Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia

BACKGROUND: Sensory disturbances in fibromyalgia extend beyond nociception. It has been proposed that imbalance in the mutual competition between painful input and non-painful sensory activity may, to a significant extent, account for the augmented subjective perception of pain. In this context, non...

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Autores: Pujol Nuez, Jesús, Ramos-López, Daniel, Blanco Hinojo, Laura, 1981-, Pujol, Guillem, Ortiz, Héctor, Martínez-Vilavella, Gerard, Blanch-Rubió, Josep, Monfort Faure, Jorge, Deus, Joan
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2019
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/42816
Acceso en línea:http://hdl.handle.net/10230/42816
http://dx.doi.org/10.1186/s13075-019-1932-9
Access Level:acceso abierto
Palabra clave:Fibromyalgia
Pain
Sensory balance
Somatosensory system
Vibrotactile stimulation
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spelling Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgiaPujol Nuez, JesúsRamos-López, DanielBlanco Hinojo, Laura, 1981-Pujol, GuillemOrtiz, HéctorMartínez-Vilavella, GerardBlanch-Rubió, JosepMonfort Faure, JorgeDeus, JoanFibromyalgiaPainSensory balanceSomatosensory systemVibrotactile stimulationBACKGROUND: Sensory disturbances in fibromyalgia extend beyond nociception. It has been proposed that imbalance in the mutual competition between painful input and non-painful sensory activity may, to a significant extent, account for the augmented subjective perception of pain. In this context, non-nociceptive somatosensory stimulation could arguably attenuate fibromyalgia symptoms by restoring the sensory balance. We specifically tested the effect of vibrotactile stimulation on symptom relief in fibromyalgia patients with a randomized, double-blind, sham-controlled, crossover clinical trial. METHODS: Seventy-seven female patients were randomized and data from 63 valid cases were analyzed. Active intervention involved extensive body stimulation with gentle mechanical vibrations administered during 3 h at night for 3 weeks, and the placebo effect was controlled using identical instruments to simulate an alternative treatment option. The primary outcome measure combined pain, fatigue, and complaints of poor cognition. RESULTS: Vibrotactile stimulation was significantly superior to sham in alleviating fibromyalgia symptoms globally. However, univariate analyses showed that the effect was not universal. Benefits were perceived on unpleasant somatic sensations such as generalized pain and fatigue, but not on poor cognition, anxiety, and depression. Vibrotactile stimulation was notably well tolerated and sleep quality significantly improved despite the fact that vibrations were administered at night. CONCLUSIONS: Results thus provide new evidence that non-nociceptive somatosensory stimulation may favorably act upon altered somatosensory balance in fibromyalgia. From a clinical perspective, both the degree of improvement and the easy application of our proposal would seem to support a potential role for vibrotactile stimulation in the symptomatic treatment of fibromyalgia.BioMed Central201920192019info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/42816http://dx.doi.org/10.1186/s13075-019-1932-9reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésCopyright © The Author(s). 2019. Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/428162026-05-29T05:05:01Z
dc.title.none.fl_str_mv Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
title Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
spellingShingle Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
Pujol Nuez, Jesús
Fibromyalgia
Pain
Sensory balance
Somatosensory system
Vibrotactile stimulation
title_short Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
title_full Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
title_fullStr Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
title_full_unstemmed Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
title_sort Testing the effects of gentle vibrotactile stimulation on symptom relief in fibromyalgia
dc.creator.none.fl_str_mv Pujol Nuez, Jesús
Ramos-López, Daniel
Blanco Hinojo, Laura, 1981-
Pujol, Guillem
Ortiz, Héctor
Martínez-Vilavella, Gerard
Blanch-Rubió, Josep
Monfort Faure, Jorge
Deus, Joan
author Pujol Nuez, Jesús
author_facet Pujol Nuez, Jesús
Ramos-López, Daniel
Blanco Hinojo, Laura, 1981-
Pujol, Guillem
Ortiz, Héctor
Martínez-Vilavella, Gerard
Blanch-Rubió, Josep
Monfort Faure, Jorge
Deus, Joan
author_role author
author2 Ramos-López, Daniel
Blanco Hinojo, Laura, 1981-
Pujol, Guillem
Ortiz, Héctor
Martínez-Vilavella, Gerard
Blanch-Rubió, Josep
Monfort Faure, Jorge
Deus, Joan
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Fibromyalgia
Pain
Sensory balance
Somatosensory system
Vibrotactile stimulation
topic Fibromyalgia
Pain
Sensory balance
Somatosensory system
Vibrotactile stimulation
description BACKGROUND: Sensory disturbances in fibromyalgia extend beyond nociception. It has been proposed that imbalance in the mutual competition between painful input and non-painful sensory activity may, to a significant extent, account for the augmented subjective perception of pain. In this context, non-nociceptive somatosensory stimulation could arguably attenuate fibromyalgia symptoms by restoring the sensory balance. We specifically tested the effect of vibrotactile stimulation on symptom relief in fibromyalgia patients with a randomized, double-blind, sham-controlled, crossover clinical trial. METHODS: Seventy-seven female patients were randomized and data from 63 valid cases were analyzed. Active intervention involved extensive body stimulation with gentle mechanical vibrations administered during 3 h at night for 3 weeks, and the placebo effect was controlled using identical instruments to simulate an alternative treatment option. The primary outcome measure combined pain, fatigue, and complaints of poor cognition. RESULTS: Vibrotactile stimulation was significantly superior to sham in alleviating fibromyalgia symptoms globally. However, univariate analyses showed that the effect was not universal. Benefits were perceived on unpleasant somatic sensations such as generalized pain and fatigue, but not on poor cognition, anxiety, and depression. Vibrotactile stimulation was notably well tolerated and sleep quality significantly improved despite the fact that vibrations were administered at night. CONCLUSIONS: Results thus provide new evidence that non-nociceptive somatosensory stimulation may favorably act upon altered somatosensory balance in fibromyalgia. From a clinical perspective, both the degree of improvement and the easy application of our proposal would seem to support a potential role for vibrotactile stimulation in the symptomatic treatment of fibromyalgia.
publishDate 2019
dc.date.none.fl_str_mv 2019
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/42816
http://dx.doi.org/10.1186/s13075-019-1932-9
url http://hdl.handle.net/10230/42816
http://dx.doi.org/10.1186/s13075-019-1932-9
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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