A Systematic Review of Deep Tissue Oscillation and a Study Proposal of its Effects on Geriatric Bedridden Patients with Lower Extremity Lymphedema
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Background: Deep Tissue Oscillation (DTO) is an emerging therapy that encourages the body to heal by decreasing swelling, and edema, and in turn, allowing the opportunity for increased range of motion, all of which may contribute to a shorter healing time for the patient. DTO uses a pulsed electrostatic field to lift and drop the connective tissue, creating a rhythmic motion that pumps out metabolic wastes, toxins and stagnant edema, similarly to the body's natural skeletal muscle contractions. This therapy could be particularly applicable to bedridden geriatrics, whose naturally detoxifying skeletal muscle contractions are hindered by their lack of mobility. Purpose: To observe Deep Tissue Oscillation (DTO) therapy performed on bedridden geriatric patients with lower extremity lymphedema and measure change in their health-related quality of life. The proposed study will evaluate DTO’s psychological effects from baseline and after exposure, as well as levels of functional health and well-being using the SF-36 health survey. This study will educate clinicians and the general population by promoting awareness of additional therapeutic options. Methods (proposal): Participants will range from 65-80 years, bedridden with lower extremity lymphedema. Block randomization will be used to determine whether the participants will be placed in the treatment group (DTO and compression socks) or the control group (manual drainage and compression socks). Treatment will be given for 30 minutes, twice a week for 6 weeks. Pre- and post-treatment circumference measurements will be taken at three specific locations from the ankle to the thigh. Results: Due to lack of access to a DTO unit and time required to conduct a thorough study, this project will be conducted in the future. Therefore, no results are available at this time. Conclusion: The findings of this study will determine whether physiological and psychological benefits exist, possibly make DTO a more readily available modality and a viable treatment option for clinicians and the geriatric population.