os pacientes com zumbido devem ser avaliados para: 1) presença de dor miofascial próxima à orelha; 2) lateralidade entre ambos os sintomas; 3) diminuição temporária do zumbido durante a palpação do músculo dolorido. O tratamento deste subgrupo de pacientes pode ter melhor prognóstico que os demais.


Chronic pain in areas surrounding the ear may influence tinnitus. OBJECTIVE: To investigate the efficacy of myofascial trigger point deactivation for the relief of tinnitus. METHOD: A double-blind randomized clinical trial enrolled 71 patients with tinnitus and myofascial pain syndrome. The experimental group (n = 37) underwent 10 sessions of myofascial trigger point deactivation and the control group (n = 34), 10 sessions with sham deactivation. RESULTS: Treatment of the experimental group was effective for tinnitus relief (p < 0.001). Pain and tinnitus relieves were associated (p = 0.013), so were the ear with worst tinnitus and the side of the body with more pain (p < 0.001). The presence of temporary tinnitus modulation (increase or decrease) upon initial muscle palpation was frequent in both groups, but its temporary decrease was related to the persistent relief at the end of treatment (p = 0.002). CONCLUSION: Besides medical and audiological investigation, patients with tinnitus should also be checked for: 1) presence of myofascial pain surrounding the ear; 2) laterality between both symptoms; 3) initial decrease of tinnitus during muscle palpation. Treating this specific subgroup of tinnitus patients with myofascial trigger point release may provide better results than others described so far.


Assuntos
Humanos , Manipulações Musculoesqueléticas/métodos , Síndromes da Dor Miofascial/terapia , Zumbido/terapia , Pontos-Gatilho/fisiopatologia , Método Duplo-Cego , Síndromes da Dor Miofascial/complicações , Síndromes da Dor Miofascial/fisiopatologia , Prognóstico , Resultado do Tratamento , Zumbido/complicações , Zumbido/fisiopatologia
2.
Braz J Otorhinolaryngol ; 78(6): 21-6, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23306563

RESUMO

UNLABELLED: Chronic pain in areas surrounding the ear may influence tinnitus. OBJECTIVE: To investigate the efficacy of myofascial trigger point deactivation for the relief of tinnitus. METHOD: A double-blind randomized clinical trial enrolled 71 patients with tinnitus and myofascial pain syndrome. The experimental group (n = 37) underwent 10 sessions of myofascial trigger point deactivation and the control group (n = 34), 10 sessions with sham deactivation. RESULTS: Treatment of the experimental group was effective for tinnitus relief (p < 0.001). Pain and tinnitus relieves were associated (p = 0.013), so were the ear with worst tinnitus and the side of the body with more pain (p < 0.001). The presence of temporary tinnitus modulation (increase or decrease) upon initial muscle palpation was frequent in both groups, but its temporary decrease was related to the persistent relief at the end of treatment (p = 0.002). CONCLUSION: Besides medical and audiological investigation, patients with tinnitus should also be checked for: 1) presence of myofascial pain surrounding the ear; 2) laterality between both symptoms; 3) initial decrease of tinnitus during muscle palpation. Treating this specific subgroup of tinnitus patients with myofascial trigger point release may provide better results than others described so far.


Assuntos
Manipulações Musculoesqueléticas/métodos , Síndromes da Dor Miofascial/terapia , Zumbido/terapia , Pontos-Gatilho/fisiopatologia , Método Duplo-Cego , Humanos , Síndromes da Dor Miofascial/complicações , Síndromes da Dor Miofascial/fisiopatologia , Prognóstico , Zumbido/complicações , Zumbido/fisiopatologia , Resultado do Tratamento
3.
Clinics (Sao Paulo) ; 66(6): 1089-94, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21808880

RESUMO

Tinnitus is the perception of sound in the absence of an acoustic external stimulus. It affects 10-17% of the world's population and it a complex symptom with multiple causes, which is influenced by pathways other than the auditory one. Recently, it has been observed that tinnitus may be provoked or modulated by stimulation arising from the somatosensorial system, as well as from the somatomotor and visual-motor systems. This specific subgroup -somatosensory tinnitus - is present in 65% of cases, even though it tends to be underdiagnosed. As a consequence, it is necessary to establish evaluation protocols and specific treatments focusing on both the auditory pathway and the musculoskeletal system.


Assuntos
Distúrbios Somatossensoriais/diagnóstico , Distúrbios Somatossensoriais/terapia , Zumbido/diagnóstico , Zumbido/terapia , Vias Auditivas/fisiopatologia , Gerenciamento Clínico , Humanos , Pontos-Gatilho/fisiopatologia
4.
Clinics ; 66(6): 1089-1094, 2011.
Artigo em Inglês | LILACS | ID: lil-594383

RESUMO

Tinnitus is the perception of sound in the absence of an acoustic external stimulus. It affects 10-17 percent of the world's population and it a complex symptom with multiple causes, which is influenced by pathways other than the auditory one. Recently, it has been observed that tinnitus may be provoked or modulated by stimulation arising from the somatosensorial system, as well as from the somatomotor and visual-motor systems. This specific subgroup -somatosensory tinnitus - is present in 65 percent of cases, even though it tends to be underdiagnosed. As a consequence, it is necessary to establish evaluation protocols and specific treatments focusing on both the auditory pathway and the musculoskeletal system.


Assuntos
Humanos , Distúrbios Somatossensoriais/diagnóstico , Distúrbios Somatossensoriais/terapia , Zumbido/diagnóstico , Zumbido/terapia , Vias Auditivas/fisiopatologia , Gerenciamento Clínico , Pontos-Gatilho/fisiopatologia
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