{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T16:22:45Z","timestamp":1759940565673},"reference-count":14,"publisher":"Human Kinetics","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,11,1]]},"abstract":"Clinical Scenario<\/jats:bold>:<\/jats:italic> Ankle sprains are the most prevalent athletic-related musculoskeletal injury treated by athletic trainers, often affecting activities of daily living and delaying return to play. Most of these cases present with pain and swelling in the ankle, resulting in decreased range of motion and strength deficits. Due to these impairments, proper treatment is necessary to avoid additional loss of play and prevent future injuries. Recently, there has been an increased use of deep oscillation therapy by clinicians to manage pain and swelling following a variety of injuries, including ankle sprains. However, very little evidence has been produced regarding the clinical effectiveness of deep oscillation therapy, limiting its application in therapeutic rehabilitation of acute lateral ankle sprains. Clinical Question<\/jats:bold>:<\/jats:italic> Is deep oscillation therapy effective in reducing pain and swelling in patients with acute lateral ankle sprains compared with the current standard of care protection, rest, ice, compression, and elevation? Summary of Key Findings<\/jats:bold>:<\/jats:italic> The literature was searched for studies of level 2 evidence or higher that investigated deep oscillation therapy on pain and inflammation in patients with lateral ankle sprains. Three randomized control trials were located and appraised. One of the 3 studies demonstrate a reduction in pain following 6\u00a0weeks of deep oscillation therapy compared with the standard of care or placebo interventions. The 2 other studies, 1 utilizing a 5-day treatment and the other a 1 time immediate application, found no differences in deep oscillation therapy compared with the standard of care. Clinical Bottom Line<\/jats:bold>:<\/jats:italic> There is inconclusive evidence to support the therapeutic use of deep oscillation therapy in reducing pain and swelling in patients with acute lateral ankle sprains above and beyond the current standard of care. In addition, the method of treatment application and parameters used may influence the effectiveness of deep oscillation therapy. Strength of Recommendation<\/jats:bold>:<\/jats:italic> Level B.<\/jats:p>","DOI":"10.1123\/jsr.2018-0152","type":"journal-article","created":{"date-parts":[[2018,12,11]],"date-time":"2018-12-11T14:02:28Z","timestamp":1544536948000},"page":"902-905","source":"Crossref","is-referenced-by-count":8,"title":["The Effectiveness of Deep Oscillation Therapy on Reducing Swelling and Pain in Athletes With Acute Lateral Ankle Sprains"],"prefix":"10.1123","volume":"28","author":[{"given":"Matt","family":"Hausmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Ober","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adam S.","family":"Lepley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"key":"ref51","doi-asserted-by":"crossref","first-page":"679248","DOI":"10.1155\/2013\/679248","article-title":"Safety and effectiveness of vibration massage by deep oscillations: a prospective observational study","volume":"2013","author":"Kraft","year":"2013","journal-title":"Evid Based Complement Alternat Med"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"645","DOI":"10.2340\/16501977-0225","article-title":"Effect of treatment with low intensity and extremely low-frequency electrostatic fields (Deep Oscillation\u00ae) on breast tissue and pain in patients with secondary breast lymphoedema","volume":"40","author":"Jahr","year":"2008","journal-title":"J Rehabil Med"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"435","DOI":"10.4085\/1062-6050-47.4.14","article-title":"What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults?","volume":"47","author":"van den Bekerom","year":"2012","journal-title":"J Athl Train"},{"key":"ref101","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.1136\/bjsports-2015-095573.2","article-title":"Role of deep oscillation therapy in the treatment of acute lateral ankle sprains","volume":"49","author":"Winkelmann","year":"2015","journal-title":"Br J Sports Med"},{"key":"ref171","doi-asserted-by":"crossref","first-page":"435","DOI":"10.4085\/1062-6050-47.4.14","article-title":"What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults?","volume":"47","author":"van den Bekerom","year":"2012","journal-title":"J Athl Train"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"645","DOI":"10.2340\/16501977-0225","article-title":"Effect of treatment with low intensity and extremely low-frequency electrostatic fields (Deep Oscillation\u00ae) on breast tissue and pain in patients with secondary breast lymphoedema","volume":"40","author":"Jahr","year":"2008","journal-title":"J Rehabil Med"},{"key":"ref141","doi-asserted-by":"crossref","first-page":"679248","DOI":"10.1155\/2013\/679248","article-title":"Safety and effectiveness of vibration massage by deep oscillations: a prospective observational study","volume":"2013","author":"Kraft","year":"2013","journal-title":"Evid Based Complement Alternat Med"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1055\/s-0031-1295494","article-title":"Better functional results of conservative treatment in fresh lateral ligament injuries of the ankle with additional deep oscillation","volume":"22","author":"Aliyev","year":"2012","journal-title":"Phys Med Rehab Kuror"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1007\/s40279-013-0102-5","article-title":"The incidence and prevalence of ankle sprain injury: a systematic review and meta-analysis of prospective epidemiological studies","volume":"44","author":"Doherty","year":"2014","journal-title":"Sports Med"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.1136\/bjsports-2015-095573.2","article-title":"Role of deep oscillation therapy in the treatment of acute lateral ankle sprains","volume":"49","author":"Winkelmann","year":"2015","journal-title":"Br J Sports Med"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1055\/s-0031-1295494","article-title":"Better functional results of conservative treatment in fresh lateral ligament injuries of the ankle with additional deep oscillation","volume":"22","author":"Aliyev","year":"2012","journal-title":"Phys Med Rehab Kuror"},{"key":"ref161","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1136\/bjsports-2011-090490","article-title":"Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical 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