治脊疗法与TENS治疗躯体性耳鸣

目的:研究治脊疗法与经皮神经电刺激(TENS)治疗头颈肌紧张引起躯体性耳鸣的差异性。方法:耳鸣患者28例,随机分为2组各14例,治脊组采用治脊疗法,TENS组采用TENS治疗。测定2组治疗前后双侧咀嚼肌、胸锁乳突肌和上斜方肌静态下电位及耳鸣程度。结果:治疗2周后,2组耳鸣侧静态下电位值及耳鸣响度VAS均值均降低(P<0.01,0.05),治脊组较TENS组下降更显著(P<0.05),治脊组总有效率明显高于TENS组(P<0.01)。结论:治脊疗法和TENS对头颈肌紧张引起躯体性耳鸣具有治疗作用,且治脊疗法效果更佳。

Effects of chiropractic vs. transcutaneous electrical stimulation treating somatic tinnitus

Objective: To study the differences of chiropractic vs.transcutaneous electrical stimulation(TENS) treating somatic tinnitus caused by muscular tension in the head and neck.Methods: Twenty-eight cases of tinnitus were randomly divided into chiropractic group and TENS group with fourteen cases in each group.Bilateral static potential in masticatory muscles,sternocleidomastoid and superior trapezius by sEMG and tinnitus loudness were assessed before and after treatment.Results: After two weeks of treatment,static potential and VAS score of tinnitus loudness in both groups were decreased(P<0.01 or P<0.05),more significantly in chiropractic group than in TENS group(P<0.05).The effective rates of chiropractic group was obviously higher than TENS group(P<0.01).Conclusion: Somatic tinnitus caused by muscular tension in the head and neck can be improved by chiropractic or TENS treatment,and chiropractic is more satisfactory.