scholarly journals Physical symptoms in tinnitus: an international web-based study (Preprint)

2019 ◽  
Author(s):  
Sarah Michiels ◽  
Stephen Harrison ◽  
Markku Vesala ◽  
Winfried Schlee

BACKGROUND Tinnitus, or ringing in the ears, is a phantom perception of sound in the absence of overt acoustic stimulation. Many patients indicate that the perception of their tinnitus is not constant and can vary from moment to moment. This tinnitus fluctuation is one of the diagnostic criteria for somatosensory tinnitus (ST), a tinnitus subtype that is influenced by cervical spine or temporomandibular dysfunctions. Although various factors have been reported to cause fluctuations in tinnitus, such as: stress, anxiety and physical activity. OBJECTIVE The aim of this study was twofold: first to investigate the presence of physical symptoms in a large group of participants with tinnitus and second to investigate if these physical symptoms are more frequently present in a subgroup of participants with ST. METHODS An online survey, questioning the presence of physical symptoms in participants with tinnitus was launched on the online forum Tinnitus Talk, managed by Tinnitus Hub. After a general analysis of the physical symptoms, present in our survey population, we further analysed the group op participants who were diagnosed by a physician (n = 1262). This subgroup was divided into two groups, one group diagnosed with ST and another group diagnosed with other types of tinnitus. RESULTS In total, 6115 participants with a mean age of 54,08 years (SD: 13,8) completed the survey. Physical symptoms were frequently present in our sample of participants with tinnitus: 69% reported some form of neck pain, 7% was diagnosed with temporomandibular disorders, 44,6% indicated they have bruxism and 14 to 23,1% was able to modulate their tinnitus by voluntary movements. ST was diagnosed in 17,7%. Symptoms referring to the known diagnostic criteria were evidently more present in the ST-group than in the non-ST-group. Additionally, participants with ST more often indicated a negative effect of a bad night’s sleep and light intensity exercise. CONCLUSIONS Physical activity and movement (disorders) frequently affect the tinnitus severity. Head-neck related symptoms are more frequently reported in the ST-group, as is the ability to modulate the tinnitus by head or jaw movements. Additionally, participants with ST more often report fluctuations of their tinnitus and reaction to sleeping difficulties and low intensity exercise.

10.2196/14519 ◽  
2019 ◽  
Vol 8 (3) ◽  
pp. e14519 ◽  
Author(s):  
Sarah Michiels ◽  
Stephen Harrison ◽  
Markku Vesala ◽  
Winfried Schlee

Background Tinnitus, or ringing in the ears, is a phantom perception of sound in the absence of overt acoustic stimulation. Many patients indicate that the perception of their tinnitus is not constant and can vary from moment to moment. This tinnitus fluctuation is one of the diagnostic criteria for somatosensory tinnitus (ST), a tinnitus subtype that is influenced by cervical spine or temporomandibular dysfunctions, although various factors have been reported to cause fluctuations in tinnitus, such as stress, anxiety, and physical activity. Objective The aim of this study was twofold: (1) to investigate the presence of physical symptoms in a large group of participants with tinnitus and (2) to investigate if these physical symptoms are more frequently present in a subgroup of participants with ST. Methods A Web-based survey, questioning the presence of physical symptoms in a convenience sample of participants with tinnitus, was launched on the online forum, Tinnitus Talk, managed by Tinnitus Hub. After a general analysis of the physical symptoms present in our survey population, we further analyzed the group of participants who were diagnosed by a physician (n=1262). This subgroup was divided into 2 groups, one group diagnosed with ST and another group diagnosed with other types of tinnitus. Results In total, 6115 participants with a mean age of 54.08 years (SD 13.8) completed the survey. Physical symptoms were frequently present in our sample of participants with tinnitus: 4221 participants (69.02%) reported some form of neck pain, 429 (7.01%) were diagnosed with temporomandibular disorders, 2730 (44.64%) indicated they have bruxism, and between 858 and 1419 (14.03%-23.20%) participants were able to modulate their tinnitus by voluntary movements. ST was diagnosed in 154 out of 1262 (12.20%) participants whose tinnitus cause was diagnosed by a physician. Symptoms referring to the known diagnostic criteria were evidently more present in the ST group than in the non-ST group. Additionally, participants with ST more often indicated a negative effect of a bad night’s sleep (P=.01) and light intensity exercise (P=.01). Conclusions Physical activity and movement (disorders) frequently affect tinnitus severity. Head-neck related symptoms are more frequently reported in the ST group, as is the ability to modulate the tinnitus by head or jaw movements. Additionally, participants with ST more often report fluctuations of their tinnitus and reaction to sleeping difficulties and low intensity exercise.


Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 482
Author(s):  
Dae-Jung Lee

The COVID-19 pandemic situation threatens the health of people globally, especially adolescents facing mental problems such as depression, anxiety, and obsessive-compulsive disorder due to constant COVID-19 stress. The present study aimed to provide basic data highlighting the need to alleviate COVID-19 stress among adolescents by promoting physical activity participation and strengthening self-concept clarity (SCC). To examine the relationships among participation in physical activity, SCC, and COVID-19 stress in pandemic-like conditions, the study was conducted on middle and high school students aged 14 to 19 and an online survey was conducted on 1046 Korean adolescents (521 male and 525 female students in the preliminary survey and main survey). Frequency, reliability, confirmatory factor, descriptive, and path analyses were performed using SPSS and AMOS 18.0. Participation in physical activity exerted a positive effect on SCC (p < 0.001) as well as a negative effect on COVID-19 stress (p = 0.031). Our findings also indicated that SCC exerted a negative effect on COVID-19 stress (p < 0.001). Regular participation in physical activity and strong SCC are also fundamental elements for alleviating COVID-19 stress. Given these results, state and local governments and educational institutions should encourage youth to participate in sports by suggesting policies, providing guidelines, and offering education. Such information may allow adolescents to endure and overcome COVID-19 stress during this critical period of life.


Author(s):  
Hélène Rossinot ◽  
Romain Fantin ◽  
Julien Venne

Background: A global pandemic due to COVID-19 emerged in November 2019 and hit France in early March 2020. It not only resulted in a loss of lives, but also in very strict confinement measures. The objective of this study was to understand what the determinants of the changes in participants’ behavior and mental state were during the confinement. Methods: An online survey was launched on 23 April 2020 and closed on 7 May 2020. The final sample included 1454 participants from 24 to 65 years old. Descriptive and multivariate analyses were then performed. Results: In total, 28.7% reported having a more balanced diet, against 17.1% with a less balanced diet, 22.7% of respondents reported an increased alcohol consumption, as opposed to only 12.2% declaring a decrease, and 11.2% of respondents increased their tobacco consumption, while 6.3% decreased it. In total, 50.6% of the participants reported being more depressed, stressed, or irritable since the beginning of the lockdown. Confinement had a negative effect on every behavior studied in this survey, except for nutrition. We also found that negative mental state changes were strongly associated with nutrition, sleep, physical activity and alcohol consumption changes.


Author(s):  
Victoria L. Meah ◽  
Morgan C. Strynadka ◽  
Rshmi Khurana ◽  
Margie H. Davenport

The health benefits of prenatal physical activity (PA) are established for singleton pregnancies. In contrast, individuals with multifetal pregnancies (twins, triplets or more) are recommended to restrict or cease PA. The objectives of the current study were to determine behaviors and barriers to PA in multifetal pregnancies. Between 29 May and 24 July 2020, individuals with multifetal pregnancies participated in an online survey. Of the 415 respondents, there were 366 (88%) twin, 45 (11%) triplet and 4 (1%) quadruplet pregnancies. Twenty-seven percent (n = 104/388) of respondents completed no PA at all during pregnancy, 57% (n = 220/388) completed PA below current recommendations, and 16% (n = 64/388) achieved current recommendations (150-min per week of moderate-intensity activity). Most respondents (n = 314/363 [87%]) perceived barriers to PA during multifetal pregnancy. The most prominent were physical symptoms (n = 204/363 [56%]) and concerns about risks to fetal wellbeing (n = 128/363 [35%]). Sixty percent (n = 92/153) felt that these barriers could be overcome but expressed the need for evidence-based information regarding PA in multifetal pregnancy. Individuals with multifetal pregnancies have low engagement with current PA recommendations but remain physically active in some capacity. There are physical and psychosocial barriers to PA in multifetal pregnancy and future research should focus on how these can be removed.


2021 ◽  
Vol 3 (2) ◽  
pp. 95-111
Author(s):  
Hariz Enggar Wijaya ◽  
Syafira Anantasya Agsanda Putri ◽  
Zulfa Firdausi ◽  
Nida Nur Nabila

Smartphone use is increasing worldwide. Despite the benefit of using a smartphone, a growing body of research has reported smartphone use's negative effect. Lack of self-control has been associated with problematic use of smartphones as well as stress. However, there is still little evidence of how religiosity could have an impact on problematic smartphone use. This study aimed to examine the indirect effect of religiosity on problematic smartphone use via self-control and stress. A few 146 undergraduate students enrolled in this study. They completed an online survey comprising problematic smartphone use, religiosity, self-control, and stress. Our findings showed a negative association between religiosity or self-control with problematic smartphone use. Stress also correlated positively with problematic smartphone use. Path analysis demonstrated the mediation effect of self-control on religiosity and problematic smartphone use, but not the stress. These results underlined the psychological mechanism underlying smartphone use of students. Moreover, religiosity could be considered to prevent the detrimental effect of problematic smartphone use.  


2021 ◽  
Vol 57 (1) ◽  
pp. 1-13
Author(s):  
Gabriella Berman ◽  
Adele Potgieter

Abstract Background Expatriation has grown rapidly, and the TEFL (teaching English as a foreign language) industry relies on it heavily. As is the case with any expatriation adjustment, TEFL teachers’ overall experience of living and working in China can be influenced by external factors. For the purpose of the study described in this article, both social influences and the work environment are highlighted as influences on the overall experience of teaching TEFL in China. Research aims The research aim of the study was to investigate the efect of social influences and work environment on the overall experience of TEFL teachers who teach in China. Methodology The study made use of a positivistic research paradigm and a descriptive research design. The sampling procedure utilised in the study was non-probability sampling, and the technique used was convenience sampling. The target population comprised TEFL teachers who were teaching in China, with the final sample consisting of 379 respondents. To collect data, the method used was an online survey, and the specific measuring instrument was a web-based, self-administered questionnaire, distributed via a link on Facebook, WeChat, LinkedIn, and Reddit groups that are specifically for TEFL teachers in China. Once the data were collected, both descriptive and inferential statistics were utilised to analyse and interpret the data. Findings From the empirical data collected in the study, it was found that, in general, both social influences and the work environment of TEFL teachers in China positively affected their overall experience, while the potential influence of a language barrier proved to have no negative effect on their overall experience.


Author(s):  
Hélène Rossinot ◽  
Romain Fantin ◽  
Julien Venne

(1) Background: A global pandemic due to COVID-19 emerged in November 2019 and hit France in early March 2020. It not only resulted in a loss of lives but also in very strict confinement measures. The objective of this study was to understand what the determinants of the change in participants&rsquo; behavior and mental state were during the confinement. (2) Methods: An online survey was launched on April 23rd, 2020, and closed on May 7th, 2020. The final sample included 1454 participants from 24 to 65 years old. Descriptive and multivariate analyses were then performed. (3) Results: 28.7% reported having a more balanced diet, against 17.1% with a less balanced diet. 22.7% of respondents reported an increased alcohol consumption, as opposed to only 12.2% declaring a decrease and 11.2% of respondents increased their tobacco consumption, while 6.3% decreased it. 50.6% of the participants reported being more depressed, stressed, or irritable since the beginning of the lockdown. Confinement had a negative effect on every behavior studied in this survey, except for nutrition. We also found that negative mental state changes were strongly associated with nutrition, sleep, physical activity, and alcohol consumption changes.


Author(s):  
Rihab Abid ◽  
Achraf Ammar ◽  
Rami Maaloul ◽  
Nizar Souissi ◽  
Omar Hammouda

COVID-19 home confinement has led to a stressful situation for children around the world and affected their lifestyle. The present study aimed to investigate the effect of these restrictions on sleep quality, screen time (ST) and physical activity (PA) in Tunisian children with a special focus on gender differences. An online survey was launched in April 2020. Questions were presented in a differential format, with expected responses related to “before” and “during” confinement. Participants (52 boys and 48 girls, age: 8.66 ± 3.3 years) responded to the Pittsburgh Sleep Quality Index (PSQI), the digital media use, and the Ricci and Gagnon sedentary behavior questionnaires. Findings revealed that COVID19 home confinement had a negative effect on all the considered parameters (p < 0.05). Significant effects of gender were found on sleep disturbances (p = 0.016, np2 = 0.05), subjective sleep quality (p < 0.01, np2 = 0.07), global score of PSQI (p = 0.01, np2 = 0.01) and nocturnal and global screen time (p < 0.001, np2 = 0.09) with poorer sleep and higher screen time in girls compared to boys during home confinement. A significant correlation was shown between Global ST and PSQI score (r = 0.39, p < 0.001). Programs of PA for children and sensitization campaigns against the use of screens have been deemed urgent with special focus oriented to girls.


2020 ◽  
Vol 91 (12) ◽  
pp. 940-947
Author(s):  
Matthias Albermann ◽  
Maria Lehmann ◽  
Christian Eiche ◽  
Joachim Schmidt ◽  
Johannes Prottengeier

BACKGROUND: In their working life, airline pilots are exposed to particular risk factors that promote nonspecific low back pain (LBP). Because of the varying incidence internationally, we evaluated the point prevalences of acute, subacute, and chronic nonspecific LBP, as well as the current prevalences in German airline pilots. Furthermore, we compared the prevalence to the general German population and to European counterparts.METHODS: An anonymous online survey of 698 participating German airline pilots was evaluated. The impairment between groups was analyzed. Prevalences from our data were compared to existing data.RESULTS: The following point prevalences were found: 8.2% acute, 2.4% subacute, 82.7% chronic LBP; 74.1% of all individuals were suffering from current LBP when answered the questionnaire. A total time spent flying greater than 600 h within the last 12 mo was significantly related to acute nonspecific LBP. Individuals with any type of LBP were significantly impaired compared to those unaffected. It was found that German airline pilots suffer more often from current LBP than the general population and have a higher point prevalence of total LBP than their European counterparts.CONCLUSIONS: The evaluation showed a surprisingly high, previously unidentified, prevalence of nonspecific LBP in German airline pilots. Why German airline pilots suffer more often from LBP remains uncertain. The number of flying hours appears to have a negative effect on developing acute low back pain, but causation cannot be concluded. Other risk factors could not be confirmed.Albermann M, Lehmann M, Eiche C, Schmidt J, Prottengeier J. Low back pain in commercial airline pilots. Aerosp Med Hum Perform. 2020; 91(12):940947.


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