The athermal mechanical mode of action of DEEP OSCILLATION® can induce the following clinically documented effects in treated tissue to an 8cm depth:


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Clinical effects


The athermal mechanical mode of action of deep oscillation can induce the following clinically documented effects in treated tissue:


  • Strong pain-alleviating potential. This applies to acute traumatic as well as to chronic pain conditions 
  • Anti-inflammatory effect
  • Prevention and reduction of secondary and primary lymphoedema, as well as reduction of oedema in lipoedema 
  • Prevention of fibrotic remodelling processes, reduction of fibrosis 
  • Muscle relaxation, mobilisation, functional improvement and improved ROM 
  • Support of wound healing processes 
  • Normalisation of haemodynamic parameters of the skin, correction of aesthetic-neurotic problems and influence on biological ageing through preventive effects on premature ageing 
  • Accelerated recovery after intensive physical workout 
  • Decongestion and functional improvement in obstructive pulmonary conditions 






Bossert FP., Vogedes K. (2014): Deep Oscillation. In: Bossert FP, Vogedes K. (Ed.): Electrotherapy, light and radiation therapy. 3rd ed., Elsevier GmbH, 139-146. 

Brenke R., Freund R., Strößenreuther RHK (2010): Adjuvant physical therapy for lymphedema and selected comorbidities of the musculoskeletal system. In: Földi M., Földi E. (Ed.): Textbook Lymphology. 7th ed., Elsevier GmbH, 508.

Hernández Tápanes S. (2012): Terapia con oscilaciones profundas. Experiencias en cervicalgias, lumbalgias y epiconylitis., EdiReh-Latina. 

Jui Chu Y. (2017): HIVAMAT 200. In: Jui Chu Y. (Ed.): What Can Physical Therapy Do After Breast Cancer Surgery. CARE, 187-188. 
German translation: What can physical therapy do after breast cancer surgery.

Lipi?ska A., Opuchlik A. (2014): Fizycoterapia w onkologii. In: ?liwi?ski Z., Siero? A. (Ed.): Wielka Fizjoterapia. Elsevier GmbH, 289-294. 
English title: Physical Therapy in Oncology. 

Reißhauer A., Auler S., Bieringer S., year S. (2009): physical decongestive therapy. In: Reißhauer A., Auler S., Bieringer S., year S. (Ed.): Compendium of the lymphological compression supply. Federal School of Orthopedic Technology, 42-57. 

Seidl H. (2006): The HIVAMAT procedure in the context of decongestive therapy. In: Bringezu G., Schreiner O. (Ed.): Textbook of Entstauungstherapie. 2nd ed., Springer Medizinverlag, 245-250.

Seubert M. (2017): DEEP OSCILLATION®, HIVAMAT®. In: Diemer F., Lowak H., Sutor V. (Ed.): Guide physiotherapy in orthopedics and traumatology. 3rd ed., Elsevier GmbH, 969. 




Aliyev R., Mikus EWS, Reinhold JG (2008): Highly significant therapeutic success with DEEP OSCILLATION® in orthopedic rehabilitation. Orthopedic Practice 44, 448-453. 
English title: Significant Therapy Improvements with DEEP OSCILLATION® in Orthopedic In-patient Rehabilitation. 
Spanish translation: Éxitos terapéuticos altamente significativos con DEEP OSCILLATION® en la rehabilitación ortopédica


Aliyev RM, Reinhold J., Seidov II, Mikus EWJ (2009): Results with DEEP OSCILLATION® for upper ankle injuries. Orthopedic practice 45, 502-506. 
English title: Results with DEEP OSCILLATION® for Injuries to the Upper Ankle Joint.


Aliyev R. (2009): Clinical efficacy of the therapy procedure. Deep oscillation in sports injuries. Sportverl sports damage 23, 1-4. 
English title: Clinical effects of the therapy deep oscillation in the treatment of sports injuries.


Aliyev RM (2012): Better Functional Results of Conservative Treatment in Fresh Lateral Ligament Injuries of the Ankle with Additional Deep Oscillation. Phys Med Rehab Kuror 22, 9-15.


Andreev A. (2015): Deep oscillation, kinesiotapping and exercises in amateur football players after ACL reconstruction. XXIV International Conference on Sports Rehabilitation and Traumatology. London, PB06.


Boisnic S., Branchet MC (2013): Anti-inflammatory and draining effect of the deep oscillation (R) device tested clinically and on a model of human skin maintained in a survival condition. Eur J Dermatol 23 (1), 59-63.


Bolaños F. (2009): Efectividad de las oscilaciones profundas Hivamat personal en la patalogía artrósica de rodilla: Estudio de caso en adultos mayores. Universidad Santa Paula.


Fistetto G., Iannitti T., Capone S., Torricelli F., Palmieri B. (2011): Deep Oscillation®: esperienze terapeutico-riabilitative con un nuovo innovative strumento ad azione elettrostatica. Minerva Med 102 (4), 277-88. 
English title: Deep Oscillation: therapeutic-rehabilitative experiences with a new electrostatic device.


Gao Y.-C., Peng C. C, Peng RY (2015): A long term chronic fibrotic adhesion of elbow muscles alleviated by applying hivamate 200 deep oscillation therapy. International Journal of Multidisciplinary Research and Development 2 (1), 286-289.


Gasbarro V., Bartoletti R., Tsolaki E., Sileno S., Agnati M., Coen M., Conti M., Bertaccini C. (2006): Ruolo dell'oscillazione profonda (Hivamat® 200) nel trattamento fisico del linfedema degli arti. La medicina estetica 30 (4), 473-478. 
English title: The role of deep oscillation therapy (Hivamat® 200) in the physical treatment of the lymphoedema of the limbs.


Gasbarro V., Bartoletti R., Tsolaki E., Sileno S., Agnati M., Conti M., Bertaccini C. (2006): Role of Hivamat® (deep oscillation) in the treatment of the lymphedema of the limbs. EYPP 16 (48), 13-15.


Han MA, Ivanova DA, Ljan NA, Lukina OF (2012): Application of the pulse low-frequency electrostatic field at bronchial asthma of children. Russian Journal of Rehabilitation Medicine 1, 21-32.


Hernández Tápanes S., Suárez A., Bravo Acosta T., Wilson Rojas R., Fernández Prieto B., Cabrera Morales M. (2009): Valor de la terapia con oscilaciones profundas in the cicatrización de las quemaduras AB. Rev Cub MFR 2 (1) [revista en la Internet]. Cited 05.02.2016; available from 
English translation: Assessment of deep oscillatory therapy in wound healing of 2nd degree burns. 
English translation: Value of deep oscillation therapy in the healing of AB burns.

Hernández Tápanes S., Socas Fernández M., Iturralde Y., Addiel Suáres Fernández A. (2018): The Effect of Deep Oscillation Therapy in Fibrocystic Breast Disease. A Randomized Controlled Clinical Trial. International Archives of Medicine Vol. 14. doi: 10.3823 / 2555.


Hinman MR, Lundy R., Perry E., Robbins K., Quarter L. (2013): Comparative Effect of Ultrasound and DEEP OSCILLATION® on the Extensibility of Hamstring Muscles. Journal of Athletics Medicine 1 (1), 45-55.


Horn A., Mischler B. (2015): Short-term Effect of Deep Oscillation on Fine and Gross Motor Motility in Multiple Sclerosis Patients with Hand Functional Limitations: A Case Study. Bern University of Applied Sciences Department of Health.

Ivanova DA, Khan MA, Lyan NA, Mikitchenko NA (2015): The application of the pulsed low-frequency electrostatic field for the combined treatment of bronchial asthma. Voprosi Kurortologi, Fosioterapi i Letschebniy Fizicheskoi Kulturiy 4 (30-35). doi: 10.17116 / kurort2015430-35.


S., Schoppe B., Reisshauer A. (2008): Effect of treatment with low-intensity and extremely low-frequency electrostatic fields (deep oscillation) on breast tissue and pain in patients with secondary breast lymphoedema. J Rehabil Med 40 (8), 645-50. 
German translation: Treatment effect of low intensity and extremely low frequency electrostatic fields (DEEP OSCILLATION®) on breast tissue and pain in patients with secondary chest lymphedema. 
Spanish translation: Efectos del tratamiento con campos electrostaticus de baja intensidad y muy baja frecuencia (DEEP OSCILATION®) as the dolor and the tejido de la mama en los pacientes con linfedema secundario de mama.


Johanning-Csik F. (1994): Treatment of Postpartum Chest Pain and Tension with the Hivamat Intensification System. Medical dissertation. Erlangen - Nuremberg.


Kashilska Y., Petkov A., P. Micheva, Batashki A., Batashk Z. (2015): Improving the quality of life through effects of treatment with low-intensity extremely low-frequency electrostatic field with DEEP OSCILLATION® in patients breast cancer with secondary limb to patients treated with standard lymphatic equipment. Medicine V (1), 381-387.


Korkina L., Reinhold J., Rota L., Primavera G., Raskovic D. (2007): Treatment of Gynoid Lipodystrophy (Cellulite) with Deep Oscillation®: A Pilot Clinical Study. 29th Annual Meeting of The Bioelectromagnetics Society. Kanazawa, 2.


Kraft K., Kanter S., Janik, H. (2013): Safety and effectiveness of vibration massage by deep oscillation: a prospective observational study. Evid Based Complement Alternat Med.; 2013: 679248. doi: 10.1155 / 2013/679248. Epub 2013 Oct 3.


Mikhalchik E., Titkova S., Anurov M., Suprun M., Ivanova A., Trakhtman I., Reinhold J. (2005): Effects on blood parameters of deep oscillation. 1st International Conference on Skin and Environment. Moscow-St. Petersburg, 59.


Mikhalchik E., Titkova S., Anurov M., Suprun M., Ivanova A., Trakhtman I., Reinhold J. (2005): Wound Healing Effects of Deep Oscillation. 1st International Conference on Skin and Environment. Moscow-St. Petersburg, 71.


Nourollahi S., Mondry TE, Fall KL (2013): Bucher's Broom and Selenium Improve Lipedema: A Retrospective Case Study. Aging Integ Med 2 (4), 119.


O'Brien CP, Watson A. (2016): Deep Oscillation Therapy in the Treatment of Lateral Epicondylalgia: A Pilot Randomized Control Trial. J Sports Med Doping Stud 6 (3),


Reinhold J., Deeva I., Korkina L., Schaper K., Krummenauer F. (2014): Randomized pilot study to quantify the patient-side benefit of influencing primary wound healing processes by deep oscillation. Z Orthop accident 152 (3), 260-264. 
English title: Randomized Pilot Study for Quantification of Benefit from the Patient's Point of View of Deep Oscillation Treatment in Primary Wound Healing.


Singer H.-F. (1995): The influence of HIVAMAT® 200 (histologically variable technique) on the development of radiogenic fibrosis in breast-conserved patients with breast cancer. Medical dissertation, Erlangen - Nuremberg.


Scannavini P., Bitocchi M., Rossi M., Girvasi L. (2012): Lesioni muscolari da sport: percorsi di riatletizzazione. Scienze motor, ortopediche, riabilitative 60, 31-35. 
English title: Sports muscle injuries: athletic recovery paths.


Schönfelder G., Berg D. (1991): Side effects after breast-conserving therapy of breast cancer. First results with hivamate. Gynecol. prax. 15, 109-122. 
English translation: Side effects following conservative therapy for a carcinoma of the breast. Initial results with Hivamate.


Sporbeck B., Mathiske-Schmidt K., Jahr S., Huscher D., Becker M., Riemekasten G., Taufmann I., Burmester GR, Pögel S., Reisshauer A. (2011): Effect of biofeedback and DEEP OSCILLATION ® on Raynaud's phenomenon secondary to systemic sclerosis: results of a controlled prospective randomized clinical trial. Rheumatol Int 32 (5), 1469-73.


Teo I., Coulborn A., Munnock DA (2016): Use of the HIVAMAT® 200 with manual lymphatic drainage in the management of lower limb lymphoedema and lipoedema. Journal of Lymphoedema 11 (1), 49-53.


Theys S., Deltombe T., Legrand C., Hanson P. (2008): Manual Drainage with or without DEEP OSCILLATION® in Lower Extremity Oedema. J Rehabil Med Suppl 47, 62.


Trybulski R. (2008): Vykorzystanie ?yst?mu Hivamat 200 w leczeniu ran. Rehabilitacja w Praktyce 1, 28-33. 
English translation: Using the Hivamat 200 system in the treatment of wounds
Spanish translation: Using the Hivamat 200 system in the treatment of wounds


Trybulski R. (2016): Fizykalne metody drena?u limfatycznego we wczesnej fazie fizjoterapii pourazowej narz?du ruchu, 27-42. 
English title: Physical methods of lymphatic drainage in the early stages of postraumatic musculoskeletal physioterapy


Trybulski R. (2016): Metoda DEEP OSCILLATION w leczeniu zespo?u stopy cukrzycowej. PRAKTYCZNA fizjoterapia & rehabilitacja 68, 22-29. 
English title: DEEP OSCILLATION method in the treatment of diabetic foot syndrome.


Trybulski R., ?ebrowska A. (2016): Obrz?k Limfatyczny / Lymphatic Oedema. Mi?dzynarodowa Konferencja Sekcji Limfologicznej Polskiego Towarzystwa Flebologicznego 22-23. Scientific Poster at International Congress of the Lymphology Section of the Polish Society of Phlebology. Wroc?aw, April 22-23. 
English translation: LYMPHEDEMA. The effect of physical stimulation of microcirculation on selected parameters of muscle fatigue.


Trybulski R., ?ebrowska A., Marcol W., Roczniok R., K?pa K., Kilja?ski M. (2016): Wykorzystanie g??bokiej oscylacji i elektrostymulacji mi??ni g?adkich w niwelowaniu wybranych parametrów zm?czenia mi??niowego. Fizjoterapia Polska 2 (16), 14-30. 
English title: Application of Deep Oscillation and Electric Stimulation in Smooth Muscles to Minimize the Selected Parameters of Muscular Fatigue.


Yashkov AV, Gazdieva EM, Badyanova IS (2007): Efficacy of intermittent low-frequency electrostatic field in the sanatorium-based complex treatment of patients with chronic obstructive pulmonary disease. Kurortniye Vedmosti 3 (42), 62-63.


Zebrowska A., Trybulski R., Roczniok R., Marcol W. (2017): Effect of Physical Lymphatic Drainage Methods on Postexercise Recovery of Mixed Martial Arts Athletes. Clin J Sport Med 2017; 0: 1-8. doi: 10.1097 / JSM.0000000000000485.

Zehtindjieva MG, Ioshinov BR, Andonov DR, Ilkov VS, Bayraktarova A. (2013): Deep Oscillation - A Modern Additional Physical Modality For Analgesia In Patients With Back Pain. PRAEMEDICUS 29, 85-90.


Other Publications


Anonymous (2010): Lymphedema after therapy for breast cancer. Use of electrostatic fields as additional treatment for manual lymphatic drainage. naturopathy journal 10, 34-35.


Atashkhoei S., Fakhari S. (2016): Management of Breast Cancer Related Lymphoedema. Crescent Journal of Medical and Biological Sciences 3 (4), 111-112.


Brenke R., Siems W. (1996): Adjuvant Therapy for Lymphedema. Lymphol 20, 25-29. 


Fickling M. (2015): Eight Years On - An MLD DLT Practitioners & Lymphoedema Therapist Review of {{do}} ({{h2}} Therapy. MLD UK "The Journal" Winter Issue


Fickling M. (2014): "It's about ability, not disabilities - DEEP OSCILLATION® For Pain Management" Empower Magazine Issue 2.


Fickling M., Cruickshank MacNicol E. (2014): "FAQ Regarding DEEP OSCILLATION Self Management Post Amputation" Empower Magazine Issue 6. Page 51


Fickling M. (2014): "DEEP OSCILLATION® making electrostatic waves in UK Healthcare" Choice Health and Wellbeing Magazine, Autumn Issue


Fickling M. (2014): "DEEP OSCILLATION® Electrostatic Massage Therapy - Helping Health Care Professionals improve care pathways for lymphoedema, lipoedema, lipo-lymphoedema sufferers" Primary Care Nursing Review (PCNR), Issue 1. Product Focus and Reviews 


Fickling M. (2013):  "A review of how a gentle, non-invasive, electrostatic massage therapy (applied through gloved hands) has changed the way in which therapists work, achieving very effective results for their clients" Choice Health & Wellbeing Magazine feature DEEP OSCILLATION® in Sept/Oct Issue.


Fickling M. (2010): "DEEP OSCILLATION® Deep tissue massage therapy - a major breakthrough for therapists" Choice Health and Wellbeing Magazine, April/May Issue. 


Fickling M. (2010): "DEEP OSCILLATION® helping change the lives of Lymphoedema Sufferers" Choice Health and Wellbeing Magazine, Dec/Jan Issue.


Fickling M. (2009):  {{do}} The Therapist, Spring Issue

English translation: Accompanying Therapy in Lymphedema.


Flemming D. (2016): The technique of deep oscillation. Lymph self-help, 22-23.


Kraus R. (2014): Intensive lymphatic drainage through deep oscillation. LYMPH & Health 2, 6-8.


Liebl ME, Willems S., Hoffmann S., Schwedtke C., Meuche S., Hermann KG, Reißhauer A. (2012): Interdisciplinary early rehabilitation at the Charité. Interdisciplinary and multiprofessional maximum care. Z f Physiotherapists 64 (6) [special supplement].


Newbold T. (2010):  "{{do}} - A Therapist Review" Choice Health and Wellbeing Magazine. Autumn Issue


Onose G., Daia-Chendreanu C., Haras M., Popescu C., Andone I., Mirea A., Neculai M. (2009): DEEP OSCILLATION® Our Experience Concerning the Use of Deep Oscillation in the Therapy of Osteoarthritis. The Proceedings from the National Conference of Neurosurgery and Neurorehabilitation. Mamaia, 2nd edition.


Prishchepsschuk R. (2016): Bringing the tissue into vibration. Deep oscillation in practice. pt_Journal for Physiotherapists 9, 77-80.


Reinhold J. (2017): Mechanisms of Deep Oscillation®. Manual Lymphatic Drainage UK The Journal 2017-04.


Reisshauer A., Pögel S. (2010): Treatment of Secondary Arm Elmphodema in Breast Cancer. Gynecol. prax. 34, 489-499.


Schingale F.-J. (2006): Head, breast and genital lymphedema - a special challenge for the lymphatic therapist. vasomed 1, 30-31.


Soroczyn J. (2008): Magic Hands - Deep Oscillation®. MASSAGE WORLD. The Massage and Body Therapists Magazine April / May, 9-10, 16.


Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, {{do}} for lymphoedema


Watson A. (2010): Annual PGA Magazine, "New Treatment Helping You Out Of The Rough"


Watson A. (2010):  The Senior Times, Ireland, "Thumbs Up For Pain Free Gardening"


Watson A. (2010):  Choice Health & Wellbeing Magazine. "Highlight of a tough year... DEEP OSCILLATION® came to Ireland"


Wehner H., Wehner W. (2005): HIVAMAT® 200 - Experiences with apparative lymphatic drainage and deep tissue massage for oncological patients in a special clinic for integrative medicine. Naturopathy 6, 41-44.


Wehner H., Wehner W. (2006): Additional physiological help against lymphatic stasis, edema and pain. HIVAMAT® 200: It's hard to imagine day-to-day hospital practice. Naturopathy 4, 43-45.


Weiss A. (2015): Intensive Lymphatic Drainage by Deep Oscillation®. Reflexes 6, 19-21.


Yerrissian S. (2008): New device on block. MLD UK 14 (2), 5.


Yerrissian S. (2008): Deep Oscillation Therapy and the case of a swollen eyelid. MASSAGE WORLD. The Massage and Body Therapists Magazine Aug / Sept. 


Youn Hee K. (2009): deep oscillation, perfect body. BELLISSIMA KOREA 8, 110-111.


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Radio Interviews


Griffith W. (2010) PT TALKER with Jeff Worrell. Interview William Griffith about DEEP OSCILLATION®

Talbot C. (2010)  Holistic Hour "The Lymphatic System and Lymphoedema, how {{do}} has made a remarkable difference to patient care"



School of Animal, Rural and Environmental Sciences, Nottingham Trent University, Brackenhurst, Southwell,
Nottingham, UK, NG25 0QF     Email: Tel: 01636 817014
Lyn Hopegood : Physiological Effects of Massage and DEEP OSCILLATION® on the Horse See Poster Presentation