Trial #NCT00999648
Tinnitus Clinical Trials

Efficacy of Myofascial Trigger Point Pressure Release on Tinnitus Patients

Efficacy of Myofascial Trigger Point Pressure Release on Tinnitus Patients With Both Tinnitus and Myofascial Pain: a Double-blind Placebo Controlled Randomized Clinical Trial.
Study ID: CAPPesq 138306; Secondary ID: TRI Grant /0704; Source: University of Sao Paulo General Hospital
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Determine whether experimental treatments or new ways of using known therapies are safe and effective under controlled environments.
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Status Completed
Country Brazil
Study type Interventional
Enrollment 57
Start date March 2008
Completion date September 2009
Phase N/A
Sponsor University of Sao Paulo General Hospital
The objective of this study is to evaluate the efficacy of myofascial trigger (MTP) point
deactivation for tinnitus control in a population with tinnitus and myofascial pain.
A double blind placebo control randomized clinical trial was made to verify the efficacy of
the treatment by deactivation of MTP, after 10 sessions, in tinnitus patients by means of
comparison with a placebo treatment in a control group. Patients with tinnitus and frequent
regional pain for at least 3 months in the head, neck and shoulder girdle were investigated
in the Tinnitus Research Group of University of São Paulo Medical School. All of them
underwent an interview with the otolaryngologist ("physician researcher"), an audiologist
evaluation ("blind researcher"), another blind researcher evaluation for tinnitus and pain
and a physiotherapist evaluation and randomization. Both blind researchers evaluated
tinnitus and pain in the first, fifth and tenth session. The real treatment was made by a
gradual and persistent digital pressure in each MTP previously diagnosed by the blind
researcher (8 possible muscles) and some home orientations that included stretch,
superficial heat in each treated muscle and watch the correct postures during daily
activities and sleeping. In the control group physiotherapist researcher pressed in an
adjacent non-tender muscle fibers of the same muscle that have MTP. No other complementary
orientation was done.
Gender: Both
Age: N/A - N/A
Inclusion Criteria:
1. Adult subjects of any gender, age and race with presence of uni or bilateral tinnitus for at least 3 months;
2. Presence of pain complaint for at least 3 months in head, neck and shoulder girdle areas
3. Presence of at least one myofascial trigger point (MTP) related with the patient's pain complaint (active MTP).
Exclusion Criteria:
1. Pain complaint involving three or more quadrants of the body, regardless of its cause
2. Infiltration and/or specific treatment for deactivation of MTP in the last 6 months;
3. Use of medications or other techniques to treat tinnitus, pain or muscle disorders during the previous last month;
4. Impossibility of understanding the orientation and/or giving information during MTP evaluation (neurological or psychiatric diseases, bilateral severe or profound hearing loss, etc);
5. Absence of tinnitus perception during evaluation;
6. Pulsatile tinnitus or myoclonus (middle ear muscles or palatal myoclonus).
7. Tinnitus due to certain etiologies that require other specific types of treatment, determined according to the medical evaluation.
Primary outcome
  • Tinnitus Handicap Inventory, tinnitus visual analogue scale (0 to 10), changes of numbers of sounds and frequency
    Time frame: first, fifth and tenth session of treatment
Secondary outcome
  • Intensity and frequency of pain; number of active trigger point
    Time frame: first, fifth and tenth session of treatment
  • Carina B. Rocha, PT, MA; University of Sao Paulo General Hospital (Principal Investigator)
Location Country Status
Clinics Hospital of University of Sao Paulo Medical School - Department of Otorhinolaryngology São Paulo, Brazil
  • University of Sao Paulo General Hospital - (Lead Sponsor)
  • Tinnitus Research Initiative - Collaborator
  • Conselho Nacional de Desenvolvimento Científico e Tecnológico - Collaborator

Related trials: References:
  • Bezerra Rocha CA, Sanchez TG, Tesseroli de Siqueira JT. Myofascial trigger point:a possible way of modulating tinnitus. Audiol Neurootol. 2008;13(3):153-60. Epub 2007 Dec 13.
  • Rocha CA, Sanchez TG. Myofascial trigger points: another way of modulating tinnitus. Prog Brain Res. 2007;166:209-14. Review.
  • Controlled Clinical Trial
  • Tinnitus
  • Myofascial Trigger Points
  • Myofascial Pain Syndrome
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