Vibration and pain management: Difference between revisions

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== Other applications of vibration in physical therapy  ==
== Other applications of vibration in physical therapy  ==


There is very little scientific research that studies the use of vibration in physical therapy.&nbsp;Most published articles are about whole body vibration. Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.<ref>Casale R, Damiani C, Maestri R, Fundarò C, Chimento P, Foti C. Localized 100 Hz vibration improves function and reduces upper limb spasticity: a double-blind controlled study. European Journal of Physical and Rehabilitation Medicine 2014 October;50(5):495-504</ref> Other article concluded that local vibration can be a safe and efectiv alternativ for chronic post stroke patients.<ref>Costantino&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;C, Galuppo L, Romiti D. Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;European Journal of Physical and Rehabilitation Medicine 2016 Sep 06</ref>  
There is little scientific research that studies the use of vibration in physical therapy.&nbsp;Most published articles are about whole body vibration. Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.<ref>Casale R, Damiani C, Maestri R, Fundarò C, Chimento P, Foti C. Localized 100 Hz vibration improves function and reduces upper limb spasticity: a double-blind controlled study. European Journal of Physical and Rehabilitation Medicine 2014 October;50(5):495-504</ref> Other article concluded that local vibration can be a safe and efectiv alternativ for chronic post stroke patients.<ref>Costantino&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;C, Galuppo L, Romiti D. Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;European Journal of Physical and Rehabilitation Medicine 2016 Sep 06</ref>  


Vibration therapy can be used to improve physitherapy effects in individuals with Parkinson's disease and Multiple Esclerosis <ref>King L, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's disease. Neurorehabilitation 2009, vol. 25, no. 4, pp. 297-306</ref> <ref>Shyns F, Paul L, Finlay K, Fergusson C, Noble E. Vibration therapy in multiple sclerosis: a pilot study exploring its effects on tone, muscle force, sensation and functional performance. Clin Rehabil September 2009 vol. 23 no. 9 771-781</ref>  
Vibration therapy can be used to improve physitherapy effects in individuals with Parkinson's disease and Multiple Esclerosis <ref>King L, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's disease. Neurorehabilitation 2009, vol. 25, no. 4, pp. 297-306</ref> <ref>Shyns F, Paul L, Finlay K, Fergusson C, Noble E. Vibration therapy in multiple sclerosis: a pilot study exploring its effects on tone, muscle force, sensation and functional performance. Clin Rehabil September 2009 vol. 23 no. 9 771-781</ref>  
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McGinnis and Murray (2016) studied the safety and efficacy of mechanical vibration for relief of heel lance pain among neonates, and found that it was an effective and safe method for pain management.<ref>McGinnis K, Murray E,  Cherven B, McCracken C, Travers C. Effect of Vibration on Pain Response to Heel Lance: A Pilot Randomized Control Trial. Adv Neonatal Care. 2016 Aug 16. Epub ahead of print.</ref>  
McGinnis and Murray (2016) studied the safety and efficacy of mechanical vibration for relief of heel lance pain among neonates, and found that it was an effective and safe method for pain management.<ref>McGinnis K, Murray E,  Cherven B, McCracken C, Travers C. Effect of Vibration on Pain Response to Heel Lance: A Pilot Randomized Control Trial. Adv Neonatal Care. 2016 Aug 16. Epub ahead of print.</ref>  


Several articles investigate the effects of therapeutic vibration on the Delayed Onset Muscle Soreness (DOMS). Some of them concludes that both the vibration applied locally and the whole body vibration , reduces pain.Furthermore, vibration therapy improved muscular strength, power development, kinesthetic awareness,range of motion, and increased blood flow under the skin.<ref>Veqar&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Z, Imtiyaz S. Vibration Therapy in Management of Delayed Onset Muscle Soreness (DOMS)&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Journal of Clinical Diagnosis Research on June 20, 2014.</ref> <ref>Lau&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;WY, Nosaka K.Effect of vibration treatment on symptoms associated with eccentric exercise-induced muscle damage. Am J Phys Med Rehabil. 2011 Aug;90(8):648-57</ref>&nbsp;  
Several articles investigate the effects of therapeutic vibration on the Delayed Onset Muscle Soreness (DOMS). Some of them concludes that both the vibration applied locally and the whole body vibration , reduces pain.Furthermore, vibration therapy improved muscular strength, power development, kinesthetic awareness,range of motion, and increased blood flow under the skin.<ref>Veqar&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Z, Imtiyaz S. Vibration Therapy in Management of Delayed Onset Muscle Soreness (DOMS)&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Journal of Clinical Diagnosis Research on June 20, 2014.</ref> <ref>Lau&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;WY, Nosaka K.Effect of vibration treatment on symptoms associated with eccentric exercise-induced muscle damage. Am J Phys Med Rehabil. 2011 Aug;90(8):648-57</ref>&nbsp;  


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Revision as of 19:23, 27 November 2016

Original Editor -Gloria Carbonell Villanueva Top Contributors - Admin, Kim Jackson, Vidya Acharya, George Prudden, WikiSysop and Jess Bell


Vibration therapy[edit | edit source]

Vibration therapy uses vibration as a physical tool during treatment. Vibration is to the propagation of elastic waves producing deformations and tensions on a continuous medium. The vibratory movement is very short and fast and repeated around an equilibrium position.

Vibration can be applied as local therapy or whole body vibration, with differents devices.


Acute responses[edit | edit source]

According to the closed-door theory of Melzack & Wall, low-intensity mechanical stimuli, not aggressive enough to stimulate nociceptors, activate the Inhibiting Interneurons. Inhibitory neurons intervene in several processes of regulation of the neurological signal. Without their braking activity, we would have too many nociceptive stimuli / pain experiences.[1] According to that, applied mechanical vibration can have a summative effect with other pain control strategies, in reducing behavioral and physiological pain responses. [2]

In vibration therapy, the stimulation of muscle spindles and alpha-motoneuronsmuscle causes muscle contraction[3] and it increases Electromyographic activity. Oxygen consumption, muscle temperatura and skin blood flow increases directly proportional to vibration.[4] [5]


Long term responses[edit | edit source]

Whole body vibration has positive long term effects on neuropathic pain caused by diabetes. [6]


Other applications of vibration in physical therapy[edit | edit source]

There is little scientific research that studies the use of vibration in physical therapy. Most published articles are about whole body vibration. Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.[7] Other article concluded that local vibration can be a safe and efectiv alternativ for chronic post stroke patients.[8]

Vibration therapy can be used to improve physitherapy effects in individuals with Parkinson's disease and Multiple Esclerosis [9] [10]

McGinnis and Murray (2016) studied the safety and efficacy of mechanical vibration for relief of heel lance pain among neonates, and found that it was an effective and safe method for pain management.[11]

Several articles investigate the effects of therapeutic vibration on the Delayed Onset Muscle Soreness (DOMS). Some of them concludes that both the vibration applied locally and the whole body vibration , reduces pain.Furthermore, vibration therapy improved muscular strength, power development, kinesthetic awareness,range of motion, and increased blood flow under the skin.[12] [13] 

 

References[edit | edit source]

  1. ↑ Butler DS, Moseley G. 2013 Explain Pain.
  2. ↑ McGinnis K, Murray E, Cherven B, McCracken C, Travers C. Effect of Vibration on Pain Response to Heel Lance: A Pilot Randomized Control Trial. Adv Neonatal Care. 2016 Aug 16. Epub ahead of print.
  3. ↑ Ayangco M, Bosco C. The use of vibration as an exercise intervention. Exercise and sport sciences reviews. 2003;31(1):3–7
  4. ↑ Cochrane DJ, Stannard SR, Sargeant AJ, Rittweger J. The rate of muscle temperature increase during acute whole-body vibration exercise. European journal of Applied Physiology. 2008;103(4):441–8.
  5. ↑ Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive wholebody vibration exercise in man. Clin Physiol. 2000;20:134–42.
  6. ↑ Hong J, Barnes MJ, Kessler NJ. Case study: Use of vibration therapy in the treatment of diabetic peripheral small fiber neuropathy. International Journal of Diabetes Mellitus. Volume 3, Issue 1, May 2015,72–75
  7. ↑ Casale R, Damiani C, Maestri R, Fundarò C, Chimento P, Foti C. Localized 100 Hz vibration improves function and reduces upper limb spasticity: a double-blind controlled study. European Journal of Physical and Rehabilitation Medicine 2014 October;50(5):495-504
  8. ↑ Costantino&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;C, Galuppo L, Romiti D. Short-term effect of local muscle vibration treatment versus sham therapy on upper limb in chronic post-stroke patients: a randomized controlled trial.&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;European Journal of Physical and Rehabilitation Medicine 2016 Sep 06
  9. ↑ King L, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's disease. Neurorehabilitation 2009, vol. 25, no. 4, pp. 297-306
  10. ↑ Shyns F, Paul L, Finlay K, Fergusson C, Noble E. Vibration therapy in multiple sclerosis: a pilot study exploring its effects on tone, muscle force, sensation and functional performance. Clin Rehabil September 2009 vol. 23 no. 9 771-781
  11. ↑ McGinnis K, Murray E, Cherven B, McCracken C, Travers C. Effect of Vibration on Pain Response to Heel Lance: A Pilot Randomized Control Trial. Adv Neonatal Care. 2016 Aug 16. Epub ahead of print.
  12. ↑ Veqar&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Z, Imtiyaz S. Vibration Therapy in Management of Delayed Onset Muscle Soreness (DOMS)&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;Journal of Clinical Diagnosis Research on June 20, 2014.
  13. ↑ Lau&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;nbsp;WY, Nosaka K.Effect of vibration treatment on symptoms associated with eccentric exercise-induced muscle damage. Am J Phys Med Rehabil. 2011 Aug;90(8):648-57
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