Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study

<h4>Background</h4> Transcutaneous vagal nerve stimulation has analgesic potential and might be elicited by abdominally administered low-frequency vibrations. The objective was to study the safety and effect of a combination of music and abdominally administered low-frequency vibrations...

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Autores principales:	Thom A. H. Eshuis, Peter J. C. Stuijt, Hans Timmerman, Peter Michael L. Nielsen, André Paul Wolff, Remko Soer
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/6b89b95b6a3940de8de515ee6d924bfa
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spelling	oai:doaj.org-article:6b89b95b6a3940de8de515ee6d924bfa2021-11-11T06:44:20ZMusic and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study1932-6203https://doaj.org/article/6b89b95b6a3940de8de515ee6d924bfa2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8562790/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> Transcutaneous vagal nerve stimulation has analgesic potential and might be elicited by abdominally administered low-frequency vibrations. The objective was to study the safety and effect of a combination of music and abdominally administered low-frequency vibrations on pain intensity in elderly patients with chronic musculoskeletal pain. <h4>Methods</h4> This trial was an international multicenter, randomized controlled pilot study. Patients at age ≥ 65 years with musculoskeletal pain for ≥ 3 months and a daily pain score ≥ 4 out of 10 were recruited at three centers. They were randomized to receive either a combination of music and low-frequency (20–100 Hz) vibrations administered to the abdomen, or a combination with the same music but with higher frequency (200–300 Hz) vibrations administered to the abdomen. Low-frequency vibrations were expected to result in pain reduction measured with a numeric pain rating scale (NRS). Patients in both groups received eight treatments of the music combined with the vibrations in three weeks. Primary outcomes were safety (Serious Adverse Events) and pain intensity measured at baseline, after the last treatment and at six weeks follow-up. Multilevel linear model analyses were performed to study group and time effects. <h4>Results</h4> A total of 45 patients were analyzed according to intention-to-treat principle. After 344 treatments, 1 Adverse Event was found related to the intervention, while 13 Adverse Events were possibly related. A multilevel linear model showed that the interaction effect of group by time did not predict pain intensity (F[1, 45.93] = 0.002, p = 0.97) when comparing pain intensity at baseline, after the last treatment and at follow-up. <h4>Conclusions</h4> The combination of music and abdominally administered vibrations was found to be safe and well tolerated by the elderly patients. However, over time, neither the low-frequency treatment group nor the high-frequency treatment group provided clinically meaningful pain relief. There is no evidence that the low-frequency treatment elicited vagal nerve stimulation. <h4>Trial registration</h4> The trial was prospectively registered in the Netherlands Trial Register (NTR: NL7606) on 21-03-2019.Thom A. H. EshuisPeter J. C. StuijtHans TimmermanPeter Michael L. NielsenAndré Paul WolffRemko SoerPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Thom A. H. Eshuis Peter J. C. Stuijt Hans Timmerman Peter Michael L. Nielsen André Paul Wolff Remko Soer Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
description	<h4>Background</h4> Transcutaneous vagal nerve stimulation has analgesic potential and might be elicited by abdominally administered low-frequency vibrations. The objective was to study the safety and effect of a combination of music and abdominally administered low-frequency vibrations on pain intensity in elderly patients with chronic musculoskeletal pain. <h4>Methods</h4> This trial was an international multicenter, randomized controlled pilot study. Patients at age ≥ 65 years with musculoskeletal pain for ≥ 3 months and a daily pain score ≥ 4 out of 10 were recruited at three centers. They were randomized to receive either a combination of music and low-frequency (20–100 Hz) vibrations administered to the abdomen, or a combination with the same music but with higher frequency (200–300 Hz) vibrations administered to the abdomen. Low-frequency vibrations were expected to result in pain reduction measured with a numeric pain rating scale (NRS). Patients in both groups received eight treatments of the music combined with the vibrations in three weeks. Primary outcomes were safety (Serious Adverse Events) and pain intensity measured at baseline, after the last treatment and at six weeks follow-up. Multilevel linear model analyses were performed to study group and time effects. <h4>Results</h4> A total of 45 patients were analyzed according to intention-to-treat principle. After 344 treatments, 1 Adverse Event was found related to the intervention, while 13 Adverse Events were possibly related. A multilevel linear model showed that the interaction effect of group by time did not predict pain intensity (F[1, 45.93] = 0.002, p = 0.97) when comparing pain intensity at baseline, after the last treatment and at follow-up. <h4>Conclusions</h4> The combination of music and abdominally administered vibrations was found to be safe and well tolerated by the elderly patients. However, over time, neither the low-frequency treatment group nor the high-frequency treatment group provided clinically meaningful pain relief. There is no evidence that the low-frequency treatment elicited vagal nerve stimulation. <h4>Trial registration</h4> The trial was prospectively registered in the Netherlands Trial Register (NTR: NL7606) on 21-03-2019.
format	article
author	Thom A. H. Eshuis Peter J. C. Stuijt Hans Timmerman Peter Michael L. Nielsen André Paul Wolff Remko Soer
author_facet	Thom A. H. Eshuis Peter J. C. Stuijt Hans Timmerman Peter Michael L. Nielsen André Paul Wolff Remko Soer
author_sort	Thom A. H. Eshuis
title	Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
title_short	Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
title_full	Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
title_fullStr	Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
title_full_unstemmed	Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study
title_sort	music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: a pilot study
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/6b89b95b6a3940de8de515ee6d924bfa
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Music and low-frequency vibrations for the treatment of chronic musculoskeletal pain in elderly: A pilot study

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