{"id":3958,"date":"2026-03-06T11:38:18","date_gmt":"2026-03-06T14:38:18","guid":{"rendered":"https:\/\/rpgl.org\/blog\/?p=3958"},"modified":"2026-03-06T13:03:19","modified_gmt":"2026-03-06T16:03:19","slug":"desensibilizacion-somatica-del-zumbido-o-tinnitus","status":"publish","type":"post","link":"https:\/\/rpgl.org\/blog\/desensibilizacion-somatica-del-zumbido-o-tinnitus\/","title":{"rendered":"Desensibilizaci\u00f3n som\u00e1tica del zumbido o tinnitus"},"content":{"rendered":"\n

El tinnitus o zumbido se define como la percepci\u00f3n de un sonido en ausencia de un est\u00edmulo auditivo externo. Este \u201csonido fantasma\u201d puede describirse como zumbido, pitido, pulsaci\u00f3n o chasquido. Puede presentarse de forma continua o intermitente, afectar uno o ambos o\u00eddos, o percibirse de manera central en la cabeza. <\/p>\n\n\n\n

El tinnitus se clasifica en subjetivo<\/strong> y objetivo<\/strong>. Dentro del tinnitus subjetivo se encuentra el tinnitus som\u00e1tico o somatosensorial. Este \u00faltimo se diferencia del primero porque est\u00e1  influenciado por  est\u00edmulos provenientes de la columna cervical y\/o temporomandibular (ATM). <\/p>\n\n\n\n

Es as\u00ed que est\u00edmulos mec\u00e1nicos, contacto f\u00edsico o movimientos espec\u00edficos modulan (aumentan o disminuyen) la intensidad o el tono del zumbido. Por ello, la exploraci\u00f3n en base a maniobras cervicales o de la articulaci\u00f3n temporomandibular, junto con la ausencia de otros factores, constituye el principal recurso diagn\u00f3stico del tinnitus somatosensorial.  <\/p>\n\n\n\n

<\/p>\n\n\n\n

Antes de iniciar el abordaje kin\u00e9sico, es fundamental contar una evaluaci\u00f3n audiol\u00f3gica completa<\/strong> (audiometr\u00eda) que descarte p\u00e9rdida auditiva y factores vinculados al tipo objetivo, posibilitando intervenir con un tratamiento desde la terapia manual.<\/p>\n\n\n\n

Relaci\u00f3n entre este tipo de tinnitus y la globalidad<\/strong><\/h2>\n\n\n\n

Desde la perspectiva de la Reeducaci\u00f3n Postural Global (RPG), la evaluaci\u00f3n buscar\u00e1 relacionar las variaciones en el tono o la frecuencia del zumbido con la tensi\u00f3n mec\u00e1nica segmentaria y global de los sistemas de coordinaci\u00f3n neuromuscular, para determinar el nivel de globalidad existente, junto con la exploraci\u00f3n de la movilidad de las articulaciones de la regi\u00f3n cervical y temporomandibular.<\/p>\n\n\n\n

\u00bfCu\u00e1l es su tratamiento?<\/strong><\/strong><\/h2>\n\n\n\n

En cuanto al tratamiento, \u00e9ste se enfoca en modificar los factores tensionales o articulares <\/strong>que, se ha comprobado, incrementan el nivel del tinnitus. En particular se trabaja sobre restricciones miofasciales y la movilidad articular, mejorando la adaptabilidad de los tejidos a la tensi\u00f3n mec\u00e1nica y disminuir la sensibilizaci\u00f3n somatosensorial asociada. <\/p>\n\n\n\n

Para objetivar los cambios, se utilizar\u00e1 la Escala Visual Anal\u00f3gica modificada<\/strong> (EVA) como herramienta de evaluaci\u00f3n pre y post intervenci\u00f3n, permitiendo registrar la intensidad percibida del zumbido y monitorear su evoluci\u00f3n entre sesiones. El seguimiento longitudinal resulta clave para corroborar cambios cl\u00ednicamente significativos en la vida cotidiana del paciente.<\/p>\n\n\n\n

Abordaje progresivo e interdisciplinario<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

Dada la naturaleza multifactorial del tinnitus, el abordaje debe ser progresivo e interdisciplinario. La combinaci\u00f3n de terapia manual, actividad f\u00edsica regular, psicoterapia, educaci\u00f3n en higiene del sue\u00f1o y acompa\u00f1amiento nutricional puede potenciar los resultados terap\u00e9uticos<\/strong> y favorecer una mejor calidad de vida.<\/p>\n\n\n\n

\ud83d\udc49 Ingresa aqu\u00ed<\/a> para conocer todas <\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong>
las opciones de formaci\u00f3n en RPG<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong>
que podemos ofrecerte<\/h2>\n\n\n\n

Articulo redactado por:<\/strong>
Mart\u00edn Mondo\u00a0
Lic. en Kinesiolog\u00eda y Fisiatr\u00eda (UNNe)\u00a0
MP 259 (Misiones)<\/p>\n\n\n\n

\n\n\n\n

Referencias:<\/strong>
1. Michiels S, Naessens S, Van de Heyning P, Braem M, Visscher CM, Gilles A and De Hertogh W (2016) The Effect of Physical Therapy Treatment in Patients with Subjective Tinnitus: A Systematic Review. Front. Neurosci. 10:545. doi: 10.3389\/fnins.2016.00545\u00a0<\/p>\n\n\n\n

2. Yu, H.-Z.; Gong, J.-M.; Hong, G.-W.; Zhou, R.-Q.; Fu, X.-P.; Fan, T.; Zheng, Y.-Q.; Peng, Y.-Q.; Li, J.; Wang, Y.-F. The Effect of Physical Therapy on Somatosensory Tinnitus. J. Clin. Med. 2024, 13, 3496. https:\/\/doi.org\/ 10.3390\/jcm13123496\u00a03. Palak Sharma \u2022 Gurchand Singh. Effects of Manual Therapy in Somatic Tinnitus Patients Associated with Cervicogenic and Temporomandibular Dysfunction Domain: Systematic Review and Meta Analysis of Randomised Controlled Trials. Indian J Otolaryngol Head Neck Surg (Apr\u2013June 2022) 74(2):247\u2013253; https:\/\/doi.org\/10.1007\/s12070-021-02426-x.<\/p>\n\n\n\n

\n

\n Blog RPG Latam<\/a> \n \u00a9 2025 por \n Mario Korell<\/a>\n <\/p>\n

\n Esta obra est\u00e1 bajo una licencia \n CC BY-NC-SA 4.0<\/a>\n <\/p>\n

\n \"CC\"\n \"BY\"\n \"NC\"\n \"SA\"\n <\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Mediante la Reeducaci\u00f3n Postural Global (RPG), es posible modular la intensidad del zumbido interviniendo sobre las restricciones miofasciales y la sensibilizaci\u00f3n somatosensorial del paciente. El abordaje debe ser progresivo e interdisciplinario.<\/p>\n","protected":false},"author":1,"featured_media":3972,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[46],"tags":[48,49],"class_list":["post-3958","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-inicio","tag-rpg","tag-rpg-latam"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=1024%2C1024&ssl=1","uagb_featured_image_src":{"full":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=1024%2C1024&ssl=1",1024,1024,false],"thumbnail":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?resize=150%2C150&ssl=1",150,150,true],"medium":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=300%2C300&ssl=1",300,300,true],"medium_large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=768%2C768&ssl=1",768,768,true],"large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=1024%2C1024&ssl=1",1024,1024,true],"1536x1536":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=1024%2C1024&ssl=1",1024,1024,true],"2048x2048":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/03\/Desensibilizacion-somatica-del-zumbido.png?fit=1024%2C1024&ssl=1",1024,1024,true]},"uagb_author_info":{"display_name":"Mario Korell Lic. 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