Deep Oscillation Therapy for Lower-Leg Pain

NewsBot · Mar 16, 2019

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The Effects of Deep Oscillation Therapy for Individuals with Lower-Leg Pain
McCall E. Christian et al
Journal of Sports Medicine and Allied Health Sciences: Official Journal of the Ohio Athletic Trainers Association Volume 4 Issue 3 JSMAHS Spring 2019 Issue

Purpose: Lower extremity (LE) pain accounts for 13-20% of injuries in the active population. LE
pain has been contributed to inflexibility and fascial restrictions. Deep oscillation therapy (DOT)
has been proposed to improve range of motion and reduce pain following musculoskeletal injuries.
Therefore, our objective was to determine the effectiveness of DOT on ankle dorsiflexion range of
motion (ROM) and pain in individuals with and without lower-leg pain. Methods: We used a single
blind, pre-post experimental study in a research laboratory. Thirty-two active participants
completed this study. Sixteen individuals reporting lower-leg pain and sixteen non-painful
individuals completed the study. Participants received a single session of DOT performed by one
researcher to their affected limb or matched limb. The intervention parameters included a 1:1 mode
and 70-80% dosage. The intervention began by stimulating the lymphatic channels at the cisterna
chyli, the inguinal lymph node, and the popliteal lymph node at a frequency of 150 Hz all for a minute
each. Next, the researcher treated the triceps surae complex for 11 minutes at three different
frequencies. Finally, the participant was treated distal to the popliteal lymph node at 25 Hz for 5
minutes. The main outcome measures included pain using the VAS and ankle dorsiflexion ROM with
the weight-bearing lunge test (WBLT). Statistical analyses included descriptive statistics and F-test
comparisons between and within groups. Results: The average WBLT measures for all participants
increased 0.6 cm, which not to the minimal detectable change for passive ankle dorsiflexion ROM.
Significant differences from pre-post measures were identified for pain on the VAS. Conclusion:
While increases in ROM were identified, the difference was not clinically important. DOT was
successful in decreasing lower-leg pain. Keywords: Hivamat, manual therapy, flexibility
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