Background and Objective
Tinnitus not only lowers the quality of life but also causes social and economic burdens, and there is no standard treatment for it. Although there have been several reports of tinnitus treatment using Transcutaneous electrical nerve stimulation(TENS), Manual acupuncture...
Background and Objective
Tinnitus not only lowers the quality of life but also causes social and economic burdens, and there is no standard treatment for it. Although there have been several reports of tinnitus treatment using Transcutaneous electrical nerve stimulation(TENS), Manual acupuncture(MA), and Electroacupuncture(EA), but none of these trials have been compared them at the same time. Thus, we designed a randomized, parallel, open-label, clinical trial to investigate and compare the effects and safety of TENS, MA, and EA on tinnitus.
Materials and Methods
After screening, 45 participants were randomly assigned to three groups of 15; (1) TENS group; treated at four sites (tender points of masseter and sternocleidomastoid muscle, in front of tragus, and mastoid process) (2) MA group; treated at 11 acupoints (TE21, SI19, GB2, TE22, ST7, TE17, GB20 of tinnitus affected side, and GB20, TE05, KI3 of both sides), (3) EA group; after the acupuncture treatment same as MA group, electrical stimulation was added. A total of 10 treatments were performed twice a week for all patients. Outcome measurements were the total and each subscale score of Tinnitus handicap inventory(THI), Visual analogue scale(VAS); VASloudness and VASannoyance, pure tone average(PTA) and speech discrimination(SD). THI, PTA, SD assessment were at the baseline, visit 5, visit10(week 5), and follow-up visit(week 9). VASloudness and VASannoyance were checked at every visit. All adverse events were recorded in the case report form(CRF).
Results
Of the 45 participants, 37(82.22%) completed the course of this study. The response rates of THI were significantly different between the groups(p<0.05) at interim evaluation and follow-up evaluation. However, there were no significant differences between the groups in all other measures. And there was no significant improvement in subjective symptom indexes over time in the TENS group. Meanwhile, the total score of THI was significantly improved over time in the MA and EA group, and the VASloudness and VASannoyance were significantly decreased over time in the MA group.
Conclusion
The results of this study suggest that the preference for MA or EA over TENS is more beneficial in improving the subjective symptom index of tinnitus.
Background and Objective
Tinnitus not only lowers the quality of life but also causes social and economic burdens, and there is no standard treatment for it. Although there have been several reports of tinnitus treatment using Transcutaneous electrical nerve stimulation(TENS), Manual acupuncture(MA), and Electroacupuncture(EA), but none of these trials have been compared them at the same time. Thus, we designed a randomized, parallel, open-label, clinical trial to investigate and compare the effects and safety of TENS, MA, and EA on tinnitus.
Materials and Methods
After screening, 45 participants were randomly assigned to three groups of 15; (1) TENS group; treated at four sites (tender points of masseter and sternocleidomastoid muscle, in front of tragus, and mastoid process) (2) MA group; treated at 11 acupoints (TE21, SI19, GB2, TE22, ST7, TE17, GB20 of tinnitus affected side, and GB20, TE05, KI3 of both sides), (3) EA group; after the acupuncture treatment same as MA group, electrical stimulation was added. A total of 10 treatments were performed twice a week for all patients. Outcome measurements were the total and each subscale score of Tinnitus handicap inventory(THI), Visual analogue scale(VAS); VASloudness and VASannoyance, pure tone average(PTA) and speech discrimination(SD). THI, PTA, SD assessment were at the baseline, visit 5, visit10(week 5), and follow-up visit(week 9). VASloudness and VASannoyance were checked at every visit. All adverse events were recorded in the case report form(CRF).
Results
Of the 45 participants, 37(82.22%) completed the course of this study. The response rates of THI were significantly different between the groups(p<0.05) at interim evaluation and follow-up evaluation. However, there were no significant differences between the groups in all other measures. And there was no significant improvement in subjective symptom indexes over time in the TENS group. Meanwhile, the total score of THI was significantly improved over time in the MA and EA group, and the VASloudness and VASannoyance were significantly decreased over time in the MA group.
Conclusion
The results of this study suggest that the preference for MA or EA over TENS is more beneficial in improving the subjective symptom index of tinnitus.
주제어
#Tinntius, Transcutaneous electrical nerve stimulation, TENS, Acupuncture, Electroacupuncture, Korean Medicine
※ AI-Helper는 부적절한 답변을 할 수 있습니다.