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Semin Hear 2008; 29(4): 350-360
DOI: 10.1055/s-0028-1095894
© Thieme Medical Publishers

Modulating Tinnitus with Visual, Muscular, and Tactile Stimulation

Tanit Ganz Sanchez1 , Márcia Akemi Kii1
  • 1Department of Otolaryngology, University of São Paulo Medical School, São Paulo, Brazil
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Publication History

Publication Date:
24 October 2008 (online)

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ABSTRACT

Tinnitus can be evoked or modulated by inputs from somatosensory, somatomotor, and visual-motor systems in some individuals. This means that the psychoacoustic attributes of tinnitus might be changed temporarily during forceful muscle contractions of the head, neck, and limbs; eye movements in horizontal or vertical axis; myofascial trigger points; cutaneous stimulation of the hand or fingertip region; electrical stimulation of the median nerve and hand region; finger movements; or orofacial movements or pressure applied to the temporomandibular joint. Although there are still many aspects to be understood about the modulation phenomenon, these findings suggest that patients who are able to modulate their tinnitus should be included into a specific subgroup with guidelines for clinical practice and for whom special therapeutic strategies could be developed.

KEYWORDS

Tinnitus - somatosensory system - gaze-evoked - dorsal cochlear nucleus - myofascial trigger points

REFERENCES

  • 1 Chen R, Cohen L G, Hallett M. Nervous system reorganization following injury.  Neuroscience. 2002;  111(4) 761-773
    CrossrefPubMedGoogle Scholar
  • 2 Cacace A T. Expanding the biological basis of tinnitus: crossmodal origins and the role of neuroplasticity.  Hear Res. 2003;  175(1–2) 112-132
    CrossrefPubMedGoogle Scholar
  • 3 Levine R A. Somatic modulation appears to be a fundamental attribute of tinnitus. In: Hazell JPW Proceedings of the Sixth International Tinnitus Seminar. London, UK; The Tinnitus and Hyperacusis Center 1999: 193-197
    Google Scholar
  • 4 Levine R A. Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis.  Am J Otolaryngol. 1999;  20 351-362
    CrossrefPubMedGoogle Scholar
  • 5 Levine R A. Somatic modulation of tinnitus: prevalence and properties.  J Assoc Res Otolaryngol. 2000;  23 272A
    PubMedGoogle Scholar
  • 6 Levine R A, Abel M. Somatic modulation of tinnitus. II: Prevalence and properties in non-clinical subjects. Midwinter Research Meeting of the Association for Research in Otolaryngology February 4–5, 2001 St. Petersburg, FL;
    Google Scholar
  • 7 Levine R A, Cheng H. Somatic modulation of tinnitus. III: Prevalence and properties in profoundly deaf subjects. A functional cochlea is not necessary for somatic modulation of tinnitus.  J Assoc Res Otolaryngol. 2002;  25 89A
    PubMedGoogle Scholar
  • 8 Sanchez T G, Guerra G CY, Lorenzi M C, Brandão A L, Bento R F. The influence of voluntary muscle contractions upon the onset and modulation of tinnitus.  Audiol Neurootol. 2002;  7 370-375
    PubMedGoogle Scholar
  • 9 Abel M D, Levine R A. Muscle contractions and auditory perception in tinnitus patients and nonclinical subjects.  Cranio. 2004;  22(3) 181-191
    PubMedGoogle Scholar
  • 10 Sanchez T G, Lima A S, Brandao A L, Lorenzi M C, Bento R F. Somatic modulation of tinnitus: test reliability and results after repetitive muscle contraction training.  Ann Otol Rhinol Laryngol. 2007;  116(1) 30-35
    PubMedGoogle Scholar
  • 11 Whittaker C K. Tinnitus and eye movement.  , [letter] Am J Otol. 1982;  4(2) 188
    PubMedGoogle Scholar
  • 12 Whittaker C K. Letter to the editor.  Am J Otol. 1982;  4 188
    PubMedGoogle Scholar
  • 13 House W A. Letter to the editor.  Am J Otol. 1982;  4 188
    PubMedGoogle Scholar
  • 14 Whittaker C K. Letter to the editor.  Am J Otol. 1983;  4 273
    CrossrefPubMedGoogle Scholar
  • 15 Wall M, Rosenberg M, Richardson D. Gaze-evoked tinnitus.  Neurology. 1987;  37 1034-1036
    PubMedGoogle Scholar
  • 16 Cacace A T, Lovely T J, Winter D F, Parnes S M, McFarland D J. Auditory perceptual and visual-spatial characteristics of gaze-evoked tinnitus.  Audiology. 1994;  33(5) 291-303
    CrossrefPubMedGoogle Scholar
  • 17 Giraud A L, Chéry-Croze S, Fischer G et al.. A selective imaging of tinnitus.  Neuroreport. 1999;  10(1) 1-5
    CrossrefPubMedGoogle Scholar
  • 18 Caraceni A, Scolari S, Gallino G, Simonetti F. Meningeal metastases from malignant melanoma presenting with gaze-evoked tinnitus.  Neurology. 1999;  53(9) 2207-2208
    PubMedGoogle Scholar
  • 19 Herraiz C, Machado A, Hernandez F J, Tapia M C. A case report: gaze-evoked tinnitus. In: Hazell J Proceedings of the Sixth International Tinnitus Seminar. London, UK; The Tinnitus and Hyperacusis Centre 1999: 241-242
    Google Scholar
  • 20 Lockwood A H, Wack D S, Burkard R F et al.. The functional anatomy of gaze-evoked tinnitus and sustained lateral gaze.  Neurology. 2001;  56 472-480
    CrossrefPubMedGoogle Scholar
  • 21 Biggs N D, Ramsden R T. Gaze-evoked tinnitus following acoustic neuroma resection: a de-afferentation plasticity phenomenon?.  Clin Otolaryngol Allied Sci. 2002;  27 338-343
    PubMedGoogle Scholar
  • 22 Baguley D M, Phillips J, Humphriss R L, Jones S, Axon P R, Moffat D A. The prevalence and onset of gaze modulation of tinnitus and increased sensitivity to noise after translabyrinthine vestibular schwannoma excision.  Otol Neurotol. 2006;  27(2) 220-224
    CrossrefPubMedGoogle Scholar
  • 23 Bezerra Rocha C A, Sanchez T G, Tesseroli de Siqueira J T. Myofascial trigger points: another way of modulating tinnitus?.  Audiol Neurootol. 2008;  13 153-160
    PubMedGoogle Scholar
  • 24 Cacace A T, Cousins J P, Parnes S M et al.. Cutaneous-evoked tinnitus phenomenology, psychophysics and functional imaging.  Audiol Neurootol. 1999;  4(5) 247-257
    PubMedGoogle Scholar
  • 25 Kaada B, Hognestad S, Havstad J. Transcutaneous nerve stimulation (TNS) in tinnitus.  Scand Audiol. 1989;  18(4) 211-217
    PubMedGoogle Scholar
  • 26 Moller A R, Moller M B, Yokota M. Some forms of tinnitus may involve the extralemniscal auditory pathway.  Laryngoscope. 1992;  102(10) 1165-1171
    CrossrefPubMedGoogle Scholar
  • 27 Rahko T, Kotti V. Tinnitus treatment by transcutaneous nerve stimulation (TNS).  Acta Otolaryngol Suppl. 1997;  529 88-89
    PubMedGoogle Scholar
  • 28 Moller A R, Rollins P R. The non-classical auditory pathways are involved in hearing in children but not in adults.  Neurosci Lett. 2002;  319(1) 41-44
    CrossrefPubMedGoogle Scholar
  • 29 Cullington H. Tinnitus evoked by finger movement: brain plasticity after peripheral deafferentation.  Neurology. 2001;  56(7) 978
    PubMedGoogle Scholar
  • 30 Rubinstein B. Tinnitus and craniomandibular disorders—is there a link?.  Swed Dent J Suppl. 1993;  95 1-46
    PubMedGoogle Scholar
  • 31 Lockwood A H, Salvi R J, Coad M L, Towsley M L, Wack D S, Murphy B W. The functional neuroanatomy of tinnitus: evidence for limbic system links and neural plasticity.  Neurol (Tokyo). 1998;  50(1) 114-120
    CrossrefPubMedGoogle Scholar
  • 32 Coad M L, Lockwood A, Salvi R, Burkard R. Characteristics of patients with gaze-evoked tinnitus.  Otol Neurotol. 2001;  22(5) 650-654
    CrossrefPubMedGoogle Scholar
  • 33 Sanchez T G, Pio M R, Bento R F, Levine R A. Gaze-evoked tinnitus can resolve with a gaze-exercise program.  Am J Audiol. , In press
    PubMedGoogle Scholar
  • 34 Cacace A T, Cousins J C, Moonen C TW, van Gelderen P, Winter D, Parnes S M. In-vivo localization of phantom auditory perceptions during functional magnetic resonance imaging of the human brain. In: Reich GE, JE Vernon Proceedings of the Fifth International Tinnitus Seminar 1995. Portland, Ore; American Tinnitus Association 1996: 397-401
    Google Scholar
  • 35 Cacace A T, Parnes S M, Lovely T J, Winter D F, McFarland D J. Gaze-evoked tinnitus following unilateral peripheral auditory deafferentation: a case for anomalous cross-modal plasticity. In: Salvi R, Henderson D, Fiorino F, Colletti V Auditory System Plasticity and Regeneration. New York, NY; Thieme Medical Publishers 1996: 354-358
    Google Scholar
  • 36 Herráiz C, Hernández-Calvín F J, Plaza G, Toledano A, De los Santos G. Interacción multisensorial en el acúfeno: evocación por movimientos oculares y estimulación somatosensorial.  Acta Otorrinolaringol Esp. 2003;  54 329-336
    PubMedGoogle Scholar
  • 37 Cowand J L, Wrisley D M, Walker M, Strasnick B, Jacobson J T. Efficacy of vestibular rehabilitation.  Otolaryngol Head Neck Surg. 1998;  118 49-54
    CrossrefPubMedGoogle Scholar
  • 38 Bittar R SM, Pedalini M EB, Formigoni L G. Reabilitação vestibular: uma arma poderosa no auxílio a pacientes portadores de tontura.  Rev Bras Otorrinolaringol (Engl Ed). 1999;  65 266-269
    PubMedGoogle Scholar
  • 39 El-Kashlan H K, Telian A S. Diagnosis and initiating treatment for peripheral system disorders: imbalance and dizziness with normal hearing.  Otolaryngol Clin North Am. 2000;  33(3) 563-578
    CrossrefPubMedGoogle Scholar
  • 40 Johansson M, Akerlund D, Larsen H C, Andersson G. Randomized controlled trial of vestibular rehabilitation combined with cognitive-behavioral therapy for dizziness in older people.  Otolaryngol Head Neck Surg. 2001;  125 151-156
    CrossrefPubMedGoogle Scholar
  • 41 Bittar R SM, Pedalini M EB, Medeiros I RT, Bottino M A, Bento R F. Reabilitação vestibular na criança: estudo preliminar.  Rev Bras Otorrinolaringol (Engl Ed). 2002;  68(4) 496-499
    PubMedGoogle Scholar
  • 42 Sanchez T G, Marcondes R A, Kii M A et al.. A different case of tinnitus modulation by tactile stimuli in a patient with pulsatile tinnitus. Presented at the II Meeting of Tinnitus Research Initiative 2007 Monaco;
    Google Scholar
  • 43 Moller A R. Pathophysiology of tinnitus.  Ann Otol Rhinol Laryngol. 1984;  93 39-44
    PubMedGoogle Scholar
  • 44 Moller A R, Moller M B, Jannetta P J, Jho H D. Compound action potentials recorded from the exposed eighth nerve in patients with intractable tinnitus.  Laryngoscope. 1992;  102 187-197
    PubMedGoogle Scholar
  • 45 Hotta T, Kameda K. Interactions between somatic and visual or auditory responses in the thalamus of the cat.  Exp Neurol. 1963;  8 1-13
    CrossrefPubMedGoogle Scholar
  • 46 Thompson R F, Smith H E, Bliss D. Auditory, somatic, sensory, and visual response interactions and interrelations in association and primary cortical fields of the cat.  J Neurophysiol. 1963;  26 365-378
    PubMedGoogle Scholar
  • 47 Wright D D, Ryugo D K. Mossy fiber projections from the cuneate nucleus to the cochlear nucleus in the rat.  J Comp Neurol. 1996;  365 159-172
    CrossrefPubMedGoogle Scholar
  • 48 Young E D. Identification of response properties of ascending axons from dorsal cochlear nucleus.  Brain Res. 1980;  200 23-37
    CrossrefPubMedGoogle Scholar
  • 49 Young E D, Nelken I, Conley R A. Somatosensory effects on neurons in dorsal cochlear nucleus.  J Neurophysiol. 1995;  73 743-765
    PubMedGoogle Scholar
  • 50 Jastreboff P J. Phantom auditory perception (tinnitus): mechanisms of generation and perception.  Neurosci Res. 1990;  8 221-254
    CrossrefPubMedGoogle Scholar
  • 51 Travell J, Simons D G. Myofascial Pain and Dysfunction: The Trigger Point Manual, Upper Half of Body. Vol. 1. 2nd ed. Baltimore, Md; Williams & Wilkins 1999
    Google Scholar
  • 52 Aronoff G M. Myofascial pain syndrome and fibromyalgia: a critical assessment and alternate view.  Clin J Pain. 1998;  14 74-78
    CrossrefPubMedGoogle Scholar
  • 53 Davidoff R A. Trigger points and myofascial pain: towards understanding how they affect headaches.  Cephalalgia. 1998;  18 436-448
    CrossrefPubMedGoogle Scholar
  • 54 Hong C Z. Consideration and recommendation of myofascial trigger point injection.  J Musculoskeletal Pain. 1994;  2 29-59
    CrossrefPubMedGoogle Scholar
  • 55 Eriksson M, Gustafsson S, Axelsson A. Tinnitus and trigger points: a randomized cross-over study. In: Reich GE, Vernon JA Proceedings of the Fifth International Tinnitus Seminar. Portland, Ore; American Tinnitus Association 1995: 81-83
    Google Scholar
  • 56 Travell J, Simons D G. Myofascial Pain and Dysfunction: The Trigger Point Manual, the Upper Extremities. Baltimore, Md; Williams & Wilkins 1983
    Google Scholar
  • 57 Wang F, Audette J. Electrophysiological characteristics of the local twitch response in subjects with active myofascial pain of the neck compared with a control group with latent trigger points.  Am J Phys Med Rehabil. 2000;  79 203
    PubMedGoogle Scholar
  • 58 Perl E R. Sensitization of nociceptors and its relation to sensation. In: Bonica JJ, Albe-Fessard D Advances in Pain Research and Therapy. New York, NY; Raven Press 1976: 17-28
    Google Scholar
  • 59 Sola A E, Bonica J J. Myofascial pain syndromes. In: Bonica JJ The Management of Pain. Vol. 1. 2nd ed. Philadelphia, Pa; Lea and Febiger 1990: 352-357
    Google Scholar
  • 60 Hubbard D R, Berkoff G M. Myofascial trigger points show spontaneous needle EMG activity.  Spine. 1993;  18 1803-1807
    CrossrefPubMedGoogle Scholar
  • 61 Adams D A, Wilmot T J. Ménière's disease: long-term results of sympathectomy.  J Laryngol Otol. 1982;  96 705-710
    PubMedGoogle Scholar
  • 62 Moller A R. Similarities between chronic pain and tinnitus.  Am J Otol. 1997;  18 577-585
    PubMedGoogle Scholar
  • 63 Rocha C A, Sanchez T G. Myofascial trigger points: another way of modulating tinnitus.  Prog Brain Res. 2007;  166 209-214
    PubMedGoogle Scholar

Tanit Ganz SanchezM.D. Ph.D. 

associate professor of Otolaryngology Department of the University of São Paulo Medical School and head of the Tinnitus Research Group of Clinics Hospital of University of São Paulo Medical School, Av. Padre Pereira de Andrade

545/174-F, São Paulo, Brazil, 05469-000

Email: tanitsanchez@gmail.com