MEDICAL EVIDENCE · 2018-05-09 · MEDICAL EVIDENCE. This first edition explores ... • History of...

MEDICAL EVIDENCE This first edition explores the most recent clinical trials and scientific studies into Winback tecartherapy:

• Effects of Winback on migraines.• Results on adhesive capsulitis

It also includes the first images from our thermal imaging camera, making visible the correlation between Winback energy and the spread of heat within the body.

Finally this edition ends with a list of all the scientific studies carried out on tecartherapy.

Happy reading!

CONTENTS• Pain, migraines & mobility of the cervical vertebrae• Adhesive capsulitis with or without Winback treatment• Perineal pain• Treatment post breast cancer• Fibromyalgia• FDA approval• Subsidiary in Italy• Our training• Case study of a second degree contusion treated using Winback tecartherapy•Winback energy seen through a thermal imaging camera• Hunting protocol using Cryoback• History of high frequency current• Scientific studies

WINBACK MEDICAL EVIDENCE #1 - AUTUMN 2017

2 WINBACK MEDICAL EVIDENCE #1 - AUTUMN 2017

Hyoung-ryeol Lee1, BHSc, PT, Jae-hun Shim2, PhD, PT, Duck-won Oh3, PhD, PT1 Dept. of Physical Therapy, Saehaneul Orthopedic Surgery Clinic2 Dept. of Physical Therapy, Division of Health Science, Baekseok University3 Dept. of Physical Therapy, College of Health Science, Cheongju University

Pain, migraines & mobility of the cervical vertebrae.

CONTEXT The active trigger points in the suboccipital region are involved in tension headaches, with an increase in their local sensitivity and their referred pain.

AIMThis study aims to determine whether the association of high frequency current applied to the suboccipital zone with muscular relaxation is more effective than suboccipital muscular relaxation only in the treatment of tension headaches.

METHOD30 patients were divided into 3 groups of 10 patients. EG-1: stretching of suboccipital muscles combined with Winback high frequency current (frequency 0.3 Mhz and resistive electrode)EG-2: stretching of suboccipital muscles only. CG: control group without treatment.The evaluation tools used were HIT-6 (headache impact test 6), pain in the suboccipital muscles when put under pressure, the neck disability index and the mobility of the cervical vertebrae.The sessions lasted 10 minutes, twice a week for 4 weeks, and the evaluation measurements were taken after each session.

3WINBACK MEDICAL EVIDENCE #1 - AUTUMN 2017

RESULTSComparing the groups after the sessions and the degree of progress from before to after the session shows a significant difference for all of the parameters with a value of p<0.05, except for lateral tilts of the cervical vertebrae.For post-treatment measures, the EG-1 group showed significant differences for all of the parameters compared with the control group. However, there was no difference between the EG-2 group and the control group in muscular tension pressure in either of the two temporal areas. Moreover, the HIT-6 and the pressure threshold for pain in the right temporal area showed significant differences between the EG-1 and EG-2 groups. For the first two groups, EG-1 and EG-2, the difference between before and after treatment seems significant (p>0.05), except for pain in the right temporal region when pressed which is only significant in EG-1.

DISCUSSION The study analysed patients with chronic migraines relating to the trigger points of suboccipital muscles who underwent Winback treatment. It shows the value of the manual therapy provided by physiotherapists. Winback makes its contribution by acting alongside the physiotherapist’s manual treatment, undeniably improving its performance.

Winback can make treatment more effective on the pain perception threshold and the tissue quality, and also improve cervical mobility thanks to the increase in local temperature which allows greater stretching tension on the tissues without damaging them.

Our study has opened up a wide field of investigation, as part of which we need to verify these results with a larger group of patients. The progress this study has made is encouraging, and deserves the close attention of the medical community for the surprising speed with which patients become more comfortable. It therefore represents an alternative solution to pharmaceutical treatments.

Winback is an alternative solution to pharmaceutical treatments and deserves the close attention of the medical community.

CONCLUSIONThese results show that techniques to relax the suboccipital muscles can be beneficial in treating headaches and tension headaches and in improving mobility of the cervical vertebrae, and that the benefit can be increased by using high frequency current. As high frequency current is safe and easy to use, it would be interesting to conduct other studies combining it with other manual therapy techniques.

HIT-6: Evaluative scale for the functional impact of migraines.

NDI Index : NECK disorder index - measurement tool covering reading, pain, lifting, working, driving and sleeping.

BEFORE AFTER

HTI-6 Score : Migraine

65

60

55

50

45

6260,8

62,3

51

63,9

46,3

HIGH

LARGE

SOME

LOW

IMPACT

Control Manual WInback

NDI Neck mobility index

MODERATE

LOW

IMPACT

Control Manual WInback

16

14

18

12

10

8

14,6

13,7

17,6

11,2

16,7

8,5

We compared the increased flexion and external rotation and the level of pain with and without Winback treatment.The practitioners were free to use any techniques they wanted, with the only condition that they did one session with and one without Winback.

RESULTSOver 11 patients, we saw that 10 patients had greater improvement with Winback than without Winback, with an average gain of 24,7% compared with 16.3% in terms of flexion, an average difference of 8.45% in Winback’s favour.

Adhesive capsulitis with or without Winback treatment

This study at present includes 11 patients suffering from adhesive capsulitis.

50%

37,50%

25%

12,50%

0%

% Gain in flexion

1 2 3 4 5 6 7 8 9 10 11

WITH WINBACK

WITHOUT WINBACK

FLEXION BENEFITS


External rotation was studied in 5 patients.For external rotation the average improvement with Winback was 47.2% compared with only 23.8% with Winback, making a difference of 23.4%.

70%

52,50%

35%

12,50%

0%

% Gain in external rotation

1 2 3 4 5

Pain relief benefits:With the help of Winback we saw an average decrease of 1.7 points on the EVA scale compared with only 0.6 points without Winback.

The results are very positive as all patients saw a benefit in terms of increased movement and pain reduction.

WITH WINBACK WITHOUT WINBACK

+42% +23,8%


Gain in external rotation 2X greater with WINBACK


Perineal painFinal dissertation - École universitaire de maïeutique (Midwifery school) Marseille-Méditerranée Université Aix-Marseille - 2017

High frequency current and post-partum perineal painMarine Golka, midwife

Under the supervision of Florence Bretelle, gynaecology and obstetrics lecturer, Hôpital Nord de Marseille. With the support of Chantal Fabre-Clergue, midwife, contact person who initiated the project. With materials loaned by the Winback company, tecartherapy specialists.

INTRODUCTIONA study of the post-partum period showed that, among women who have delivery vaginally and have perineal lesions (epistotomy, first to fourth degree tears), between 95% and 100% of them have perineal pain 24 hours after giving birth, and between 60% and 91% have perineal pain 7 days after giving birth.

The principal aims of the study were to evaluate the effectiveness of Winback treatment on post-partum perineal pain in women who have delivered vaginally and have perineal lesions; to assess the effect of high frequency treatment on the comfort of patients in the post-partum period.

The goal of the study was to explore whether it would be appropriate to introduce routine high frequency current treatment in maternity care, and to identify the role that midwives could play in new pain management techniques for women.

In order to meet these research objectives, a monocentric prospective study examining treatment/no treatment was undertaken at the Marseille Nord hospital, focussing on inpatients in the care of the maternity service after having given birth. The patients were divided into two groups, one receiving high frequency current treatment and the other not receiving high frequency current treatment, on a voluntary basis.


Women who gave birth on the Nord hospital site during the inclusion period and were present at the same time as the researcher were invited to participate in the study. Only patients presenting with perineal lesions following vaginal delivery were invited to participate. In total, 96 patients were included in the study in the period from 3 June 2016 to 30 September 2016 on the days when the researcher was present at the maternity services. Among these patients, 31 were included in the group exposed to Winback treatment and 65 in the group without Winback treatment.

The treatment was composed of applying a flat probe to the perineum with rotating movements, with a return plate placed under the patient to allow the waves to work on the desired area.The sessions lasted ten minutes and were undertaken with the patient in a supine position with legs bent, the device set to a pre-set capacitive programme.Data was collected at three points: • before the session: E1 (T0; • immediately after the session: E2 (T10); • one hour after the session: E3 (T60). Evaluation measures:The main evaluation measures were : • Perineal pain measured using a tool: a numerical pain scale (EN) . •The comfort of patients was evaluated using a questionnaire about interference with routine activities: presence of pain and/or difficulty when sitting, walking, urinating and when at rest.

SELECTION CRITERIA


DATA ANALYSISThe two populations studied were: the treated group “E”: “Treatment with high frequency current” and the untreated group “NE”: “No treatment with high frequency current”.

To analyse the data regarding the scale of interference with routine activities, a number of scores were used:• Pain score: Pain when sitting + pain when walking + pain when urinating + pain when at rest• Difficulty score: Difficulty sitting + difficulty walking + difficulty urinating + difficulty at rest• Total score: Pain score + Difficulty score.

These scores were taken at three points T0, T10 and T60, to give Pain Score 1, Pain Score 2, Difficulty score 1, Total score 1, etc.

To calculate the scores, the responses to questions “presence of pain and/or difficulty when sitting, walking, urinating and at rest” were counted as follows:•“Yes”, “Same” or “More” given value 1,•“No” and “Less” given value 0.Example: at time T0, for Pain Score 1, a patient who said they were in pain when sitting, walking and urinating would have a score of 3.

RESULTSAn average decrease of 3.58 points was observed after the session (T0-T10) as well as a decrease of 3.48 points one hour after the session (T0-T60) in the treated patients (p<0.0001). Furthermore, for the patients who were not treated, the decreases were 0.02 (T10) and 0.31 points (T60) (p<0.0001).

The development in the Pain and Difficulty criteria on the scale of interference with routine activities was investigated only for patients (treated and untreated) who responded “Yes” when first questioned (T0).

It was noted that the patients treated with high frequency current all responded “No” to the Pain question when asked after the session; only two of these patients responded “Yes” when asked at T+1.

In the untreated group, there was no reduction in the number of patients experiencing pain by the second evaluation, and an increase in the number of patients experiencing pain at the T+1 evaluation.For the Difficulty measure, the changes for treated and untreated patients was the same as with the Pain measure.


4

3

5

2

1

0BEFORE AFTER TREATMENT AFTER 1 HOUR

3,43,39

3,4

4,55

0,09

0,57

CONSIDERABLE

MAJOR

LOW98%E

FF

E C T I V E N

ES

S

92%EF

F

E C T I V E N

ES

SPERINEAL PAIN : Scale from 0 to 8

WITHOUT WINBACK WITH WINBACK

DISCUSSION• many think that analgesics are not effective for this type of pain;• practitioners also think that analgesics are not very effective for perineal pain and tend to use non-pharmaceutical methods such as cold.

It is important to remember that only perineal pain was considered, other post-partum pains not being included.

Other observations encourage me to think that this could be used during post-partum perineal rehabilitation. The feeling of well-being felt by the patients and the muscular relaxation are benefits that enhance a perineal rehabilitation session.

CONCLUSIONThe use of high frequency current, an innovative treatment for post-partum perineal pain, reduced pain in the women treated, improving their experience of birth. The satisfaction of patients during these sessions convinced me of the effectiveness of the treatment in this study. The effects of treatment by high frequency current are currently been evaluated via a double blind randomised trial at the Hôpital Nord de Marseille hospital, under the supervision of lecturer Florence Bretelle, with the support of the Winback laboratory.

The feeling of well-being felt by the patients and the muscular relaxation

are benefits that enhance a perineal rehabilitation

session.


Treatment post breast cancer

“PATIENT EXPERIENCES«I started rehabilitation session very soon after my total ablation of the left breast and several lymph nodes (D+10). Treatment with Winback gave me real relief;it gave me back full mobility in the shoulder and freed up the lymph cording that was causing the pain and giving me a sensation of heaviness in my left arm. This treatment is very pleasant and I have it twice a week, it is a great help.»

Catherine

«After a lymphocele appeared by the ablation scar on my right breast, resulting in the scar not healing as it should, I was prescribed rehabilitation sessions to treat the scar in preparation for my reconstruction. This reconstruction was in several stages with liposculpture along with the insertion of a prosthetic. The liposculpture was traumatic with huge bruises. I had Winback drainage treatments around the bruises and it made them go away. It’s great as I was having trouble finding a position to sleep in.»

Marie-France

THE PRACTITIONER’S PERSPECTIVEFABIENNE MALIGE.Physiotherapist specialising in post breast cancer work.Treatment post breast cancer with BACK 3SE in combination with manual techniques and electric massager offering kneading and rolling.

The protocol changes to suit the different stages of treatment. In the first stage, the work focusses on rehabilitating movement in the shoulder, essential following medical treatment such as radiotherapy:

• Combatting pain• Work on scarring• Freeing up of cording or superficial lymphatic thromboses• And most importantly treating lymphatic complications by stimulating the lymph nodes in CET mode with a small gently heated electrode.• Then using MIX3 gentle thermal mode on painful areas and those with fibrosis.


A treatment for after breast cancer has been developed in order to offer a physiological and aesthetic treatment that reduces the symptoms of lymphedema. The drainage and arm and shoulder stretching exercises done as part of WINBACK Tecar Therapy, significantly reduce the pain caused by lymphedema. A manual lymphatic drainage treatment is undertaken to increase circulation in the lymph nodes.

With this treatment, Winback is deeply involved in supporting women who have been affected by breast cancer. The aim is to offer women a treatment that has both physiological and aesthetic effects, both lessening their pain and helping them regain their self-confidence.

The Winback Intimity programme offers a variety of treatments carried out by health professionals, combining the physiological and the aesthetic.

In the second stage, treatment focuses on preparation for reconstruction, with major attention paid to making the scarred skin more supple. Back 3SE is a great help. If there is lymphedema, this is treated as with the first stage.

Finally, the treatment is adapted to suit different reconstruction methods

• Dorsal flap• Expander followed by a prosthetic• Liposculpture with liposuction of the abdomen and/or outer thighs• Our work consists of drainage, reabsorption of hematomas and work on scarring using DLM following the Schlitz method and the use of BACK 3SE with MIX, in order to improve circulation and therefore promote the reabsorption of hematomas in the area of the probes and improve scarring.• Affected patients are treated over a long period of one to two years, with a marked improvement and a speeding up of the treatment process thanks to BACK 3SE, with the use of MIX being essential.


Fibromyalgia

TREATMENTThe use of Winback technology is of great interest in the treatment of fibromyalgia as it gives access to zones which are otherwise difficult to reach and intensifies the practitioner’s actions. The practitioner can focus in on particular zones to give the patient relief. Winback therapy can remove pain when used across large areas of the patient’s body.

A regime of 3 to 5 sessions per month is required to achieve maximum mobility and to treat pain. After this, we recommend a session every 6 weeks to prevent relapse.

A session lasts 20 minutes. This session generally starts with a massage combined with the use of the Winback device to free up tensions in the patient (pain, stiffness of movement). The practitioner directs the Winback energy to reinforce the patient’s actions and to prevent possible relapse. The results are visible after just the one session!


“

“« For the last 5 months, I’ve been treating a group of 10 patients with fibromyalgia with Winback Therapy.My sessions last 25 minutes, starting with a dynamic CET massage with a heat setting of around 30%/40%.

Manual work, stretching, transverse friction, mobilisation and fasciatherapy is carried out using RET FixPads positioned on myBack, again at a moderate heat that the patient can feel. We have the freedom to work with two hands, and are able to palpate and adapt to areas of pain. I find it essential to communicate with my patient throughout the session. I don’t hesitate to reduce the diathermy in the first two sessions.

If the patient has digestive issues, I adapt my procedure to include a period with low heat Lowpulse in Deep CET. All the sessions finish with a return to calm, effective CET Lowpulse 10%. Thanks to the complete relief from pain and improved tissue mobility, I’ve had objective proof of the effectiveness of Winback Therapy in being able to extend the periods between each session. Today: Of the 10 patients I see 4 only once every 6 weeks, another 4 patients I see every month and 2 patients I see every 2 weeks.

My patients generally feel less tired and stronger mentally. The signs of depression reduce, as they have a positive experience with Winback therapy. What the practitioner brings to the treatment is fundamental for this condition, and Winback fits perfectly into this approach.

To others working in this area, I must say I could hardly believe it myself, but I can honestly say that now I have 10 fibromyalgia patients thinking positively about their treatment! Patient cooperation remains the most important thing!»

Guy E. Massage physiotherapist, Belgium

THE PATIENT’S PERSPECTIVE«Not long ago my physiotherapist got a new tool, a Winback tecartherapy device. To start with we tried it on the cervical muscles. Straight away after the first session I felt better and had a feeling of lightness. I noticed that I could slip on my jacket, whereas normally I couldn’t stand to even have it over my shoulders. A few hours later, the relief got deeper and deeper and I noticed I was breathing more freely. After 3 sessions, I had no more pain in mytrapezius or cervical muscles and no more inflammation. I’d forgotten what it was like to feel this supple.»

Dominique H. patient treated for fibromyalgia

THE PRACTITIONER’S PERSPECTIVE


3 FDA approvalsfor Winback

WHAT IS THE FDA ?The Food and Drug Administration (FDA) is a world-famous government agency with responsibility for food and medical products.

Within its scope is the power to authorise or ban the sale of medicinal products within the United States.

It is responsible for applying federal law regarding medicines, food products and cosmetics, in order to protect the health and safety of American consumers.The FDA sets out stringent hygiene and safety rules and regulations for medical products within the US.

FDA, KFDA AND CANADIAN FDA

Winback products have been simultaneously approved by the 3 most important medical approval bodies:

•The American FDA (USA)•The Korean FDA (KFDA)•The Canadian FDA (Canadian Health)

These FDA approvals are the fruit of Winback’s work in the medical and scientific domains, as well as the high quality and reliability of our products. More than 45 scientific studies published on Tecartherapy demonstrate the benefits of this technology.

Winback (tecartherapy) technology is now widely used across many medical surgeries and by professionals in many related professions, as well as by a number of sports teams. This is because of its therapeutic effectiveness:•Pain relieving effect for over 48 hours.•6x greater vascularisation.•2x quicker rehabilitation

Winback will continue to develop our products within the medical arena and to respond to the requirements of medical regulation and certification bodies.

HEALTHCANADA


Winback opens asubsidiary in Italy

Already operating in more than 25 countries worldwide via distributors, Winback is continuing its international development by opening its WINBACK ITALIA subsidiary.

The Italian tecartherapy market is booming, and Winback needs to ensure it is a key player. After Winback USA, Winback Asia, Winback Spain and Winback UK, this is the 5th subsidiary Winback has opened.

The entire Winback team heartily welcomes Winback italia!

10 free trainingdates this autumnPHYSIO training (Paris - 10.00-18.00)• Monday 6 November• Wednesday 22 November• Wednesday 13 December

BEAUTY training (Paris - 10.00-18.00)• Thursday 9 November• Thursday 14 December

INTIMITY training (Paris - 10.00-18.00) • Saturday 18 November• Saturday 16 December

CRYOBACK Training (Paris - 10.00-18.00)• Saturday 14 October• Saturday 25 November• Saturday 9 December

Sign up free at http://www.winback.com/fr/formations/


Case study of a second degree contusion after using Winback

3RD DAY AFTER INJURY

ACCIDENTDAY 1

TREATMENT No. 1DAY 4

TREATMENT No. 2DAY 5

SPORTING ACTIVITY RESUMEDDAY 25

TREATMENT

Nicholas Chatzoglou – Physical medicine and rehabilitation doctor & Panagiotis Psychidis - Radiology doctor

PATIENT : MALE, 43 years old, engaged in weekly sporting activity - 15 km of running

2nd degree contusion to left quadriceps 1st degree contusion to right quadriceps

MRI No. 1DAY 3

MRI No. 2DAY 5

MRI No. 4DAY 20

MRI No. 3DAY 9


9TH DAY AFTER INJURYBefore second treatment

Pas de changements des 2 côtés

20TH DAY AFTER INJURYThe athlete resumed all his sporting activities 25 days after the injury with total resorption of the oedema on both sides.

5TH DAY AFTER INJURYFirst treatment with Winback tecartherapy on the left quadriceps

60% reduction in oedema in the left quadriceps.

The second treatment

was administered 5 days

after the 1st and 9 days

after the injury to both

quadriceps during a

period of total rest.


Winback energy seen through a thermal imaging camera

Effect of the high frequency current with RET in Winback 2.0 (Fix Electrode).

The thermal imaging camera allows us to see the diathermic effects of Winback energy.In the below case, the experiment involved studying the effects of RET current on the leg and observing the heating effect for 20 minutes. The test was done using a TIS45 thermal imaging camera on a female patient aged 30 presenting with no particular pathologies.

WINBACK 2.0 : • RET Fixpad under the foot and return plate under the abdomen• Test conducted for 20 mins at 40%• The temperature of the ankle went from 29.5°C to 38.1°C and the knee from 29.7°C to 35.1°C.• The temperature of the room was 18.5°C.

Test conducted by Andrei Gheorghiu - Romania

THE RESULTS CONFIRM :

The multi-joint effect

The concentration of the energy on hard tissues (joints)

The increase in temperaturealong the vascular route

The draining action of this type of set-up

T0+20min Ankle 40,4°. Treatment stop Temperature 37,8°. 2 min after stop the treatment.

Foot arch 28.7°


WINBACK 2.0 : • Left knee fixpad on medial condyle of femur and return plate on lateral condyle of femur• Right knee: 2 adhesive electrodes on each side• Length of test: 20 mins at 40% lowpulse• Initial temperature: 34.2°• Final temperature: • Medial condyle left knee 37.6°/right knee 36.5° • Medial condyle left knee 35.9°/right knee 36.5°

This test confirms what was predicted: at the same intensity, there was greater heat under the fixpad but it remained localised, whereas using two adhesive electrodes created an equal distribution.

COMPARISON OF THE USE OF 2 ADHESIVE RET ELECTRODES VS 1 RET FIXPAD AND ONE ADHESIVE ELECTRODE

Start at 10:18. Ankle 29° T0+5 min = Ankle + 33.6° T0+5 min. Back of the knee = 34,8°

Test. Female 30 years. Configuration Winback 2.0 fixpad RET = Foot arch - Neutral = Low Back

WINBACK MEDICAL EVIDENCE #1 - AUTUMN 201720

Temperatures were taken before treatment and every minute for 5 minutes using the thermal imaging camera. Measurement was also taken 1 minute after the treatment had finished.

Cold protocol (Hunting) with CRYOBACK

CONTEXT The hunting reaction involves cutaneous temperatures of between 5°C and 12°C which sets in motion a cyclical vasomotor reaction. This reaction is one of the physiological effects sought in cryotherapy.

AIMThis experiment looks to demonstrate the time required to bring the cutaneous temperature to below 12°C, and to correlate the cutaneous temperature with the temperature shown on the machine (Info).

TEMP STIMULATION INTENSITY HAND PROBE TIME

-10°C MEDIUM 2The treatment was applied to the epicondylar muscle

attachments via their proximal insertions.

5 MIN

MARKER MAX BACK

HOT 32,8 22,0

COLD 8,3 22,0

Winback Academy has decided to invest in thermoregulation using cold and hot/cold thermal shock to complete its range of treatments in the future. The key research is focused on 3 areas:

• The pain relieving effect, based on a reduction in nerve conductivity thanks to a drop in temperature below 15 °C. This effect will be increased by the addition of a pulsed current, allowing the cold to work at a deep level.

• The anti-inflammatory effect for acute pathologies, using the well-known phenomenon that occurs when the temperature alternates between -10°C and + 45°C. This phenomenon causes compression that evacuates excess oedema and limits enzyme production, for a less intense inflammatory reaction.

• The vasomotor effect of the hunting reaction, with a cutaneous temperature of between 5°C et 12°C causing a cyclical vasomotor reaction. This reaction allows pressure to be rebalanced, and therefore the vascular and lymphatic systems to drain.

21WINBACK MEDICAL EVIDENCE #1 - AUTUMN 2017WINBACK MEDICAL EVIDENCE #1 - AUTUMN 2017 21

DISCUSSIONIn observing the results for these 3 subjects, we can see that the cutaneous temperature drops below 12°C between 3 and 4 minutes, and in each case, the temperature shown on the screen is 5°C. We can therefore assume that when the cryoback shows a temperature of 5°C, we have a cutaneous temperature of around 12°C, the temperature at which Hunting’s reaction starts. The treatment must be applied for more than 3 minutes to trigger the cyclical vasomotor response.

CONCLUSIONThe Tennis Elbow protocol should therefore be implemented for a minimum of 7 minutes.

Aurore Chambaudu Cryoback expert

Subject 1

40

30

20

10

0

02 4 1 minute later

32,5

17,916

10

14,2 13,9 12,7

9,7

17

65 5

3

Subject 2

40

30

20

10

0

02 4 1 minute later

33,4

18,7

16

10

15,712,3

9,97,2

15,2

75 3

2

Subject 3 40

30

20

10

0

02 4 1 minute later

32

15,716

10

15,7

10,1 9,7 8,3

16

9

5 4 4


History of high frequency current

WINBACK energy (high frequency current) is popular with thousands of patients and top level sports people due to its therapeutic benefits, and has become famous worldwide with more than 2,500 centres taking up the technology in 3 years.

WINBACK energy is a high frequency current oscillating between 300 kHz and 1 MHz. It accelerates “the natural regeneration” of organic tissue. Its low intensity means the energy is completely non-invasive and 100% natural for the human body.

High frequency current has more than demonstrated its effectiveness in the domains of orthopaedic surgery, cosmetic medicine and more recently in the field of rehabilitation. Studies conducted over the last thirty years have shown that its therapeutic effects naturally stimulate tissue regeneration and reduce pain.

C. Gabriel’s research team highlighted the permeability of cell membranes at frequencies of 300 kHz – 1 MHz by analysing several types of biological tissues in their study entitled “The dielectric properties of biological tissues” (4). Membrane polarization can no longer occur thanks to the use of WINBACK energy, as it facilitates intra- and extra-cellular exchange.

The theoretical aspects and major conclusions of this research have been mentioned in several scientific studies: Arsonval 1890, Rudolf Hober 1910, Schwan and Schwan 1957, Foster 1980, Stuchly and Stuchly 1980, Pethig 1984, Pethig and Kell 1987 and Foster and Schwan 1989 – C. Gabriel 1996. This community of researchers was interested in the cellular properties of biological tissues and the dielectric phenomena that were produced under high frequency current. In the majority of these studies, researchers agree that cellular responses are a function of the frequency and the type of biological tissue.


1890The researcher who first drew attention to this type of current was Jacques Arsène d’Arsonval, a famous French doctor who was also a physicist and inventor. In 1890, d’Arsonval discovered the benefits of plasma membrane permeability by increasing the frequency to over 100 kHz.

1920

In the 1920s, along with other researchers and doctors, he developed the first capacitive and resistive system with electrodes.

1939

In 1939, work by William Beaumont explored its applications in more depth.1939: Work on diathermy with capacitive and resistive methods was undertaken using the first physiotherapy equipment by William Beaumont, English doctor and medical physicist. Frequencies of around 500 kHz

1950

In the 1950s, high frequency current started to be used in surgery for electrocauterisation. The considerable increase in healing after the use of an electronic scalpel encouraged cosmetic surgeons to take an interest in the application of this energy, and to use it in developing electrodes (e.g.. Multipolar MIX) and exploring frequencies (1 MHz). The electrode previously held by the therapist could then therefore become mobile.

1985High frequency current with multipolar electrodes developed for use in cosmetic medicine.Frequency 1 MHz.

1995

It was only in 1995, in Italy, that medical lecturers studied the use of this energy to develop functional rehabilitation procedures with non-invasive mobile electrodes, using the work of d’Arsonval and Beaumont.1995: The term TECAR (Capacitive and Resistive Electrical Transfer) was first used in Italy. New scientific studies were published in Italy. Frequencies of 500 kHz and 650 kHz. The effects of diathermy were the main focus. 2013

In 2013, the WINBACK team developed physiotherapy protocols using a new generation of devices that were more intuitive, more adaptable and more effective...WINBACK energy was born.


1. PHYSIOTHERAPY

1.1. BENEFITS OF WINBACK • Pain reduces from first session onwards, • Faster recuperation, • Improvement in chronic and acute pathologies (with protocols involving multiple treatments), • Improved scarring in soft tissue and fibrous tissue, • Lack of risks • Excellent levels of satisfaction during high frequency current treatment for patients, practitioners and researchers.

ACCELERATED HEALING 97% EFFECTIVE (1)Winback energy produces a flow of ions with extremely fast electrical oscillations on the cellular level. These oscillations make the plasma membrane permeable, stimulating intra- and extra cellular transfer, making tissues heal faster. (1) 6 sessions, 97% effectiveness for muscular and joint problems. Effective therapies that reduce healing time: Evaluation of the effect of multi-frequency capacitive diathermy treatment. S. Piolani, A. Soldadi, F. Speziale, P. Bonifacci, T. Cuzzani, M. Scacchetti, A. Marsotti, S. Alberti, M. Cagnani,R. Marzovillo, A. Garvalli, G. Poletti. Sport & Medicine. January- February 2009. Frequencies used 500, 750 and 1 MHz

IMMEDIATE AND LASTING RELIEF FROM PAIN 81% EFFECTIVE (2)Winback energy inhibits the transmission of pain messages for at least 48 hours. This effect is due to the electrical oscillations that interrupt the normal transfer of pain signals (hyperpolarisation, depolarisation). The sensory impulses are interrupted and the patient feels immediate relief.(2)Study of Electric Transfer Hyperthermia to treat lumbago. Takahashi K., N. Tsuzuki, K. Zhong – SHI - Orthapaedic Surgery Department – Medical Centre – J Saitama. Phys Ther. Sci 11 : 45-51, 1999. Frequency used 650 kHz.

6X FASTER VASCULARISATION (3)TECAR energy increases the natural resistance of biological tissues, transforming energy into heat (diathermy) which is used by the circulatory system (vascular and lymphatic) to regulate the temperature of the part of the body in question. A localised increase in temperature allows for improved vascularisation of areas with restricted movement (fibrosis, stiffening) and makes movement easier.(3) T.E.C.A.R Therapy. Treatment of postoperative femoral fractures. A. TERRANOVA, G. VERMIGLIO, S. ARENA, A. Ciccio S. DI DIO1 M. VERMIGLIO - Vol. 44 – Suppl. 1 to 3 EURO

2X FASTER REHABILITATION (4) Since 1999, studies have been carried out on high frequency current to allow researchers to confirm the therapeutic effects of a standard frequency: 0.5 MHz with an accepted range between 0.3 MHz and 0.65 MHz. Different devices have been used, all following the rules and principles of TECAR or CET RET.(4) Improvements seen twice as fast in the rehabilitation of the rotator cuff. Winback energy is a product of “Tecar” technology, a term used in scientific studies since 1995.

TECAR Therapy. New tendinopathy of the rotator cuff: our experience. Sanguedolce G., C. Venza, P. Cataldo,G. Mauro Letizia – Head of Physical Medicine and Rehabilitation - University of Palermo. September 2009

Scientific studies

25NEWSLETTER WINBACK #3 - AUTOMNE 2017 25WINBACK NEWSLETTER #3 - AUTUMN 2017


Muscular, joint and lymph problemsAcute and chronic injuries or pains in the muscles and joints. Pain resulting from mechanical tension (lesions, stiffness, oedema, fibrosis). Inflammatory vascularisation or lymphatic issues

1.2. INDICATIONSFor pain relief and anti-inflammatory purposes, in order to break the vicious circle of pain/inflammation/stiffness, improvements in joint mobility, fibrolytic effects, reducing in bruising, drainage of effusions, improvement of healing process. Reduction in recovery time, accelerated return to normal activities.

TRAUMATOLOGYSprains, fractures and muscle tears. Post-traumatic pain (1 to 3 days exclusively without heat): pain relief, anti-inflammatory and anti-oedema uses. For chronic post-traumatic syndromes or recurrences: fibrolytic effect, breaking the vicious circle of pain/inflammation/stiffness and improved mobility.

RHEUMATOLOGYArthritic complaints: pain relief, deep oedema drainage, improved mobility. Acute and chronic tendionpathy, epicondylitis, neck pain, common acute and chronic pain in the lower back, capsulitis, joint stiffness.

SPORT PHYSIOTHERAPYFor recent or long-lasting muscle stiffness, muscle pain, muscular lesions: tensions, sprains, tears, acute and chronic tendinopathy, enthesitis, chondropathy, post-traumatic oedema, muscular fibrosis and plantar fasciitis. Recovery and prevention.


CONTRAINDICATIONSTransplants, pacemakers and artificial organs, pregnancy, bleeding disorders, insensitivity to changes of temperature, burns, cancer, infection, growth cartilage, hypotension, thrombosis, insensitivity to pain.

PRECAUTIONSFor the cases listed below, it is recommend to reduce the power of the high frequency electric current (at least to 30% of the maximum settings of the Winback equipment) for the first three sessions. Pre- and post-operative applications with prosthetics and osteosynthesis. Patients with hypotension. Slight to moderate hypotension as part of hyperthermic treatment.Major inflammation, bone complaints, post-treatment cancer. Medical prescription before a competition: do not administer long sessions in hyperthermic mode in the 24 hours before a competition.There is no known incompatibility with other treatments, but it should be noted that overstimulation of biological tissues has an inhibiting effect on response to treatment.

SIDE EFFECTSIn some cases, a transitory resurgence in pain can occur in the 24 hours following the first session if too high a setting has been used. This problem is resolves itself without assistance. In practice, treatments are undertaken between once and three times a week. The frequency can be altered by the practitioner depending on the patient’s needs. If necessary, TECAR therapy can be used every day.

The length of sessions varies between 15 and 20 minutes, depending on the region of the body and pathology being treated. The treatment can be administered during a physiotherapy session. Acute crises: a crisis treatment of 4 session can be administered without side effects, depending on the condition of the patient and the seriousness of the injury.

PACE MAKERS, INSULIN PUMPS

DEEP VEIN THROMBOSIS

PREGNANCY GROWTH CARTILAGE

INSENSITIVITY TO HEAT

CANCER FEVER, INFECTION


1.3. MORE THAN 25 SCIENTIFIC STUDIES PUBLISHED• The dielectric properties of biological tissues: I. Literature survey C Gabriel, S Gabriely and E Corthout Physics Department, King’s College, Strand, London WC2R 2LS, UK - 1996• Abstract. The dielectric properties of tissues have been extracted from the literature of the past five decades and presented in a graphical format. The purpose is to assess the current state of knowledge, expose the gaps there are and provide a basis for the evaluation and analysis of corresponding data from an on-going measurement program.• Electric Properties of tissues – D. MIKLAVCIC – N. PAVSELJ, University of Ljubljana, SLOVENIA – F X HART – University of the South Sewanee, Tennessee – Wiley Encyclopedia of Biomedical Engineering 2006 John Wiley and Sons.• Effects of Time varying Currents and magnetic fields in the frequency range of 1 KHZ to 1 MHZ for Human Body A stimulation study – J. Bohnert – O. Dossel – – 32nd Annual International Conference of the IEEE EMBS Buenos Aires, Argentina, September 2010.• Radiofrequency currents exert cytotoxic effects in NB69 human neuroblastoma cells but not in peripheral blood mononuclear cells. M.L. HERNANDEZ-BULE, E. ROLDAN, J MATILLA, M.A. TRILLO, A UBEDA. MADRID.• Clinical Effects of Capacitive Electric Transfer Hyperthermia Therapy for Lumbago, K TAKAHASHI, N TSUZUKI, K ZHONG-SHI – Department of Orthopedic Surgery – Saitama Medical Center- J. Phys Ther. Sci 11 :45-51, 1999. Frequency used: 0.65 MHz• for a powerful analgesic effect. 81 % efficiency rate bv acknowledged by patient. TECAR terapia nel trattamento post-chirurgico delle fratture di femore, A. Terranova, G. VERMIGLIO, S. ARENA, A. CICCIÒ, S. DI DIO1, M. VERMIGLIO – Vol. 44 – Suppl. 1 to No. 3• EUROPA MEDICOPHYSICA – October 2008. Frequency used: 0.5 MHz. Results on a group receiving treatment compared to a control group: +45% efficiency in the reduction of edema compared to a control group receiving normal treatment. 6 times faster in stabilizing edema (15 days instead of 90 days) compared to a control group.• TECAR terapia nelle tendinopatie della cuffia dei rotatori : nostra esperenzia. G. Sanguedolce, C. Venza, P. Cataldo, G. Letizia Mauro – Cattedra de Medicina Fisica e Riabilitavita Univsersita degli Studi Palermo. EUROPA MEDICO PHYSICA – September 2009. Frequency used 0.5 MHz. Two groups, one treated with conventional equipment (TENS, ultrasound, lasers, etc.), the other treated using the TECAR. principle.• Evaluation scale: SST Simple Shoulder Test. 2 times faster on rotator cuff. Results obtained in 4 weeks equivalent to results obtained by another (control) group treated with classic physiotherapy over 8 weeks. +24% efficiency after 8 weeks: 67% reduction with T.E.C.A.R. against 43% for the other group.• T.E.C.A.R therapy for Peyronie’s disease: a phase-one prospective study. Great evidence in patients with erectile dysfunction. Pavone C, Castrianni D,Romeo S, Napoli E, Usala M, Gambino G, Scaturro• D, Mauro GL. A.O.U.P. “Paolo Giaccone”, Dipartimento Materno-Infantile, Andrologia e Urologia, U.O.C Urologia, Palermo – Italy. February 2013. Frequency used: 0.57 MHz• An interesting approach to extreme pain particularly in Peyronie’s disease. 80% of patients• experienced a clear reduction in pain. Effective therapies that reduce healing time: Evaluation of the effect of the multi frequency capacitive• Diathermy treatment. S Piolani, A Soldadi, F Speziale, P Bonifacci, T Cuzzani, M Scacchetti, A Marsotti, S Alberti, M Cagnani, R Marzovillo, A Garvalli, G Poletti. Sport & Medicina. January – February 2009. Frequency used 0.5, 0.75 and 1 MHz• In 265 patients, the treatment was applied on an average of 6.5 sessions of 20 minutes. These are the failure rates on muscular problems (0.84%), joint problems (2.5%), tendon problems (6%).• EFFICACY EVALUATION OF TREATMENT OF ``HEMPLEGIC SHOULDER PAIN’’ WITH CAPACITIVE AND RESISTIVE ENERGY TRANSFER THERAPY (TECAR). Author / Creator: Bella, G.D.; Damiani, C.; Foti, C.; International Society of Physical and Rehabilitation Medicine• WORLD CONGRESS- INTERNATIONAL SOCIETY OF PHYSICAL AND REHABILITATION MEDICINE; 279 International Society of Physical and Rehabilitation Medicine World congress; 4th World Congress of the International Society of Physical and Rehabilitation• Medicine: June 10-14, 2007, COEX, Seoul, Korea: abstracts; 4th, International Society of Physical and Rehabilitation Medicine


• New methods in the treatment of joint-muscular pathologies in athletes: The «TECAR» therapy Auteur(s)Ganzit G.P. Identifiant EXTERNALID: 2-s2.0-0034485861 ISSN: 0025-7826 Source: Medicina dello Sport A. 2000, vol. 53, n° 4, pp. 361-367• Tecar-therapy in the low back pain in acute phase: our experience. LETIZIA MAURO, GIULIA, VENZA, CLAUDIA, SANGUEDOLCE, GIORGIO, DE LUCA, MARIA LAURA, SCAGLIA, FABIO, DI BELLA, NATALE english 2010• L’efficacia della tecar-terapia nel trattamento della fascite plantare. LETIZIA MAURO, GIULIA, VENZA, CLAUDIA, SANGUEDOLCE, GIORGIO. Conference Object 2011• Electric Properties of tissues – D. MIKLAVCIC – N. PAVSELJ, University of Ljubljana, SLOVENIA – FX HART – University of the South Sewanee, Tennessee – Wiley Encyclopedia of Biomedical Engineering 2006 John Wiley and Sons.• Effects of Time varying Currents and magnetic fields in the frequency range of 1 KHZ to 1 MHZ forHuman Body A stimulation study – J. Bohnert – O. Dossel – – 32nd Annual International Conference of the IEEE EMBS Buenos Aires, Argentina, September 2010.• Anticancer effects of 6-o-palmitoyl-ascorbate combined with a capacitive-resistive electric transfer hyperthermic apparatus as compared with ascorbate in relation to ascorbyl radical generation Kato, Shinya | Asada, Ryoko | Kageyama, Katsuhiro | Saitoh, Yasukazu | Miwa, Nobuhiko


2. PHYSIO-COSMETIC

2.1 SCIENTIFIC STUDIES PUBLISHED ON SKIN REVITALISATION (6)• Evaluation of safety and efficacy of the TriPollar technology for treatment of wrinkles. Shapiro SD, et al. Lasers Surg Med. 2012.• Bitter P, Report of a New Technique for Enhanced Non-invasive Skin rejuvenation Using a Dual Mode Pulsed Light and Radio-frequency Energy Source: Selective Radio-thermolysis Journal of Cosmetic Dermatology, 1: 142-145, 2002• Alster, T. S. and Tanzi, E. (2004), Improvement of Neck and Cheek Laxity With a Nonablative Radiofrequency Device: A Lifting Experience. Dermatologic Surgery, 30: 503–507. doi: 10.1111/j.1524-4725.2004.30164.x• Evaluation of a Radiofrequency Device for Facial Skin Laxity Improvement and Body Contouring in Asians Tran Thi Anh Tu, M.D, Ph.D (Cosmetic Surgery & Skin Care Clinic Dr. Tu, 290–292 Tran Hung Dao St, District 1, Ho Chi Minh City, Vietnam)• Nonsurgical nonablative treatment of aging skin: radiofrequency technologies between aggressive marketing and evidence-based efficacy. AtiyehBS; Dibo SA; Aesthetic Plastic Surgery, 2009, vol. 33, issue 3, p 283, ISSN 14325241. ISBN 14325241.RF Transmission Power Loss Variation with Abdominal Tissues Thicknesses for Ingestible Source• S.P. Arcnoczky, A. Aksan, Thermal modification of connective tissues: basic science considerations and clinical implications. J. Amer Acad Ortho Surg. 2000;

2.2 SCIENTIFIC STUDIES PUBLISHED ON SLIMMING AND CELLULITE (9)• Radiofrequency devices for body shaping: a review and study of 12 patients. Anolik R, et al. Semin Cutan Med Surg. 2009.• Effect of capacitive radiofrequency on the fibrosis of patients with cellulite. Valentim da Silva RM, et al. Dermatol Res Pract.• The effectiveness of anticellulite treatment using tripolar radiofrequency monitored by classic and highfrequency ultrasound.Randomized controlled trial. Mlosek RK, et al. J Eur Acad Dermatol Venereol. 2012.


• Avram MM, ASLMS, Orlando, Florida, USA, 2005 Cellulite: A Review of Its Physiology and Treatment, Journal of Cosmetic & Laser Therapy, 7: 1-5, 2005• R. H. Rosado, E. del pino, A. Azuela, Mª G. Guzman, D. Arguelles, C. Rodriguez Effect of Controlled Volumetric Tissue Heating with Radiofrequency on Cellulite and the Subcutaneous Tissue of the Buttocks and Thighs. 2006, Journal of Drugs in Dermatol.; 5(8); 714-722.• Trelles MA, van der Lugt C, Mordon S, Ribé A, Al-Zarouni M. “Histologicalfindings in adipocytes when cellulite is treated with a variable-emission radiofrequency system” Instituto Medico Vilafortuny/Antoni de Gimbernat Foundation, Av. Vilafortuny, 31, 43850 Cambrils, Spain• A Preliminary Study of a Transdermal Radiofrequency Device for Body Slimming. Key DJ. J Drugs Dermatol. 2015• Effects of Subdermal Monopolar RF Energy on Abdominoplasty Flaps. Ferguson J. J Drugs Dermatol. 2016.• The efficacy of capacitive radio-frequency diathermy in reducing buttock and posterior thigh cellulite measured through the cellulite severity scale. De La Casa Almeida M, et al. J Cosmet Laser Ther. 2014.

3. VETERINARY

BELOW ARE THE STUDIES PUBLISHED CONCERNING VETERINARY APPLICATIONS (3)

• Efficacy of monopolar radiofrequency on skin collagen remodeling: a veterinary study. Fritz K, et al. Dermato Ther. 2015 May-Jun.• Effect of monopolar radiofrequency treatment over soft-tissue fillers in an animal model: part 2. Shumaker PR, et al. Lasers Surg Med. 2006.• Effects of monopolar radiofrequency treatment over soft-tissue fillers in an animal model. England LJ, et al. Lasers Surg Med. 2005.

WINBACK EUROPE885 Av du Docteur Lefebvre, Twins 206270 Villeneuve Loubet - France

T. +33 (0)4 83 66 16 66 [email protected]

MEDICAL EVIDENCE · 2018-05-09 · MEDICAL EVIDENCE. This first edition explores ... • History of...

Documents

Transcript of MEDICAL EVIDENCE · 2018-05-09 · MEDICAL EVIDENCE. This first edition explores ... • History of...