Transtibial amputelerde sanal gerçeklik uygulamasının kinezyofobi, depresyon ve ağırlık aktarma üzerine etkileri

Yıl 2018, Cilt: 5 Sayı: 2, 82 - 88, 16.07.2018

Tezel Yıldırım Şahan , Fatih Erbahçeci

Öz

Amaç: Sanal gerçeklik uygulaması; bireylere gerçekmiş hissi veren, bilgisayarlar tarafından yaratılan dinamik bir ortamla karşılıklı iletişim olanağı tanıyan, üç boyutlu bir benzetim modelidir. Bu çalışmanın amacı; sanal gerçeklik uygulamasının transtibial amputasyonu olan bireylerde kinezyofobi, depresyon ve ağırlık aktarma üzerine etkilerini belirlemekti.

Yöntem: Bu çalışmaya yaş ortalaması 36.4±7.6 yıl olan 19 transtibial amputasyonu olan birey dâhil edildi. Bireylerin tümü aynı tip protez ve süspansiyon sistemi kullanmaktaydı. Bireyler iki gruba ayrıldı. Birinci gruba sanal gerçeklik uygulamaları yapılırken, diğer gruba standart fizyoterapi yöntemleri uygulandı. Bireyler 4 hafta boyunca haftada 3 gün tedaviye alındı. Tedavi öncesi ve sonrası değerlendirmeler yapıldı. LASAR Postür Cihazı (Ottobock, Almanya, 1997) ile ağırlık aktarma miktarları, Beck Depresyon Anketi ile depresyon durumu ve Tampa Kinezyofobi Skalası ile kinezyofobi düzeyleri belirlendi.

Bulgular: Bireylerin grup içinde tedavi öncesi ve tedavi sonrası depresyon, kinezyofobi düzeylerinde her iki grupta da fark bulundu (p<0,05). Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri gruplarında, tedavi öncesi ve sonrası kinezyofobi, depresyon ve ağırlık aktarma farkları açısından fark yoktu (p>0,05).

Sonuç: Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri transtibial amputasyonu olan bireylerde hareket korkusu, depresyon ve ağırlık aktarma üzerine etkili bulundu. Sanal gerçeklik uygulamalarının, standart fizyoterapi yöntemlerine ilave olarak rehabilitasyon sürecine dâhil edilebileceği düşünülmektedir.

Anahtar Kelimeler

Sanal gerçeklik, Egzersiz, Amputasyon, Depresyon

Kaynakça

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