EVIDENCE SPOTLIGHT: Vibroacoustic Therapy and Pain Management

STUDY OVERVIEW

A scoping review examining how Vibroacoustic Therapy has been studied in adults experiencing pain, including the types of pain treated, the VAT protocols used, and the pain-related outcomes reported.

The review included research involving chronic pain, acute pain, combined acute and chronic pain, and experimentally induced pain.

STUDY DETAILS

Study Type: Scoping review

Studies Included: 20 research records

Population: Adults experiencing pain

Pain Categories Represented:

  • Chronic pain

  • Acute pain

  • Combined acute and chronic pain

  • Experimentally induced pain

Primary Focus: Vibroacoustic Therapy for pain management

Most Common Frequency: 40 Hz

Typical Session Length: 20–45 minutes

Treatment Frequency: Varied by study and condition

Chronic-Pain Treatment Frequency: Daily to once weekly

Acute-Pain Treatment Frequency: Often daily

Types of Evidence Included: Quantitative studies, qualitative studies, and systematic reviews

WHAT THEY REVIEWED

Researchers examined the existing scientific literature involving sound-induced, low-frequency vibration for adults experiencing pain.

The review was designed to answer two primary questions:

  1. What characteristics and treatment protocols have been used in VAT studies involving adults with pain?

  2. What pain-related outcomes have been reported?

The researchers specifically focused on sound-generated sinusoidal vibration. Mechanical whole-body vibration studies were excluded because the method of stimulation differs from Vibroacoustic Therapy.

HOW THEY CONDUCTED THE REVIEW

Researchers conducted a comprehensive search of multiple medical, psychological, rehabilitation and interdisciplinary research databases.

The search included:

  • MEDLINE

  • CINAHL

  • Cochrane Library

  • EMBASE

  • Scopus

  • Web of Science

  • Google Scholar

  • ProQuest

  • Additional unpublished and grey-literature sources

The researchers initially identified 430 records.

After screening the records for eligibility, 20 studies were included in the final narrative review.

The reviewers extracted information about:

  • Causes and types of pain

  • Study design

  • Participant populations

  • Treatment settings

  • Vibroacoustic equipment

  • Frequencies used

  • Treatment duration

  • Session frequency

  • Pain measurements

  • Pain-related outcomes

PAIN CONDITIONS AND EXPERIENCES REPRESENTED

The review included VAT research involving pain associated with conditions and circumstances such as:

  • Fibromyalgia

  • Chronic musculoskeletal pain

  • Postoperative pain

  • Temporomandibular disorders

  • Ehlers-Danlos syndrome

  • Cancer-related treatment

  • Acute medical pain

  • Chronic pain syndromes

  • Experimentally induced pain

OUTCOMES MEASURED

Pain-related outcomes focused primarily on:

  • Perceived pain intensity

  • Changes in pain severity

  • Pain-related disability

  • Medication use

  • Number of treatment days

  • Physical functioning

  • Patient comfort

  • Experiences and preferences related to treatment

Some studies also measured broader factors connected with the pain experience, including relaxation, emotional response, and psychosocial well-being.

MAJOR FINDINGS

The review found that Vibroacoustic Therapy has been investigated across several different acute and chronic pain populations.

Of the 20 included studies:

  • 15 examined chronic pain

  • 2 examined acute pain

  • 2 included both acute and chronic pain

  • 1 examined experimentally induced pain

The researchers found that:

  • 40 Hz was the most frequently used stimulation frequency

  • Most sessions lasted between 20 and 45 minutes

  • Acute-pain protocols were generally administered more frequently than chronic-pain protocols

  • Pain intensity was the most common outcome measured

  • Some studies also examined medication use, physical functioning and other indicators of pain-related burden

The studies varied significantly in design, equipment, stimulation settings and treatment schedules.

Because of this variation, the authors could not identify one specific VAT protocol as the most effective approach for pain management.

ADDITIONAL REPORTED INSIGHTS

The review recognized VAT as a complementary psychosocial and rehabilitative approach that may combine:

  • Low-frequency sound vibration

  • Music listening

  • Physical sensory stimulation

  • Relaxation

  • Therapeutic interaction

  • Psychosocial support

The authors discussed the possibility that VAT may influence pain through several interacting processes.

These may include:

  • Providing a pleasant physical sensation that competes with or alters attention to pain

  • Supporting a relaxation response

  • Reducing muscular tension

  • Affecting how the nervous system processes painful sensations

  • Supporting emotional regulation around chronic pain

  • Addressing physical and psychosocial components of pain simultaneously

The authors also emphasized that future studies should clearly report treatment variables such as:

  • Frequency

  • Amplitude

  • Pulsation

  • Loudness or intensity

CLINICAL IMPLICATIONS

This scoping review establishes that Vibroacoustic Therapy has a developing research base in adult pain management.

VAT has been studied in relation to both acute and chronic pain, with research examining pain intensity, pain-related disability, medication use, physical function and patient experience.

The available studies do not yet establish one standardized protocol that should be used for every pain condition. However, the breadth of research supports continued clinical investigation and carefully designed patient-support programs.

The authors specifically called for:

  • Randomized controlled trials

  • Better standardization of treatment protocols

  • Clearer reporting of frequencies and intensity

  • Research into patient experiences and preferences

  • Greater investigation of VAT’s psychosocial components

RELEVANCE TO SICKLE CELL SUPPORT

Pain is one of the most significant and disruptive experiences associated with sickle cell disease. It may include recurring acute pain episodes, persistent chronic pain, or both.

Although the studies included in this review were not specific to sickle cell disease, the review demonstrates that VAT has been investigated in populations experiencing several forms of medically significant pain.

This makes the review relevant to discussions of VAT as a potential complementary resource for supporting:

  • Pain coping

  • Physical comfort

  • Relaxation during or following pain episodes

  • Pain-related stress

  • Muscular tension

  • Sleep and recovery

  • Emotional regulation

  • Daily functioning

  • Quality of life

The review is especially valuable because it does not rely on a single diagnosis or one isolated case. It maps the broader body of pain-related VAT research and identifies both the potential of the intervention and the areas where more research is needed.

WHY IT MATTERS

For people living with sickle cell disease, self-care may be essential to maintaining function, managing recurring symptoms, and recovering between medical encounters.

Pain can affect far more than physical comfort. It can influence:

  • Sleep

  • Energy

  • Mobility

  • Emotional well-being

  • Concentration

  • Work and school participation

  • Social activity

  • Trust in healthcare

  • The ability to manage daily responsibilities

This research suggests that Vibroacoustic Therapy may offer meaningful complementary support for:

  • Acute and chronic pain management

  • Relaxation and nervous-system regulation

  • Pain-related stress

  • Muscle-tension reduction

  • Rest and recovery

  • Physical comfort

  • Psychosocial support

  • Patient-directed self-care

  • Quality-of-life care

For the Sickle Cell Sanctuary, this review provides a scientific foundation for exploring VAT through a structured pilot program with measurable pre-session and post-session outcomes.

PUBLICATION & RESEARCH ACCESS

Primary Study:
Kantor J, Campbell EA, Kantorová L, Marečková J, Regec V, Karasová K, Sedláčková D, Klugar M. (2022)

Title:
Exploring Vibroacoustic Therapy in Adults Experiencing Pain: A Scoping Review

Published In:
BMJ Open

Volume and Article Number:
12, e046591

DOI:
10.1136/bmjopen-2020-046591

Research Access:
https://doi.org/10.1136/bmjopen-2020-046591

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EVIDENCE SPOTLIGHT: Vibroacoustic Therapy for Chronic Musculoskeletal Pain in Children and Adolescents