Τρίτη 29 Οκτωβρίου 2019

The effect of transcutaneous electrical nerve stimulation (TENS) on chronic subjective tinnitus
Author links open overlay panelBelginTutara1SevgiAtarb2GülerBerkitena3OnurÜstüna4Tolgar LütfiKumrala1YavuzUyara1
a
Department of Otorhinolaryngology-Head and Neck Surgery, Okmeydani Training and Research Hospital, Darulaceze Cad. No: 25 Okmeydani - Sisli, Istanbul, Turkey
b
Department of Physical Therapy and Rehabilition, Okmeydani Training and Research Hospital, Darulaceze Cad. No: 25 Okmeydani - Sisli, Istanbul, Turkey
Received 15 September 2019, Available online 29 October 2019.

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https://doi.org/10.1016/j.amjoto.2019.102326Get rights and content
Highlights

Chronic Subjective Tinnitus is a very highly prevalent disorder worldwide.


There is no final treatment in tinnitus.


TENS has a therapeutic effect in subjective chronic tinnitus as well as placebo effect.


Abstract
Objectives
Chronic Subjective Tinnitus is a very highly prevalent disorder worldwide. There is no definitive treatment. The aim of this study is to investigate the efficacy of transcutaneous electrical nerve stimulation (TENS) applied to the auricula for treating tinnitus using the Depression Anxiety Stress Scales (DASS) and Tinnitus Handicap Inventory (THI).

Methods
The 60 patients were randomly divided into 3 groups of 20 patients. The first group (A) had one ear stimulated with TENS, and the second group (B) had both ears stimulated. Group C (placebo group) received no electrical or sound stimulation. All group patients received total of 10 sessions with a maximum of 4 days between the sessions.

Results
The THI and DASS scores decreased significantly after the treatment (p < 0.05). A significant difference was also observed between the groups after treatment (p < 0.05). While there was no difference between group A and B, it was shown that group C's post-treatment score was significantly higher than those of both groups (p < 0.05.)

Conclusion
It is important to note that TENS has a therapeutic effect on subjective chronic tinnitus as well as a placebo effect.


  1. Fig. 2. Electrodes were placed at the cymba conchae







Keywords
TinnitusTENSPlacebo effectAuricula
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© 2019 Elsevier Inc. All rights reserved.

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