Robot Destekli Sanal Gerçeklik Terapisinin İnme Hastalarında Üst Ekstremite Fonksiyonları, Ağrı ve Günlük Yaşam Aktivitelerini İyileştirmedeki Etkisi

Year 2025, Volume: 20 Issue: 3, 215 - 222

Canan Avcı , Kadriye Öneş , Mustafa Aziz Yıldırım

https://doi.org/10.17517/ksutfd.1626261

Abstract

Amaç: Bu çalışmada amacımız inmeli hastalarda konvansiyonel tedaviye eklenen robot yardımlı sanal gerçeklik terapisinin (RYSGT) ağrı, fonksiyonel durum ve günlük yaşam aktiviteleri üzerine etkisini incelemektir.
Gereç ve Yöntemler: Çalışmaya 40 inmeli hasta dahil edildi. Hastalar iki gruba ayrıldı. Grup I konvansiyonel terapi (4 hafta boyunca haftada 5 gün, günde 1 saat) ve ek olarak 4 hafta boyunca haftada 5 gün, günde 30 dakika olmak üzere 20 seans üst ekstremite RYSGT'si aldı. Grup II ise sadece konvansiyonel terapi aldı. Tüm hastalar tedavi öncesi ve sonrası değerlendirildi. Hastaların ağrılarını değerlendirmek için Görsel Analog Skalası (VAS), günlük yaşam aktivitelerini belirlemek için Barthel İndeksi (BI) ve üst ekstremite motor fonksiyonlarını değerlendirmek için Fugl Meyer Üst Ekstremite Değerlendirmesi (FMA-UE) kullanıldı.
Bulgular: Hastaların ortalama yaşı 58,25 ± 14,7 yıl idi. Cinsiyet, eğitim durumu, inme sonrası geçen süre, lezyon tarafı ve lezyon tipi açısından iki grup arasında anlamlı bir fark yoktu (p>0,05). Grup I ve II'de tedavi sonrası (AT) tüm parametreler tedavi öncesine (BT) göre anlamlı (p˂0,05) artış gösterdi. Ancak VAS, BI ve FMA-UE skorlarındaki BT/AT değişimi iki grup arasında anlamlı olarak farklı değildi (p˃0,05).
Sonuç: Bu çalışma, RYSGT'nin kronik inmeli hastaların fonksiyonel durumunu, günlük yaşam aktivitelerini ve ağrı skorlarını iyileştirdiğini, ancak tedaviden sonra iki grup arasında fark olmadığını gösterdi. RYSGT yaklaşımıyla fonksiyonel iyileşmeler kaydedilmesine rağmen, tek başına geleneksel tedaviye üstün değildi.

Keywords

inme , üst ekstremite , robot yardımlı terapi , sanal gerçeklik

The Effect of Robot-assisted Virtual Reality Therapy on Improving Upper Limb Functions, Pain And Daily Living Activities in Stroke Patients

Abstract

Objective: In present study, our aim is to examine the effect of robot-assisted virtual reality therapy (RAVRT) added to conventional treatment on pain, functional status and daily living activities (DLA) in stroke patients.
Material and Methods: The study included 40 patients with stroke. The patients were divided into two groups. Group I received conventional therapy (5 days a week for 4 weeks, 1 hour a day) and additionally 20 sessions of upper extremity RAVRT for 4 weeks, 5 days a week, 30 minutes a day. Group II received only conventional therapy. All patients were evaluated before and after the treatment. The Visual Analogue Scale (VAS) was used to evaluate the patients' pain, the Barthel Index (BI) to determine DLA, and the Fugl Meyer Assessment Upper Extremity (FMA-UE) to evaluate the UE motor functions.
Results: The mean age of the patients was 58.25 ± 14.7 years. There was no significant difference between the two groups in terms of gender, educational status, time after stroke, lesion side and lesion type (p>0.05). In groups I and II, after the treatment (AT), all parameters showed a significant (p˂0.05) increase when compared to values before the treatment (BT). However, the BT / AT change in VAS, BI and FMA-UE scores were not significantly different (p˃0.05) between the two groups.
Conclusion: This study showed that RAVRT improved functional status, activities of daily living and pain scores of chronic stroke patients, but there was no difference between the two groups after treatment. Although functional improvements were noted with the RAVRT approach, it was not superior to conventional therapy alone.

Keywords

stroke , upper extremity , robot-assisted therapy , virtual reality

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