Estmc by human tecar Applications in sports medicine


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ESTMC by Human Tecar applications in sports medicine

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Estmc by human tecar Applications in sports medicine

  1. 1. Electromagnetic Stimulator of the Microcirculation  " ESTMC™ Tecnology by Human Tecar " WHTcare Switzerland " Applications in Sports Medicine " © Marc Michnowski - 23 av Niel 75017 Paris - France -
  2. 2. Electromagnetic Stimulator of the Micro Circulation " §  Uses an electromagnetic signal 485 Mhz (intermediate frequency radio wave) produced by a generator §  Applied directly to human tissues without space propagation by two differents types of conducing electrodes §  Mobilizes electrical charges into tissues and creates a deep high or low modification of the temperature and conseguently an increase of the microcirculation §  For different therapeutical effects
  3. 3. Using RadioFrequency (RF) in medicine: a bit of history" §  Introduced in 1920: Bovie and Gusting for electro cauterization §  1950: in neuro surgery to create localized lesions of the central nervous system §  1960: in cardiac surgery to remove nodules
  4. 4. RF used to treat tumour masses" Leveen et al, 1976" creating hyperthermia in order to destroy central cells (wich have less active metabolism and are less vascularized) Ley et al, 1992" show central necrosis and reduction of peripheral edema of carcinomatous mass suggested possibility to use RF for other tissues
  5. 5. Using RF in tissues subject to inflammatory reactions" §  with appropriate proportions of intensity and time §  to not reach temperature who leads to cellular necrosis observed in tumour therapy " §  1953 Lehmann: " 40-45 °C have therapeutic effects in various pathological conditions ➜ NON-INVASIVE Therapeutic RadioFrequency
  6. 6. Other uses: dermatology and aesthetic" §  Heat the deep dermis and subcutaneous tissue §  Treat the sagging skin of face and body §  Reduce §  Acne local fat and cellulitis
  7. 7. Physical Principles. Electromagnetic wave." §  Product of an electrostatic field and a magnetic field produced by an alternating electrical current. §  Transport energy and is not perceptible by senses All conductive structure subjected to electromagnetic wave will undergo an energy increase as an increase of the ion movements §  §  Temperature increases where the wave condenses
  8. 8. The HCR 1001 generator of ESTMC™ Technology " §  Signal is trasmitted to the human body by 2 different electrodes §  High impedance or capacitive (lympho dynamic or thermo dynamic) §  Low impedance or resistive §  A metal conductor sheet closes the circuit
  9. 9. Electricity" Capacitor: elementary electrical component constituted of two conductive frames (electrodes) separated by a dielectric polarizable insulator Property: to store opposite electrical charges on their frames by electrostatic effect Capacitive effect
  10. 10. High Impedance (Capacitive) effect" Capacitor is made up of: §  one frame - a metal electrode with an insulating layer placed on tissue surface §  one other frame - the metal conductor sheet which closes the circuit with the human tissues as insulator
  11. 11. §  Charges tend to condense mainly around the insulated electrode §  Energy tend to increase gradually around it with subconsequence increase the microcirculaton and temperature (if desidered) The energy depends on the voltage applied by the generator (Volts) and the size of the electrode. The movement changes the endothermic response.
  12. 12. High impedance electrodes Lympho or Thermo dynamic (Capacitive)" §  The electrodes are constituted by: §  inside different type of conductive metallic material, outside biocompatible insulating material applied with a technique of overlap. §  The geometry : flat or convex §  Two different models: §  Lymphodynamic : allows action to low intensity and causes small temperature variations ➞ lymphatic system; Thermodynamic allows action to high intensity and causes higher temperature variations ➞ other fluidic components
  13. 13. Electrical Resistance" Property of a conductive material to slow down the passage of an electrical current Responsible for energy dissipation as heat Certain materials are offering more or less resistance Resistive effect
  14. 14. Low impedance electrode (Resistive):" •  Within the structures subjected to the radio frequency signal comprises a movement of ions •  Where the waves condense (bones, ligaments, tendons …) energy increase, temperature and microcirculation too (if desired)
  15. 15. §  The RF signal produced by HCR 1001 is administered to the tissues through a manual therapy §  The conductive electrolyte emulsion between electrodes and the skin reduces the skin resistance §  hydrates tissues and facilitates electrode sliding §  Facilitates a deep action
  16. 16. Technology’s actions" Action on the tissue’s temperature either superficial or deep on a localized or larger area. HCR 1001 induces an important or very small temperature variation depending on the delivered intensity Objectives: -  to increase the vasodilatation - to increase the blood microcirculation -  to increase the tissue metabolism -  to cause biological reactions - =>to stimulate mechanisms of repair
  17. 17. In combination with a manual therapy and in rehabilitation programs" §  Increase extensibility of collagen tissue by the modification of viscosity §  Reduce pain and release endorphins §  Reduce muscle spasms and contractures §  Help the reduction of edema and hemorrhagic collections
  18. 18. Studies"
  19. 19. Healing" §  “Good orthopeadic health” is a state of balance of our systems §  Under various aggression effects (intrinsec or extrinsec) trauma, over uses, sport training, ageing, fatigue, stress… §  Balance changes ➞system adaptations to new balance until a decompensation ➞ pathology ➞ inflammation ➞ healing process ➞ same or new system balance
  20. 20. Natural Healing Cascade "
  21. 21. Inflammation = usefull for healing Physiological response to aggression, Necessary to lead to tissue reconstruction and healing 2 phases" §  Vascular : vasodilatation and vascular permeability increase release of molecules, activation of proteines, secretion of chemical mediators §  Cellular : local vasodilatation to increase blood flow to: # evacuate dead cells and toxins # # bring necessary elements for reconstruction §  Clinic : vasodilatation ➞ redness and heat aqueous fluid from blood plasma by osmosis to tissues ➞ edema edema ➞ nerves compression ➞pain
  22. 22. Synergistic Healthcare Methodology" §  Use of this technique since 10 years in high level sports (football, tennis, motorsports, athletics….) has helped us to develop a method of treatment called SHM §  Athletes need fast recovery, precision and security from physiotherapy to treat and prevent imbalances §  SHM helps us to accelerate bio repairing processes, control pain without inhibiting inflammation often necessary
  23. 23. SHM combines the action of : technologies products with functional ingredients special manual techniques Rehabilitation programs To assist therapist’s and give their hands power to help tissues to : §  regain a new balance initially lost" " §  create other balance if it permanently lost (rheumatology)" " §  restore a balance before pathology occurring (prevention)"
  24. 24. Practical applications"
  25. 25. Trauma " •  London 2012 , women pault vault qualification •  Athlete felt acute pain on heel during impulse •  Clinical exam : pain on manual pressure of posterior and lateral heel area pain on plantar fascias stretching / contraction walking difficulties Athlete wants to try to compete the olympic final 36 hours later
  26. 26. US (3h) : fat lesion with sub cutaneous edema " no visible strain on plantar fascias"
  27. 27. Treatment with ESTMC" •  Low Impedance electrode application with high intensity on calf and popliteal area to :! -  Create important temperature variation up the heel ! -  Stimulate blood flow increase, relax calf muscles and help drainage! •  High Impedance electrode application with really low intensity on heel area to : ! Analgesie and drain edema! Others : Ice applications / compressive bandage! 30 minutes treatment 3 times a day!
  28. 28. US after 36 hours : edema resorbtion"
  29. 29. conclusion" •  Clinical exam : Pressure pain was less No pain during stretching / contraction / walking Running 60 % result : Treatment with SHM help for analgesic and edema resorbtion No enough time for healing
  30. 30. Acute pathology : Achille’s tenosynovitis" " "
  31. 31. Acute occuring during running or jumping Pain and oedema US ➞ oedema in sheath / fibre thickening or strains Fonctionnal disability: fast walking / stairs / foot impulse
  32. 32. Clinical examination" •  Tendon palpation to evaluate where is the most painfull area ( lateral, medial side, depth or superficial …) and oedema tonicity •  Calf palpation to research muscle spasm : soleus +++ •  Evaluate the ankle, subtalar and foot join motions •  Evaluate the stretch range before onset of pain
  33. 33. Preparation" Mild application of lymphoarticular oil on popliteal area, on achilles tendon and on ankle and foot joins application of thermoactivante oil on the calf muscles ➞ lymphatic stimulation and reduce resistances application of dermopurifiante solution to cleansing the skin
  34. 34. Treatment Objectives:" Reduce pain and oedema
  35. 35. 1/ Thermodynamic High Impedance Electrode" High intensity, cranially, on calf muscles and poplitéal area : ➞ Creating signifiant temperature difference between 2 areas ➞ Improving lymphatic drainage ➞ Increasing blood circulation in muscles to relief tensions and relax ➞ Application associated with massage and slow and soft stretching if possible
  36. 36. 2/ Low Impedance Electrode " Low intensity on tendon, paratenon, ankle, foot joints : ➞ Inducing a small increase in temperature ➞ Associated with massage (Cyriax) stretching or eccentric techniques ➞ Manual therapy for joint loss of mobility
  37. 37. 3/ Convex Lymphodynamic High Impedance Electrode" Low intensity" ➞ inducing a minimal temperature variation to activate lymphatic drainage ➞ mild massage to reduce space between tendon and sheath
  38. 38. Chronic pathologie: knee arthrosis"
  39. 39. Clinical examination" §  Cartilage and meniscus degeneration of patellofemoral and/or tibiofemoral joint(s) §  Beside inflammatory phase where pain can be severe if sub chondral achievement §  Fibrosis synovial / flexum / ligament stifness §  Thigh muscular stiffening §  Muscle atrophy / loss of strengh and elasticity
  40. 40. Treatment " Thermodynamic High Impedance" Electrode" " High intensity on the thigh muscles for increasing blood flow to ➞ Reduce spasms ➞ Prepare to strecthing and strenghtening
  41. 41. Low Impedance Electrode " Low to medium intensity on the knee and caudally to:" ➞ concentrate action on joint elements for flexibility ➞ prepare manual therapy treatment §  Patellar movements §  Specific minor mouvements ➞ Followed by rehabilitation exercises
  42. 42. Conclusion " •  ESTMC TM is a valuable tool to empower physiotherapist’s hands •  Indicated for many orthopedics and sports pathology •  Manual treatments depend on the specific training and experience of operator who stay the central actor of the therapeutic program
  43. 43. Merci"