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| <div class="editorbox">'''Original Editor '''-[[User:Gloria Carbonell Villanueva|Gloria Carbonell Villanueva]] | | <div class="editorbox">'''Original Editor '''-[[User:Gloria Carbonell Villanueva|Gloria Carbonell Villanueva]] |
| '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}; | | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}; |
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| == Vibration therapy ==
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| 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.
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| Vibration can be applied <span style="font-size: 13.28px;"> </span><span style="font-size: 13.28px;">with differents devices </span><span style="font-size: 13.28px;">as local therapy or as whole body vibration.</span>
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| == Acute responses ==
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| According to the closed-door theory of Melzack & 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>
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| In vibration therapy, the stimulation of muscle spindles and alpha-motoneuronsmuscle causes muscle contraction and it increases electromyographic activity. Oxygen consumption, muscle temperature 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>
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| == Pain management ==
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| *[[Neuropathic pain|'''Neuropathic pain''']]: 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><br>
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| *'''Low back pain'''.<span style="font-size: 13.28px;">Combined vibration and traction therapy is more effective than traction alone.</span> <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>
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| *'''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>
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| *'''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 </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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| == Other applications of vibration in physical therapy ==
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| 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> An 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>
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| Vibration therapy can be used to improve physiotherapy 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>
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| As vibrations induce muscle contractions, they may be used to enhance the osteocit metabolism and prevent osteoporosis in patients with reduced mobility.<ref>Rauch F. Developmental Medicine &amp;amp;amp;amp;amp;amp;amp;amp;amp; Child Neurology 2009, 51 (Suppl. 4): 166–168</ref>
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| == Contraindications ==
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| *Blood thinning medications
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| *Advanced diabetes
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| *Heart disease
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| *Pregnancy
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| == References ==
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| <references />
| | {{subst:Interventioon}} |
