From the past to the future of therapeutic orthoses for upper limbs rehabilitation

Abstract Introduction The expansion of assistive technologies has been increasing significantly, involving almost all the daily activities, performed by disabled people. One of the highlights to be mentioned is the robotic orthoses, which are being used to amplify movements, to replace amputated limbs, and for a variety of rehabilitation therapies, among others. This study aims to present a review about upper limbs' orthoses, discussing their weaknesses, potentialities, and pointing out for future perspectives under the motor rehabilitation. Methods For this research, it had been identified 161 papers, based on the bibliographic bases from IEEE and Science Direct, which were filtered by the keywords orthoses, hand, upper-limbs and technology. After the appropriate exclusions, 22 papers were analyzed. Results This review indicates that most of the orthoses have been developed for rehabilitation therapies to be employed by people who have suffered stroke, cerebral palsy or spinal cord injury. This research summarized that the upper limbs movements are effectively produced by electric or pneumatic actuators, having a variety of degrees of freedom. Conclusion This review has shown that, although there are many orthoses styles, ranging from electric to pneumatic actuators; also there are some technical restrictions that prevent their use by most people. However, upper limb orthoses seem to be a great solution for the rehabilitation of people who have suffered a stroke.

Psicanálise e construção do caso clínico: considerações sobre um dispositivo terapêutico / Psychoanalysis and construction of the clinical case: considerations about a therapeutic device / Psicoanálisis y construcción del caso clínico: consideraciones sobre un dispositivo terapéutico / Psychanalyse et construction du cas clinique: considérations concernant un dispositif thérapeutique

Este artigo tem como objetivo discutir a construção do caso como um dispositivo clínico psicanalítico capaz de responder aos desafios do campo da saúde mental. A metodologia consistiu em um levantamento bibliográfico a partir de comentadores da psicanálise, tais como Vorcaro, Viganò e Figueiredo. A pesquisa teve como referência os descritores saúde mental, psicanálise e construção do caso clínico. De acordo com a discussão desses autores, a construção do caso clínico se caracteriza como uma proposta de trabalho e de investigação de orientação psicanalítica que norteia a conduta em equipe a partir da reflexão sobre as particularidades vivenciadas no contexto da saúde pública, da instituição e dos sintomas dos sujeitos, possibilitando a realização do trabalho em um solo comum a todos os profissionais da área da saúde mental. Tais características são consideradas fundamentais frente aos desafios do cenário da saúde mental que se caracteriza cada vez mais amplo e heterogêneo devido às mudanças advindas com a criação do SUS e da reforma psiquiátrica. Dessa forma, defendemos a construção do caso clínico como um dispositivo capaz de abranger a amplitude, as singularidades e as divergências, problematizando os pilares organizadores da clínica e os entraves institucionais, mobilizando o sujeito em seu diagnóstico permitindo que surja um espaço para que a subjetividade possa advir.

This article has as an objective to discuss the case construction as a psychoanalytical clinical device capable of providing an answer to the challenges of the mental health field. The methodology consists in a bibliographic mapping from psychoanalysis commentators that discuss clinical-institutional interventions in mental health, such as Vorcaro, Viganó and Figueiredo. The research had as reference the descriptors mental health, psychoanalysis and construction of clinical case. According to the discussion of said authors, the construction of the clinical case is characterized as a work and investigation proposal of psychoanalytical orientation that guides the team conduct from the reflection about the particularities experienced in the public health context, the institution and the subject's symptoms, enabling the accomplishment of the work in a soil common to all professionals of mental health area. The said characteristics are considered to be fundamental in facing the challenges of the mental health scenery which is characterized to be wider and heterogeneous by the time due to the changes resulted from the creation of the SUS and the psychiatric reform. This way, we defend the construction of the clinical case as a device able to cover the amplitude, the singularities and the divergences, raising problems about the organizer pillars of the clinic and the institutional hindrances, rallying the subject in his diagnostics allowing the emergence of a space for subjectivity to occur.

Este artículo tiene como un objetivo discutir la construcción del caso clínico como un dispositivo clínico psicoanalítico capaz de responder a los desafíos del campo de la salud mental. La metodología consiste en un levantamiento bibliográfico a partir de comentaristas de la psicoanálisis que discuten intervenciones clínico-institucionales en salud mental, tales como Vorcaro, Viganó y Figueiredo. La investigación tuvo como referencia los descriptores salud mental, psicoanálisis y construcción del caso clínico. In acuerdo con la discusión de los autores, la construcción del caso clínico. De acuerdo con la discusión de los autores, la construcción del caso clínico se caracteriza como una propuesta de trabajo e investigación de orientación psicoanalítica que orienta la conducta in equipe a partir de la reflexión sobre las particularidades experimentadas en lo contexto de la salud pública, de la institución e los síntomas de los sujetos, posibilitando la realización del trabajo in suelo común a todos los profesionales de la área de la salud mental. Tales características san consideradas fundamentales frente a los desafíos del escenario de la salud mental que se caracteriza cada vez más amplio y heterogéneo debido a las mudanzas advenidas con la creación del SUS y de la reforma psiquiátrica. Así, defendemos la construcción del caso clínico como un dispositivo capaz de alcanzar la amplitud, las singularidades y las divergencias, problematizando los pilares organizadores de la clínica y los obstáculos institucionales, movilizando el sujeto in suyo diagnostico permitiendo la insurgencia de un espacio para que la subjetividad posa advenir.

Ce travail a pour but discuter la construction du cas en tant que dispositif clinique psychanalytique capable de répondre aux défis du domaine de la santé mentale. La méthodologie repose sur une enquête bibliographique à partir de commentateurs de la psychalyse, tels que Vorcaro, Viganò et Figueiredo. La recherche a pour point de repère les descripteurs santé mentale, psychanalyse et construction du cas clinique. Selon la discussion de ces auteurs, la construction du cas clinique se caractérise par une proposition de travail et de recherche d'orientation psychanalytique qui guide la conduite en équipe à partir de la réflexion sur les particularités vécues dans le contexte de la santé publique, de l'institution et des symptômes des sujets possibilitant aussi la réalisation du travail sur un terrain commun à tous les professionnels du domaine de la santé mentale. Ces caractéristiques sont considérées fondamentales pour surmonter les défis du scénario de la santé mentale qui se trouve de plus en plus large et hétérogène, en raison des changements venus avec la mise en place du SUS et de la réforme psychiatrique. Ainsi, nous défendons la construction du cas clinique en tant que dispositif capable de toucher l'ampleur, les particularités et divergences, en problématisant les piliers organisateurs de la clinique et des entraves institutionnels et, qui, au même temps, mobilisera le sujet vers son diagnostic, permettant élever un espace pour que la subjectivité puisse se produire.

Treatment of drug eruption of epidermolysis bullosa with high-power photon therapeutic device in one case / 中国医学装备

We routinely used the high-power photon therapeutic device to treat drug eruption of epidermolysis bullosa in 1 case and there achieved good results.Through analysis,we believe that the device can be used to treat different types of complicated skin diseases.

Treatment of Hand-foot Itch in Old People with Acupuncture / 针灸推拿医学（英文版）

Old patients with hand-foot itch were treated by acupuncture combined with the irradiation of TDP. For hand itch, selected acupoints Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), Hegu (LI 4), and Zhongzhu (TE 3); for foot itch, selected acupoints Zusanli (ST 36), Sanyinjiao (SP 6), Jiexi (ST 41),Rangu (KI 2), Taichong (LR 3) and Zulinqi (GB 4). OF 33 patients, the symptom were cured in 26 cases and improved in 7 cases after 2-course's treatment.

Treatment of Lumbar Intervertebral disc Herniation with Electroacupuncture on Jiaji Points (Ex-B 2) plus TDP: A Report of 68 Cases / 针灸推拿医学（英文版）

Sixty-eight lumbar intervertebral disc herniation (LDH) cases were treated with electroacupuncture on Jiaji points of the affected area with the following result after three courses of treatment: and 35 cases got recovery, 28 cases got better result, 5 cases had no effect, and the total effective rate was 92.6%.

Acupoint Injection Combined with Radiance of TDP for Acute Facial Paralysis: A Report of 132 Cases / 广州中医药大学学报

One hundred and thirty-two cases of acute facial paralysis involving the channels and collater als (Group A) were treated with acupoint injection of dexamethasone combined with radiance of TOP. And ninety-three cases treated with acupuncture served as the control (Group B). The results showed that the therapeutic effect in Group A was superior to that in Group B ( P

The Role of Electric Field Therapeutic Device (HEALTHTRON) in The Therapy of Acute Low Back Pain / 日本温泉気候物理医学会雑誌

Thirty-one outpatients with acute low back pain were all educated about activities of daily living. They also received spinal manipulation and SSP (TENS), and took NSAID for a certain period of time. Half of them were additionally exposed an electric field using HEAL THTRON, an electric field therapeutic decice, in order to analyze its efficacy.<br>The patients were randomly divided (non-blind test) into two groups. Those who received ordinary treatment were called the Non-HEALTHTRON group (NH-group); those who received HEALTHTRON treatment in addition to ordinary treatment were called the HEALTHTRON Treatment group (H-group). During the 15-day study period, the patients were subjected to a total of four electric field exposures using HEALTHTRON. Efficacy of the treatment was measured as an objective evaluation by measuring range of motion (ROM) using an inclinometer, and Peak torque and Total work using a dynamometer. A subjective evaluation was performed using the Oswestry Low Back Pain Disability Questionnaire, ADL pain questionnaire, Visual analog scale for Patient global assessment, VAS (Patient) and Visual analog scale for Physician global assessment, VAS (Physician). After ordinary treatment, significant improvement was found in all 31 patients with acute low back pain. The VAS (Physician), ADL pain questionnaire and ROM were more significantly improved in the H-group than in the NH-group.