43341 - The Logic of Pain during Neurorehabilitation of THE...

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The Logic of Pain during Neurorehabilitation of THE DAMAGED BRAIN Lecturer Lecturer Ulyana B. Lushchyk,  Ulyana B. Lushchyk,  MD, PhD, DSc [email protected] www . lushchyk . org www.istyna.kiev.ua Coauthors  I.P. Babii V.V. Novytskyy, Dr.Phys&MathSc.
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Pain According to medicine   a kind of feeling, some unpleasant sensation; a reaction to this sensation, which is characterized by the certain emotional background, responsive changes of functions of internal organs, motional unconditioned reflexes, and also the volitional efforts directed on removal of the painful factor.    
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Pain functions: 1. Warning of problems, guard, protective. With clear consciousness pain is as an indicator of any problems. 2. Stimulating, activating. Under sudden loss of consciousness pain of may be a powerful stimulus for the consciousness recovery.
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Apallic syndrome ( А S) is expressed brain damage, which is accompanied by  is expressed brain damage, which is accompanied by  stabilization of functions of vitally important  organs  stabilization of functions of vitally important  organs  (cardiovascular and respiratory systems),  (cardiovascular and respiratory systems),      alternation of sleep and waking phases,  alternation of sleep and waking phases,      lack of awareness as a result of the brain damages of  lack of awareness as a result of the brain damages of  various etiology  various etiology 
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Apallic syndrome For 1996-2010 long-term intensive treatment  For 1996-2010 long-term intensive treatment  and individually orientated neurorehabilitation and individually orientated neurorehabilitation     of 62 AS patients have been held by own  of 62 AS patients have been held by own  author’s methods of an integrated  author’s methods of an integrated  multidisciplinary approach  multidisciplinary approach 
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Apallic syndrome This experience of treatment of such patients enabled  This experience of treatment of such patients enabled  us to formulate a concept of sanogenic  pain function  us to formulate a concept of sanogenic  pain function  in patients with the damaged brain of different  in patients with the damaged brain of different  etiology under apallic syndrome. etiology under apallic syndrome.
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Pain as a phenomenon under AS Today pain is regarded as a phenomenon mainly of warning-protective nature, which under certain conditions gets signs of pathological response of the body. AS patients have expressed disorders in  perception of pain stimuli from total analgesia    to hyperpathic pain sensation.
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Pain syndromes in psychoneurology According to various authors, pain syndromes of organic origin are observed in 35-90% of patients with injuries, cancer, lesions of the central and peripheral nervous system of vascular, traumatic, dysmetabolic or intoxication genesis etc.
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