Effects of focal muscle vibration on cervical pain in Parkinson’s disease patients: a pilot study


Submitted: 5 February 2024
Accepted: 14 March 2024
Published: 18 April 2024
Abstract Views: 67
PDF: 44
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Authors

Musculoskeletal pain is a common symptom of Parkinson's disease (PD) that is not adequately treated with current dopaminergic drugs. This pilot study sought to investigate the effect of focal muscle vibration (fMV) on a group of Parkinson's disease patients suffering from chronic cervical pain. In addition to conventional physiotherapy, twenty-two patients with idiopathic Parkinson's disease (Hoehn and Yahr stages II-III) received three weeks of bilateral focal musclevibration to the trapezius muscles. The Visual Analogue Scale (VAS), the Short-form McGill, and the Present PainIntensity scales were used to assess pain at baseline (T0), after three weeks of treatment (T1), one week after the last treatment session (T2), and three weeks after T2 (T3). Pain intensity decreased significantly from baseline to T1 across all pain scales (p < 0.0001). Furthermore, the beneficial effect of fMV on cervical pain lasted up to one month after treatment. Our findings show that fMV, in combination with conventional physiotherapy, is effective at reducing pain intensity in PD patients, with results visible even after a month of follow-up.


Tueth LE, & Duncan, RP. Musculoskeletal pain in Parkinson’s disease: A narrative review. Neurodegener Dis Manag 2021;11:373–85. DOI: https://doi.org/10.2217/nmt-2021-0011

Doherty KM, Van de Warrenburg BP, Peralta MC, et al. Postural deformities in Parkinson’s disease. Lancet Neurol 2011;10:538–49. DOI: https://doi.org/10.1016/S1474-4422(11)70067-9

Shin YJ, Kim WH, & Kim SG. Correlations among visual analogue scale, neck disability index, shoulder joint range of motion, and muscle strength in young women with forward head posture. J Exercise Rehabilit 2017;13:413–7. DOI: https://doi.org/10.12965/jer.1734956.478

Murillo N, Valls-Sole J, Vidal J, et al. Focal vibration in neurorehabilitation. Eur J Phys Rehabil Med 2014;50:231-42.

Mortaza N, Abou-Setta AM, Zarychanski R, et al. Upper limb tendon/muscle vibration in persons with subacute and chronic stroke: A systematic review and meta-analysis. Eur J Physical Rehabilit Med 2019;55:558–69. DOI: https://doi.org/10.23736/S1973-9087.19.05605-3

Saggini R, Carmignano SM, Palermo T, Bellomo RG. Mechanical vibration in rehabilitation: state of the art. J Novel Physiother 2016;6:06. DOI: https://doi.org/10.4172/2165-7025.1000314

Pantaleo T, Duranti R, Bellini F. Effects of vibratory stimulation on muscular pain threshold and blink response in human subjects. Pain 1986;24. DOI: https://doi.org/10.1016/0304-3959(86)90046-1

Dong Y, Wang W, Zheng J, et al. Whole body vibration exercise for chronic musculoskeletal pain: a systematic review and meta-analysis of randomized controlled trials. Arch Phys Med Rehabil 2019;100:2167-78. DOI: https://doi.org/10.1016/j.apmr.2019.03.011

Jamal A, Ahmad I, Ahamed N, et al. Whole body vibration showed beneficial effect on pain, balance measures and quality of life in painful diabetic peripheral neuropathy: a randomized controlled trial. J Diabetes Metab Disord 2020;19:61-9. DOI: https://doi.org/10.1007/s40200-019-00476-1

Casale R, Hansson P. The analgesic effect of localized vibration: a systematic review Part 1: the neurophysiological basis. Eur J Physical Rehabilit Med 2022;58:306–15. DOI: https://doi.org/10.23736/S1973-9087.22.07415-9

Staud R, Robinson ME, Goldman CT, Price DD. Attenuation of experimental pain by vibro- tactile stimulation in patients with chronic local or widespread musculoskeletal pain. Eur J Pain 2011;15:836–42. DOI: https://doi.org/10.1016/j.ejpain.2011.01.011

Weerakkody NS, Percival P, Hickey MW, et al. Effects of local pressure and vibration on muscle pain from eccentric exercise and hypertonic saline. Pain 2003;105:425–35. DOI: https://doi.org/10.1016/S0304-3959(03)00257-4

Lundeberg T, Nordemar R, Ottoson D. Pain alleviation by vibratory stimulation. Pain 1984;20:25-44. DOI: https://doi.org/10.1016/0304-3959(84)90808-X

Ferrara PE, Gatto DM, Codazza S, et al. Effects of focal muscle vibration on gait and balance in Parkinson patients: preliminary results. Appl Sci 2022;12:10486. DOI: https://doi.org/10.3390/app122010486

Marconi B, Filippi GM, Koch G, et al. Long-term effects on cortical excitability and motor recovery induced by repeated muscle vibration in chronic stroke patients. Neurorehabilit Neural Repair 2010;25:48–60. DOI: https://doi.org/10.1177/1545968310376757

Goodin BR, Ness TJ, Robbins MT. Oxytocin - a multifunctional analgesic for chronic deep tissue pain. Curr Pharm Des 2015;21:906-13. DOI: https://doi.org/10.2174/1381612820666141027111843

Ronconi, G., Gatto, D. M., Ariani, M., Codazza, S., Panunzio, M., Coraci, D., & Ferrara, P. E. (2024). Effects of focal muscle vibration on cervical pain in Parkinson’s disease patients: a pilot study. European Journal of Translational Myology. https://doi.org/10.4081/ejtm.2024.12355

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