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PAPIMI Short Effect on Pain Perception and Heart Rate Variability in Chronic Musculoskeletal Pain: A Pilot Study
Antonio Viti1, Manuel Amore2, Susanna Garfagnini1
1Centro Fisioterapico Apuano, Via delle Contrade 242, 55047 Lucca, Italy.
Healthcare (Basel, Switzerland)
|August 28, 2025
Summary
A single Pulsed Electromagnetic Field (PEMF) therapy session using the PAP Ion Magnetic Induction (PAPIMI™) device significantly reduced chronic musculoskeletal pain and improved autonomic nervous system balance in adults. This non-invasive treatment offers rapid pain modulation and systemic rebalancing.
Area of Science:
- Biomedical Engineering
- Pain Management
- Autonomic Neuroscience
Background:
- Chronic musculoskeletal pain (CMP) involves complex peripheral and central mechanisms.
- An interplay exists between pain perception and autonomic nervous system (ANS) function.
- Few studies investigate single non-invasive interventions for concurrent modulation of pain and ANS.
Purpose of the Study:
- Evaluate short-term effects of a single PAP Ion Magnetic Induction (PAPIMI™) Pulsed Electromagnetic Field (PEMF) therapy session.
- Assess impact on subjective pain intensity and heart rate variability (HRV) in CMP individuals.
- Explore the relationship between pain relief and autonomic adaptations.
Main Methods:
- Thirty adults with CMP received one PAPIMI™ session.
- Subjective pain measured using Numeric Pain Rating Scale (NPRS).
- Autonomic function assessed via HRV; pre- to post-intervention changes analyzed.
Main Results:
- Significant reduction in NPRS scores post-PAPIMI intervention (p < 0.001).
- Significant increase in parasympathetic HRV indices: RMSSD (p = 0.015) and HF power (p = 0.029).
- No significant correlations found between pain perception changes and HRV metrics.
Conclusions:
- A single PAPIMI™ session demonstrated analgesic effects in CMP.
- The intervention improved autonomic balance, indicated by enhanced HRV.
- PAPIMI™ shows potential as a non-pharmacological method for rapid pain relief and systemic rebalancing.

