Hemiparezili Çocuklarda Ergoterapi Temelli Telerehabilitasyon Uygulamalarının İnce Motor Beceri ve Fonksiyonel Bağımsızlık Üzerine Etkisi

Öz

Amaç: Bu çalışmanın amacı, hemiparezili çocuklarda ergoterapi temelli telerehabilitasyon uygulamalarının ince motor beceriler, fonksiyonel bağımsızlık ve bakım veren yükü üzerindeki etkisini incelemektir. Yöntem: Çalışmaya, Mart–Kasım 2024 tarihleri arasında İstanbul’da yaşayan 6–12 yaş aralığında 20 hemiparezili çocuk dahil edilmiştir. Müdahaleler klinik ortam ve çevrimiçi telerehabilitasyon ortamında gerçekleştirilmiştir. Değerlendirmeler müdahale öncesi ve sonrası Engellilik Envanterinin Pediatrik Değerlendirmesi Bilgisayar Uyarlanabilir Testi (PEDI-CAT), Pediatrik Fonksiyonel Bağımsızlık Ölçeği (PFBÖ) ve Zarit Bakıcı Yük Ölçeği (ZBYÖ) ile yapılmıştır. Veriler IBM SPSS 25.0 programında analiz edilmiş, anlamlılık düzeyi p<0.05 olarak kabul edilmiştir. Bulgular: Her iki grupta ince motor becerilerde anlamlı gelişim saptanmıştır (p<0.05), mobilite alanında ise anlamlı değişiklik bulunmamıştır (p>0.05). Gruplar arasında bazı parametrelerde anlamlı farklılıklar belirlenmiştir. Bakım veren yükünde istatistiksel olarak anlamlı azalma gözlenmiştir. Sonuç: Ergoterapi temelli telerehabilitasyon uygulamalarının hemiparezili çocuklarda ince motor beceriler ve fonksiyonel bağımsızlık üzerinde olumlu etkiler sağladığı ve bakım veren yükünü azaltabileceği sonucuna ulaşılmıştır.

Anahtar Kelimeler

• ergoterapi
• fonksiyonel bağımsızlık
• hemiparezi
• ince motor beceri
• telerehabilitasyon

Destekleyen Kurum

Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK)

Proje Numarası

1919B012339125

Etik Beyan

Bu çalışma, İstanbul Medipol Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu’ndan 21/12/2023 tarih ve E-10840098-772.02-801 sayılı karar ile alınan etik kurul onayı doğrultusunda gerçekleştirilmiştir. Çalışmaya katılan tüm bireylerin ebeveynlerinden/vasilerinden bilgilendirilmiş onam alınmıştır. Araştırma sürecinde Helsinki Deklarasyonu ilkelerine uyulmuştur. Yazarlar, bu çalışma kapsamında herhangi bir çıkar çatışması bulunmadığını beyan eder.

Teşekkür

Bu çalışmaya katılım sağlayan tüm çocuklara ve ebeveynlerine değerli katkılarından dolayı teşekkür ederiz.

The Effect of Occupational Therapy-Based Telerehabilitation on Fine Motor Skills and Functional Independence in Children with Hemiparesis

Öz

Aim: This study aimed to examine the effects of occupational therapy–based telerehabilitation applications on fine motor skills, functional independence, and caregiver burden in children with hemiparesis. Methods: A total of 20 children with hemiparesis, aged 6–12 years and residing in Istanbul, were included in the study between March and November 2024. Interventions were conducted in both clinical settings and online telerehabilitation environments. Assessments were performed before and after the intervention using the Pediatric Evaluation of Disability Inventory Computer Adaptive Test (PEDI-CAT), Pediatric Functional Independence Measure (WeeFIM), and Zarit Burden Interview (ZBI). Data were analyzed using IBM SPSS 25.0, and the level of significance was set at p<0.05. Results: Significant improvements were observed in fine motor skills in both groups (p<0.05), while no significant changes were found in the mobility domain (p>0.05). Statistically significant differences were identified between groups in some parameters. A significant reduction in caregiver burden was also observed. Conclusion: Occupational therapy–based telerehabilitation applications were found to have positive effects on fine motor skills and functional independence in children with hemiparesis and may contribute to reducing caregiver burden.

Anahtar Kelimeler

• occupational therapy
• functional independence
• hemiparesis
• fine motor skills
• telerehabilitation

Destekleyen Kurum

The Scientific and Technological Research Council of Türkiye (TUBITAK)

Proje Numarası

1919B012339125

Etik Beyan

This study was conducted in accordance with the ethical approval obtained from the Istanbul Medipol University Non-Interventional Clinical Research Ethics Committee (Approval No: E-10840098-772.02-801, Date: 21/12/2023). Informed consent was obtained from the parents/legal guardians of all participants. The study was carried out in accordance with the principles of the Declaration of Helsinki. The authors declare that there is no conflict of interest regarding this study.

Teşekkür

We would like to thank all the children and their parents who participated in this study for their valuable contributions.

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