{"id":10587,"date":"2023-12-20T10:28:14","date_gmt":"2023-12-20T09:28:14","guid":{"rendered":"https:\/\/www.wibroterapia.com\/?p=10587"},"modified":"2023-12-20T10:28:14","modified_gmt":"2023-12-20T09:28:14","slug":"multiple-sclerosis-and-vibrotherapy","status":"publish","type":"post","link":"https:\/\/www.wibroterapia.com\/en\/multiple-sclerosis-and-vibrotherapy\/","title":{"rendered":"Multiple sclerosis and vibrotherapy"},"content":{"rendered":"
This seemingly trivial dysfunction is considered by most patients to be the most challenging, life-changing aspect of the disease. The degree of gait disturbance is related to the degree of deficits at various functional neurological levels. These include loss of muscle strength, degree of spasticity, degree of instability due to imbalance, and degree of sensory impairment. However, as a 2017 study shows, vibrotherapy may prove to be an effective way to improve the functioning of people with multiple sclerosis. Before we get to the results of the study, let’s remind ourselves what MS is and what vibrotherapy is.\n\n\n\n\n<\/p>
Multiple sclerosis (MS) – what is it?<\/h2>\n\n\n\n\nMultiple sclerosis is a chronic inflammatory disease of the central nervous system characterized by demyelination and axonal loss. The cause of the disease is unknown, but, environmental and genetic factors play a key role in its development.\n\n\n\n\n
Local (topical) vibrotherapy<\/h2>\n\n\n\n\nLocal muscle vibration is a technique in which a vibratory stimulus is applied to a specific muscle or tendon. This helps reduce excessive muscle tension – spasticity, which can limit range of motion, impair overall performance, cause malalignment and pain. All this makes it difficult to perform daily activities.\n\n\n\n\n\nAs mentioned earlier, local vibrotherapy is a treatment in which a vibratory stimulus is applied to a selected muscle or tendon. In this way, spasticity in that muscle can be reduced regardless of disease or neurological disorder.\n\n\n\n\n\nIt is used in various clinical conditions such as:\n\n\n\n\n
\n \t
after a stroke to reduce muscle spasticity and improve global body function,<\/li>\n<\/ul>\n\n\n\n
\n \t
spinal cord injuries,<\/li>\n<\/ul>\n\n\n\n
\n \t
movement disorders such as Parkinson’s disease or dystonia,<\/li>\n<\/ul>\n\n\n\n
\n \t
proprioceptive disorders to improve postural stability and overall balance.<\/li>\n<\/ul>\n\n\n\n\nLocal muscle vibration is being used as a new therapeutic method for treating local spasticity. The fact that muscle vibration activates the neuromuscular spindles of the afferent fibers, sending an artificial, yet realistic, multi-muscular message to the brain that is identical to the natural response of the afferent fibers.\n\n\n\n\n\n \n
Vibrotherapy versus MS – just 3 days are enough<\/h2>\n\n\n\n\nThe 2017 study mentioned in the introduction included 14 patients, diagnosed with multiple sclerosis. All patients suffered from lower limb spasticity with little to no response to medications (Gabapentin, Lioresal, Sirdalud, Valium, Benzodiazepine). The vibrotherapy apparatus was placed bilaterally on the quadriceps muscle, close to the attachment of the rectus femoris muscle, and on the paraspinal muscles in the lumbar spine. The therapy was applied for 30 minutes for 3 consecutive days. The apparatus operated at a low amplitude of 0.2-0.5 mm and a frequency of 100 Hz. Thus, the action of vibrotherapy below the threshold value, used two mechanisms: perception of spurious movements and induction of tonic vibration reflex (TVR).\n\n\n\n\n\nAfter the treatments, a significant increase in mobility was noted in the hip, knee and ankle joints. This was associated not only with a reduction in spasticity, but also with the effect of the vibratory stimulus on the delivery of sensory stimuli to the Central Nervous System.\n\n\n\n\nSummary of the study. Source: https:\/\/bit.ly\/2KfUZn9<\/figcaption><\/figure>\n\n\n\n
Vibrotherapy – hope for MS patients?<\/h2>\n\n\n\n\nThe application of vibrotherapy treatments to the muscles of the thigh and back makes it possible to improve the functional stimulation of the nerves responsible for various motor activities. After the treatments, an improvement in gait is noted by reducing spasticity in patients with multiple sclerosis. Even in those who do not respond to oral antispastic drugs. In addition, vibrotherapy reduces pain and improves quality of life, as evidenced by further scientific studies.\n\n\n\n\n\nAfter an experiment conducted at the University of Konstanz, Germany, it was found:\n\n\n\n\n
\n \t
Increased patients’ distance traveled in 6 minutes by almost 15% in the vibration-trained group, compared to 3% in the group without vibration training (a 4.5-fold improvement over the control group).<\/strong><\/li>\n \t
Respondents in the vibration-treated group reported no side effects during the program.<\/strong><\/li>\n<\/ul>\n\n\n\n\n\n\n\n\nTherefore, this is undoubtedly good news for people with multiple sclerosis and those struggling with abnormal, excessive muscle tension (spasticity). Based on the results of the study, this method can be considered safe, well-tolerated, easy to apply with long-lasting effects. Vibrotherapy can be an effective method in the rehabilitation of multiple sclerosis patients with a high degree of disability and spasticity of the lower extremities.\n\n\n\n\n\nReferences:<\/b>\n\n\n\n\n\n \t
Camerota F, Celletti C, Di Sipio E et al. (2017) Focal muscle vibration, an effective rehabilitative approach in severe gait impairment due to multiple sclerosis. J Neurol Sci 372: 33–39<\/span><\/li>\n \t
Effects of whole-body vibration training on physical function in patients with Multiple Sclerosis <\/em>\nChristoph Hilgers, Annegret Mundermann, Hartmut Riehle, Christian Dettmers ,<\/em> NeuroRehabilitation 32 (2013), 655-663,doi: 10.3233\/NRE-130888<\/em><\/li>\n<\/ol>\n\n\n","protected":false},"excerpt":{"rendered":"
Multiple sclerosis (MS) is the most common cause of non-traumatic disability in young adults. Gait disturbance is one of the most common effects of MS, reported by 85% of patients.<\/p>\n","protected":false},"author":4,"featured_media":9376,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3908],"tags":[],"acf":[],"yoast_head":"\n
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