Ronconi Gianpaolo, Gatto Dario Mattia, Ariani Mariantonietta, Codazza Sefora, Panunzio Maurizio, Coraci Daniele, Ferrara Paola Emilia
Catholic University of the Sacred Heart, Rome.
Department of Neurosciences, Sense Organs and Thorax, Catholic University of the Sacred Heart, Rome.
Eur J Transl Myol. 2024 Apr 18;34(2):12355. doi: 10.4081/ejtm.2024.12355.
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.
肌肉骨骼疼痛是帕金森病（PD）的常见症状，目前的多巴胺能药物对此治疗效果不佳。这项前瞻性研究旨在调查局部肌肉振动（fMV）对一组患有慢性颈部疼痛的帕金森病患者的影响。除了传统物理治疗外，22例特发性帕金森病患者（霍恩和雅尔分期II - III期）接受了为期三周的双侧斜方肌局部肌肉振动治疗。使用视觉模拟量表（VAS）、简短麦吉尔疼痛问卷和当前疼痛强度量表，在基线（T0）、治疗三周后（T1）、最后一次治疗 session 后一周（T2）以及T2后三周（T3）评估疼痛情况。在所有疼痛量表上，疼痛强度从基线到T1均显著降低（p < 0.0001）。此外，fMV对颈部疼痛的有益作用在治疗后持续长达一个月。我们的研究结果表明，fMV与传统物理治疗相结合，可有效降低PD患者的疼痛强度，即使在随访一个月后仍可见效果。
