Evidence map›Paper›PMID 31364603›Full record

ArticleInteractive journal of medical research2019

The Presence of Physical Symptoms in Patients With Tinnitus: International Web-Based Survey.

Sarah Michiels, Stephen Harrison, Markku Vesala, Winfried Schlee

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Interactive journal of medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04696588 (Physiotherapy Methods in Tinnitus Treatment), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04696588 nacompletednot on this map

Physiotherapy Methods in Tinnitus Treatment

TypeinterventionalSponsorMedical University of LodzRan2019 to 2020Enrolled118ConditionsSubjective TinnitusArmsComplex set of kinesiotherapy of cervical spine and delicate massage
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Frequency of Oral Behaviors as a Risk Factor for Somatosensory Tinnitus.International archives of otorhinolaryngology · 2025
    Article
  3. Article
  4. Article
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  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Sarah MichielsDepartment of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium.ORCID http://orcid.org/0000-0002-3999-8096
Stephen HarrisonTinnitus Hub Ltd, Hemsworth, United Kingdom.ORCID http://orcid.org/0000-0001-5951-3300
Markku VesalaTinnitus Hub Ltd, Hemsworth, United Kingdom.ORCID http://orcid.org/0000-0003-1866-5556
Winfried SchleeDepartment of Psychiatry and Psychotherapy, University of Regensburg, Bezirksklinikum Regensburg, Regensburg, Germany.ORCID http://orcid.org/0000-0001-7942-1788
University Hospital Regensburg · DEUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTinnitus, or ringing in the ears, is a phantom perception of sound in the absence of overt acoustic stimulation. Many patients indicate that the perception of their tinnitus is not constant and can vary from moment to moment. This tinnitus fluctuation is one of the diagnostic criteria for somatosensory tinnitus (ST), a tinnitus subtype that is influenced by cervical spine or temporomandibular dysfunctions, although various factors have been reported to cause fluctuations in tinnitus, such as stress, anxiety, and physical activity.

objectiveThe aim of this study was twofold: (1) to investigate the presence of physical symptoms in a large group of participants with tinnitus and (2) to investigate if these physical symptoms are more frequently present in a subgroup of participants with ST.

methodsA Web-based survey, questioning the presence of physical symptoms in a convenience sample of participants with tinnitus, was launched on the online forum, Tinnitus Talk, managed by Tinnitus Hub. After a general analysis of the physical symptoms present in our survey population, we further analyzed the group of participants who were diagnosed by a physician (n=1262). This subgroup was divided into 2 groups, one group diagnosed with ST and another group diagnosed with other types of tinnitus.

resultsIn total, 6115 participants with a mean age of 54.08 years (SD 13.8) completed the survey. Physical symptoms were frequently present in our sample of participants with tinnitus: 4221 participants (69.02%) reported some form of neck pain, 429 (7.01%) were diagnosed with temporomandibular disorders, 2730 (44.64%) indicated they have bruxism, and between 858 and 1419 (14.03%-23.20%) participants were able to modulate their tinnitus by voluntary movements. ST was diagnosed in 154 out of 1262 (12.20%) participants whose tinnitus cause was diagnosed by a physician. Symptoms referring to the known diagnostic criteria were evidently more present in the ST group than in the non-ST group. Additionally, participants with ST more often indicated a negative effect of a bad night's sleep (P=.01) and light intensity exercise (P=.01).

conclusionsPhysical activity and movement (disorders) frequently affect tinnitus severity. Head-neck related symptoms are more frequently reported in the ST group, as is the ability to modulate the tinnitus by head or jaw movements. Additionally, participants with ST more often report fluctuations of their tinnitus and reaction to sleeping difficulties and low intensity exercise.

Indexed as

self reportsurveystinnitus

Identifiers

PMID31364603
PMCPMC6691675
OpenAlexW2951575429

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.