Transtibial amputelerde sanal gerçeklik uygulamasının kinezyofobi, depresyon ve ağırlık aktarma üzerine etkileri

Tezel Yıldırım Şahan; Fatih Erbahçeci

Research Article

Transtibial amputelerde sanal gerçeklik uygulamasının kinezyofobi, depresyon ve ağırlık aktarma üzerine etkileri

Year 2018, Volume: 5 Issue: 2, 82 - 88, 16.07.2018

Tezel Yıldırım Şahan , Fatih Erbahçeci

Abstract

Amaç: Sanal gerçeklik uygulaması; bireylere gerçekmiş hissi veren, bilgisayarlar tarafından yaratılan dinamik bir ortamla karşılıklı iletişim olanağı tanıyan, üç boyutlu bir benzetim modelidir. Bu çalışmanın amacı; sanal gerçeklik uygulamasının transtibial amputasyonu olan bireylerde kinezyofobi, depresyon ve ağırlık aktarma üzerine etkilerini belirlemekti.

Yöntem: Bu çalışmaya yaş ortalaması 36.4±7.6 yıl olan 19 transtibial amputasyonu olan birey dâhil edildi. Bireylerin tümü aynı tip protez ve süspansiyon sistemi kullanmaktaydı. Bireyler iki gruba ayrıldı. Birinci gruba sanal gerçeklik uygulamaları yapılırken, diğer gruba standart fizyoterapi yöntemleri uygulandı. Bireyler 4 hafta boyunca haftada 3 gün tedaviye alındı. Tedavi öncesi ve sonrası değerlendirmeler yapıldı. LASAR Postür Cihazı (Ottobock, Almanya, 1997) ile ağırlık aktarma miktarları, Beck Depresyon Anketi ile depresyon durumu ve Tampa Kinezyofobi Skalası ile kinezyofobi düzeyleri belirlendi.

Bulgular: Bireylerin grup içinde tedavi öncesi ve tedavi sonrası depresyon, kinezyofobi düzeylerinde her iki grupta da fark bulundu (p<0,05). Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri gruplarında, tedavi öncesi ve sonrası kinezyofobi, depresyon ve ağırlık aktarma farkları açısından fark yoktu (p>0,05).

Sonuç: Sanal gerçeklik uygulamaları ve standart fizyoterapi yöntemleri transtibial amputasyonu olan bireylerde hareket korkusu, depresyon ve ağırlık aktarma üzerine etkili bulundu. Sanal gerçeklik uygulamalarının, standart fizyoterapi yöntemlerine ilave olarak rehabilitasyon sürecine dâhil edilebileceği düşünülmektedir.

Keywords

Sanal gerçeklik, Egzersiz, Amputasyon, Depresyon

References

1. Wahbi A, Aldakhil S, Turki S, et al. Risk factors for amputation in extremity vascular injuries in Saudi Arabia. Vasc Health Risk Manag. 2016;12:229-232.
2. Serizawa F, Sasaki S, Fujishima S, et al. Mortality rates and walking ability transition after lower limb major amputation in hemodialysis patients. J Vasc Surg. 2016;64:1018-25.
3. Vitali M, Readhead RG. The modern concept of the general management of amputee rehabilitation including immediate postoperative fitting. Ann. Roy Coll. Sur Engl. 1967;40:251-260.
4. Andrysek J, Klejman S, Steinnagel B, et al. Preliminary evaluation of a commercially available videogame system as an adjunct therapeutic intervention for improving balance among children and adolescents with lower limb amputations. Arch Phys Med Rehabil. 2012;93:358-366.
5. Nadollek H, Brauer S, Isles R. Outcomes after trans tibial amputation: the relationship between quiet stance ability, strength of hip abductor muscles and gait. Physiother Res Int. 2002;7:203-214.
6. Betker AL, Szturm T, Moussavi Z.K, et al. Video game-based exercises for balance rehabilitation: a single-subject design. Arch Phys Med Rehabil. 2006;87:1141-1149.
7. Miller, KJ, Adair BS, Pearce AJ et al. Effectiveness and feasibility of virtual reality and gaming system use at home by older adults for enabling physical activity to improve healthrelated domains: a systematic review. Age Ageing. 2013;43:188-195.
8. Hoenig H, Sanford JA, Butterfield T, et al. Development of a teletechnology protocol for inhome rehabilitation. J Rehabil Res Dev. 2006;43:287-298.
9. Laver K, George S, Thomas S, et al. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2015 Feb 12(2):CD008349.
10. Buckley JG, O’driscoll D, Bennett SJ. Postural sway and active balance performance in highly active lower-limb amputees. Am J Phys Med Rehabil. 2002;81:13-20.
11. Deutsch JE, Borbely M, Filler J,et al. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88:1196-1207.
12. Luna-Oliva L, Ortiz-Gutiérrez RM, Cano-de la Cuerda R, et al. Kinect Xbox 360 as a therapeutic modality for children with cerebral palsy in a school environment: a preliminary study. NeuroRehabilitation. 2013;33:513-521.
13. Schmalz T, Blumentritt S, Drewitz H, et al. The influence of sole wedges on frontal plane knee kinetics, in isolation and in combination with representative rigid and semirigid ankle-footorthoses. Clin Biomech. 2006;21:631-639.
14. Beck A, Ward C, Mendelsohn M, et al. An inventory for measuring depression. Arch Gen Psychiat. 1961;4:561-571.
15. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi. 1989;7:3-13.
16. Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Manag.1990;8:35-43.
17. Yılmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Physiother Rehabil. 2011;22:44-49.
18. Sveistrup H, McComas J, Thornton M, et al. Experimental studies of virtual reality-delivered compared to conventional exercise programs for rehabilitation. Cyberpsychol Behav. 2003;6:245-249.
19. Saposnik G, Mamdani M, Bayley M, et al. Effectiveness of Virtual Reality Exercises in Stroke Rehabilitation (EVREST): rationale, design, and protocol of a pilot randomized clinical trial assessing the Wii gaming system. Int J Stroke. 2010;5:47-51.
20. Mousavi H.H, Khademi M. A review on technical and clinical impact of Microsoft Kinect on physical therapy and rehabilitation. J Med Eng. 2014;2014:846514.
21. Tanaka K, Parker J, Baradoy G, et al. A comparison of exergaming interfaces for use in rehabilitation programs and research. J Can Game Stu Ass. 2012;6:69-81.
22. Taylor MJ, McCormick D, Shawis T, et al. Activity-promoting gaming systems in exercise and rehabilitation. J Rehabil Res Dev. 2011;48:1171-86.
23. Mortensen J, Kristensen LQ, Brooks EP, et al. Women with fibromyalgia’s experience with three motion-controlled video game consoles and indicators of symptom severity and performance of activities of daily living. Disabil Rehabil. 2015;10:61-66.
24. Beurskens R, Wilke JM, Dingwell JB. Dynamic stability of superior vs. inferior body segments in individuals with transtibial amputation walking in destabilizing environments. J Biomec. 2014;47:3072-3079.
25. Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podi Med Ass. 2001;91:13-22.
26. North MM, North SM, Coble JR. Virtual reality therapy: an effective treatment for the fear of public speaking. Int J Virt Real. 2015;31-6.
27. Vieira Á, Melo C, Machado J, et al. Virtual reality exercise on a home-based phase III cardiac rehabilitation program, effect on executive function, quality of life and depression, anxiety and stress: a randomized controlled trial. Disabil Rehabil: Assist Technol. 2018;13:112-123.
28. Darter BJ, Wilken JM. Gait training with virtual reality–based real-time feedback: improving gait performance following transfemoral amputation. Phys Ther. 2011;91:1385-1394.
29. Murray CD, Pettifer S, Howard T, et al. The treatment of phantom limb pain using immersive virtual reality: three case studies. Disabil Rehabil. 2007;29:1465-1469.
30. Bisson E, Contant B, Sveistrup H, et al. Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training. Cyber Psych Behav. 2007;10:16-23.
31. Isakov E, Mizrahi J, Ring H,et al. Standing sway and weight-bearing distribution in people with below-knee amputations. Arch Phys Med Rehabil. 1992;73:174-178.
32. Chow DH, Cheng CT. Quantitative analysis of the effects of audio biofeedback on weightbearing characteristics of persons with transtibial amputation during early prosthetic ambulation. J Rehabil Res Dev. 2000;37:255-260.
33. Isakov E. Gait rehabilitation: a new biofeedback device for monitoring and enhancing weightbearing over the affected lower limb. Euro Medicophys. 2007;43:21-26.
34. Takebe K, Nakagawa A, Minami H, et al. Role of the fibula in weight-bearing. Clin Orthop Relat Res. 1984;184:289-292.
35. Little J. A pneumatic weight-bearing temporary prosthesis for below-knee amputees. Lancet. 1971;297(7693):271-273.
36. Hershko E, Tauber C, Carmeli E. Biofeedback versus physiotherapy in patients with partial weight-bearing. Am J Orthop. 2008;37:92-96.
37. Pasquina PF, Miller M, Carvalho A, et al. Special considerations for multiple limb amputation. Curr Phys Med Rehabil Rep. 2014;2:273-289.

Year 2018, Volume: 5 Issue: 2, 82 - 88, 16.07.2018

Tezel Yıldırım Şahan , Fatih Erbahçeci

Abstract

References

1. Wahbi A, Aldakhil S, Turki S, et al. Risk factors for amputation in extremity vascular injuries in Saudi Arabia. Vasc Health Risk Manag. 2016;12:229-232.
2. Serizawa F, Sasaki S, Fujishima S, et al. Mortality rates and walking ability transition after lower limb major amputation in hemodialysis patients. J Vasc Surg. 2016;64:1018-25.
3. Vitali M, Readhead RG. The modern concept of the general management of amputee rehabilitation including immediate postoperative fitting. Ann. Roy Coll. Sur Engl. 1967;40:251-260.
4. Andrysek J, Klejman S, Steinnagel B, et al. Preliminary evaluation of a commercially available videogame system as an adjunct therapeutic intervention for improving balance among children and adolescents with lower limb amputations. Arch Phys Med Rehabil. 2012;93:358-366.
5. Nadollek H, Brauer S, Isles R. Outcomes after trans tibial amputation: the relationship between quiet stance ability, strength of hip abductor muscles and gait. Physiother Res Int. 2002;7:203-214.
6. Betker AL, Szturm T, Moussavi Z.K, et al. Video game-based exercises for balance rehabilitation: a single-subject design. Arch Phys Med Rehabil. 2006;87:1141-1149.
7. Miller, KJ, Adair BS, Pearce AJ et al. Effectiveness and feasibility of virtual reality and gaming system use at home by older adults for enabling physical activity to improve healthrelated domains: a systematic review. Age Ageing. 2013;43:188-195.
8. Hoenig H, Sanford JA, Butterfield T, et al. Development of a teletechnology protocol for inhome rehabilitation. J Rehabil Res Dev. 2006;43:287-298.
9. Laver K, George S, Thomas S, et al. Virtual reality for stroke rehabilitation. Cochrane Database Syst Rev. 2015 Feb 12(2):CD008349.
10. Buckley JG, O’driscoll D, Bennett SJ. Postural sway and active balance performance in highly active lower-limb amputees. Am J Phys Med Rehabil. 2002;81:13-20.
11. Deutsch JE, Borbely M, Filler J,et al. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008;88:1196-1207.
12. Luna-Oliva L, Ortiz-Gutiérrez RM, Cano-de la Cuerda R, et al. Kinect Xbox 360 as a therapeutic modality for children with cerebral palsy in a school environment: a preliminary study. NeuroRehabilitation. 2013;33:513-521.
13. Schmalz T, Blumentritt S, Drewitz H, et al. The influence of sole wedges on frontal plane knee kinetics, in isolation and in combination with representative rigid and semirigid ankle-footorthoses. Clin Biomech. 2006;21:631-639.
14. Beck A, Ward C, Mendelsohn M, et al. An inventory for measuring depression. Arch Gen Psychiat. 1961;4:561-571.
15. Hisli N. Beck Depresyon Envanterinin üniversite öğrencileri için geçerliği, güvenirliği. Psikoloji Dergisi. 1989;7:3-13.
16. Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behavior. Pain Manag.1990;8:35-43.
17. Yılmaz ÖT, Yakut Y, Uygur F, et al. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve testtekrar test güvenirliği. Physiother Rehabil. 2011;22:44-49.
18. Sveistrup H, McComas J, Thornton M, et al. Experimental studies of virtual reality-delivered compared to conventional exercise programs for rehabilitation. Cyberpsychol Behav. 2003;6:245-249.
19. Saposnik G, Mamdani M, Bayley M, et al. Effectiveness of Virtual Reality Exercises in Stroke Rehabilitation (EVREST): rationale, design, and protocol of a pilot randomized clinical trial assessing the Wii gaming system. Int J Stroke. 2010;5:47-51.
20. Mousavi H.H, Khademi M. A review on technical and clinical impact of Microsoft Kinect on physical therapy and rehabilitation. J Med Eng. 2014;2014:846514.
21. Tanaka K, Parker J, Baradoy G, et al. A comparison of exergaming interfaces for use in rehabilitation programs and research. J Can Game Stu Ass. 2012;6:69-81.
22. Taylor MJ, McCormick D, Shawis T, et al. Activity-promoting gaming systems in exercise and rehabilitation. J Rehabil Res Dev. 2011;48:1171-86.
23. Mortensen J, Kristensen LQ, Brooks EP, et al. Women with fibromyalgia’s experience with three motion-controlled video game consoles and indicators of symptom severity and performance of activities of daily living. Disabil Rehabil. 2015;10:61-66.
24. Beurskens R, Wilke JM, Dingwell JB. Dynamic stability of superior vs. inferior body segments in individuals with transtibial amputation walking in destabilizing environments. J Biomec. 2014;47:3072-3079.
25. Esquenazi A, DiGiacomo R. Rehabilitation after amputation. J Am Podi Med Ass. 2001;91:13-22.
26. North MM, North SM, Coble JR. Virtual reality therapy: an effective treatment for the fear of public speaking. Int J Virt Real. 2015;31-6.
27. Vieira Á, Melo C, Machado J, et al. Virtual reality exercise on a home-based phase III cardiac rehabilitation program, effect on executive function, quality of life and depression, anxiety and stress: a randomized controlled trial. Disabil Rehabil: Assist Technol. 2018;13:112-123.
28. Darter BJ, Wilken JM. Gait training with virtual reality–based real-time feedback: improving gait performance following transfemoral amputation. Phys Ther. 2011;91:1385-1394.
29. Murray CD, Pettifer S, Howard T, et al. The treatment of phantom limb pain using immersive virtual reality: three case studies. Disabil Rehabil. 2007;29:1465-1469.
30. Bisson E, Contant B, Sveistrup H, et al. Functional balance and dual-task reaction times in older adults are improved by virtual reality and biofeedback training. Cyber Psych Behav. 2007;10:16-23.
31. Isakov E, Mizrahi J, Ring H,et al. Standing sway and weight-bearing distribution in people with below-knee amputations. Arch Phys Med Rehabil. 1992;73:174-178.
32. Chow DH, Cheng CT. Quantitative analysis of the effects of audio biofeedback on weightbearing characteristics of persons with transtibial amputation during early prosthetic ambulation. J Rehabil Res Dev. 2000;37:255-260.
33. Isakov E. Gait rehabilitation: a new biofeedback device for monitoring and enhancing weightbearing over the affected lower limb. Euro Medicophys. 2007;43:21-26.
34. Takebe K, Nakagawa A, Minami H, et al. Role of the fibula in weight-bearing. Clin Orthop Relat Res. 1984;184:289-292.
35. Little J. A pneumatic weight-bearing temporary prosthesis for below-knee amputees. Lancet. 1971;297(7693):271-273.
36. Hershko E, Tauber C, Carmeli E. Biofeedback versus physiotherapy in patients with partial weight-bearing. Am J Orthop. 2008;37:92-96.
37. Pasquina PF, Miller M, Carvalho A, et al. Special considerations for multiple limb amputation. Curr Phys Med Rehabil Rep. 2014;2:273-289.

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Details

Primary Language	Turkish
Journal Section	Articles
Authors	Tezel Yıldırım Şahan 0000-0002-4004-3713 Fatih Erbahçeci This is me
Publication Date	July 16, 2018
Submission Date	January 25, 2018
Published in Issue	Year 2018 Volume: 5 Issue: 2

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Vancouver	Yıldırım Şahan T, Erbahçeci F. Transtibial amputelerde sanal gerçeklik uygulamasının kinezyofobi, depresyon ve ağırlık aktarma üzerine etkileri. JETR. 2018;5(2):82-8.

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