Effects of Yoga Exercise on Participates With Tinnitus

Study Overview
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Brief Summary
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This study aimed to investigate the effectiveness of Yoga on the tinnitus handicap and sleep quality in humans. We selected adult participates with chronic tinnitus (>6 months). All participates performed Yoga exercise once per week at outpatient department under the guidance of a professional teacher, and performed once daily by themselves at home for 12 weeks. Questionnaires of Tinnitus Handicap Inventory and Pittsburgh Sleep Quality Index were measured before the start of this study, at the end of this study, and 1 month after the end of this study.

Detailed Description
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Tinnitus is the auditory phantom sensation in the absence of external sound stimulation. Tinnitus that persisted more than six months without improvement can be called chronic tinnitus. One report proposed the neurophysiological model of tinnitus. In addition, tinnitus patients suffered from insomnia, irritability, anxiety and/or depression. Current management of tinnitus is a drug-based treatment and/or nutritional supplementation. Music therapy, hearing aid therapy, and tinnitus retraining therapy (TRT), were also applied for patients with tinnitus. Even though, success rates of various tinnitus treatments were still unsatisfactory till now. This study aimed to investigate the effectiveness of Yoga on the tinnitus handicap and sleep quality in humans. We selected adult participates with chronic tinnitus (>6 months). All participates performed Yoga exercise once per week at outpatient department under the guidance of a professional teacher, and performed once daily by themselves at home for 12 weeks. Questionnaires of Tinnitus Handicap Inventory and Pittsburgh Sleep Quality Index were measured before the start of this study, at the end of this study, and 1 month after the end of this study.

Official Title
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Effects of Yoga Exercise on Tinnitus Handicap and Sleep Quality of the Participates With Tinnitus

Conditions
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Tinnitus

Intervention / Treatment
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* Behavioral: Yoga


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participates with tinnitus persisted more than 6 months from ear, nose, and throat out-patient department. No drug treatment for their tinnitus in recent 3 months. No respiratory diseases (eg, asthma). Normal cognitive function. Normal language comprehension. Exclusion Criteria: Pregnant females or menopausal females with hormone replacement therapy. Hypertension Glaucoma. Those who cannot express their opinions or follow orders. Cancer patients. Objective tinnitus.

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Cases<br>Yoga exercise for 12 weeks | Behavioral: Yoga<br>* Yoga stretch warm-up exercise for 15 minutes. Five kinds of yoga correction method for 30 minutes (abdominal breathing, throat breathing, wind box breathing, nasal alternating breathing, buzzing breathing). Great rest for 15 minutes<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Assessment of the degree of tinnitus | Chinese version of Tinnitus Handicap Inventory (THI). There were 25 questions and totally 100 points in THI. The answer for each questions is classified into three levels (will, sometimes, will not), and answering will gave 4 points, answering sometimes gave 2 points, and answering will not  gave 0 points. The higher the total scores, the more severe the tinnitus. | 1. One week before yoga intervention. 2. Through study completion, an average of 12 week. 3. One month after the end of the study. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of the degree of sleep quality. | Chinese version of Pittsburgh Sleep Quality Index (PSQI). There were 18 counted items and totally 21 points. The answer for each questions is classified into four levels (frequent, sometimes, rare, never), and answering frequent gave 3 points, answering sometimes gave 2 points, answering rare gave 1 point, and answering never gave 0 point. The higher the total scores, the more severe the sleep problem. | 1. One week before yoga intervention. 2. Through study completion, an average of 12 week. 3. One month after the end of the study. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Yoga, Tinnitus, Sleep