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
Using RadioFrequency (RF) in medicine: a bit of history"
§ Introduced in 1920: Bovie and Gusting for
§ 1950: in neuro surgery to create localized
lesions of the central nervous system
§ 1960: in cardiac surgery to remove nodules
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
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
➜ NON-INVASIVE Therapeutic RadioFrequency
Other uses: dermatology and aesthetic"
Heat the deep dermis and subcutaneous tissue
the sagging skin of face and body
local fat and cellulitis
Physical Principles. Electromagnetic wave."
Product of an electrostatic ﬁeld and
a magnetic ﬁeld produced by an
alternating electrical current.
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
increases where the
The HCR 1001 generator of ESTMC™ Technology "
Signal is trasmitted to the human body by 2 different
High impedance or capacitive (lympho dynamic or thermo
Low impedance or resistive
A metal conductor sheet closes the circuit
Capacitor: elementary electrical component
constituted of two conductive frames
(electrodes) separated by a dielectric polarizable
Property: to store opposite electrical charges
on their frames by electrostatic effect
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
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.
High impedance electrodes Lympho or Thermo dynamic
The electrodes are constituted by:
inside different type of conductive metallic
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
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
Low impedance electrode (Resistive):"
the structures subjected to
the radio frequency signal
comprises a movement of ions
the waves condense
(bones, ligaments, tendons …)
energy increase, temperature and
microcirculation too (if desired)
The RF signal produced by
HCR 1001 is administered to
the tissues through a manual
The conductive electrolyte
emulsion between electrodes
and the skin reduces the skin
hydrates tissues and
facilitates electrode sliding
Facilitates a deep action
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
- to increase the vasodilatation
- to increase the blood microcirculation
- to increase the tissue metabolism
- to cause biological reactions
- =>to stimulate mechanisms of repair
In combination with a manual therapy and in
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
“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,
Balance changes ➞system
adaptations to new balance until a
decompensation ➞ pathology ➞
inﬂammation ➞ healing process ➞
same or new system balance
Inﬂammation = usefull for healing
Physiological response to aggression,
Necessary to lead to tissue reconstruction and healing
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
vasodilatation ➞ redness and heat
aqueous ﬂuid from blood plasma
by osmosis to tissues ➞ edema
edema ➞ nerves compression ➞pain
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
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
SHM combines the action of :
products with functional ingredients
special manual techniques
To assist therapist’s and give their
hands power to help tissues to :
§ regain a new balance initially
§ create other balance if it
permanently lost (rheumatology)"
§ restore a balance before
pathology occurring (prevention)"
2012 , women pault vault qualiﬁcation
felt acute pain on heel during impulse
pain on manual pressure of posterior and lateral
pain on plantar fascias stretching / contraction
Athlete wants to try to compete the olympic
ﬁnal 36 hours later
US (3h) : fat lesion with sub cutaneous edema "
no visible strain on plantar fascias"
Treatment with ESTMC"
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
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!
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
Acute occuring during running or
Pain and oedema
US ➞ oedema in sheath / ﬁbre
thickening or strains
Fonctionnal disability: fast walking /
stairs / foot impulse
palpation to evaluate where is the most painfull
area ( lateral, medial side, depth or superﬁcial …) and
palpation to research muscle spasm : soleus +++
the ankle, subtalar and foot join motions
the stretch range before onset of pain
Mild application of lymphoarticular oil on
popliteal area, on achilles tendon and on
ankle and foot joins
application of thermoactivante oil on the calf
lymphatic stimulation and reduce
application of dermopuriﬁante solution to
cleansing the skin
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
2/ Low Impedance Electrode "
Low intensity on tendon, paratenon,
ankle, foot joints :
➞ Inducing a small increase in
➞ Associated with massage (Cyriax)
stretching or eccentric techniques
➞ Manual therapy for joint loss of
3/ Convex Lymphodynamic High Impedance Electrode"
➞ inducing a minimal temperature variation to
activate lymphatic drainage
➞ mild massage to reduce space between
tendon and sheath
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
Thermodynamic High Impedance"
High intensity on the thigh muscles for
increasing blood ﬂow to
➞ Reduce spasms
➞ Prepare to strecthing and
Low Impedance Electrode "
Low to medium intensity on the knee
and caudally to:"
➞ concentrate action on joint elements
➞ prepare manual therapy treatment
§ Patellar movements
§ Speciﬁc minor mouvements
➞ Followed by rehabilitation
• ESTMC TM
is a valuable tool to
empower physiotherapist’s hands
for many orthopedics and
treatments depend on the
speciﬁc training and experience of
operator who stay the central actor of
the therapeutic program