Fibromyalgia and the relevance of the whole-body vibration exercises in vibratory platforms: a short review
Pinto, Nelson de Souza(Universidade do Estado do Rio de Janeiro Instituto de Biologia Roberto Alcantara Gomes Departamento de Biofísica e Biometria) | Monteiro, Milena de Oliveira Bravo | Paiva, Dulciane Nunes(Universidade Santa Cruz do Sul) | Santos-Filho, Sebastião David(Universidade do Estado do Rio de Janeiro Instituto de Biologia Roberto Alcantara Gomes Departamento de Biofísica e Biometria) | Misssailidis, Sotiris(The Open University) | Thompson, Diane(The Queen's Medical Center Women's Health Center) | Cabezuelo, Pedro Marín(The Queen's Medical Center Women's Health Center ,European University Miguel de Cervantes Laboratory of Physiology) | Bernardo-Filho, Mario(Universidade do Estado do Rio de Janeiro Instituto de Biologia Roberto Alcantara Gomes Departamento de Biofísica e Biometria,Universidade Santa Cruz do Sul)
Among nonpharmacological strategy to manage fibromyalgia, exercise (aerobic) has shown efficacy. Whole-body vibration (WBV) exercise has been proposed as a potential clinical intervention. WBV would induce increase in growth hormone (GH). An impairment of the hypothalamic-pituitary-GH-Insulin Growth Factor-1(IGF-1) axis has been implicated in the pathophysiology of fibromyalgia. This article aims to review the studies on exploring the relationship between WBV and fibromyalgia. Literature searches were performed in the PubMed database on 04/03/2010 using terms related to "pain", "whole body vibration" and "fibromyalgia". An important number of publications were identified with the term "pain" and in comparison, only a small number of articles were found related to "fibromyalgia". Three publications found with "whole body vibration" and fibromyalgia were analyzed.There are reports describing increase in serum IGF-1 following exposure to WBV in elderly patients. However, one randomized fibromyalgia trial revealed no changes in serum IGF-1 levels in women undergoing WBV. Due to the paucity of available, effective therapies for fibromyalgia, further studies that explore the relationship between the neuroendocrine system, fibromyalgia and WBV are merited.
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