SEREBRAL PALSİLİ ÇOCUKLARIN REHABİLİTASYONUNDA SANAL GERÇEKLİK TEDAVİSİ: SİSTEMATİK DERLEME

Abstract

Bilgisayar ortamında oluşturulan üç boyutlu resimlerin ve animasyonların teknolojik araçlarla insanların zihinlerinde gerçek bir ortamda bulunma hissini veren ayrıca ortamda bulunan bu objelerle etkileşimde bulunmalarını sağlayan sanal gerçeklik tedavisi serebral palsili çocukların tedavisinde kullanılmaya başlanılan yeni ve etkili bir yöntemdir. Bu sistematik incelemede 2008 ile 2016 tarihleri arasında yayınlanmış 138 çalışma incelenmiştir. Pubmed ve Ulusal tez merkezi (YÖKTEZ) arama motorlarında ‘cerebral palsy virtual reality’, cerebral palsy virtual rehabilition’, ‘sanal gerçeklik’, ‘sanal rehabilitasyon’ anahtar kelimeleri kullanılarak taranmıştır. Çalışmada incelenen makale sayısı 138 olmasına rağmen, sınırlamalara uyan 20 araştırma kapsama alınmıştır. Yapılan araştırmalar sonucunda; sanal gerçekliğin tedavi amaçlı kullanılabilir olduğu, çocuklarda yüksek derecede motivasyon, ilgi, memnuniyet oluşturduğu, uygulamadan sonra çalışmalara katılım oranında artış olduğu, motor fonksiyon testlerinde düzelmelerin olduğu, postural kontrol stratejilerinin geliştiği, görsel algı, el/ ayak kas kuvvetinin ve eklem hareket açıklığının geliştiği, yürümenin ve ağırlık merkezinin düzeldiği ancak randomize kontrollü çalışmaların sayısının az olduğu bulunmuştur. Bu nedenle geçerlilik ve güvenilirliği olan daha kapsamlı çalışmalara ihtiyaç duyulmaktadır.

Keywords

• Sanal gerçeklik tedavisi, serebral palsi, çocuk

Treatment of Virtual Reality in Rehabilition of Children With Cerebral Palsy: A Systematic Review

Abstract

Virtual Reality treatment of three dimensional images and animations which are created in computer environment in their mind and interacting with the objects in that environment via technological tools and it is a new and effective method for the treatment of Cerebral palsy children. In this systematic review, 138 studies published between 2008-2016 were examined. The Pubmed and National thesis centers (YÖKTEZ) were searched using search keywords: 'cerebral palsy virtual reality', 'cerebral palsy virtual rehabilitation', 'virtual reality', 'virtual rehabilitation'. Despite the fact that the number of articles examined in the study was 138, 20 studies covering the limitations were included. As a result of the researches;virtual reality treatment can be used for treatments and they not only provide people with a high degree of motivation, interest, satisfaction, but also bring about an increase in the rate of participation. In adition, they provide developments in children’s postural control strategies, motor function tests, walking and the center of gravity, effectivity in developing visual perception, as well as making beter hand/foot muscle strenght ang range of motion. But the number of randomized controlled trials was found to be low. For this reason, more extensive work with validity and reliability is needed

Keywords

• Virtual Reality treatment, cerebral palsy, child

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