title: Effects of music in combination with vibration in acupuncture points on the treatment of fibromyalgia.
abstract: OBJECTIVE
  Fibromyalgia (FM) is a disease that causes widespread pain and increased sensitivity to pain because of a dysfunction in the central nervous system. This study investigated the effect of music combined with vibration on acupuncture points for the treatment of FM.
  
  
  METHODS
  A total of 120 patients with FM were allocated randomly to four groups (30 patients each). One group listened to a sequence of Bach's compositions. The second group was subjected to vibratory stimuli on a combination of acupuncture points on the skin. The third group (complete) underwent both procedures in a simultaneous and synchronized manner, with inclusion of binaural beats. The fourth group (control) received no stimulation. The participants underwent the experimental procedure during five sessions performed on alternate days. They were assessed by the Fibromyalgia Impact Questionnaire (FIQ) and the Health Assessment Questionnaire (HAQ) before the first session and after the last session (20 days).
  
  
  RESULTS
  All groups showed a significant improvement in FIQ and HAQ scores at the evaluation after the intervention. The complete group exhibited the best result on both the FIQ and HAQ (p<0.001), and the improvement in HAQ score was significant (p<0.004).
  
  
  CONCLUSIONS
  The results suggest that the placebo effect in FM may be substantial. However, comparison between groups revealed that the complete group had the greatest reduction in both FIQ and HAQ, with a significant improvement in HAQ, suggesting that the combined use of music and vibration exerts a greater effect on FM symptoms.
authors: 1 Department of Internal Medicine and Health Sciences Post Graduate Program, Hospital de Clínicas da Universidade Federal do Paraná , Curitiba, Brazil .
authors: Augusto
authors: A
authors: Weber
authors: Lineu
authors: L
authors: Werneck
authors: Eduardo
authors: E
authors: Paiva
authors: Paulo
authors: P
authors: Gans
mesh_terms: D015669:Acupuncture Points; D015670:Acupuncture Therapy / Q000295:instrumentation / Q000379:methods*; D000328:Adult; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D009147:Music Therapy / Q000295:instrumentation / Q000379:methods*; D011446:Prospective Studies; D014732:Vibration / Q000627:therapeutic use*