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Influence of clinical, physical, psychological and psychophysical variables on treatment outcomes in somatic tinnitus associated to temporomandibular pain: Evidence from a randomized clinical trial

Pain Practice May 22, 2020

Plaza‐Manzano G, Delgado‐de‐la‐Serna P, Díaz‐Arribas MJ, et al. - In the present study, the researchers sought to evaluate the impact of clinical, psychological, and psychophysical variables on treatment outcomes after application of exercise combined with education with/without manual therapy in people with tinnitus associated with temporomandibular disorders (TMD). A secondary analysis of a clinical trial examining the effectiveness of including cervico‐mandibular manual therapy into an exercise combined with education program in 61 patients with TMD‐related tinnitus has been conducted. Patients with baseline clinical (severity, handicap, quality of life), physical (range of motion), psychological (depression), and psychophysical (pressure pain thresholds, PPTs) variables were included as predictors. Higher baseline scores of related‐handicap anticipated better outcome of tinnitus handicap in the manual therapy with exercise/education group. The authors discovered that in people with TMD‐related tinnitus after physical therapy, baseline tinnitus severity and localized PPT over the temporalis muscle were predictive of clinical outcomes. Other predictors, such as sex, quality of life, were less influent.

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