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Ge liş ta ri hi/Re cei ved: 19.02.2011 Ka bul ta ri hi/Ac cep ted: 26.12.2011 © Nö rop si ki yat ri Ar şi vi Der gi si, Ga le nos Ya yı ne vi ta ra f›n dan ba s›l m›fl t›r. / © Arc hi ves of Neu ropsy chi atry, pub lis hed by Ga le nos Pub lis hing ÖZET 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. (Nö rop si ki yat ri Ar fli vi 2013; 50: 70-74) Anah tar ke li me ler: Serebral palsi, sanal gerçeklik terapisi, ruhsal uyum Çıkar çatışması: Yazarlar bu makale ile ilgili olarak herhangi bir çıkar çatışması bildirmemişlerdir. ABS TRACTBackground: 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 patient...

We investigated the effects of the complex regional pain syndrome (CRPS) type 1 on upper extremity rehabilitation in hemiplegic patients. Eighty patients were enrolled and were randomly assigned to either study (40 hemiplegic patients with CRPS) or control (40 hemiplegic patients without CRPS) groups. All patients participated in a hemiplegia rehabilitation program consisting of neurodevelopmental techniques, stretching and strengthening exercises, and conventional methods. Additionally, participants in the study group received analgesic and calcitonin therapy, elevation, range of movement therapy for the affected joints, and contrast baths. Clinical findings were assessed before and after rehabilitation using the upper-limb function (ULF), hand movements (HM), and advanced hand activities (AHA) subscales of the Motor Assessment Scale (MAS) and the Ashworth scale for upper extremities. A statistically significant difference in MAS ULF was apparent at admission and upon discharge in both groups. In the control group, a significant difference was found between MAS HM and MAS AHA on admission and at discharge, no difference was found in the study group for these parameters. No difference was found for either group with regard to the Ashworth scale. No between-group differences were found regarding MAS ULF, MAS HM, and MAS AHA at admission and at discharge. Our data showed no influence of CRPS on MAS ULF, MAS HM, and MAS AHA and the Ashworth scale for upper extremities.

The aim of the study is to examine the patients with COVID-19 associated stroke who were admitted to the inpatient rehabilitation program in terms of clinical features, ambulation level and functional status, and to reveal the improvements achieved as a result of rehabilitation. 29 COVID-19-related stroke patients (group 1) and 29 non-COVID-19 stroke patients (group 2) were included in this study. The groups were compared in terms of demographic and clinical characteristics, risk factors, post-stroke disorders and complications of stroke. Motor function was evaluated with the Brunnstrom Motor Recovery Staging (BMRS), ambulation status was evaluated with the Functional Ambulation Scale (FAS), and functional disability was evaluated with the Functional Independence Scale (FIM). Both groups of patients were compared in terms of pretreatment and posttreatment values of BMRS, FIM and FAS stages. In addition, the changes in BMRS, FIM and FAS values within the group were evaluated. Pulmonary involvement (mild/moderate-severe) and the use of anticoagulants after COVID-19 infection were investigated in patients with COVID 19 stroke. In patients with COVID-19-associated stroke, the mean age was statistically significantly lower (p=0.045), the risk factor hypertension was significantly less (p=0.016), pre-stroke anticoagulant use was significantly higher (p=0.004), and deep vein thrombosis was significantly higher (p=0.022). All patients with COVID-19 had pulmonary involvement. No statistically significant difference was observed between the two groups in the comparison of post-stroke disorders. There was no statistically significant difference between the two groups in terms of BMRS, FIM and FAS values before and after treatment (p>0.05). The change in BMRS, FIM and FAS values within both groups was found statistically significant. According to the results of this study, COVID-19-related stroke is seen at younger ages and deep vein thrombosis is more common. Significant improvements are observed in motor and functional status after rehabilitation. Rehabilitation should be given importance in patients with COVID-19-related stroke, and care should be taken in terms of deep vein thrombosis during rehabilitation.