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Журнал травм и лечения

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Объем 11, Проблема 12 (2022)

Мини-обзор

The Biological Basis of Substance Abuse, Misuse, and Addiction

Kim Joueng* and Shyen Joe

The biological consensus on addictions has been that they are chronic cerebrum infections. While we accept that the minds of those with addictions differ from those without, we believe that the "damaged cerebrum" concept of addiction has severe limitations. We propose that a frameworks level point of view catches the coordinated engineering of the demonstrated and ordered human psyche and cerebrum related to the improvement of addictions more successfully. This more distinct view situates fixation in the broader context of the dependent cerebrum that drives behaviour, where the dependent mind is the substrate of the dependent psyche, which is therefore arranged in a physical and socio-social environment.

Серия корпусов

Light Touch Manual Therapy as a Potential Adjuvant for the Management of Mechanical Allodynia in Patients with Acute Spinal Cord Injury

Aline Duprat Ramos*, Daniel Fernandes Martins, Rodolfo Borges Parreira, Aline Raulino Dutra and Aline Silva de Miranda

Background: Allodynia is a symptom associated with many diseases, including spinal cord injury (SCI), and often worsens over time as crisscrossed neuronal synapses make stronger connections. What triggers a crossover between pain and pleasure during gentle touch processing remains to be fully revealed. Reduce mechanical allodynia (MA) after SCI may minimize its progress for a secondary neuropathic central pain.

Methods: The pre-post study investigated if MA intensity pf patients with acute SCI would improve after the association of manual therapy sessions with light touch as a non-pharmacological adjuvant modality to participant's analgesic drug strategy during the acute SCI stage. The light touch manual therapy was based on TOUCH’IN method, which consists of gently touching the MA area following predetermined steps.

Results: In all participants the MA was the main pain complain even though they were receiving pharmacological analgesic therapy. Right after the end of the first session with light touch manual therapy, MA significantly reduced from an intense (average 9/10) to a mild level (average 1/10) and the self-perception of health improvement increased. It took about 3 consecutive sessions to participants sustain the MA intensity at a mild level. Since the MA intensity reduction was achieved, it remained low for at least 180 days. The functionality and the self-perception of health improvement were also significantly improved after the association of manual therapy to drug therapy.

Conclusion: MA intensity was significantly reduced in patients with acute SCI, when light touch therapy based on TOUCH’IN method was associated as an adjuvant non-pharmacological strategy to participant's analgesic drug therapy.

Обзорная статья

The Development and Evaluation of a Lightweight Underactuated RACA Hand Exoskeleton for Neurorehabilitation

Haroon Batra*, Laurel Blau and Davina Hoffmann

The growing use of automated devices in neuro-recovery treatments necessitates the availability of lightweight, simple-to-use, smart, and adaptable frameworks. RobHand was designed with these goals in mind. It is a hand exoskeleton that is especially suitable for individuals who have finger spasticity since it is simple to insert and allows both bending and expansion of the fingers from an underactuated position. The primary attributes, mechanical plan, and turn of events, as well as approval of the kinematic model of the device, are introduced in this work, which has been completed in accordance with the proposals of the new IEC 80601-2-78 norm, which formalises the concept of RACA (Recovery, Evaluation, Remuneration, Easing) robot and addresses parts of productivity and wellbeing.

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