İNME HASTALARINDA NİNTENDO Wİİ OYUNLARININ DENGE VE ÜST EKSTREMİTE FONKSİYONLARINA ETKİSİ

Öz

Amaç: Bu çalışmanın amacı, inme hastalarında Nintendo Wii (N-Wii) oyunlarının denge, üst ekstremite fonksiyonu ve süreli performans üzerine etkisini incelemektir.

Yöntemler: Çalışma, yaşları 18-85 yıl arasında değişen 42 inmeli hasta ile gerçekleştirildi. Çalışmaya dahil edilen hastalar N-Wii grubu (n=20) ve Bobath Nörogelişimsel tedavi (NDT-n=22) grubu olmak üzere 2 gruba ayrıldı. Hastaların üst ekstremite fonksiyon değerlendirmesinde Fugl-Meyer Motor Fonksiyon Testi ve Kol, Omuz ve El Sorunları Anketi (DASH), postural düzgünlük ve fonksiyonel denge değerlendirmesinde Postural değerlendirme Ölçeği (PASS), Fonksiyonel Uzanma Testi (FUT), Süreli Kalk Yürü Testi (TUG) kullanıldı. İlk değerlendirmeleri yapılan hastalara 10 hafta boyunca düzenlenen tedavi programları uygulandı. N-Wii grubundaki hastalara, N-Wii oyunlarıyla 10 hafta, haftada 5 gün, 1 saatlik oyun sistemleri ile eğitim verildi. Bobath NDT grubundaki hastalar içinde terapist eşliğinde 10 hafta, haftada 3 gün, 1 saat süren hastanın fonksiyonel ihtiyaçlarına göre düzenlenmiş egzersiz programı uygulandı.

Sonuçlar: Çalışmanın sonunda, her iki gruptaki hastaların Fugl-Meyer, DASH, PASS, FUT, TUG testlerinde anlamlı gelişmeler kaydedildi (p<0.05). DASH, PASS, FUT parametrelerinde N-Wii grubunda Bobath NDT grubuna göre daha anlamlı bir iyileşme kaydedildi (p<0.05). Fugl-Meyer, TUG değerlendirme parametrelerinde gruplar arasında anlamlı bir farklılık bulunmadı ( p>0.05).

Tartışma: N-Wii uygulamalarının Bobath NDT yaklaşımlarına göre inmeli hastalarda kol aktiviteleri ve ağırlık aktarma, uzanma, yer değiştirme becerisini daha fazla arttırdığı gözlenmiştir. 

Anahtar Kelimeler

• Video oyunları,sanal gerçeklik,inme,denge,nörogelişimsel tedavi

THE EFFECT OF NINTENDO WII GAMES ON BALANCE AND UPPER EXTREMITY FUNCTIONS IN PATIENTS WITH STROKE

Abstract

Purpose: The aim of this study was to investigate of the effects of Nintendo Wii (N-Wii) games on balance and upper extremity functions in patients with stroke.

Methods: The study was performed with 42 stroke patients age between 18-85 years. The patients were divided to two groups: N-Wii group (n=20) and Bobath Neurodevelopmental treatment (NDT) group (n=22). Fugl-Meyer Motor Function Test and The Disabilities of the Arm, Shoulder, Hand Questionnaire (DASH) were used to evaluate the upper extremity fun- ctions and Postural Assessment Stroke Scale (PASS), Functional Reach Test (FRT) and Time up and go test (TUG) were used to evaluate functional balance and postural alignment. After the first evaluation, the treatment program was applied to the patients for 10 weeks. N-Wii games were applied for the patients in N-Wii group for 10 weeks/5 days/1 hour. Functional exercises were applied for the Bobath NDT group for 10 weeks/5 days/1 hour.

Results: A statistically significant improvements were detected in Fugl-Meyer, DASH, PASS, FUT, TUG tests in both groups (p<0.05). Improvement in DASH, PASS and FUT tests score were superios in N-Wii group when compared to NDT group (p<0.05). Fugl-Meyer and TUG were not different between the groups (p>0.05).

Conclusion: Present results demonstrated that N-Wii games have increased arm activities, weight bearing, reach, moving ability more than Bobath NDT approaches in stroke patients. 

Keywords

• Video-games,virtual reality,stroke,balance,eurodevelopmental treatment

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