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Synergistic Healthcare Methodology (SHM) !
by Human Tecar®!
As part of treatment for ITB syndrome !

© Marc Michnowski - 2...
SHM combines the action of technologies 
➞ Electromagnetic Stimulator of the Microcirculation, PhysioTT 
•  products with ...
Synergistic Healthcare Methodology!
§ 

Use of this technique since 10 years in high level
sports (football, tennis, moto...
Electromagnetic Stimulator of the Micro Circulation !

§ 

Uses an electromagnetic signal 485 Mhz (intermediate
frequency...
Using RadioFrequency (RF) in medicine: a bit of history!

§  Introduced in 1920: Bovie and Gusting for
electro cauterizat...
RF used to treat tumour masses!

Leveen et al, 1976!
creating hyperthermia in order to destroy
	

central cells (which hav...
Using RF in tissues subject to inflammatory reactions!
§ 

with appropriate proportions of intensity and time

§ 

not to...
Physical Principles. Electromagnetic wave.!

§ 

Product of an electrostatic field and
a magnetic field produced by an
alte...
The HCR 1001 generator of ESTMC™ Technology !
§ 

Signal is transmitted to the human body by 2 different
electrodes

§ 
...
Electricity!

Capacitor: elementary electrical component 
constituted of two conductive frames
(electrodes) covered by an ...
High Impedance (Capacitive) effect!

Capacitor is made up of: 

§ 

one frame - a metal electrode
with an insulating laye...
§ 

Charges tend to condense mainly
around the insulated electrode

§ 

Energy tends to increase gradually
around it wit...
High impedance electrodes Lympho or Thermo dynamic
(Capacitive)!
§ 

The electrodes are constituted by: 

§ 

Inside : d...
Electrical Resistance!

Property of a conductive material to slow
down the passage of an electrical current
Responsible fo...
Low impedance electrode (Resistive):!
•  Within

the structures subjected to
the radio frequency signal
comprises a moveme...
§ 

The RF signal produced by
HCR 1001 is administered to
the tissues through a manual
therapy

§ 

The conductive elect...
Technology’s actions!
Action on the tissue’s temperature
either superficial or deep in a localized
or larger area

HCR 1001...
In combination with a manual therapy and in
rehabilitation programs!
§ 

Increase extensibility of collagen tissue by the...
Practical application for ITB syndrome!
Main mechanism for runners : valgus / varus!
Valgus!
§ 

Over contractions of the tensor fasciae latae and gluteus medius
and maximus to control the medial collapse o...
Varus!
§ 

Over tractions on ITB with knee lateral shear stress during lateral
foot ground attack !
Associated parameters!
§ 

Oblic pelvis

§ 

Differences in leg length

§ 

Posterior muscular chain
retraction

§ 

R...
Treatment 	


Decrease muscle tone and increase passive structure elasticity
around low back, hip, knee and foot joints to...
Hip !
§ 

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 techni...
On knee, ankle and foot Joints"
using Low Impedance Electrode with Medium Intensity "
associated with manual Therapy to re...
in Inflammatory area "
using convex High Impedance Lymphodynamic Electrode"
and Low Intensity to increase drainage and decr...
Conclusion !
•  ESTMC TM

is a valuable tool to
empower physiotherapist’s hands

•  Indicated

for many orthopedic and
spo...
Merci!
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
SHM by Human Tecar ® Treatment of ITB syndrome
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SHM by Human Tecar ® Treatment of ITB syndrome

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SHM by Human Tecar ® treatment of ITB Syndrome

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SHM by Human Tecar ® Treatment of ITB syndrome

  1. 1. Synergistic Healthcare Methodology (SHM) ! by Human Tecar®! As part of treatment for ITB syndrome ! © Marc Michnowski - 23 av Niel 75017 Paris - France - marcophysio@yahoo.fr
  2. 2. 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 tissues to: §  regain a new balance initially lost! §  create other balance if it permanently lost ! (rheumatology)! §  restore a balance before pathology occurring ! (prevention)!
  3. 3. 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)
  4. 4. 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
  5. 5. 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
  6. 6. 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 tissues
  7. 7. 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 pathological conditions ➜ NON-INVASIVE Therapeutic RadioFrequency
  8. 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 waves will undergo an energy increase as an increase of the ion movements §  §  Temperature increases where the wave condenses
  9. 9. The HCR 1001 generator of ESTMC™ Technology ! §  Signal is transmitted 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. 10. Electricity! Capacitor: elementary electrical component constituted of two conductive frames (electrodes) covered by an dielectric polarizable insulator Property: to store opposite electrical charges on their frames by electrostatic effect Capacitive effect
  11. 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. 12. §  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.
  13. 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. 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. 15. Low impedance electrode (Resistive):! •  Within the structures subjected to the radio frequency signal comprises a movement of ions •  Where the waves condense (bone, ligaments tendons…) , energy increases and then microcirculation and temperature (if desired)
  16. 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 the electrode sliding facilitates a deep action
  17. 17. Technology’s actions! 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 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. 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. 19. Practical application for ITB syndrome!
  20. 20. Main mechanism for runners : valgus / varus!
  21. 21. Valgus! §  Over contractions of the tensor fasciae latae and gluteus medius and maximus to control the medial collapse of the knee.
  22. 22. Varus! §  Over tractions on ITB with knee lateral shear stress during lateral foot ground attack !
  23. 23. Associated parameters! §  Oblic pelvis §  Differences in leg length §  Posterior muscular chain retraction §  Running with back position of the shoulders
  24. 24. Treatment 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
  25. 25. Hip ! §  Using High Impedance Electrode Thermo dynamic with high intensity on gluteal muscles to reduce spasms
  26. 26. Using specific manual therapy to relax gluteal muscles
  27. 27. Using Low Impedance Electrode with high intensity " together or separated with manual therapy" to increase hip rotations
  28. 28. On Ilio Tibial Bandelet! using a Low Impedance Electrode with High Intensity to reduce tone associated with massage techniques
  29. 29. On knee, ankle and foot Joints" using Low Impedance Electrode with Medium Intensity " associated with manual Therapy to restore specific movements
  30. 30. in Inflammatory area " using convex High Impedance Lymphodynamic Electrode" and Low Intensity to increase drainage and decrease edema
  31. 31. Conclusion ! •  ESTMC TM is a valuable tool to empower physiotherapist’s hands •  Indicated for many orthopedic and sport pathologies •  Manual treatments depend on the specific training and experience of operator who stays the central actor of the therapeutical program
  32. 32. Merci!

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