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Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 2003; 13(2): 85-95
DOI: 10.1055/s-2003-38542
Übersicht
© Georg Thieme Verlag Stuttgart · New York

Vibrationsmassage

Eine Literaturübersicht zu physiologischen Wirkungen und therapeutischer WirksamkeitVibratory MassageA Review of Physiological Effects and Therapeutical EfficacyS.  Gottschild1 , P.  Kröling1
  • 1Institut für Med. Balneologie und Klimatologie der Ludwig-Maximilians-Universität München (Vorstand: Prof. Dr. med. Gerold Stucki)
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Publication History

Eingegangen: 3. Dezember 2002

Angenommen: 19. Februar 2003

Publication Date:
11 April 2003 (online)

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Zusammenfassung

Fragestellung: Seit Jahrzehnten wird die apparative Vibrationsmassage (VM) zur Behandlung von Beschwerden am Bewegungsapparat eingesetzt. Ihre Bedeutung als nützliches Behandlungselement der Physiotherapie wird jedoch kontrovers diskutiert. Ziel dieses Beitrags ist es, einen Überblick über die klinisch und experimentell relevante Literatur zu vermitteln. Methodik: Es wurden für den Zeitraum 1966 - 2000 die in den elektronischen Datenbanken MEDLINE, EMBASE, SERFILE zitierten klinischen und experimentellen VM-Studien gesichtet. 54 verwertbare Publikationen wurden einer näheren Analyse hinsichtlich physiologischer Wirkungen, therapeutischer Wirksamkeit, Anwendungsparametern und Indikationsbereich unterzogen. Ergebnisse: Die Auswertung ergab deutliche Hinweise, dass die VM, bei geeigneter Anwendungsform und Indikationsstellung, analgetische Wirkungen in klinisch relevantem Ausmaß zeigt. VM mit Frequenzen um 100 Hz zeigten den höchsten Wirkungsgrad. Bei orofazialem Schmerz, Lumbalgie, Tendinitis, Myalgie, Neuralgie und Phantomschmerz konnten Schmerzreduktionen bis ca. - 50 % beobachtet werden, die poststimulatorische Wirkung hielt bis zu 6 Stunden an. Die VM war in der Regel deutlich wirksamer als Scheinbehandlungen und ähnlich im Vergleich zu TENS. Schlussfolgerung: Die vorliegenden Ergebnisse rechtfertigen eine weitere klinische und wissenschaftliche Beachtung der VM. Allerdings ist die bisherige Datenlage noch unbefriedigend. Insbesondere mangelt es zu vielen spezifischen Fragestellungen an kontrollierten klinischen Untersuchungen und experimentellen Studien.

Abstract

Massage by vibratory stimulation (vibratory massage; VM) has been used in the treatment of musculosceletal pain for decades. The importance of this physiotherapeutical modality still remains unclear. This review intends to give an overview on the relevant clinical and experimental literature. Methods: The electronical databases MEDLINE, EMBASE, SERFILE were searched for VM relevant literature from 1966 to 2000. Fiftyfour selected studies were evaluated concerning physiological effects, therapeutical efficacy, treatment parameters and indications. Results: There seems to be some evidence that VM provides analgesic effects of clinical relevance for certain indications and application parameters. Vibratory stimulation with frequencies of about 100 Hz seem to be more effective than others. Reductions of pain intensity up to - 50 % have been observed on patients with orofacial pain, lumbalgia, tendinitis, myalgia, neuralgia and phantom limb pain, effects lasted up to 6 hours after stimulation. VM was generally more effective than placebo treatments and comparable to TENS. Conclusions: The available results justify further clinical and scientific investigation into VM. The presently available data are not satisfactory as the number of controlled clinical studies and experimental investigations on specific questions is small.

Schlüsselwörter

Vibrationsmassage - physiologische Wirkungen - therapeutische Wirksamkeit - Anwendungsparameter - Indikationen

Key words

Vibratory massage - physiological effects - therapeutical efficacy - application parameters - indications

Literatur

  • 1 Verleysen J. Histoire du massage et de la gymnastique médicale. Bruxelles; Ecole Technique Supérieure de Kinésithérapie 1956
    Google Scholar
  • 2 Goats G C. Massage - the scientific basis of an ancient art: part 1. The techniques.  Br J Sp Med. 1994;  28 (3) 149-152
    PubMedGoogle Scholar
  • 3 Lundeberg T. Vibratory stimulation for the alleviation of pain.  Am J Chin Med. 1984a;  12 (1 - 4) 60-70
    CrossrefPubMedGoogle Scholar
  • 4 Tardy M F, Guieu R. et al . Two methods for the sensory control of pain: Transcutaneous mechanical vibration, applied either alone or associated with TENS.  Eur J Pain. 1994;  15 (1) 13-21
    PubMedGoogle Scholar
  • 5 Woolf C J, Thompson J W. Stimulation fibre-induced analgesia: transcutaneous electrical nerve stimulation (TENS) and vibration. In: Wall PD, Melzack R (eds) Textbook of pain (3rd edition). New York; Churchill Livingstone 1994: 1191-1208
    Google Scholar
  • 6 Sandkühler J. Körpereigene Schmerzabwehr: Neue Konzepte aus der funktionellen Neuroanatomie, Neurophysiologie, Neurobiologie und Chaosforschung.  Der Schmerz. 1993;  7 250-264
    PubMedGoogle Scholar
  • 7 Melzack R, Wall P D. Pain mechanisms: a new theory.  Science. 1965;  150 (699) 971-979
    CrossrefPubMedGoogle Scholar
  • 8 Guieu R, Tardy M F. et al . Met-enkephalin and beta-endorphin are not involved in the analgesic action of transcutaneous vibratory stimulation.  Pain. 1992;  48 83-88
    CrossrefPubMedGoogle Scholar
  • 9 Hansson P, Ekblom A. Influence of naloxone on relief of acute oro-facial pain by transcutaneous electrical nerve stimulation (TENS) or vibration.  Pain. 1986a;  24 323-329
    CrossrefPubMedGoogle Scholar
  • 10 Lundeberg T. Naloxone does not reverse the pain-reducing effect of vibratory stimulation.  Acta Anaesthesiol Scand. 1985a;  29 212-216
    PubMedGoogle Scholar
  • 11 De Koninck Y, Salter M W. Substance P released endogenously by high-intensity sensory stimulation potentiates purinergic inhibition of nociceptive dorsal horn neurons induced by peripheral vibration.  Neurosci Lett. 1994;  176 128-132
    CrossrefPubMedGoogle Scholar
  • 12 De Koninck Y, Henry J L. Peripheral vibration causes an adenosine-mediated postsynaptic inhibitory potential in dorsal horn neurons of the cat spinal cord.  Neuroscience. 1992;  50 (2) 435-443
    CrossrefPubMedGoogle Scholar
  • 13 Salter M W, De Koninck Y. et al . An inhibitory postsynaptic potential in spinal nociceptive neurones is mediated by adenosine through activation of ATP-sensitive K(+)channels.  Drug Dev Res. 1993;  28 416-422
    CrossrefPubMedGoogle Scholar
  • 14 Salter M W, Henry J L. Tachykinins enhance the depression of spinal nociceptive neurons caused by cutaneously applied vibration in the cat.  Neuroscience. 1988;  27 243-249
    CrossrefPubMedGoogle Scholar
  • 15 Salter M W, Henry J L. Evidence that adenosine mediates the depression of spinal dorsal horn neurons induced by peripheral vibration in the cat.  Neuroscience. 1987;  22 631-650
    CrossrefPubMedGoogle Scholar
  • 16 Uvnas M K, Bruzelius G. The antinociceptive effect of non-noxious sensory stimulation is mediated partly through oxytocinergic mechanisms.  Acta Physiol Scand. 1993;  149 199-204
    PubMedGoogle Scholar
  • 17 Guieu R. et al . Adenosine in painful legs and moving toes syndrome.  Clin Neuropharmacol. 1994;  17 (5) 460-469
    PubMedGoogle Scholar
  • 18 Kosarev A. Wirkungen von TENS, PENS, Elektroakupunktur und manueller Akupunktur auf die prätibiale Druckschmerzschwelle. LMU München; Dissertation 1998
    Google Scholar
  • 19 Walach H, Klöpfer D. et al .Wirkung und Wirksamkeit der Massage (1. Aufl.). Heidelberg; Haug 1995
    Google Scholar
  • 20 Wakim K G. Physiologic effects of massage. In: Basmajan JV (ed) Manipulation, traction and massage. Baltimore; Williams and Wilkens 1985
    Google Scholar
  • 21 Lundeberg T. et al . Vibratory stimulation compared to placebo in alleviation of pain.  Scand J Rehabil Med. 1987;  19 (4) 153-158
    PubMedGoogle Scholar
  • 22 Lundeberg T. Relief of pain from a phantom limb by peripheral stimulation.  J Neurol. 1985b;  232 79-82
    PubMedGoogle Scholar
  • 23 Lundeberg T. The pain suppressive effect of vibratory stimulation and transcutaneous electrical nerve stimulation (TENS) as compared to aspirin.  Brain Res. 1984c;  294 201-209
    CrossrefPubMedGoogle Scholar
  • 24 Lundeberg T. A comparative study of the pain alleviating effect of vibratory stimulation, transcutaneous electrical nerve stimulation, electroacupuncture and placebo.  Am J Chin Med. 1984d;  12 (1 - 4) 72-79
    CrossrefPubMedGoogle Scholar
  • 25 Lundeberg T, Ottoson D. et al .Vibratory stimulation for the control of intractable chronic orofacial pain. In: Bonica JJ et al (eds) Advances in pain research and therapy (Vol 5). New York; Raven Press 1983b: 555-561
    Google Scholar
  • 26 Hansson P, Ekblom A. Afferent stimulation induced pain relief in acute oro-facial pain and its failure to induce sufficient pain reduction in dental and oral surgery.  Pain. 1984;  20 273-278
    CrossrefPubMedGoogle Scholar
  • 27 Ottoson D, Ekblom A. et al . Vibratory stimulation for the relief of pain of dental origin.  Pain. 1981;  10 37-45
    CrossrefPubMedGoogle Scholar
  • 28 Kröling P, Gottschild S. TENS hebt die Druckschmerzschwelle in Abhängigkeit von elektrischen und topischen Parametern.  Phys Rehab Kur Med. 1999;  9 48-55
    PubMedGoogle Scholar
  • 29 Guieu R, Tardy M F. Analgesic effects of vibration and transcutaneous electrical nerve stimulation applied separately and simultaneously to patients with chronic pain.  Can J Neurol Sci. 1991;  18 113-119
    PubMedGoogle Scholar
  • 30 Guieu R, Tardy M F. et al . Pain relief achieved by transcutaneous electrical nerve stimulation and/or vibratory stimulation in a case of painful legs and moving toes.  Pain. 1990;  42 43-48
    CrossrefPubMedGoogle Scholar
  • 31 Duranti R, Pantaleo T. et al . Increase in muscular pain threshold following low frequency-high intensity peripheral conditioning stimulation in humans.  Brain Res. 1988;  452 (1 - 2) 66-72
    PubMedGoogle Scholar
  • 32 Lundeberg T. Long-term results of vibratory stimulation as a pain relieving measure for chronic pain.  Pain. 1984b;  20 13-23
    CrossrefPubMedGoogle Scholar
  • 33 Hansson P, Ekblom A. Transcutaneous electrical nerve stimulation (TENS) as compared to placebo TENS for the relief of acute oro-facial pain.  Pain. 1983;  15 157-165
    CrossrefPubMedGoogle Scholar
  • 34 Lundeberg T. Pain alleviation by vibratory stimulation.  Pain. 1984e;  20 (1) 25-44
    CrossrefPubMedGoogle Scholar
  • 35 Mühlbauer M. Methode zur perkutanen elektrischen Schmerzschwellenbestimmung am Beispiel von Kälte- und TENS-Wirkungen. LMU München; Dissertation 1993
    Google Scholar
  • 36 Minnich S, Taubert K. Vibrationsstimulation.  Z Physiother. 1990;  42 95-99
    PubMedGoogle Scholar
  • 37 Hansson P, Ekblom A. Influence of stimulus frequency and probe size on vibration-induced alleviation of acute orofacial pain.  Appl Neurophysiol. 1986b;  49 155-165
    PubMedGoogle Scholar
  • 38 Lundeberg T, Abrahamsson P. et al . Effect of vibratory stimulation on experimental and clinical pain.  Scand J Rehab Med. 1988;  20 149-159
    PubMedGoogle Scholar
  • 39 Zoppi M, Voegelin M R. Pain threshold changes by skin vibratory stimulation in healthy subjects.  Acta Physiol Scand. 1991;  143 439-443
    CrossrefPubMedGoogle Scholar
  • 40 Ekblom A, Hansson P. Effects of conditioning vibratory stimulation on pain threshold of the human tooth.  Acta Physiol Scand. 1982;  114 601-604
    PubMedGoogle Scholar
  • 41 Pertovaara A. Modification of human pain threshold by specific tactile receptors.  Acta Physiol Scand. 1979;  107 (4) 339-341
    PubMedGoogle Scholar
  • 42 Klyscz T, Ritter-Schempp C. et al . Biomechanische Stimulationstherapie (BMS) zur physikalischen Behandlung des arthrogenen Stauungssyndroms.  Hautarzt. 1997;  48 318-322
    CrossrefPubMedGoogle Scholar
  • 43 Lundeberg T. Vibratory stimulation for the alleviation of chronic pain.  Acta Physiol Scand Suppl. 1983a;  523 (1) 1-50
    PubMedGoogle Scholar
  • 44 Palmesano T J, Clelland J A. et al . Effect of high-frequency vibration on experimental pain threshold in young women when applied to areas of different size.  Clin J Pain. 1989;  5 (4) 337-342
    PubMedGoogle Scholar
  • 45 Paice J A, Shott S. et al . Efficacy of a vibratory stimulus for the relief of HIV-associated neuropathic pain.  Pain. 2000;  84 291-296
    CrossrefPubMedGoogle Scholar
  • 46 Ekblom A, Hansson P. Extrasegmental transcutaneous electrical nerve stimulation and mechanical vibratory stimulation as compared to placebo for the relief of acute oro-facial pain.  Pain. 1985;  23 223-229
    CrossrefPubMedGoogle Scholar
  • 47 Lundeberg T, Ekblom A. et al . Relief of sinus pain by vibratory stimulation.  Ear Nose Throat J. 1985c;  64 (4) 163-167
    PubMedGoogle Scholar
  • 48 Spicher C, Kohut G. Rapid relief of a painful, long-standing posttraumatic digital neuroma treated by transcutaneous vibratory stimulation (TVS).  J Hand Ther. 1996;  9 (1) 47-51
    PubMedGoogle Scholar
  • 49 Nazarov V. et al . Development of athlete's strength abilities by means of biomechanical stimulation method.  Theory and practice of physical culture (moscow). 1987;  12 37-99
    PubMedGoogle Scholar
  • 50 Issurin V B, Tenenbaum G. Acute and residual effects of vibratory stimulation on explosive strength in elite and amateur athletes.  J Sports Sci. 1999;  17 177-182
    CrossrefPubMedGoogle Scholar
  • 51 Issurin V B, Liebermann D G. et al . Effect of vibratory stimulation training on maximal force and flexibility.  J Sports Sci. 1994;  12 561-566
    CrossrefPubMedGoogle Scholar
  • 52 Klyscz T, Rassner G. et al .Biomechanical stimulation therapy. A novel physiotherapy method for systemic sclerosis. In: Mallia (ed) RheumaDerm. New York; Kluwer Academic/Plenum Publishers 1999 455: 309-316
    Google Scholar
  • 53 Cafarelli E, Sim J. et al . Vibratory massage and short-term recovery from muscular fatigue.  Int J Sports Med. 1990;  11 474-478
    Article in Thieme ConnectPubMedGoogle Scholar
  • 54 Samuelson B, Jorfeldt L. et al . Influence of vibration on work performance during ergometer cycling.  Upsala J Med Sci. 1989;  94 73-79
    PubMedGoogle Scholar
  • 55 Sherer C L, Clelland J A. et al . The effect of two sites of high frequency vibration on cutaneous pain threshold.  Pain. 1986;  25 (1) 133-138
    CrossrefPubMedGoogle Scholar
  • 56 Pantaleo T, Duranti R. et al . Effects of vibratory stimulation on muscular pain threshold and blink response in human subjects.  Pain. 1986;  24 239-250
    CrossrefPubMedGoogle Scholar
  • 57 Kemppainen P. Modification of human dental pain thresholds by conditioning vibrotactile stimulation at high frequency.  Arch Oral Biol. 1983;  28 (10) 959-962
    PubMedGoogle Scholar
  • 58 Bini G, Cruccu G. et al . Analgesic effect of vibration and cooling on pain induced by intraneural electrical stimulation.  Pain. 1984;  18 239-248
    CrossrefPubMedGoogle Scholar
  • 59 Watanabe I, Svensson P. et al . Influence of segmental and extra-segmental conditioning stimuli on cortical potentials evoked by painful electrical stimulation.  Somatosens Mot Res. 1999;  16 (3) 243-250
    CrossrefPubMedGoogle Scholar
  • 60 Ertekin N, Citakoglu K. et al . Effect of continuous vibration on sural nerve action potentials.  Appl Neurophysiol. 1980;  43 (6) 305-312
    PubMedGoogle Scholar
  • 61 Ertekin C, Akcali D. Effect of continuous vibration on nociceptive flexor reflexes.  J Neurol Neurosurg Psychiatry. 1978;  41 (6) 532-537
    PubMedGoogle Scholar
  • 62 Yarnitzky D, Kunin M. et al . Vibration reduces thermal pain in adjacent dermatomes.  Pain. 1997;  69 75-77
    CrossrefPubMedGoogle Scholar
  • 63 Casey K L, Zumberg M. et al . Afferent modulation of warmth sensation and heat pain in the human hand.  Somatosens Mot Res. 1993;  10 (3) 327-337
    PubMedGoogle Scholar
  • 64 Kakigi R, Matsuda Y. et al . Effects of movement-related cortical activities on pain-related somatosensory evoked potentials following CO2 laser stimulation in normal subjects.  Acta Neurol Scand. 1993;  88 376-380
    PubMedGoogle Scholar
  • 65 Kakigi R, Shibasaki H. Mechanisms of pain relief by vibration and movement.  J Neurol Neurosurg Psychiatry. 1992;  55 (4) 282-286
    PubMedGoogle Scholar
  • 66 Ward L, Wright E. et al . A comparison of the effects of noxious and innocuous counterstimuli on experimentally induced itch and pain.  Pain. 1996;  64 (1) 129-138
    CrossrefPubMedGoogle Scholar
  • 67 Kosek E, Hansson P. Modulatory influence on somatosensory perception from vibration and heterotopic noxious conditioning stimulation (HNCS) in fibromyalgia patients and healthy subjects.  Pain. 1997;  70 41-51
    CrossrefPubMedGoogle Scholar
  • 68 Gottschild S. Einfluss von TENS auf die prätibiale Druckschmerzschwelle in Abhängigkeit von elektrischen und topischen Parametern. LMU München; Dissertation 1999
    Google Scholar
  • 69 Kröling P, Kober L. Ein automatisiertes Verfahren zur Druckschmerzschwellenbestimmung (Pressure Algometrie) am Beispiel der Wirkung von Eisbeutel und Kaltluft.  Phys Rehab Kur Med. 1994;  4 173-176
    PubMedGoogle Scholar
  • 70 Sjolund B H, Eriksson M. et al .Transcutaneous and implanted electrical stimulation of peripheral nerves. In: Bonica JJ (ed) The management of pain. Philadelphia; Lea & Febiger 1990: 1852-1861
    Google Scholar
  • 71 Treede R D. Peripheral acute pain mechanisms.  Ann Med. 1995;  27 (2) 213-216
    PubMedGoogle Scholar
  • 72 Wolff B B. Die Messung von Schmerz beim Menschen. In: Keeser W et al (Hrsg) Fortschritte der Klinischen Psychologie (27): Schmerz. München; Urban und Schwarzenberg 1982
    Google Scholar

Prof. Dr. med. Peter Kröling

Institut für Med. Balneologie und Klimatologie der Ludwig-Maximilians-Universität München

Marchioninistraße 17

81377 München

Email: kroeling@imbk.med.uni-muenchen.de

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