SHM combines the action of technologies
➞ Electromagnetic Stimulator of the Microcirculation, PhysioTT
• products with functional ingredients
• special manual techniques and rehabilitation programs
To assist physiotherapist and give their hands power to help
§ regain a new balance initially lost!
§ create other balance if it permanently lost !
§ restore a balance before pathology occurring !
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
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 different types of conducing electrodes
Mobilizes electrical charges into tissues and creates a deep
high or low modiﬁcation of the temperature
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 (which have less active
metabolism and are less vascularized)
Ley et al, 1992!
show central necrosis and reduction of
peripheral oedema 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
not to reach temperature who leads to cellular necrosis
observed in tumour therapy
§ 1953 Lehmann: !
40-45 °C have therapeutical effects in various
➜ NON-INVASIVE Therapeutic RadioFrequency
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 waves will undergo
an energy increase as an increase of
the ion movements
increases where the
The HCR 1001 generator of ESTMC™ Technology !
Signal is transmitted 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) covered by an 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 tends to increase gradually
around it with subconsequent
increase of 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 (bone,
ligaments tendons…) , energy
increases and then
microcirculation and temperature
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 the electrode sliding
facilitates a deep action
Action on the tissue’s temperature
either superﬁcial or deep in a localized
or larger area
HCR 1001 induces an important or a
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
Over contractions of the tensor fasciae latae and gluteus medius
and maximus to control the medial collapse of the knee.
Over tractions on ITB with knee lateral shear stress during lateral
foot ground attack !
Differences in leg length
Posterior muscular chain
Running with back position
of the shoulders
Decrease muscle tone and increase passive structure elasticity
around low back, hip, knee and foot joints to help:
Manual harmonisation of joint mobility
Prepare for stretching
Increase muscular blood ﬂow to prepare strengthening
Increase temperature around ITB conﬂict zone
Drain locally without temperature increase
Using High Impedance Electrode Thermo dynamic with high intensity
on gluteal muscles to reduce spasms
Using speciﬁc manual therapy to relax gluteal muscles
Using Low Impedance Electrode with high intensity "
together or separated with manual therapy"
to increase hip rotations
On Ilio Tibial Bandelet!
using a Low Impedance Electrode with High Intensity to reduce tone
associated with massage techniques
On knee, ankle and foot Joints"
using Low Impedance Electrode with Medium Intensity "
associated with manual Therapy to restore speciﬁc movements
in Inﬂammatory area "
using convex High Impedance Lymphodynamic Electrode"
and Low Intensity to increase drainage and decrease edema
• ESTMC TM
is a valuable tool to
empower physiotherapist’s hands
for many orthopedic and
treatments depend on the
speciﬁc training and experience of
operator who stays the central actor of
the therapeutical program