ESTMC by Human Tecar applications in sports medicine

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 - marcophysio@yahoo.fr

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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. §
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.

13. 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

14. 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

15. 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)

16. §
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

17. 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

18. 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

19. Studies"

22. 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

23. Natural Healing Cascade "

24. 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

25. 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

26. 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)"

27. Practical applications"

28. 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

29. US (3h) : fat lesion with sub cutaneous edema "
no visible strain on plantar fascias"

30. 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!

31. US after 36 hours : edema resorbtion"

32. 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

33. Acute pathology : Achille’s tenosynovitis"
"
"

34. Acute occuring during running or
jumping
Pain and oedema
US ➞ oedema in sheath / fibre
thickening or strains
Fonctionnal disability: fast walking /
stairs / foot impulse

35. 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

36. 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

37. Treatment
Objectives:"
Reduce pain and
oedema

38. 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

39. 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

40. 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

41. Chronic pathologie: knee arthrosis"

42. 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

43. Treatment "
Thermodynamic High Impedance"
Electrode"
"
High intensity on the thigh muscles for
increasing blood flow to
➞ Reduce spasms
➞ Prepare to strecthing and
strenghtening

44. 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

45. 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

46. Merci"