SEREBRAL PALSİLİ ÇOCUKLARIN REHABİLİTASYONUNDA SANAL GERÇEKLİK TEDAVİSİ: SİSTEMATİK DERLEME
Bilgisayar ortamında oluşturulan üç boyutlu resimlerin ve animasyonların teknolojik araçlarla insanların zihinlerinde gerçek bir ortamda bulunma hissini veren ayrıca ortamda bulunan bu objelerle etkileşimde bulunmalarını sağlayan sanal gerçeklik tedavisi serebral palsili çocukların tedavisinde kullanılmaya başlanılan yeni ve etkili bir yöntemdir. Bu sistematik incelemede 2008 ile 2016 tarihleri arasında yayınlanmış 138 çalışma incelenmiştir. Pubmed ve Ulusal tez merkezi (YÖKTEZ) arama motorlarında ‘cerebral palsy virtual reality’, cerebral palsy virtual rehabilition’, ‘sanal gerçeklik’, ‘sanal rehabilitasyon’ anahtar kelimeleri kullanılarak taranmıştır. Çalışmada incelenen makale sayısı 138 olmasına rağmen, sınırlamalara uyan 20 araştırma kapsama alınmıştır. Yapılan araştırmalar sonucunda; sanal gerçekliğin tedavi amaçlı kullanılabilir olduğu, çocuklarda yüksek derecede motivasyon, ilgi, memnuniyet oluşturduğu, uygulamadan sonra çalışmalara katılım oranında artış olduğu, motor fonksiyon testlerinde düzelmelerin olduğu, postural kontrol stratejilerinin geliştiği, görsel algı, el/ ayak kas kuvvetinin ve eklem hareket açıklığının geliştiği, yürümenin ve ağırlık merkezinin düzeldiği ancak randomize kontrollü çalışmaların sayısının az olduğu bulunmuştur. Bu nedenle geçerlilik ve güvenilirliği olan daha kapsamlı çalışmalara ihtiyaç duyulmaktadır.
Treatment of Virtual Reality in Rehabilition of Children With Cerebral Palsy: A Systematic Review
Virtual Reality treatment of three dimensional images and animations which are created in computer environment in their mind and interacting with the objects in that environment via technological tools and it is a new and effective method for the treatment of Cerebral palsy children. In this systematic review, 138 studies published between 2008-2016 were examined. The Pubmed and National thesis centers (YÖKTEZ) were searched using search keywords: 'cerebral palsy virtual reality', 'cerebral palsy virtual rehabilitation', 'virtual reality', 'virtual rehabilitation'. Despite the fact that the number of articles examined in the study was 138, 20 studies covering the limitations were included. As a result of the researches;virtual reality treatment can be used for treatments and they not only provide people with a high degree of motivation, interest, satisfaction, but also bring about an increase in the rate of participation. In adition, they provide developments in children’s postural control strategies, motor function tests, walking and the center of gravity, effectivity in developing visual perception, as well as making beter hand/foot muscle strenght ang range of motion. But the number of randomized controlled trials was found to be low. For this reason, more extensive work with validity and reliability is needed
___
- 1. Odding E, Roebroeck ME, Stam HJ. The
epidemiology of cerebral palsy: incidence,
impairments and risk factors. Disabil Rehabilition
2006; 28: 183-191.
- 2. Serdaroğlu A, Cansu A, Özkan S, Tezcan S.
Prevelance of cerebral palsy in Turkish children
betweeen the ages of 2 and 16 years.
Developmental Medicine & Child Neurology 2006;
48: 413-416.
- 3. Yakut A. Serebral palside yeni gelişmeler. Türkiye
Klinikleri J. Pediatr Sci 2008; 4: 127-138.
- 4. Gökçay E, Sönmez M, Topaloğlu H, Tekgül H, Gürer
Y. Çocuk Nörolojisi. Anıl Grup Matbacılık, Ankara
2010; ss 229-239.
- 5. Nelson KB. Is cerebral palsy preventable. Curr Opin
Neurol 2008; 21: 129-135.
- 6. Özcan H. Cerebral Palsy. İçinde: Cerebral Palsy’de
Ayırıcı Tanı ve Genel Tedavi Yaklaşımları, Deniz E.
(Ed.), Boyut Yayın Grubu, İstanbul 2005; ss 47- 57.
- 7. Oğuz H, Dursun E, Dursun N. Tıbbi Rehabilitasyon,
Nobel Tıp Kitap Evi, 2004; ss 379-380.
- 8. Reid R, Wang G. Virtual reality in pediatric
neurorehabilitation: attention deficit hyperactivity
disorder, autism and cerebral palsy.
Neuroepidemiology 2011; 36: 2-18.
- 9. Burdea G. Keynote address: Virtual rehabilitation:
Benefits and challenges. J. Methods Inf Med 2003;
42: 519-523.
- 10. Ürgen MS. Hemiparatik Serebral Palsili Çocuklarda
Sanal Gerçeklik Yönteminin Denge ve İleri Düzey
Motor Beceriler Üzerine Olan Etkisinin İncelenmesi.
Yüksek Lisans Tezi, Hacettepe Üniversitesi Sağlık
Bilimleri Enstitüsü, Ankara 2013; ss: 1-117.
- 11. Rizzo AA, Buckwalter JG, Humphrey L, et al. The
virtual classroom: a virtual environment for the
assessment and rehabilitation of attention deficits.
CyberPsychology & Behavior 2000; 3: 483-499.
- 12. Akdemir N, Akkuş Y. Rehabilitasyon ve hemşirelik.
Hemşirelik Yüksekokulu Dergisi 2006: 82-91.
- 13. Acar G, Altun GP, Yurdalan S, et al. Efficacy of
neurodevelopmental treatment combined with the
nintendo(®) wii in patients with cerebral palsy. J
Phys Ther Sci 2016; 28(3): 774-780.
- 14. Cho C, Hwang W, Hwang S, et al. Treadmill training
with virtual reality ımproves gait, balance, and
muscle strength in children with cerebral palsy.
Tohoku J Exp Med 2016; 238(3): 213-218.
- 15. Shin JW, Song GB, Hwangbo G. Effects of
conventional neurological treatment and a virtual
reality training program on eye-hand coordination
in children with cerebral palsy. J Phys Ther Sci
2015; 27(7): 2151-2154.
- 16. Lazzari RD, Politti F, Santos CA, et al. Effect of a
single session of transcranial direct-current
stimulation combined with virtual reality training
on the balance of children with cerebral palsy: a
randomized, controlled, double-blind trial. J Phys
Ther Sci 2015; 27(3): 763-768.
- 17. Rosie JA, Ruhen S, Hing WA, et al.
Virtual rehabilitation in a school setting: Is it
feasible for children with cerebral palsy? Disabil
Rehabil Assist Technol 2015; 10(1): 19-26.
- 18. Ni LT, Fehlings D, Biddiss E. Design and evaluation
of virtual reality-based therapy games with dual
focus on therapeutic relevance and user
experience for children with cerebral palsy. Games
Health J 2014; 3(3): 162-171.
- 19. Pavão SL, Arnoni JLB, Oliveira AKC, et al. Impact of
a virtual reality-based intervention on motor
performance and balance of a child with cerebral
palsy: a case study. Rev Paul Pediatr 2014; 32(4):
389-394.
- 20. Yoo JW, Lee DR, Sim YJ, et al. Effects of
innovative virtual reality game and EMG
biofeedback on neuromotor control in cerebral
palsy. Biomed Mater Eng 2014; 24(6): 3613-3618.
- 21. Chiu HC, Ada L, Lee HM. Upper limb training using
wii sports resort™ for children with hemiplegic
cerebral palsy: a randomized, single-blind trial.
Clinical Rehabilitation 2014; 28(10): 1015-1024.
- 22. Sandlund M, Domellöf E, Grip H, et al. Training of
goal directed arm movements with motion
interactive video games in children with cerebral
palsy - a kinematic evaluation. Dev Neurorehabil
2014; 17(5): 318-326.
- 23. Dinomais M, Veaux F, Yamaguchi T, et al. A
new virtual reality tool for unilateral cerebral
palsy rehabilitation: two single-case studies. Dev
Neurorehabil 2013; 16(6): 418-422.
- 24. Barton GJ, Hawken MB, Foster RJ, et al. The effects
of virtual reality game training on trunk to pelvis
coupling in a child with cerebral palsy. Journal of
NeuroEngineering and Rehabilitation 2013; 10:
15.
- 25. Chen CL, Chen CY, Liaw MY, et al. Efficacy of homebased virtual cycling training on bone mineral
density in ambulatory children with cerebral
palsy. Osteoporos Int 2013; 24(4): 1399-1406.
- 26. Winkels DG, Kottink AI, Temmink RA, et al. Wii™-
habilitation of upper extremity function in
children with cerebral palsy. An explorative study.
Dev Neurorehabil 2013; 16(1): 44-51.
- 27. Gordon C, Roopchand-Martin S, Gregg A. Section of
physical therapy, potential of the nintendo wii™ as
a rehabilitation tool for children with cerebral
palsy in a developing country: a pilot study Physiotherapy 2012; 98(3): 238-242.
- 28. Howcroft J, Fehlings D, Wright V, et al. A
comparison of solo and multiplayer active
videogame play in children with unilateral cerebral
palsy. Games Health J 2012; 1(4): 287-293.
- 29. Sharan D, Ajeesh PS, Rameshkumar R, et al. Virtual
reality based therapy for post operative
rehabilitation of children with cerebral palsy. Work
2012; 41(1): 3612-3615.
- 30. Chen CL, Hong WH, Cheng HK, et al. Muscle strength
enhancement following home-based virtual cycling
training in ambulatory children with cerebral palsy.
Research in Developmental Disabilities 2012; 33:
1087-1094.
- 31. Qiu Q, Ramirez DA, Saleh S, et al. The new jersey
ınstitute of technology robot-assisted virtual
rehabilitation (NJIT-RAVR) system for children
with cerebral palsy: a feasibility study. Journal of
NeuroEngineering and Rehabilitation 2009; 6: 40.
- 32. Huber M, Rabin B, Docan C, et al. Feasibility of
modified remotely monitored in-home gaming
technology for improving hand function in
adolescents with cerebral palsy. IEEE Trans Inf
Technol Biomed 2010; 14(2): 526-534.
- 33. Erişim adresi: http://www.livescience.com/8358-
kinect-nintendo-wii-playstation.html. Erişim tarihi:10.04.2017.
- 34. Kocaman G. Hemşirelikte kanıta dayalı uygulama.
Hemşirelikte Araştırma Geliştirme Dergisi 2003; 2:
61-69.
- 35. Bayraktar, E. Kaleli, F. Sanal gerçeklik ve uygulama
alanları. Akademik Bilişim 2007: 1-6.
- 36. Aruk İ. Bilişim Teknolojilerinin Zihinsel Engellilerin
E-Eğitiminde Kullanılması ve Örnek Bir Uygulama
Geliştirilmesi. Yüksek Lisans Tezi, Trakya Üniversitesi Fen Bilimleri Enstitüsü, Edirne 2008; ss 98.
- 37. Bahar Z. Haney MÖ. Okul sağlığı hemşireliği. İçinde:
Gözüm S (Eds), Okul Dönemindeki Çocukların Sağlığının Geliştirilmesi. Ayrıntı Basımevi, Ankara 2016;
ss: 10-17.
- 38. Örsal Ö. Hemşirelik perspektifinden özürlülük. ÖzVeri Dergisi 2007; 4: 20-28.