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--- deep_oscillation_therapy [2012/07/28 07:14]
Pat O'Connor [Lymphedema People Internal Links]
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-======Deep Oscillation Therapy======
-There is a new treatment modality that is hitting the [[lymphedema]] world.  It is called Deep Oscillation Therapy.
-Classified as an alternative or complementary medical [[treatment]], it was originally marketed as a treatment tool for muscle relaxation, anti-inflammatory action, wound healing and skeletal injuries.
-It’s use and claims by the manufacturers has now expanded into many other conditions and ailments, including pain management and lymphedema.  Don't be misled by those who are proponents of deep oscillation therapy.
-It is important for the lymphedema patient to be aware of the fact, there are NO clinical studies that verify the treatment claims of deep oscillation therapy. I was able to find only one article written by lymphologists regarding its use and have included it below.  Understand, this was not a double blind clinical study and this is essential before we can give it an endorsement.
-The article was written in 2005 and there has been nothing added since then. If and when there are updates, I will make them immediately available.
-Information provided below is for educational purposes only.  Inclusion of the information __does not__ in any manner constitute an endorsement by the author/editor of this page.
-Please consult and work with your personal physician before undertaking any treatment the they do not prescribe.
-Until studies are conducted that prove it efficacy, I personally can only say “buyer beware.”
-[[My Life with Lymphedema|Pat]]
-Today is Christmas Day, Dec. 25, 2011 and I have revised this page with only one new abstract I could find.  There are no further independent, clinical studies available.
-======What is Deep Oscillation Therapy?======
-Deep Oscillation therapy is a totally unique form of physical therapy. It is used by doctors and therapists in hospitals and clinics throughout Europe and America, and is now available in the UK. Therapy is characterised by an intermittent electro-static field, which is built up between the hands of the therapist or an applicator attachment and the soft tissue of the patient, by means of the Hivamat machine. The patient’s tissue is then attracted and released in the selected frequency, which through a unique patented process triggers a deeply penetrating and lasting resonance, (DEEP OSCILLATION) of the treated tissues. What makes this form of therapy unique is that it penetrates much deeper into body tissue than traditional manual methods thus allowing previously 'untreatable' injuries to be manipulated with the minimum of physical pressure. Electrostatic waves create a 'kneading' effect deep within the damaged tissues, restoring flexibility and blood supply to the affected area. DEEP OSCILLATION helps stimulate local immunity. During treatment inflammation mediators are released, and the body's own local defensive functions increased, therefore the therapy has a highly significant anti-inflammatory effect. It helps to speed up and improve the body’s natural wound-healing processes.
-The oedema-reducing and anti-inflammatory effects of Hivamat treatments, greatly improve local metabolic elimination and alimentation in all the layers of tissue, thus accelerating tissue renewal and repair.The Hivamat’s mechanical activation, assists interstitial drainage. In chronic conditions the treatment helps to disperse fibrosis and hardening of the tissue. This significantly accelerates the breakdown of local oedema and inflammation. It helps to quickly and effectively dissolve sticky fascia and hardened tissue, and improves the ability for movement. DEEP OSCILLATION THERAPY has a substantial pain-soothing and de-stressing effect and therefore makes the patient feel fully relaxed and comfortable.
-DEEP OSCILLATION THERAPY is known for its rapid, muscle-relaxing and pain-relieving effects and for its direct effect against micro-trauma (muscle aches & pains). Hivamat Electrostatic Therapy is a proven way to help you recover your fitness or former mobility in what could be a considerably shorter time than traditional massage. http://options-for-health.co.uk/hivamat.htm
-=====Deep Oscillation Therapy - How It Works=====
-In contrast to externally applied, mechanical forms of therapy, (e.g. vibration), the therapy effect of DEEP OSCILLATION takes place in the tissue itself and works through the entire depth of the tissue.
-This causes DEEP OSCILLATION to be especially gentle and makes it an unmatched treatment alternative for fresh trauma, postoperative, for acute pain and in the area of open wounds. Proof was established in representative studies of the following significant effects of DEEP OSCILLATION
-=====Anti Inflammatory=====
-DEEP OSCILLATION stimulates local immunity. Various immunity parameters are increased
-Through the treatment, inflammation mediators are released.
-The body's own local defensive function increases overall, the therapy has a significant anti-inflammatory effect.
-=====Stimulating wounds to heal=====
-DEEP OSCILLATION helps in speeding up and improving wound-healing processes. Through the oedema-reducing and anti-inflammatory effect, the local metabolic elimination and alimentation is improved in all tissue layers, whereby tissue renewal and scar formation is encouraged on many levels and is accelerated
-This is documented by the significant improvement in planimetric and biochemical parameters of the wound healing.
-=====Oedema reduction=====
-On the level of the interstitium, DEEP OSCILLATION causes a 'Shuffling' of the basic substance, thus promoting the removal of interstitial fluid as well as content material.
-Interstitial septa and fissures are kept open by the mechanical activation, which helps interstitial drainage.
-This significantly accelerates the breakdown of local oedema with aseptic inflammations. Proof was also established of a significant reduction in swellings in the area of the wound, due to the treatment.
-In chronic conditions the treatment helps to disperse fibrosis and hardening of the tissue.
-=====Treatment Features=====
-When applying DEEP OSCILLATION the tissue will be thoroughly "kneaded" by mechanical force. This effect will not even be reduced when applying minimal external pressure thus enabling the application e.g. in cases of acute traumata or pains, or in the vicinity of open wounds.
-In the area of the interstitium the resonant vibration causes a "mixing" of the basic substance, subsequently stimulating transportation of interstitial liquids and their components (protiens, cellular disintegration products, neurotransmitters etc.). The detumescense of local edemas with aseptic inflammations is accelerated. Interstitial septa and spaces remain open to improve interstitial drainage. The restoration of the interstitial decongestion and supply will improve trophism considerably.
-The DEEP OSCILLATION helps to quickly and effectively dissolve sticky fascia and indurate tissue. Besides improving the willingness to be active, DEEP OSCILLATION has a substantial pain-soothing and detonizing effect and therefore makes the patient feel fullt relaxed and comfortable.
-=====Training Aftercare and Performance Stabilization=====
-In training aftercare, DEEP OSCILLATION is known for its rapid, muscle-relaxing and pain-relieving effects and for its direct effect against microtrauma (muscle aches). Roughage and cell remains are removed more quickly through the treatment. This promotes a more effective nutritional supply to the muscle cells, thus accelerating the restoration to optimal performance. Regeneration times in the systematic training process can thus be reduced.
-http://www.physiopod.co.uk/
-======Deep Oscillation Therapy======
-ESL - GEL. European Society of Lymphology
-...On the basis of these remarks we conducted a clinical and instrumental study in order to check its efficacy in treating lymphedema of the limbs. From May to December 2005, 20 patients affected by lymphedema of the limbs underwent HIVAMAT® 200 treatment wearing II class compression garments.
-Results: The results obtained in 20 patients confirmed that this method can play an important role in the treatment of such a complex disease. We achieved a remarkably significant reduction in the circumference of the limbs and in the subcutis thickness.
-Conclusion: The advantage of HIVAMAT 200 lies in the combination of electricity and several manual massage techniques which improve the treatment quality and efficacy. Moreover, due to its potential for self-treatment, patients can undergo treatment at home.
-Written by: Gasbarro V., Bartoletti R, Tsolaki E, Sileno S, Agnati M, Bertaccini C
-======External Links======
-[[http://www.minervamedica.it/en/journals/minerva-medica/article.php?cod=R10Y2011N04A0277|Deep Oscillation: therapeutic-rehabilitative experiences with a new electrostatic device.]] August 2011
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-Updated Dec. 25, 2011

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