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Yıl:2013; Cilt: 50; Sayı: 1>> Özet
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Nöropsikiyatri Arşivi; 2013;50(1):70-74
Serebral Palsili Çocuklarda Sanal Gerçeklik Terapisinin Ruhsal Uyuma Etkisi
BM Ökmen, MD Aslan, FÇ Çetin, GFN Yüzer, BK Dönmez, N Özgirgin
Bolu Fizik Tedavi ve Rehabilitasyon Hastanesi, Bolu
Amaç: Serebral palsi (SP)’deki motor bozukluklara çoğunlukla duyusal ve algısal problemler, kognitif bozuluklar, iletişimsel ve davranışsal problemler eşlik eder. Çalışmamızda serebral palsili çocuklarda sanal gerçeklik terapisinin ruhsal uyuma etkisini araştırmayı amaçladık. Yöntem: Çalışmaya Serebral Palsili 41 çocuk katıldı. Çalışma grubuna 21, kontrol grubuna 20 hasta olmak üzere hastalar 2 gruba ayrıldı. Hastaların yaş, cinsiyet, tonus bozukluğuna ve tutulan vücut kısmına göre SP tipleri kaydedildi. Tüm hastalara nörofizyolojik ve konvansiyonel tedavi yöntemleri ve iş uğraşı terapisi uygulandı. Ayrıca çalışma grubuna yukarıda bahsedilen tedavilere ek olarak haftada 3 gün 1’er saatten 4 hafta boyunca toplam 12 seans Sony Play Station 2 Eye Toy sistemi ile Sanal gerçeklik tedavisi uygulandı. Hastaların ruhsal uyum düzeyleri Hacettepe Ruhsal Uyum Ölçeği ile ölçüldü. Bulgular: Çalışma ve kontrol grubu arasında; yaş, cinsiyet, tonus bozukluğuna göre ve tutulan vücut kısmına göre SP tipi yönünden istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Hastaların ruhsal uyum düzeyleri Hacettepe Ruhsal Uyum Ölçeği ile ölçüldü. Çalışma ve kontrol grubunun tedavi öncesi Hacettepe Ruhsal Uyum Ölçeği düzeyleri arasında istatistiksel olarak anlamlı bir fark yoktu (p>0,05). Çalışma grubunda tedavi öncesine göre tedavi sonrası değerlerde istatistiksel olarak anlamlı düzeyde artış saptandı (p<0,05). Tedavi öncesine göre tedavi sonrası meydana gelen değişim miktarları karşılaştırıldığında, gruplar arasında istatistiksel olarak anlamlı fark saptandı(p<0,05). Çalışma grubunda tedavi sonrası tüm değerlerin daha iyi olduğu bulunmuştur. Sonuç: Sanal gerçeklik terapisi, serebral palsi rehabilitasyonunda kullanılabilecek ve ruhsal uyumu iyileştirecek çok faydalı bir tedavi metodudur. Bu metodun konvansiyonel rehabilitasyon tekniklerine eklenmesi tedavinin başarısını önemli oranda arttıracaktır
The Effect of Virtual Reality Therapy on Psychological Adaptation in Children with Cerebral Palsy
Background: The motor disorders of cerebral palsy (CP) are usually accompanied by sensory and perceptual problems, cognitive disorders, communication, and behavioral problems. The aim of this study was to evaluate the effect of virtual reality (VR) therapy on psychological adaptation in children with CP. Methods: Forty-one patients were enrolled in the study. The patients were randomized into two groups: 21 patients in the study group and 20 patients in the control group. Age, gender, etiological factors, and type of CP were recorded for each patient. Neurophysiological and conventional treatment methods and occupational therapy was administered to all patients. In addition to the treatments mentioned above, VR therapy 3 times per week, in 1 hour segments for four weeks, for a total of 12 sessions was also administered using Sony Play Station Eye Toy System. Patient psychological adaptation levels were measured using the Hacettepe Psychological Adaptation Scale, both before and after treatment. Results: There was no statistically significant difference between the groups for age, gender, etiological factors, and type of CP (p>0.05). There was no statistically significant difference between the groups in Hacettepe Psychological Adaptation Scale scores before treatment (p>0.05). We found a significant increase in the scores after treatment compared to those before treatment in the study group (p<0.05). When the changes in Hacettepe Psychological Adaptation Scale scores were compared, a significant difference was found between the groups, with higher scores in the study group. Discussion: Virtual reality therapy is a very beneficial treatment method that can be used in CP rehabilitation and can improve psychological adaptation. The combination of this method with conventional rehabilitation techniques will provide a significant contribution to treatment success.

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