SOMATINMultimodal Treatment for Somatosensory Tinnitus: Physiotherapy, Exercise, and Psychological Intervention

This study focuses on a specific type of tinnitus, known as somatosensory tinnitus, where the ringing in the ears is influenced by movements like jaw clenching, neck rotation, or trigger point pressure. The aim is to explore a multimodal treatment approach that combines physiotherapy, a structured exercise program, and psychological intervention. This research is important as it addresses a gap in clinical practice in the Czech Republic, despite evidence suggesting the effectiveness of such multimodal approaches for this condition. The study involves a single-centre randomized controlled trial with a longitudinal follow-up and a crossover substudy. Participants will engage in an 8-week program that includes physiotherapy sessions, a supervised and home-based exercise program, and psychological support. The physiotherapy involves manual therapy of the jaw and neck, while the exercise program combines aerobic, resistance, and relaxation training. The psychological support includes a group psychoeducation session, weekly self-help materials, and on-demand psychological support. The primary outcome measured is the change in tinnitus-related handicap using the Tinnitus Handicap Inventory (THI) score from baseline to 3, 12, and 24 months.