Vid Kramer (Author), Zorana Sicherl (Reviewer), Cecilija Lebar (Mentor), Jure Krivec (Co-mentor)

Abstract

Uvod: Robotsko ali senzorno podprta tehnologija v povezavi z navidezno resničnostjo predstavlja eno najbolj obetavnih dopolnilnih terapij za izboljšanje motoričnih in kognitivnih sposobnosti osebe po možganski kapi. Namen: Namen diplomskega dela je bilo ugotoviti učinkovitost naprave Bimeo pri osebah po preboleli možganski kapi z vidika izboljšanja motoričnih in kognitivnih sposobnosti. Metode dela: Izvedena je bila eksperimentalna raziskava v katero je bilo vključenih 24 oseb po utrpeli možganski kapi, ki so bile razdeljene v dve skupini in sicer skupina A 12 oseb, ki so bile vključene v običajno terapijo in terapijo z napravo Bimeo, skupina B (kontrolna skupina) 12 oseb, ki so prejemale le običajno terapijo. Terapija je pri obeh skupinah trajala 10dni. Kriterij za vključitev so bili: enostranska hemipareza z delno ohranjeno aktivno gibljivostjo zgornjega uda, sposobnost razumevanja verbalnih navodil in odsotnost hujših kognitivnih okvar, ter odsotnost hujših okvar vida ali sluha. Skupina A je poleg običajne terapije vsak dan obravnave izvajala še tri naloge na napravi Bimeo: seganje, sledenje in labirint v času pet minut za vsako nalogo, ter dodatne igre po izboru posameznika v času 10 ?15minut. Kakovost in napredek giba smo spremljali s fizikalnimi parametri, ki jih beleži naprava Bimeo. Za klinično ocenjevanje funkcije zgornjega uda so bili uporabljeni: Blocks and Box, FMA-UE in Arat test. Za merjenje napredka kognicije pa smo uporabili TSS test. Rezultati: Rezultati raziskave so pokazali, da so osebe skupine A dosegle boljše rezultate od skupine B. To dokazujejo rezultati kliničnih testov in parametri, ki jih meri naprava Bimeo. Torej so rezultati naše raziskave pokazali, da naprava Bimeo učinkovito izboljšuje motorične funkcije prizadetega zgornjega uda, ter da minimalno izboljšuje tudi kognitivne sposobnosti posameznika. Razprava in zaključek: Ugotavljamo, da je desetdnevna običajna obravnava z dodano terapijo podprto z robotsko tehnologijo napravo Bimeo, primerna oblika obravnave za izboljšanje funkcij okvarjenega zgornjega uda in izboljšanje kognitivnih sposobnosti oseb po možganski kapi s podobnimi kognitivnimi in motoričnimi sposobnostmi, kot so jih imele osebe v naši raziskavi. Poudariti pa moramo, da je terapija na napravi Bimeo odlična kot dodatek delovni terapiji in ne nadomestilo zanjo. Ključne besede: hemipareza, delovna terapija, robotska tehnologija, funkcija zgornjega uda.

Keywords

diplomska dela;delovna terapija;hemipareza;robotska tehnologija;funkcije zgornjega uda;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [V. Kramer]
UDC: 615.851
COBISS: 29982467 Link will open in a new window
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Other data

Secondary language: English
Secondary title: Use of Bimeo device and it's efficiency on stroke patient
Secondary abstract: Introduction: Robotic or sensory-assisted technology in conjunction with virtual reality represents one of the most promising complementary therapies to improve motor and cognitive abilities after a stroke. Purpose: The purpose of the thesis was to determine the effectiveness of the Bimeo device on motor and cognitive abilities after stroke. Methods of work: 24 participans who suffered a stroke, were involved in the experimental study. They were divided into two groups: group A with 12 participans who were included in conventional therapy and therapy with the Bimeo device, and group B (control group), with 12 participans who received only conventional therapy. Therapy lasted for 10 days in both groups. Criteria for inclusion were: unilateral hemiparesis with partially preserved active mobility of the upper limb, ability to understand verbal instructions and the absence of severe cognitive impairment, and absence of severe visual or hearing impairment. In addition to the usual therapy, group A performed three tasks on the Bimeo device every day: reaching, tracking and maze for five minutes for each task, and additional games of the individual's choice for 10-15 minutes. The quality and progress of the movement were measured with physical parameters recorded by the Bimeo device. The following were used to clinically assess upper limb function: Blocks and Box, FMA-UE, and the Arat test, and the TSS test, which was used to measure cognition improvement. Results: The results of the study showed that participans of group A improved better progress than participans of group B. Thus, the results of the research showed that the Bimeo device improves the motor functions of the affected upper limb and that it also minimally improves the cognitive abilities of the individual. Discussion and conclusion: A ten-day routine treatment with added therapy supported by robotic technology - Bimeo device, is a suitable form of treatment to improve the functions of the damaged upper limb and improve the cognitive abilities of stroke participans with similar cognitive and motor skills as participans in our study. We must emphasize that the therapy on the Bimeo device is excellent as aditional training to conventional occupational therapy and not a substitute for it. Key words: hemiparesis, occupational therapy, robotic technology, Bimeo, upper limb function
Secondary keywords: diploma theses;occupational therapy;hemiparesis;robotic technology;upper limb functions;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Dipl. delo (bolonjski študij), Univ. v Ljubljani, Zdravstvena fak., Oddelek za delovno terapijo
Pages: 42 str., [6] str. pril.
ID: 12046497