Effect of DEEP OSCILLATION® in Stroke Rehabilitation - 14 Years Post CVA - A Report From Sara Spenceley

Background “My client is a lady in her early 60s who came to me for deep oscillation therapy after having had a left sided cerebrovascular accident (CVA) in 2003. After having intensive physiotherapy, which commenced 5 days post stroke, she had physiotherapy for a further 3 months and then continued to work very hard to walk and to use her arm. Her speech was now good in comparison, to what she had been left with originally, which was poor. A tall, slim lady, with a wicked sense of humour and a great determination to make further improvement, she had been told by the hospital that she would probably not gain much more improvement. They stressed that exercise was very important and they provided her with various exercises to carry out. She completed the exercises on a regular basis and visited a private massage therapist for years. However, he had since moved away, which was why she contacted me.

 
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GP Approval

Her GP read through the documentation on deep oscillation (which the lady had taken in) and confirmed that she was fit enough to proceed with deep oscillation therapy (she had been on long term anti-coagulants since the CVA and scans had confirmed the clot was gone). The GP, with limited knowledge of the therapy, agreed it could probably help after contraindications checked.

Physical Examination/Assessment

My clients’ right leg was grey looking in appearance and cold to the touch. She had severe right-sided paralysis and some muscle wasting particularly in calf and quads, deltoid and bicep. She complained of pain in right hip, on examination of the hip, the symptoms suggested a chronic hip trochanteric Bursitis: as there was a lot of fluid present. It was puffy to touch and the client felt tenderness when pressure was applied. She had generalised low back pain. The IT band in her right leg was very tight which I believed was caused by the way she was over stretching when walking and this was causing pain down the thigh to knee. Her right hand was set in a tight claw grip; which was spasming from time to time. Her right foot turned in at a sharp angle causing her gait to be difficult. She was using a stick.

Treatment Notes:

Alternate weeks: Deep Oscillation and reflexology.

N.B. The neck and head area were not treated as the stroke had happened in 2003 and I didn’t feel this would make much of a difference, though I fully understand this can be beneficial in the acute stage for the relief of cerebral oedema, used daily for 25 minutes up to 6 weeks and three times a week thereafter. Initially, we began by treating the pain in the hip area to help her mobility and to aide her sleeping pattern, we then continued with the entire side.

Protocol A: hip, upper and lower limb, lower back

Duration: 20 minutes in each area Mode: 5 - Intensity: 80-100%

Massage method: Effleurage stroking with both hands, large sweeping movements, paying particular attention to axillary and cubital lymph nodes in the arms, popliteal lymph nodes behind knees and the medial ankle anastomoses in order to decongest and enhance lymphatic drainage.

Frequencies: 6 minutes at 200 Hz Vibration helps to dissolve states of induration in the tissue and to drain inclusions. Due to the treatment, the tissue softens perceptibly. Preferably for initial treatment, alleviation of pain and treatment of indurations.

10 minutes at 65 Hz Shaking effects result in an enormous detonisation, in improved circulating processes in the tissue ("scavenging") and in better facial sliding. Also applied for purposes of prophylaxis of the entire body.

4 minutes at 24 Hz Pumping effects result in an improvement and stimulation of drain processes in the tissue and in the capillary system ("flooding out"). Usually applied to conclude treatment and in case of pulmonary diseases.

Treatment Protocol B: foot/hand focussed treatment

Duration: 18 minutes - Mode 5 - Intensity: 80-100%

Massage method: Effleurage stroking with both hands, large sweeping movements, paying particular attention to axillary and cubital lymph nodes in the arms, popliteal lymph nodes behind knees and the medial ankle anastomoses in order to decongest and enhance lymphatic drainage.

8 minutes - Frequency: 150 Hz - 200 Hz, 10 minutes - Frequency: 20 Hz - 25 Hz

Results:

Pain: The pain went immediately from the hip after one treatment and after a further three treatments the hip pain was completely resolved. She is not in pain in any other area.

Tissue Colour: Overall the tissue improved in colour and temp and began to look like the other leg.

Sensitivity: The client now can feel with the bottom of her right foot, which is now straight. If I tickle her foot, she now giggles where initially she said it felt like a rough stick.

Mobility: Client can walk up and down stairs more confidently than before and is also walking further, as she is more upright and is not swinging her right hip out as much, as the foot is in the right position. She takes her stick on long walks but around her home and garden is not using it.

Circulation: I have seen a big improvement in the circulation within the tissue.

Muscles: More toned.

Gait: Much smoother

Gripping: Her hand can grip now, though her hand is still a problem to her, we have begun to treat like dupuytrens contracture and this seems to be loosening the tendons and joints with the same protocol used for the foot and a 20 min massage with oil and arnica. She is seeking further advice from her physiotherapist for her hand.

Therapist Conclusion

Very pleased with results, I only wish I had been able to start treatment in the acute phase following the initial stroke.

Patient Feedback:

“I didn't think the treatment would do any good after such a long time after the stroke, 14 years. I was delighted the pain went so quickly in my hip! I was initially afraid but after talking to GP and Sara, I was was very reassured! I find Deep Oscillation so relaxing and the changes that have happened with the feeling in my foot and leg has amazed me. I look forward to the sessions both DOT and reflexology and I believe it's really helped with my general mobility and confidence in how I walk.”

Email Sara

What is DEEP OSCILLATION®?

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DEEP OSCILLATION® is an internationally patented, proven technology based on the effects of creating an electrostatic field in the tissue of the patient. Easy application is from therapist to patient/client via hygienic, vinyl gloved hands; utilising regular massage movements or via circular movements over the tissue with a handheld applicator. The handheld applicator also enables self-treatment. 

The New Deep Oscillation Personal Pro

Visit the DEEP OSCILLATION® product range. The special structure of DEEP OSCILLATION® allows the creation of biologically effective oscillations in the treated tissue using electrostatic attraction and friction. In contrast to other therapies, these pleasant oscillations have a gentle and deep-acting effect on all tissue components to an 8 cm depth (through skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels). DEEP OSCILLATION® is an especially gentle and an unmatched treatment alternative for fresh trauma, postoperative, for acute pain and in the area of open wounds.

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Proof was established in representative studies of the following significant effects of DEEP OSCILLATION®:

Encouraging wounds to heal

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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 regeneration and wound closure are encouraged on many levels. This is documented by the significant improvement in planimetric and biochemical parameters of the wound healing.

Pain Reduction

DEEP OSCILLATION® alleviates pain by reallocating and flushing out pain transmitting and mediating substances. It suppresses inflammation and oedema induced pain by restricting pro inflammatory cell movement to the damaged area, by reducing the inflammatory mediator release, and by oedema reduction.

Mobilisation

In chronic pain syndromes and post-traumatic conditions reduced mobility often is caused by constricted microcirculation due to increased tone of the muscles encasing capillary vessels. DEEP OSCILLATION® is muscle relaxing, enables optimal metabolism and normalizing of defective nerve function. As a measurable sign range of movement can be obtained or even increased.

Anti Inflammatory

DEEP OSCILLATION® suppresses acute and chronic inflammation by restricting pro-inflammatory cell movement to the damaged area, by reducing the inflammatory mediator release, and by inhibiting water and protein leakage from the blood and lymph vessels.

Oedema and Fibrosis 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 reduces both local oedema and aseptic inflammation. 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 to diminish hardening of the tissue.

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