Parkinson Hastalığı Rehabilitasyonunda Oyunla Rehabilitasyon Uygulamaları: Derleme

Öz

Parkinson hastalığı istirahat titremesi, rijidite, bradikinezi, postüral instabilite yürüme ve denge bozukluğu gibi motor problemler ile yorgunluk, kognitif etkilenimler, ağrı ve uyku bozukluğu gibi motor olmayan semptomlar gösteren, ilerleyici bir nörolojik hastalıktır. Fizyoterapi ve rehabilitasyon süreci, kişilerin motor kazanımlarının yanı sıra sosyal becerilerin artırılması, günlük yaşama dönüş hedefi ve dolaylı ya da doğrudan yaşam kalitesinin iyileştirilmesi amacıyla yürütülür. Oyunla egzersiz yöntemi oyun veya sanal gerçeklik uygulamalarının kuvvet, denge, koordinasyon veya kognitif amaçlarla hedefe uygun biçimlendirilerek kullanılmasını ifade eder. Sağlıklı bireylerde, sporcularda performans arttırma amacıyla kullanılan yöntem, rehabilitasyon amacıyla inme, Parkinson hastalığı, serebral palsi gibi farklı hasta popülasyon gruplarında yaygınlaşmaktadır. Parkinson hastalığında oyunla egzersiz, motor ve motor olmayan semptomların yönteminde kullanılabilecek, henüz yeni sayılabilecek bir yöntemdir. Denge, kognitif beceriler ve kas-iskelet sistemi üzerinde olumlu etkileri olabilecek uygulamalar hem evde telerehabilitasyon yöntemiyle hem de klinik ortamında tedavilerin çeşitlendirilmesi açısından değerlidir. Nörolojik rehabilitasyon sürecinde süreklilik ve motivasyon faktörleri dikkate alındığında, oyun egzersiz yöntemi geleneksel fizyoterapinin alternatifi ve/veya tamamlayıcısı olabilir.

Anahtar Kelimeler

• rehabilitasyon
• Parkinson Hastalığı
• oyunla egzersiz

Exergaming in Parkinson's Disease Rehabilitation: Narrative Review

Öz

Parkinson's disease is a progressive neurological disease that causes motor problems such as tremor, rigidity, bradykinesia, postural instability, gait and balance disorders, and non-motor symptoms such as fatigue, cognitive effects, pain and sleep disturbance. The physiotherapy and rehabilitation process is carried out with the aim of increasing people's motor skills as well as social skills, returning to daily life and indirectly or directly improving the quality of life. Exergaming method refers to the use of games or virtual reality applications in a targeted manner for strength, balance, coordination or cognitive purposes. The method, used for performance enhancement in healthy individuals and athletes is becoming widespread in different patient population groups such as stroke, Parkinson’s disease, cerebral palsy for rehabilitation purposes. Exergaming in Parkinson's disease is a relatively new method that can be used to treat motor and non-motor symptoms. Practices that may have positive effects on balance, cognitive skills and the musculoskeletal system are valuable in terms of diversifying treatments both at home through telerehabilitation and in the clinic environment. Considering continuity and motivation factors in the neurological rehabilitation process, exergaming can be an alternative and/or complement to traditional physiotherapy.

Anahtar Kelimeler

• exergaming
• Parkinson's Disease
• rehabilitation

Kaynakça

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