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In a study performed in Japan, the tinnitus prevalence was Tinnitus can directly or indirectly impair the individual in their professional and leisure activities, interfere with their family and social relationships, and, in extreme cases, lead to suicide. Studies have demonstrated that tinnitus can reduce the elderly's quality of life and reduce their welfare sensation The studies are controversial with regard to their sex influence when tinnitus is present.
Although some show a discreet prevalence in the female gender, others suggest a higher prevalence in the male gender, but a statistical significance is rarely achieved. The possible reason for a higher prevalence in the male gender would be that men are more exposed to occupational noises. Conversely, women show a higher availability of time to search for a doctor, what would explain the findings of a higher prevalence in the female gender.
In this study, there was a higher prevalence of female patients 3. Such symptoms are derived from several degenerative processes, direct traumas or from cumulative microtraumas of the postural stress. The reduction in the muscular mass between 50 and 80 years of age is likely the result of the aging process of the neuromuscular system in association with the reduction of the level of physical activity 2.
Research developed by a tinnitus research group showed that this symptom also has a strong association with the presence of myofascial trigger points on the areas of head, neck and scapular waist 9.
Although the high prevalence of neck pain and tinnitus in our study, there was no association between these two disorders. The elderly in this show had a reduction in the movement width in all the degrees of movement, the highest of which was in the cervical curvature. However, there was no association between tinnitus and the reduction in the movement width. The width reduces with age in nearly all the studies and there is apparently no intrinsic influence that can reduce this progression.
The width reduction of the cervical movements is multifactorial. There was no association between the side impaired by tinnitus and the side of the width restriction of movements in the individuals of this study; however, there was a tendency to make a possible association because o the existence, in cases of muscle tension, of a connection between proprioceptive and nociceptive afferents of the cervical area and the cochlear nucleus 9. Based on the literature and the data found in this study, it is believe that in researches with a bigger population, an association between the side of movement width restriction and the tinnitus side can be evident.
There was no association between tinnitus and neck pain or between tinnitus and a reduction of cervical width in this population. There was no association between the tinnitus-impaired side and the side of movement-restricting width in tinnitus patients either.
The results of this preliminary study demonstrated the need for more researches and the advanced number of this sample to actually come to a conclusion of these associations. Braz J Otorhinolaryngol. Acta Fisiatr. Rev Bras Otorrinolaringol. The role of the cervical spine and the craniomandibular system in the pathogenesis of tinnitus. Somatosensory tinnitus.
Tinnitus in the elderly: Profile, correlates and impact in the Nigery study of ageing.
Otolaryngol Head Neck Surg. J Epidemiol.
Arq Int Otorrinolaringol. Management of Tinnitus and hiperacusis using a multidisciplinary pain model.
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