The document describes the Synergistic Healthcare Methodology (SHM) for treating IT band syndrome. SHM combines an electromagnetic microcirculation stimulator, functional ingredients, and manual techniques. It aims to regain balance in tissues, create new balances, and restore balance before pathology occurs. The methodology has been used for 10 years in high-level sports. It helps accelerate repair processes and control pain without inhibiting necessary inflammation. Treatment for IT band syndrome decreases muscle tone and increases structure elasticity around various joints to restore mobility and prepare for strengthening. A combination of manual therapy and electrodes is used to address specific areas.

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. 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)!

4. 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)

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. §
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.

14. 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

15. 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

16. 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)

17. §
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

18. 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

19. 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

20. Practical application for ITB syndrome!

21. Main mechanism for runners : valgus / varus!

22. Valgus!
§
Over contractions of the tensor fasciae latae and gluteus medius
and maximus to control the medial collapse of the knee.

23. Varus!
§
Over tractions on ITB with knee lateral shear stress during lateral
foot ground attack !

24. Associated parameters!
§
Oblic pelvis
§
Differences in leg length
§
Posterior muscular chain
retraction
§
Running with back position
of the shoulders

25. 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

26. Hip !
§
Using High Impedance Electrode Thermo dynamic with high intensity
on gluteal muscles to reduce spasms

27. Using specific manual therapy to relax gluteal muscles

29. Using Low Impedance Electrode with high intensity "
together or separated with manual therapy"
to increase hip rotations

33. On Ilio Tibial Bandelet!
using a Low Impedance Electrode with High Intensity to reduce tone
associated with massage techniques

35. On knee, ankle and foot Joints"
using Low Impedance Electrode with Medium Intensity "
associated with manual Therapy to restore specific movements

38. in Inflammatory area "
using convex High Impedance Lymphodynamic Electrode"
and Low Intensity to increase drainage and decrease edema

39. 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

40. Merci!