İnmeli Hastalarda Robotik Rehabilitasyonun El Fonksiyonları ve Günlük Yaşam Aktiviteleri Üzerine Etkisi

Amaç: Bu retrospektif çalışma ile kronik inmeli hastalarda üst ekstremite robotik rehabilitasyonun el fonksiyonları ve günlük yaşam aktivitelerine (GYA) olan katkısının incelenmesi amaçlanmıştır. Yöntem: İnme sonucu hemipleji gelişmiş ve üst ekstremite rehabilitasyon programına alınmış çalışma için uygun bulunan 39 hastanın dosyası değerlendirmeye dahil edildi. Hasta kayıt dosyalarından hastaların yaş, cinsiyet, hastalık (inme) süresi (ay), hemiplejik taraf, Brunnstrom evrelemesi, Modifiye Ashworth Skalası (MAS)’tan oluşan demografik verileri alındı. Ayrıca hastaların üst ekstremite fonksiyonel gelişimini ve GYA katılımı değerlendiren Jebsen Taylor El Fonksiyon Testi (JTEFT) ve Kanada Aktivite Performans Ölçeği (KAPÖ) tedavi öncesi ve tedavi sonrası test kayıtları incelendi. Bulgular: Çalışmaya katılan hastaların 19’u (%52) kadın iken 17’si (%48) erkekti ve yaş ortalamaları 50,2±2,02 idi. JTEFT’nin tedavi sonrası değerlendirmelerinde 7 alt parametrenin 2’sinde fark bulunmazken (iri hafif nesneleri kaldırma (p=0,074) ve iri ağır nesneleri kaldırma (p=0,079)), diğer 5 parametrede istatistiksel anlamlı fark olduğu saptandı (p<0,005). Hastaların 3 haftalık tedavi sonrası KAPÖ’nün performans ve memnuniyet olan her 2 alt parametresinde istatistiksel olarak anlamlı gelişme olduğu gözlendi (KAPÖ/performans (p=0,004); KAPÖ/memnuniyet (p=0,002)). Sonuç: Yapmış olduğumuz bu çalışmada konvansiyonel tedavi programı planlanan inmeli hastalara iş-uğraşı tedavisi ile birlikte uygulanan üst ekstremite robot yardımlı tedavinin bireylerin el fonksiyonlarını geliştirdiği ve aktivite-performans katılımında iyileşmeye katkı sağladığı düşüncesindeyiz.

Anahtar Kelimeler:

İnme, Robotik Rehabilitasyon, Üst Ekstremite Rehabilitasyonu

Efficacy of Robotic Rehabilitation on Hand Function and Activity of Daily Living in Stroke Patients

Objective: This retrospective study aimed to investigate the contribution of upper extremity robotic rehabilitation to hand functions and activity of daily living in patients with chronic stroke. Methods: The files of 39 stroke patients who were found suitable for the study were included in the evaluation. Demographic data of patients' information including age, gender, duration of disease (month), hemiplegic side, Brunnstrom staging, Modified Ashworth Scale (MAS) were obtained. In addition, Jebsen Taylor Hand Function Test (JTHFT) and Canadian Occupational Performance Measure (COPM) pretreatment and posttreatment test records were evaluated. Results: Nineteen (52%) of the patients who participate in the study were female, 17 (48%) were male and their mean age was 50.2 ± 2.02. In posttreatment evaluations of JTHFT, there was no difference in 2 of the 7 sub parameters (lifting large light objects (p=0.074) and lifting large heavy objects (p=0.079)), while the other 5 parameters were statistically significant (p<0.005). After 3 weeks of treatment, a statistically significant improvement was observed in both sub parameters of COPM which were COPM/performance (p=0.004) and COPM/satisfaction (p=0.002). Conclusion: We think that the upper-extremity robot-assisted treatment, which is applied in conjunction with occupational therapy to stroke patients, improves the hand function of individuals and contributes to the improvement in activity-performance participation.

Keywords:

STROKE , ROBOTIC REHABILITATION, UPPER EXTREMITY REHABILITATION,

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