SEREBRAL PALSİDE GİYİLEBİLİR CİHAZLARIN KLİNİK ETKİLERİ

Abstract

Serebral palsi (SP), çocukluk çağında en sık görülen nörogelişimsel bozukluklardan biridir ve motor fonksiyon, denge, yürüme ve üst ekstremite kullanımı üzerinde önemli kısıtlılıklara yol açmaktadır. Son yıllarda giyilebilir teknolojilerin SP rehabilitasyonuna entegrasyonu, klinik değerlendirme ve müdahalelerde yeni bir yaklaşım ortaya koymuştur. Literatürde robotik dış iskeletler, fonksiyonel elektriksel stimülasyon (FES), nöromüsküler elektriksel stimülasyon (NMES), sanal gerçeklik (VR) tabanlı sistemler ve ivmeölçer/jiyroskop gibi sensör destekli cihazların, SP’li bireylerde motor öğrenmeyi ve nöroplastisiteyi destekleyerek yürüyüş, denge, üst ekstremite fonksiyonları ve günlük yaşam aktivitelerinde anlamlı iyileşmeler sağladığı gösterilmiştir. Bununla birlikte, cihazların maliyet, ağırlık, kullanım kolaylığı ve uzun dönem sürdürülebilirliği gibi sınırlılıkları bulunmaktadır. Ayrıca, mevcut çalışmaların çoğu küçük örneklemli ve kısa süreli olup, uzun dönem etkinliği değerlendiren araştırmalar sınırlıdır. Sonuç olarak, giyilebilir teknolojiler SP rehabilitasyonunda umut verici araçlar olarak öne çıkmakta, ancak bireyselleştirilmiş uygulama, kullanıcı kabulü ve uzun dönem etkilere odaklanan daha güçlü klinik kanıtlara ihtiyaç duyulmaktadır.

Keywords

• Fonksiyonel elektriksel stimülasyon
• Giyilebilir teknolojiler
• Robotik Dış İskelet
• Sanal Gerçeklik
• Serebral Palsi

CLINICAL EFFECTS OF WEARABLE DEVICES IN CEREBRAL PALSY

Abstract

Cerebral palsy (CP) is one of the most common neurodevelopmental disorders of childhood, leading to significant limitations in motor function, balance, gait, and upper extremity use. In recent years, the integration of wearable technologies into CP rehabilitation has introduced a novel approach in both clinical assessment and intervention. The literature demonstrates that robotic exoskeletons, functional electrical stimulation (FES), neuromuscular electrical stimulation (NMES), virtual reality (VR)-based systems, and sensor-supported devices such as accelerometers and gyroscopes can enhance motor learning and neuroplasticity, thereby improving gait, balance, upper extremity functions, and participation in daily life activities in individuals with CP. However, limitations such as device cost, weight, usability, and long-term sustainability remain. Moreover, most existing studies have small sample sizes and short follow-up durations, with limited data on long-term effectiveness. In conclusion, wearable technologies represent promising tools in CP rehabilitation; nevertheless, stronger clinical evidence focusing on individualized application, user acceptance, and long-term outcomes is needed to support their effective integration into practice.

Keywords

• Functional electrical stimulation
• Wearble technologies
• Robotic exoskeleton
• Virtual reality
• Cerebral palsy

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