Effects of Osteopathic Treatment in Patients With Somatosensory Tinnitus

Inclusion criteria: * Patients with unilateral or bilateral tinnitus for at least 6 months; * Both sexes; * Age over 18 years; * Present modulation, that is, perceive changes in the psychoacoustic characteristics of the tinnitus (intensity, frequency and/or location) in response to active and/or resisted maneuvers in one or more regions: cervical spine, upper limbs, TMJ and eyes; * Tinnitus modulation by activation of muscle trigger points in the regions: skull, cervical spine and upper limbs; * Patients who did not present modulation, but were classified as having somatosensory tinnitus due to the following symptomatology: recurrent headaches, pain in the cervical or scapular region; temporal coincidence of the onset of tinnitus with musculoskeletal pain; dental manipulation and trauma in the head and neck region; tinnitus due to inadequate postures and/or bruxism for long periods; dysfunction and/or alterations of the cervical spine associated with tinnitus; Patients with and without hearing loss were included. Exclusion Criteria: * Patients who had undergone physiotherapy and/or manual therapy for pain and tinnitus treatment up to 3 months prior to the initial assessment; * Severe depression requiring medication; * Clinical diagnosis of fibromyalgia; * Neurological diseases; * Contraindications for physiotherapy treatment, such as fractures, tumors; * Acute rheumatological diseases.