Vibration and pain management: Difference between revisions

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<div class="editorbox">'''Original Editor '''-[[User:Gloria Carbonell Villanueva|Gloria Carbonell Villanueva]] '''Top Contributors''' - </div>  
<div class="editorbox">'''Original Editor '''-[[User:Gloria Carbonell Villanueva|Gloria Carbonell Villanueva]]  
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'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}; &nbsp;
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== Description  ==
 
Vibration therapy uses vibration as a physical tool during treatment. Vibration is 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 with different devices, as local therapy or as whole-body vibration.


== Vibration therapy ==
== Physiological basis ==


Vibration therapy&nbsp;uses vibration as a physical tool during treatment.&nbsp;Vibration is&nbsp;to the propagation of elastic waves producing deformations and tensions on a continuous medium. The vibratory movement is very short and fast and&nbsp;repeated around an equilibrium position.  
According to the closed-door theory of Melzack &amp; Wall, low-intensity mechanical stimuli, not aggressive enough to stimulate nociceptors, activates the [[Pain facilitation and inhibition|inhibiting interneurons]]. Inhibitory neurons intervenes in several processes of regulation of the neurological signal. Without their braking activity, we would have too many nociceptive stimuli/pain experiences. Therefore, applied mechanical vibration can have a summative effect, with other pain control strategies, in reducing behavioral and physiological pain responses.<ref>Butler D, Moseley L.2015. Explain Pain</ref>


Vibration can be applied as local therapy or whole body vibration, with differents devices.  
In vibration therapy, the stimulation of muscle spindles and alpha-motor neurons muscle causes muscle contraction, and it increases electromyographic activity. Oxygen consumption, muscle temperature,and skin blood flow increase directly proportional to vibration.<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> <ref>Ayangco M, Bosco C. The use of vibration as an exercise intervention. Exercise and sport sciences reviews. 2003;31(1):3–7</ref>


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== Acute responses  ==
== Indication  ==


According to the closed-door theory of Melzack &amp; 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. According to that, applied mechanical vibration can have a summative effect with other pain control strategies, in reducing behavioral and physiological pain responses.&nbsp;{{Special:Contributors/{{FULLPAGENAME}}}}
*[[Neuropathic pain|'''Neuropathic pain''']]:&nbsp;Whole body vibration has positive long term effects on neuropathic pain caused by [[Diabetes|diabetes]]. <ref>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.</ref>
*'''[[Low Back Pain|Low back pain]]'''. Combined vibration and traction therapy are more effective than traction alone. <ref>Wang S, Wang L, Wang Y, Du C, Zhang M, Fan Y. Biomechanical analysis of combining head-down tilt traction with vibration for different grades of degeneration of the lumbar spine. Medical Engineering and Physics 2016. Published online 2 november </ref>&nbsp;
*'''Heel lance pain among neonates''': Mechanical vibration may be an effective and safe method for pain management of heel lance pain among neonates.<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>
*'''Muscle Pain''': Several articles investigate the effects of therapeutic vibration on the Delayed Onset Muscle Soreness (DOMS). Some of them conclude that both the vibration applied locally and the whole body vibration, reduces pain. Furthermore, they point that vibration therapy improved muscular strength, power development, kinesthetic awareness, range of motion, and increased blood flow under the skin. <ref>King L, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's. 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>


In vibration therapy, the stimulation of muscle spindles and alpha-motoneuronsmuscle causes muscle contraction<ref>Butler DS, Moseley G. 2013 Explain Pain.</ref> and it increases Electromyographic activity. Oxygen consumption, muscle temperatura and skin blood flow increases directly proportional to vibration.<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> <ref>Ayangco M, Bosco C. The use of vibration as an exercise intervention. Exercise and sport sciences reviews. 2003;31(1):3–7</ref>
Other applications of vibration in Physical Therapy:  


<br>  
Some studies evaluate the effectiveness of vibration as a [[Spasticity|treatment for spasticity]] with good results.<ref>Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive wholebody vibration exercise in man. Clin Physiol. 2000;20:134–42.</ref> An article concluded that local vibration can be a safe and effective alternative for chronic post-[[stroke]] patients.<ref>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</ref>
 
Vibration therapy can be used to improve physiotherapy effects in individuals with [[Parkinson's]] and [[Multiple Sclerosis (MS)|Multiple Sclerosis]]. <ref>King LK, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's. NeuroRehabilitation. 2009;25(4):297-306.</ref> <ref>Yang F, Estrada EF, Sanchez MC. Vibration training improves disability status in multiple sclerosis: A pretest-posttest pilot study.J Neurol Sci. 2016 Oct 15;369:96-101.</ref>  


== Pain management&nbsp;  ==
As vibrations induce muscle contractions, they may be used to enhance osteoclast metabolism and prevent osteoporosis in patients with reduced mobility.<ref>Rauch F. Vibration Therapy. Developmental Medicine and Child Neurology 2009, 51 (Suppl. 4): 166–168</ref>


*'''Neurophatic pain''':&nbsp;Whole body vibration has positive long term effects on neuropathic pain caused by diabetes. <ref>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.</ref><br>
== Contraindications ==
*'''Heel lance pain among neonates''': Mechanical vibration may be&nbsp;an effective and safe method for pain management of heel lance pain among neonate.<ref>&amp;amp;lt;u&amp;amp;gt;&amp;amp;lt;/u&amp;amp;gt;&amp;amp;lt;sub&amp;amp;gt;&amp;amp;lt;/sub&amp;amp;gt;&amp;amp;lt;sup&amp;amp;gt;&amp;amp;lt;/sup&amp;amp;gt;&amp;amp;lt;strike&amp;amp;gt;&amp;amp;lt;/strike&amp;amp;gt;fckLR*'''Muscle Pain''': 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, they point that vibration therapy improved muscular strength, power development, kinesthetic awareness,range of motion, and increased blood flow under the skin.&amp;amp;lt;ref&amp;amp;gt;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>
*Blood-thinning medications
*'''Muscle Pain''': 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, they point that vibration therapy improved muscular strength, power development, kinesthetic awareness,range of motion, and increased blood flow under the skin <ref> 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;amp;amp;amp;amp;amp;nbsp;Journal of Clinical Diagnosis Research on June 20, 2014.</ref> <ref>Lau 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&amp;amp;amp;lt;u&amp;amp;amp;gt;&amp;amp;amp;lt;/u&amp;amp;amp;gt;&amp;amp;amp;lt;sub&amp;amp;amp;gt;&amp;amp;amp;lt;/sub&amp;amp;amp;gt;&amp;amp;amp;lt;sup&amp;amp;amp;gt;&amp;amp;amp;lt;/sup&amp;amp;amp;gt;&amp;amp;amp;lt;strike&amp;amp;amp;gt;&amp;amp;amp;lt;/strike&amp;amp;amp;gt;fckLRfckLR&amp;amp;amp;lt;br&amp;amp;amp;gt; fckLRfckLR== Other applications of vibration in physical therapy  ==fckLRfckLRThere is little scientific research that studies the use of vibration in physical therapy.&amp;amp;amp;amp;nbsp;Most published articles are about whole body vibration. Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.&amp;amp;amp;lt;ref&amp;amp;amp;gt;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>&nbsp;
*Advanced diabetes
*Heart disease  
*Pregnancy


<br>  
<br>  


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


There is little scientific research that studies the use of vibration in physical theraphy. Most published articles are about whole body vibration. Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.<ref>Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive wholebody vibration exercise in man. Clin Physiol. 2000;20:134–42.</ref> Other article concluded that local vibration can be a safe and efectiv alternativ for chronic post stroke patients.<ref>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</ref>
add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures.&nbsp;


Vibration therapy can be used to improve physitherapy effects in individuals with Parkinson's disease and Multiple Esclerosis. <ref>King LK, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's disease. NeuroRehabilitation. 2009;25(4):297-306.</ref> <ref>Yang F, Estrada EF, Sanchez MC. Vibration training improves disability status in multiple sclerosis: A pretest-posttest pilot study.J Neurol Sci. 2016 Oct 15;369:96-101.</ref>
== Key Evidence  ==


&nbsp;


== Contraindications  ==


*are taking blood thinning medications
== Resources  ==
*have advanced diabetes
*have heart disease
*are pregnant


{{#ev:youtube|u1y-19z-2-I|300}}<ref>University of Florida Health. Vibration helps reduces pain in chronic sufferers, UF researchers find. Avalaible from https://www.youtube.com/watch?v=u1y-19z-2-I</ref>
== References  ==
== References  ==


<references />
References will automatically be added here, see [[Adding References|adding references tutorial]]. <references />&lt;/div&gt;

Latest revision as of 10:27, 23 December 2022

Original Editor -Gloria Carbonell Villanueva

Top Contributors - Admin, Kim Jackson, Vidya Acharya, George Prudden, WikiSysop and Jess Bell;  



Description[edit | edit source]

Vibration therapy uses vibration as a physical tool during treatment. Vibration is 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 with different devices, as local therapy or as whole-body vibration.

Physiological basis[edit | edit source]

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

In vibration therapy, the stimulation of muscle spindles and alpha-motor neurons muscle causes muscle contraction, and it increases electromyographic activity. Oxygen consumption, muscle temperature,and skin blood flow increase directly proportional to vibration.[2] [3]


Indication[edit | edit source]

  • Neuropathic pain: Whole body vibration has positive long term effects on neuropathic pain caused by diabetes. [4]
  • Low back pain. Combined vibration and traction therapy are more effective than traction alone. [5] 
  • Heel lance pain among neonates: Mechanical vibration may be an effective and safe method for pain management of heel lance pain among neonates.[6]
  • Muscle Pain: Several articles investigate the effects of therapeutic vibration on the Delayed Onset Muscle Soreness (DOMS). Some of them conclude that both the vibration applied locally and the whole body vibration, reduces pain. Furthermore, they point that vibration therapy improved muscular strength, power development, kinesthetic awareness, range of motion, and increased blood flow under the skin. [7] [8]

Other applications of vibration in Physical Therapy:

Some studies evaluate the effectiveness of vibration as a treatment for spasticity with good results.[9] An article concluded that local vibration can be a safe and effective alternative for chronic post-stroke patients.[10]

Vibration therapy can be used to improve physiotherapy effects in individuals with Parkinson's and Multiple Sclerosis. [11] [12]

As vibrations induce muscle contractions, they may be used to enhance osteoclast metabolism and prevent osteoporosis in patients with reduced mobility.[13]

Contraindications[edit | edit source]

  • Blood-thinning medications
  • Advanced diabetes
  • Heart disease
  • Pregnancy


Clinical Presentation[edit | edit source]

add text here relating to the clinical presentation of the condition, including pre- and post- intervention assessment measures. 

Key Evidence[edit | edit source]

Resources[edit | edit source]

[14]

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  1. ↑ Butler D, Moseley L.2015. 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. ↑ Wang S, Wang L, Wang Y, Du C, Zhang M, Fan Y. Biomechanical analysis of combining head-down tilt traction with vibration for different grades of degeneration of the lumbar spine. Medical Engineering and Physics 2016. Published online 2 november
  6. ↑ 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]
  7. ↑ King L, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's. Neurorehabilitation 2009, vol. 25, no. 4, pp. 297-306
  8. ↑ 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
  9. ↑ Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive wholebody vibration exercise in man. Clin Physiol. 2000;20:134–42.
  10. ↑ 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
  11. ↑ King LK, Almeida QJ, Ahonen H. Short-term effects of vibration therapy on motor impairments in Parkinson's. NeuroRehabilitation. 2009;25(4):297-306.
  12. ↑ Yang F, Estrada EF, Sanchez MC. Vibration training improves disability status in multiple sclerosis: A pretest-posttest pilot study.J Neurol Sci. 2016 Oct 15;369:96-101.
  13. ↑ Rauch F. Vibration Therapy. Developmental Medicine and Child Neurology 2009, 51 (Suppl. 4): 166–168
  14. ↑ University of Florida Health. Vibration helps reduces pain in chronic sufferers, UF researchers find. Avalaible from https://www.youtube.com/watch?v=u1y-19z-2-I

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