Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review

Somatosensory tinnitus is a generally agreed subtype of tinnitus that is associated with activation of the somatosensory, somatomotor, and visual-motor systems. A key characteristic of somatosensory tinnitus is that is modulated by physical contact or movement. Although it seems common, its pathophy...

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Main Authors: Haider, Haula, Hoare, Derek J., Costa, Raquel FP, Potgieter, Iskra, Kikidis, Dimitris, Lapira, Alec, Nikitas, Christos, Caria, Helena, Cunha, Nuno T, Paco, Joao C
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Published: Frontiers Media 2017
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Online Access:https://eprints.nottingham.ac.uk/44355/
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author Haider, Haula
Hoare, Derek J.
Costa, Raquel FP
Potgieter, Iskra
Kikidis, Dimitris
Lapira, Alec
Nikitas, Christos
Caria, Helena
Cunha, Nuno T
Paco, Joao C
author_facet Haider, Haula
Hoare, Derek J.
Costa, Raquel FP
Potgieter, Iskra
Kikidis, Dimitris
Lapira, Alec
Nikitas, Christos
Caria, Helena
Cunha, Nuno T
Paco, Joao C
author_sort Haider, Haula
building Nottingham Research Data Repository
collection Online Access
description Somatosensory tinnitus is a generally agreed subtype of tinnitus that is associated with activation of the somatosensory, somatomotor, and visual-motor systems. A key characteristic of somatosensory tinnitus is that is modulated by physical contact or movement. Although it seems common, its pathophysiology, assessment and treatment are not well defined. We present a scoping review on the pathophysiology, diagnosis, and treatment of somatosensory tinnitus, and identify priority directions for further research. Methods: Literature searches were conducted in Google Scholar, PubMed, and EMBASE databases. Additional broad hand searches were conducted with the additional terms etiology, diagnose, treatment. Results: Most evidence on the pathophysiology of somatosensory tinnitus suggests that somatic modulations are the result of altered or cross-modal synaptic activity within the dorsal cochlear nucleus or between the auditory nervous system and other sensory subsystems of central nervous system (e.g., visual or tactile). Presentations of somatosensory tinnitus are varied and evidence for the various approaches to treatment promising but limited. Discussion and Conclusions: Despite the apparent prevalence of somatosensory tinnitus its underlying neural processes are still not well understood. Necessary involvement of multidisciplinary teams in its diagnosis and treatment has led to a large heterogeneity of approaches whereby tinnitus improvement is often only a secondary effect. Hence there are no evidence-based clinical guidelines, and patient care is empirical rather than research-evidence-based. Somatic testing should receive further attention considering the breath of evidence on the ability of patients to modulate their tinnitus through manouvers. Specific questions for further research and review are indicated.
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spelling nottingham-443552020-05-04T18:43:16Z https://eprints.nottingham.ac.uk/44355/ Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review Haider, Haula Hoare, Derek J. Costa, Raquel FP Potgieter, Iskra Kikidis, Dimitris Lapira, Alec Nikitas, Christos Caria, Helena Cunha, Nuno T Paco, Joao C Somatosensory tinnitus is a generally agreed subtype of tinnitus that is associated with activation of the somatosensory, somatomotor, and visual-motor systems. A key characteristic of somatosensory tinnitus is that is modulated by physical contact or movement. Although it seems common, its pathophysiology, assessment and treatment are not well defined. We present a scoping review on the pathophysiology, diagnosis, and treatment of somatosensory tinnitus, and identify priority directions for further research. Methods: Literature searches were conducted in Google Scholar, PubMed, and EMBASE databases. Additional broad hand searches were conducted with the additional terms etiology, diagnose, treatment. Results: Most evidence on the pathophysiology of somatosensory tinnitus suggests that somatic modulations are the result of altered or cross-modal synaptic activity within the dorsal cochlear nucleus or between the auditory nervous system and other sensory subsystems of central nervous system (e.g., visual or tactile). Presentations of somatosensory tinnitus are varied and evidence for the various approaches to treatment promising but limited. Discussion and Conclusions: Despite the apparent prevalence of somatosensory tinnitus its underlying neural processes are still not well understood. Necessary involvement of multidisciplinary teams in its diagnosis and treatment has led to a large heterogeneity of approaches whereby tinnitus improvement is often only a secondary effect. Hence there are no evidence-based clinical guidelines, and patient care is empirical rather than research-evidence-based. Somatic testing should receive further attention considering the breath of evidence on the ability of patients to modulate their tinnitus through manouvers. Specific questions for further research and review are indicated. Frontiers Media 2017-04-28 Article PeerReviewed Haider, Haula, Hoare, Derek J., Costa, Raquel FP, Potgieter, Iskra, Kikidis, Dimitris, Lapira, Alec, Nikitas, Christos, Caria, Helena, Cunha, Nuno T and Paco, Joao C (2017) Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review. Frontiers in Neuroscience . ISSN 1662-453X somatosensation somatosensory tinnitus physical therapy physiotherapy cross modal http://journal.frontiersin.org/article/10.3389/fnins.2017.00207/full doi:10.3389/fnins.2017.00207 doi:10.3389/fnins.2017.00207
spellingShingle somatosensation
somatosensory
tinnitus
physical therapy
physiotherapy
cross modal
Haider, Haula
Hoare, Derek J.
Costa, Raquel FP
Potgieter, Iskra
Kikidis, Dimitris
Lapira, Alec
Nikitas, Christos
Caria, Helena
Cunha, Nuno T
Paco, Joao C
Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title_full Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title_fullStr Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title_full_unstemmed Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title_short Pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
title_sort pathophysiology, diagnosis and treatment of somatosensory tinnitus: a scoping review
topic somatosensation
somatosensory
tinnitus
physical therapy
physiotherapy
cross modal
url https://eprints.nottingham.ac.uk/44355/
https://eprints.nottingham.ac.uk/44355/
https://eprints.nottingham.ac.uk/44355/