T.E.C.a.R (Transfer of Energy Capacitive and Resistive) Therapy (TT) is a form of endogenous thermotherapy based on radio waves 1 . It is a non-invasive procedure, that makes use of a machine able to stimulate heat inside the body to repair the inflammatory processes. Although being well known in the physiotherapy and massage therapy ambient for its benefic effects, which are still not very explored especially physiological and biochemical ones; TT is commonly used by therapists for musculoskeletal diseases. Anyhow, TT is often used as a palliative remedy for musculoskeletal disease, or linked with an ibuprofen or antidolorific medical therapy, and not as a main cure. Current literature still lacks objective ways to evaluate TT treatment. This study aims to create an evaluating Scale for the knee joint lesions treated with TT, for athletes or sports enthusiasts.
PubMed, Embase, and Cochrane Library databases were screened to perform an extensive review. PRISMA guidelines were applied, and the risk of bias was assessed, as was the methodological quality of the included studies. 25 articles were reviewed. 178 patients (total amount of clinic cases in PubMed, Embase and Cochrane Library articles combined) have decreased their pain after a long-term TT treatment (> 3 or 5 sessions).
Knee joint is often affected by non-sportive or sportive musculoskeletal lesions. ((At this point, not only the TT articles were reviewed, but also all the articles (122) that included these key aspects)). Six items were selected to evaluate the efficacy of TT on the impaired joint: Range of Motion (ROM), %MVIC of quadriceps, biceps femoris and gastrocnemius, Cincinnati Rating Scale System (CRSS), NRS Pain Scale, Muscle Fiber Orientation (MFO) and %Trigger Points.
Our study allows to build a new treatment methodology with TT. It guarantees the therapist to structure a long-lasting follow-up, which is not limited to the simple use of the machine. Applying this methodology, the patient receives a treatment that is not limited, but built on his own needs thanks to the distribution of the summing scores, strictly dependent on the type of clinical case that the therapist finds. Thanks to the six items we inserted in T.T.E.S.S.K. (“Tecar Therapy Evaluation Score System of the Knee”), every aspect of a musculotendinous pathology is recognized, and might be treated with TT by therapists.