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TECAR THERAPY

 

EL12002 - TCARE

TCARE allows the physiotherapist to use simultaneously two treatment methods, combining the resistive/capacitive energy transfer and the diffusion of the active agent with a hand piece called ROLL-ON.
 
 
 
PRESENTATION

Using the TCARE Cellular Regenerator introduces a new feature of the application, in the form of the Capacitive effect of Direct Coupling, compared to current practice.  The new features this device introduces are as follows:
 

  • The possibility of combining metabolic activation, with subsequent tissue reorganisation, resulting from capacitive and resistive energy transfer of the most suitable pharmacological ingredient on each occasion to a depth similar to that of infiltration. The active ingredient is then metabolised at the target tissue as a result of changes in micro circulation induced by energy stimulating the tissues;
     
  • A revolutionary applicator shape, compared to previous energy transfer methods, thanks to the ergonomic form of the patented Roll-On handpiece, which ensures an extensive contact surface between the electrode and the skin at all times, even in areas of the body that are not flat or that are irregular;

  • The possibility of always using only the amount of cream strictly necessary and sufficient for guaranteeing the biological effect, thanks to slow release ensured by the Roll-On handpiece;

  • Lowering of the risk of dielectric arcs forming thanks to a significant reduction in the voltage used and design innovations resulting from the Roll-On handpiece;

  • The choice available in the form of three different work methods, selecting the most effective frequency on each occasion;

  • The possibility of dealing incisively, completely, and multi-dimensionally with various musculoskeletal problems at an acute stage, combining the energy transfer in athermal mode with transdermal diffusion of the medicine prescribed by the specialist on each occasion.

THERAPEUTIC INDICATIONS:

  • Muscular injuries 
  • Joint capsulitis
  • Distortions
  • Cervicalia
  • Bone and ligament trauma
  • Tendon injuries and bursitis
  • Lumbalgia and ischialgia
  • Myositis
  • Arthrosis processes
  • Rehabilitation programs
 
MORE INFO
HOW DOES THE DIATHERMY / TECAR THERAPY WORK

For more than a hundred years, studies have shown that the dangerousness of electric current passing through the human body decreases as the frequency increases. The resulting warming of the tissues offers the advantage, compared to other forms used in medicine (conduction, infrared radiation), of greater penetration of the phenomenon into the tissue itself, which brings about greater efficacy of the treatment. The conversion of this current into heat is the source of the term DIATHERMY (DIA = through, THERMY = heat).


From the 1980s further evolution of diathermy has occurred, referred to as “Capacitive and Resistive Diathermy” (Direct Coupling) that has given significant satisfaction in clinical terms. Especially the “capacitor” effect study showed that in this case the mechanism that generates heat is completely different, that is, the internal temperature is raised without using external heat sources. The capacity of electric current to raise the temperature of the conductors as a form of dissipation of power, is exploited to raise the internal temperature of the tissues. In fact, the human body can be taken as being a type 2 conductor, and offers capacitance and resistance to the passage of current.

 

High frequency alternating current is adequate for heating, does not produce electrolytic effects and, due to its high frequency, does not cause any excitomotor effect. From a medical point of view, high frequency can be defined as a heat therapy involving the conversion of electrical energy, which uses current alternating at very high frequency. Heating occurs throughout the entire circuit of tissues covered by the electrodes, irrespective of the depth at which they are located.


In the specific case of TCARE, the apparatus generates an alternating current with frequencies ranging from 0.8 MHz to 1.2 MHz and an applied circuit that includes a pair of electrodes that allow the abovementioned alternating current to flow through the patient’s body, which effectively becomes part of the electrical circuit.
There can be different types of electrodes: metallic electrodes, where the metal is in direct contact with the body (direct coupling mechanism); insulated metal electrodes applied to the body, where the metal, due to its insulation, is not in direct contact (capacitive coupling). The insulated electrodes can differ in shape and material and are positioned manually by the operator (plate electrodes).

 

OPERATING MODES

1. CAPACITIVE MODE

The warming sensation generated inside the body depends on various factors, and can be perceived by the patient at intensities that range from warmth to intense internal heat. When using capacitive electrodes, the diameter of the electrode and speed of movement must be considered in particular. For the same amount of power applied, larger diameter electrodes increase the temperature more gradually and, in addition, the faster the electrode is moved, the less the heat sensation felt by the patient. It is good practice to choose the electrode with the largest area possible in relation to the area to be treated. The electrode can be applied, both staying still in the area treated and using circular or linear movements, depending on the area treated and power you wish to apply. It is very important that most of, if not all of, the electrode’s area be in contact with the patient’s skin, following any curves and irregularities in the area treated, and continuously adapting to it. The electrode holder handgrip is specifically designed to minimise effort on the part of the operator and to make the treatment more pleasant for the patient (deep massage action, as if the electrode were an “extension of the operator’s hands”).

 

2. MANUAL MODE WITH DIRECT - RESISTIVE COUPLING

Direct coupling means using the TCARE Cellular Regenerator with uninsulated metal electrodes (no dielectric device interposed). The action mechanism, caused by polarity reversal of the current, produces a quicker and more intense increase in heat in tissue deprived of water and electrolytes (bone tissue and adipose tissue especially). This application method is therefore more indicated, perhaps along with the capacitive mode, for pathologies involving these parts of the body. Since the active electrode is not insulated, the current that moves the charges and the temperature generated in the body are less concentrated in the area immediately below the active electrode, producing a directional aspect guided by the passive electrode (return plate). In other words, one substantial difference from the capacitive mode lies in taking great care when positioning the return electrode, which directs impulses generated by the active electrode. Another difference is that the active electrode remains in a set position or slight rotational movements are made with a diameter slightly larger than that of the electrode used, and continually adjusting the power applied so that the temperature perceived by the patient is pleasant.

BIOLOGICAL EFFECTS OF TCARE

The electrical equilibrium (difference in membrane potential) of the cell and the physiological molecular movement that characterizes its matrix, form the basis for the health of any organism. Applying a capacitor (TCARE) to tissue, creates a displacement current due to attraction/repulsion charges that effects what is called the basic non-specific Pischinger tissue, i.e. the relationship between cells and their microenvironment, where life is created and destroyed. The oscillation that is reactivated by the displacement current, exerts its beneficial effects on all components of the affected tissue (venous, arterial and lymphatic microcirculation, matrix and cell membrane).

From a subjective point of view, as we shall see later, this effect can be perceived by the patient as an increase in endogenous heat. While heat produced externally can have some beneficial effects, it can also produce some negative therapeutic side effects; an endogenous increase in temperature never causes any side effects.


Experience acquired in the field of the capacitive effect on several thousands patients, has confirmed the physical assumptions already highlighted in literature. For this reason, we must emphasize that for the first few minutes, despite the applied current output, the patient will not feel sensations of any kind, or perceive any muscle or nerve stimulation.
In other words, the capacitor effect does not apply any external electrical stimulation, as in the case of electrostimulators, for example, but instead allows the human body’s internal currents to create the necessary conditions to resume their physiological capacity (Brownian motion). It is through this continuous movement of electric charges that information passes through the matrix to cellular receptors.



The biological activity of the current is therefore manifested in two ways:

 

1) the energy effect, supplying energy to intra and extra biological cellular tissue and transforming ADP to ATP;

2) the thermal effect, due to increased impact of ions against one another, producing a local hyperemia which causes an increase in blood flow and consequently an increased supply of oxygen and nutrients.


 

In most treatable pathologies it is essential to increase temperature either directly or indirectly in order to supply oxygen and nutrition to damaged tissues: this is accomplished by applying short bursts of high electrical potentials. The thermal effect varies in relation to the active surface of the electrode and the type of tissue treated. In addition to the biostimulation effect, there is a local indirect increase of arterial circulation and an important effect on venous and lymphatic drainage.

EFFECTIVENESS OF THE TREATMENT
  • Improvement of arterial flows, with an increase in the quantity of nutritive substances and oxygen;
  • Increase in metabolism due to these factors and due to an internal rise in temperature (van’t Hoff’s law);
  • Increase in endocellular energy transformation (ADP into ATP);
  • Improved membrane balance for all cells in the treated area (adipocytes, fibroblasts, etc.);
  • Repolarization of the cell (from pathologies -40Mv to physiologies -70Mv);
  • Passage of the extra-cellular matrix from a (pathological) gel state gel state to a (physiological) sol state;
  • Improvement of venous and lymphatic flow with more efficient expulsion of toxins and catabolites;
  • Potentiation and synergy with active ingredients to be diffused in the dermis and hypodermis, with evident application advantages compared to taking intramuscularly;
HOW DOES THE ROLL-ON HANDPIECE WORK

The special patented handpiece, known as the ROLL-ON, means that the TCARE Cellular Regenerator device guarantees the best geometric application for achieving capacitive-resistive energy transfers. The particular shape of the handpiece provides an extensive contact area between the electrode and the patient’s skin, while the ROLL-ON’s functionality ensures that, unlike traditional handpieces, the correct quantity of cream is released at the contact interface on a real-time basis. This is sufficient to guarantee the development of the electro-chemical gradient, without allowing any dielectric arc to be formed. It also makes it possible to avoid wasteful dispersion of conductive cream, which provides significant savings in the operating costs sustained by professionals that use the device.

TRANSDERMAL DELIVERY

The transfer of capacitive and resistive energy can be associated with the diffusion of active agents best suited to the pathology (and where prescribed by a physician). Various studies have shown the efficacy of transdermal delivery of active ingredients contained in creams for topical use. There are various advantages to transdermal delivery of drugs compared to other administration methods. More specifically, these can be summarised as targeted action, that is, the medicine gets straight to the pathological tissue, while the digestive system is safeguarded.

 

The operator  pours the drug into the individual reservoir for subsequent mixing with the conductive cream. In this way there is no drug or  cream wastage, and the distribution on the skin is very well balanced  throughout the treatment. The amount of drug used depends on the width of the treated zone. The operator  pours the conductive cream into the individual reservoir to create the proper mix of cream and drug. In this way there is no drug or  cream wastage, and distribution on the skin is very well balanced  throughout the treatment. The operator twists the reservoir into the hand piece until the “Roll-On” cap just comes out from the other side.

 

Use of the special “Roll-On” hand piece allows gradual transferral of the quantity of medicine needed, through the epidermis. The procedure is totally pain-free and consists of putting a certain quantity of active agent, prescribed by a physician, into a reservoir, along with a conductive cream. The quantities of medicine and cream are proportional to the area of the body to be treated. The reservoir is then inserted into the Roll-On hand piece. The transfer of energy, along with the transdermal delivery described, reactivates the tissues’ physiology.
CLINICAL CASES

Case n. 1: VASCULAR ULCER –SKIN TRANSPLANT WITH LOW ENGRAFTMENT 80 YEARS-OLD FEMALE, DIABETIC, ALLERGIC TO ANTIBIOTICS


33-years vascular ulcer on right leg, many skin transplants with unsuccessful engraftment of cutaneous grafts. Lower limb globally edematous.  Vascular ulcer diameter: 2,5 cm; Vascular ulcer depth: about 1 cm

I PHASE
- Patient position: supine
- Passive plate: on back side of leg.
- Roll-On handpiece: around (not directly into!) skin lesion to indirectly stimulate vascularization of damaged tissues.
- Treatment mode: capacitive associated with transdermal delivery of skin regenerating drugs
- Frequency of treatment: three times per week (25 min each)
- Energy emission: 20 to 40%
- Frequency used: 0,8 MHz-1 MHz

II PHASE
- Patient position: prone
- Passive plate: on anterior face of thigh
- Treatment mode:capacitive and resistive, alternately.
- Roll-On hand piece: moving around damaged zone ( for capacitive treatment) kept still on heel ( in case of resistive treatment) while the patient is asked to actively move their feet into dorsal and plantar flexion, or inversion.
- Frequency of treatment:twice a week (25 min each)
- Energy emission: 20 to 50% Frequency used: 0,8 MHz-1,2 MHz.

TREATMENT RESULTS:
Maximum diameter: 1 cm; Skin condition: roseate skin; Lower limb condition: no more oedema

Case n. 2: BONE FRACTURE (RADIUS AND ULNA) WITH DELAYED UNION


Day 50: since X-Ray images reveal a severe lack of bone callus, the clinical status is expected to evolve into non-union state. Therefore, a Tcare treatment cycle is started, aimed at highly stimulating osteoblasts of bones involved in fractures.The total cycle consisted of 15 sessions, divided as follows:

I PHASE (first-third week)
- Treatment setting: resistive hand piece;
- Treatment frequency: 3 Times per week;
- Energy level: 10 to 40%;
- Transfer of energy: about 60%;
- Frequency used: 0,8-1MHz

II PHASE (fourth-sixth week)
- Treatment setting: resistive hand piece associated with kinesis
   (initially isometric contractions, then isotonic and finally resisted isotonic)
- Treatment frequency: twice a week
- Energy level: 20 to 50%
- Transfer of energy: 60-80%
- Frequency used: 0,8-1,2 MHz.

 

TREATMENT RESULTS:
Case solved. Day 90: after 40 days and 15 sessions of treatment X-Ray images show a great development of bone callus both in radius and ulna fractures

 
DOCUMENTS
English Apri
Brochure - 02. TCARE - 2015-2016
Introduction - Biological effects of TCARE - The Device - Accessories - The cream for TCARE treatment - The patented Roll-On handpiece - Transdermal vehiculation - Resistive and capacitive modes - Control panel - Why to choose TCARE - Some clinical cases
.pdf 1.72 MB
 
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