Deep Oscillation in Primary Lymphoedema with Indocyanine Green (ICG) Shows Lymph Driven Through Lymphatic Capillaries for the First Time

by Maria del Rosario Pineda Lic. in Kinesiology, Physical Medicine and Rehabilitation (PM&R) at Proa Consultora

From the Instituto de Piernas Rosario

Laprida 1273, CFW, Santa Fe, Argentina

 

 

"We were clearly able to prove, with Dr. Miguel Amore, how Deep Oscillation mobilised the Indocyanine Green (ICG) into lymphatic capillaries that were previously not present and therefore not visualised. This demonstrates the efficacy of the lymphatic drainage performed by the Deep Oscillation Pro equipment with use of the hand held deep oscillation moving gently over the surface of the skin.

This study was performed on a female patient, aged 24 diagnosed with Bilateral Primary Lymphoedema (Stage 1, according to the ISL - International Society of Lymphology) on August 11th 2021 at the Military Hospital in the city of Buenos Aires. Thank you to Dr. Miguel Amore and thank you to Joselina for your collaboration.

This is the first time that the efficacy of Deep Oscillation been performed live with Indocyanine Green Lymphography, previously it has been evaluated with ultrasound to the tissue, which showed resonance and kinetic movement of the connective tissue in real time, this video shows lymph as driven by the deep oscillation equipment.

The patient was connected by the titanium bar held between between the hallux and second toes, the method of application was with the deep oscillation applicator head, which can be clearly seen in the video. The programme chosen on the Deep Oscillation Pro was the Lymphoedema programme.

 


Maria Rosario Pineda Lic. in Kinesiology, Physical Medicine and Rehabilitation (PM&R) at Proa Consultora

 

 

 

About DEEP OSCILLATION®

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 layers (skin, connective tissue, subcutaneous fat, muscles, blood and lymph vessels)

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.

 

Because of the non-invasive, non-traumatic, gentle nature of this therapy, very early possibilities of application are possible following injury and from Day One post operatively. Chronic conditions can also be worked upon with effective results.

 

Learn more about DEEP OSCILLATION® biological and clinical effects

 

DEEP OSCILLATION references in Lymphoedema

  1. Atashkhoei S., Fakhari S. (2016): Management of Breast Cancer Related Lymphoedema. Crescent Journal of Medical and Biological Sciences 3 (4), 111-112.
  2. Brenke R. - Therapie des Lymphödems EHK 2021; 70: 138-144 DOI - 10.1055/a-1477-817
  3. 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.
  4. Brenke R., Siems W. (1996): Adjuvant Therapy for Lymphedema. Lymphol 20, 25-29.
  5. Flemming D. (2016): The technique of deep oscillation. Lymph self-help, 22-23.
  6. 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.
  7. GDL (Society of German-speaking Lymphologists) u. DGL (German Society of Lymphology) (2017): AWMF-S2k Guideline "Diagnosis and Treatment of Lymphedema" (AWMF Reg. No. 058-001).
  8. Jahr S, Schoppe B, Reisshauer A. 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. 2008 Aug;40(8):645-50. doi: 10.2340/16501977-0225. PMID: 19020698.
  9. J of IMAB 2016 Jul-Sep;22(3):1248-1252 Improving the quality of life through effects of treatment with low intensity, extremely low frequency electrostatic field with DEEP OSCILLATION® in patients with breast cancer with secondary lymphedema to patients treated with standard lymph equipment. Atanas Petkov1 Corresponding Autor, Yana Kashilska2, Angel Uchikov1, Dean Batzelov3,
  10. 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.
  11. Kraus R. (2014): Intensive lymphatic drainage through deep oscillation. LYMPH & Health 2, 6-8.
  12. Lipiska 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. 
  13. Mortimer P., Levine G. (2019): Let's Talk Lymphoedema, The Essential Guide to Everything You Need To Know
  14. Reisshauer A., Pögel S. (2010): Treatment of Secondary Arm Lymphodema in Breast Cancer. Gynecol. prax. 34, 489-499.
  15. 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. 
  16. 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
  17. Schingale F.-J. (2006): Head, breast and genital lymphedema - a special challenge for the lymphatic therapist. vasomed 1, 30-31
  18. Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, Deep Oscillation for lymphoedema
  19. 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
  20. 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.
  21. Kraus R. (2014): Intensive lymphatic drainage through deep oscillation. LYMPH & Health 2, 6-8.
  22. Talbot C. (2011): Lymphoedema Support Network periodical 'Lymphline', Spring Issue, Deep Oscillation for lymphoedema
  23. 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.
  24.