Vibration and pain management
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. According to that, applied mechanical vibration can have a summative effect with other pain control strategies, in reducing behavioral and physiological pain responses.
In vibration therapy, the stimulation of muscle spindles and alpha-motoneuronsmuscle causes muscle contraction and it increases Electromyographic activity. Oxygen consumption, muscle temperatura and skin blood flow increases directly proportional to vibration.Admin, Kim Jackson, Vidya Acharya, George Prudden, WikiSysop and Jess Bell [1]
Pain management [edit | edit source]
- Neurophatic pain: Whole body vibration has positive long term effects on neuropathic pain caused by diabetes. [2]
- Heel lance pain among neonates: Mechanical vibration may be an effective and safe method for pain management of heel lance pain among neonate.Cite error: Closing
</ref>missing for<ref>tag Cite error: Closing</ref>missing for<ref>tag Other article concluded that local vibration can be a safe and efectiv alternativ for chronic post stroke patients.[3]
Vibration therapy can be used to improve physitherapy effects in individuals with Parkinson's disease and Multiple Esclerosis [4] [5]
References[edit | edit source]
- ↑ Butler DS, Moseley G. 2013 Explain Pain.
- ↑ 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.
- ↑ 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.
- ↑ <u></u><sub></sub><sup></sup><strike></strike>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.<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
- ↑ 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<u></u><sub></sub><sup></sup><strike></strike>fckLRfckLR<br> fckLRfckLR== Other applications of vibration in physical therapy ==fckLRfckLRThere 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.<ref>Rittweger J, Beller G, Felsenberg D. Acute physiological effects of exhaustive wholebody vibration exercise in man. Clin Physiol. 2000;20:134–42.
