Uses / Case Studies - Sports Units

The device has passed all tests prescribed for medical devices, Class IIA, obtaining the approval under the mark "CE Medicale".

Strongly recommended by sports doctors

The ZAMAR device has been tested and used by time served, experienced sports doctors and physiotherapist who work in direct contact with national and international sporting activities and competitions.

The results are highly satisfactory as for immediate therapeutic response, simplicity of use and versatility of the unit.
Countless pathological conditions due to trauma or extreme work of the muscle-skeletal apparatus can be found in every sport.

The ZAMAR device has been tested in many ways and at significant times in football, rugby, street cycling, basketball, volleyball, track and field, tennis, motorcycling... but it can also be used and produce remarkable benefits in many other sports.

Here below we supply a list of pathologies treated with the ZAMAR machine after matches or competitions requiring particular efforts:

- Tibial-tarsal joint sprain, grade 1 and 2, left leg
- Lateral quadriceps contusion, right leg
- Medial gastrocnemius muscle strain, right leg
- Knee sprain with injury to the collateral ligament
- Forefoot contusion
- Ankle sprain
- Outcome of knee arthroscopy
- Flexor sprain and knee contusion
- Muscle/tendon contractures and injuries
- Inflammation and swelling due to stress and strain
- Pain and heaviness due to muscle strain lactic acid stagnation
- Haematoma and extravasations due to contusion, trauma and tissue damage

The results were excellent, evidenced by detailed descriptions and confirmed by rehabilitation reports drawn up by the sports doctors concerned.

Great appreciation has been expressed for the possibility of treating the injured/inflamed parts with personalised therapies: cold and heat treatment, alternated cold and hot cycles and massage.

Graph

Graph

GRAPHS

Fundamental resource:
Steady temperature
Conventional treatments (ice packs or glycol gels) do not ensure a steady temperature during the treatment. ZAMAR has developed a new method,
which represents a safe and definitive solution to the problem of cold/heat therapy.   
 

Dr FRANCESCO DE VITA
Specialist in General Surgery
Specialist in Sports Medicine Medical Surgery:
Via Valpolicella 57/A - 37126 VERONA TeI./Fax:045-916146
Mob.: 0348-2602434

Use of thermal exchange equipment manufactured by ZAMAR srl

During the last football season we were given the opportunity to use heat exchange equipment for the application of alternating heat treatments (hot - cold) for approximately 3 weeks.
All parts of the instrument were used including the special stretch wraps which allow the refrigerated or hot liquid to pass through.
We were able to use this apparatus to treat three footballers who had reported a 2nd degree sprain injury of the left tibio­tarsal joint, bruising of the lateral quadriceps of the right leg and a muscle problem in the twin medial branch of the right leg, respectively.
The possibility of applying a elastocompressive bandage specifically designed for the various areas to be treated, while at the same time allowing the part to be refrigerated to the desired temperature on a constant basis without the footballer having to move produced optimum results with very good compliance on the part of the patient with the tibio-tarsal sprain. This applied in particular to the cryotherapy, since the circulation of refrigerated liquid allowed a lengthy session to take place without causing any damage, together with as an initial massage producing a lymphodraining effect. This resulted in early mobilisation in accordance with the best medical-sporting protocols. This was possible as early as twenty-four hours after the trauma with the consequent resumption of motor activity much earlier than expected.

 

Dr Giovannini Franco Surgeon
Orthomolecular Medicine
Acupuncture - Homeopathy
Ozone therapy
Bioelectronic Techniques TeJ. 0376-668466 Cen.339-4098488

I have used the Zamar equipment for four months, particularly as elective treatment for sports traumas.
Zamar pulsed frigotherapy produces the greatest therapeutic effect in muscle traumas with or without hematic effusion, in muscle strains and sprains. For this type of pathology two daily applications for approximately one week are normally sufficient.
In the case of muscle tears, however, Zamar frigotherapy can be used successfully especially in combination with mesotherapy and/or with 02 - 03 therapy: in this particular case pulsed frigotherapy proved useful as a "catalyser" for the aforementioned therapies, speeding up the therapeutic response and optimising the restitutio ad integrum of the injured areas.
Another field of application is venous insufficiency of the lower limbs, where benefits are normally felt after two weeks of treatment.
Finally we should remember the relaxing action that pulsed frigotherapy has on an athlete’s muscular system following physical effort, since it creates the rheological conditions ideal for a faster disposal of lactic acid.

 

Dr Giovannini Franco Surgeon
Orthomolecular Medicine Acupuncture - Homeopathy Ozone therapy
Bioelectronic Techniques
Tel. 0376-668466
Mob. 339-4098488
Governolo , 19/01/2006
ZAMAR sectional frigotherapy is an extremely versatile fast therapeutic method aimed at simple activation. It is mostly used in traumatology, especially in relation to sports. It is a  therapeutic technique completely free of side effects; we just need to think about the numerous "cold" and chemical burns which occur with the inappropriate use of  ice spray and ice used incorrectly directly on the skin. The application of ZAMAR cryophorus devices actually allows selective and uniform distribution of hot and cold in the areas to be treated. The pulsed device is also able to optimize treatment, especially if lymphatic or venous drainage of the microcirculation is essential, a situation which is typical of post-traumatic oedema caused by serohemorrhagic effusion and bruising.
The ZAMAR technique can be used alone or in combination with other therapeutic treatments, thus taking advantage of synergy of action.
Form a practical point of view I would single out the following:

Simple traumas
Complex traumas
Simple traumas
Complex trauma
bruises, hematomas, sprains, uncomplicated muscle spasms
sprains, strains, tears.

frigotherapy (+ 4°C - + 6°C) in cycles of 30 minutes which can also be repeated every hour in the immediate post-trauma period for 2 - 3 days
frigotherapy (+ 5°C) in cycles of 30 minutes which can also be repeated every hour for approximately 5-6 days. Then the temperature is raised to (+ 10°C - 15°C) in order to encourage reabsorption

Created by DPE, Copyright IRIS 2005(Dr Giovanni Franco)
 

Dr. MASSIMO MANARA Doctor Surgeon Specialising in Sports Medicine
Viale Rustici, 22 - Te!' 0521.962.125 Casa di Cura « Città di Parma,.
Piazza Maestri • Te!' 0521.249.611 Centro Parmense Riabilitativo
Via Ghirarduzzi, 13·3 . Te!' 0521.773.676 43100 PARMA

Zamar treatment system

In May we had the good fortune to make contact with the Zamar company, which manufactures equipment for cryotherapy applications, and they made a piece of new generation medical equipment available to us.
This new apparatus, MEDICAL CARE MG, undoubtedly has some innovative features It allows local cryotherapy applications to be carried out at a constant temperature, combining this with alternating draining massage, using adjustable wraps in various sizes. It also allows cryotherapy and thermo-therapy to be carried out alternately, still combined with massage.
The equipment was used by the medical Staff at Parma F.C., who followed the protocols attached to the report for one month.
The cases for which the machine was used involved a knee sprain with damage to the collateral ligament, bruising of the forefoot, a sprained ankle, one outcome of knee arthroscopy, a strained flexor muscle and bruising of the knee.
The results were definitely positive, especially in relation to the direct and joint traumas, while evaluation of the muscle problems definitely requires a wider case history.
There may also be significant advantages to be gained from carrying out alternate heat therapy and cryotherapy for post-match recovery, a method widely used in particular in English-speaking countries, although not used in these circumstances by our players. Over the next few months, during pre-season training, a period when maximum athletic commitment is required, it will definitely be very useful for collecting additional information and data which will contribute to creating protocols for treating traumas, as requested in the Iso 900l certification.

 

ZAMAR COLD MACHINE

For approximately one month we have been using the Zamar cold machine. We always used the cold programme for an application time of 10 minutes, since we had to include this treatment as part of the mechanics of physiotherapy treatment.

We carried out the following treatments using the cold programme (end temperature of 7º):

  1. JVV (forearm overload): 5 sessions: good result
  2. EB   (surgery on patellar meniscus): 8 sessions: very good result
  3. RM  (back pain): 7 sessions: result good/satisfactory
  4. IM   (epicondylitis): 7 sessions: result good/very good
  5. MD (tibial fracture. Osteomyelitis): 8 sessions: result very good
  6. MO (tibial trabecular fracture): 5 sessions: satifactory result
  7. AO (gonarthrosis): 5 sessions: excellent result
  8. JG (partial meniscectomy): 13 sessions: excellent result
  9. JA (tenosynovitis 4º-5º finger): 5 sessions: very good result
  10. MG (varus osteotomy): 2 sessions: good result
  11. MB (varus osteotomy): 7 sessions: good result
  12. EA (forearm muscle contraction): 2 sessions: good result

 
Conclusion:

We obtained very good results in the pathologies of an inflammatory articular and tendinous type combined with normal physiotherapy. Various patients felt an improvement after using the Zamar machine.
We found it useful, simple and fast to apply. The different levels of cold are very useful.

Raúl San Segundo and María José Martínez.
Physiotherapists

Rehabilitation department coordinators
“Vicente Calderón Stadium“ Medical Centre
 

Cover of Italian Sports Magazine “Forza atleti” featuring the

(Cover of Italian Sports Magazine “Forza atleti” featuring the
Atleteico Madrid footballer Pernia)

CRYOTHERAPY: THE FORMULA AND THE TREATMENT
(Open letter from the team physios)

AFTER THE INITIAL TEST

Cryotherapy is the sector of physiotherapy which uses cold as a therapeutic method. Etymologically its meaning comes from “CRYOS”, or cold, and “THERAPEIA”, or treatment. Since time immemorial cold has been used as a method of treating various  complaints in combination with other treatments.
There are many ways of using cold, some of which we can list here. Towels soaked in a mixture of water and ice, immersion in water containing ice, for periods of no longer than one-minute, although at frequent intervals (until the ice has melted).
Direct application of ice in bags. There are some bags known as COLD PACKS. A tap with the hand mixes certain internal constituents, thus generating cold. They are convenient but not as effective as ice since their effect does not last very long.
Spraying on a volatile liquid, which, when it comes into contact with the air evaporates and produces cold when it comes into contact with the skin. (This is the white smoke we notice when a player receives treatment on the pitch).

Indications:
Used in particular for the following:
NEUROLOGY. Reduction of muscle hypertony.
RHEUMATOLOGY. Reduction of inflammation and arthrosis as ice anaesthetises and sometimes facilitates joint mobilisation. Damage to joints such as tendinitis and bursitis. Vertebral, cervical, dorsal and lumbar pains. Muscle cramps. Post-traumatic inflammation, although it is only recommended for use during the 48 hours following the event, since it could delay the healing process.

 

Effects:

  1. Reduces nerve conduction which means that information about pain does not reach the brain
  2. Vasoconstriction, which means reducing the flow of blood to the injured zone.
  3. Antalgic and anti-inflammatory effect.
  4. Reduction of muscle tension.
  5. Anti-swelling effect, stopping liquid from accumulating in the area and preventing post-traumatic haemorrhage.

When we physiotherapists go out onto the pitch because a player requires attention we normally apply cold using a liquid spray, which turns into gas as it is sprayed out. We try to obtain the effects described above. In the particular case of MAXI and PETROV the cold technique used is applied via a machine known as ZAMAR. It has a compressor with a special refrigerating device combined with a hydraulic device which can supply heat or cold. It sends this to the player, in the area requiring treatment, in a very safe and simple way. Special tubes are used to transfer the liquid, with a coil exchanger and some fabric bags insulated from the exterior with velcro strips.
The bags in the coil exchanger contain a type of polyester which is kept soft at all times, adapting perfectly to the area to be treated. In addition to supplying cold this apparatus has an electronically-controlled massage, compression and decompression function. This regulates the internal pressure of the bags, combining the benefits of massage with those of cold. The temperature can range between +3oC and 40oC.

This type of equipment has been used by various football teams, such as Levante and Valencia, teams in the English Premiership and tennis academies such as the Juan Carlos Ferrero academy in Valencia. It is interesting to note that this machine is used to treat injuries at the Real Escuela Andalyuza de Arte Ecuestre (Royal Andalusian School of Equestrian Art) in Jerez.

In all cases the results have been very satisfactory.
The use of this compressor on a daily basis allows us to work in a virtually pain-free way since the joint does not accumulate any liquid and can be mobilised both actively and passively.

Esteban Arévalo Sanz
Physiotherapist, AM First Team
Sebastián Truyols Dominguéz
Physiotherapist, AM First Team
 

ZAMAR                                                                                                         JC Ferrero
Equelite
TENNIS ACADEMY

EXPERIENCE WITH THE ZAMAR TREATMENT MACHINE

1. PATHOLOGIES

A. ARTICULAR:
• Arthritis of the Lisfranc joint (1)
• Sprain of the radial-carpal and triangular ligament  (1)

B. MUSCULAR:

• Muscular contraction of the brachial biceps (1)
• Muscular contraction of the quadriceps (1)
• Muscular contraction of both bilateral gastrocnemii (1)

C. TENDINOUS

• Anterior elbow tendinitis (1)
• Epicondylitis (1)

D. NEUROLOGICAL

• Paresis of the posterolateral capsule (1)

Key to pie chart
arthritis
sprains
muscle contractions
tendinitis
epicondylitis
paresis of the posterolateral capsule

2. THERAPEUTIC METHOD

A therapeutic protocol was set up, aimed at measuring the temperature and time of application, therapeutic cycles, pulsed or continuous administration, with/without massaging effect, other contributory treatments, pain at the start and end of treatment, and improvement in other areas such as joint and muscle function.

In all the pathologies evaluated only cold therapy was used, applying temperatures in a range of between 5.8º and 10º.

It was used as a basis for administering cold using the pulsed method in 5 cycles, with pause periods in each cycle.

Administration of the massage effect was selected in all cases.

Daily administration of treatment varied between 1-2 applications.

3. RESPONSE TO TREATMENT
In all cases there was a favourable response to treatment, which was excellent in 3 cases (Lisfranc arthritis, anterior elbow tendinitis and epicondylitis), very good in 3 cases (muscle contractions), good in 1 case (radial-carpal strain) and reasonable-good in 1 case (paresis of the posterolateral capsule).

Dr. Pedro Lopez
Traumatology

Casa de Salud (Rehabilitation Centre) (Valencia) 
 

Extracts from the letter- by Physiotherapists
Jose Baixauli and Paco Selva & Dr. Jose Nebot, Traumatología Clinica Nebot (Trauma Clinic)

 

ZAMAR                                                                      LEVANTE U.D., s.a.d.

 

EXPERIENCE WITH TREATMENT MACHINE (COLD - HEAT)

1. USE OF COLD PROGRAMME (CRYOTHERAPY)

  • PATHOLOGIES

o ARTICULAR

    • LIGAMENTOUS LESION (6 cases, varying degrees)
    • BRUISING (10 cases of traumatic arthritis)
    • MENISCOPATHY (2 cases)

USE: We worked with the cold/time programme observing patterns of: Tº +/- 3.5-4º and a time of 15-20 minutes.
The results were very satisfactory although the same results were obtained with the constant cold programme.
o MUSCULAR
. FIBRE RUPTURE (2 cases in acute phase)
. MUSCULAR BRUISING (multiple cases)

USE: Very similar to the previous case although cold is felt more in the muscles so we opted to increase it by +/- 1º, keeping the times the same.

2. USE OF HEAT PROGRAMME
• PATHOLOGIES
o ARTICULAR (multiple cases requiring joint warming)
o MUSCULARES:
. MUSCLE CONTRACTIONS (multiple)

 

. BRUISING IN SUBACUTE PHASE (multiple)
. RUPTURE OF FIBRES IN SUBACUTE PHASE (2 cases)
. MUSCLE WARMING (multiple)
USE: We worked with temperatures of between 25 and 35º
with times which varied according to the pathology and injured area.

                        • Warming:
o Articular +/- 5 min at 30º
o Muscular +/- 5-10 min at 30º
• Bruising and fibre rupture +/-10-15 min at 30º

N.B.: The most successful use was in the treatment of muscle cramps.

USE: First heating phase 5 min. at 32º and second phase after massage 15-20 min at 32º

Data obtained by the Physiotherapists
Jose Baixauli and Paco Selva

Dr. Jose Nebot, Traumatología Clinica Nebot (Trauma Clinic)

Offices:

Levante U.D. s.a.d.
Paseo Alameda, 34 7ob
46023 VALENCIA (Spain)
Tel (34) 96 337 95 30
Fax (34) 96 337 95 31
Email: levanteud.adm@ctv.es
 

REPORT ON USE OF ZAMAR TREATMENT MACHINE

We have been using the Zamar treatment machine in the Medical Facilities at the IV Tennis Open of the Region of Valencia, for patients who required heat treatment.
There were a total of 10 cases. The protocol designed by Dr. Pedro López, a specialist in Physical Medicine and Rehabilitation consisted of applying combined cold – heat pulsed cycles.

 

CONCLUSIONS.
The Zamar machine is simple to operate and was easy to use even for personnel who had not received a great deal of prior training.
We found that its maximum efficacy was in treating acute muscle injuries. In cases of indirect joint trauma it was especially useful in controlling acute swelling and inflammation.
It is a method which does not interfere with other alternative and/or combined treatments.
In chronic injuries of the patellar tendinopathy type its maximum efficacy was obtained in combination with other treatments.
It also seems useful in the treatment of muscle pathologies of the spine, both acute and chronic.
The number of cases, as well as the duration of treatment, was limited so we were unable to obtain totally conclusive results, and therefore we recommend extending these studies.
Nevertheless we recommend the use of this technique as a complement to other physiotherapy methods and we believe that it is a very useful tool in Sports Medicine.

 

Dr. Ignacio Muñoz Criado.
Valencia, 12-6-06
Coordinator of Medical Facilities at the Tennis Open of the Region of Valencia
 

Extracts from the letter by- Juan Ángel Ballesteros

Test period-2005

ZAMAR

ZAMAR COLD MACHINE

We were loaned the cold – heat machine being promoted by Ms Isabel Baixauli for a period of around 1 month during which we carried out the following treatments:

GDS 4 sessions cold programme: 20 min at a temperature of 3º for each application
AGB 3 sessions of cold programme for grade 1 sprain of lateral external ligament
- anterior bundle
HMC 5 sessions of cold programme, external meniscectomy of right knee
NIL 7 sessions of cold programme Sprain of lateral internal ligament of right knee
HVO 4 sessions of cold programme at 3º on abductor musculature. Dynamic osteopathy of
pubis.
JGC 5 sessions of cold. Fracture of right tibia.

We always used the cold technique since we felt that it was necessary in each application.

We found the machine convenient although I feel that the applicators should adapt better to the different areas to be treated, in order to combine the effects of cryotherapy with those of compression. (This has now been addressed –new wraps/applicators now available)

We were not able to carry out any treatment on any pathology using the contrast technique so we cannot give any opinion on this.

CONCLUSION: I think that it is a useful machine, which undoubtedly helps with the application of cold. Once available, the portable device would be a definite improvement, as would improving the applicators in order to add the beneficial effect of compression. Amongst its advantages are the cleanliness of application as well as the levels of cold achieved.

Paterna, 20 December 2005

 Juan Ángel Ballesteros

Physiotherapy department coordinator at Valencia CF.