Scopus İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/7
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Article Virtual Reality-Based Rehabilitation for Upper Extremity Recovery after Stroke: A Systematic Review and Meta-Analysis of Randomized Controlled Trials(Taylor & Francis Ltd, 2026) Ozturk, BasarBackground: Stroke often results in upper extremity motor impairments, limiting functional independence. Conventional rehabilitation, while effective, faces challenges such as low engagement and high resource demand. Virtual reality (VR)-based rehabilitation may promote neuroplasticity through immersive and repetitive training. Objectives: To systematically evaluate randomized controlled trials (RCTs) assessing the effectiveness of VR-based rehabilitation on upper extremity motor recovery in stroke patients, and to explore the impact of system type, stroke chronicity, and intervention dosage. Methods: Following PRISMA 2020 guidelines (PROSPERO: CRD420251065021), a systematic search was conducted in PubMed, Scopus, Web of Science, and CENTRAL for RCTs published between 2010 and March 2025. Studies included adult stroke survivors receiving VR interventions targeting upper limb recovery. A random-effects meta-analysis calculated standardized mean differences (SMDs), and risk of bias was assessed using RoB 2.0. Results: Twenty-four RCTs (n = 1,627) were included. Meta-analysis of 21 studies showed a moderate effect favoring VR (SMD = 0.58; 95% CI: 0.38-0.78; p < 0.001; I-2 = 62%). Immersive VR, chronic stroke, and higher intervention doses (>600 min) showed stronger effects. Conclusions: VR-based rehabilitation significantly enhances upper extremity motor function post-stroke. Immersive systems and sufficient dosage yield optimal outcomes, supporting VR as a valuable adjunct to conventional therapy.Book Part Sports Injuries of the Sternoclavicular Joint(Springer Science+Business Media, 2025) Uluçay, C.; Yilmaz, B.The sternoclavicular joint (SCJ) is the primary joint connecting the upper limb to the axial skeleton. It is a saddle-shaped diarthrodial joint comprised of a large clavicular head and a small fossa on the manubrium sterni. The SCJ plays a crucial role in facilitating a wide range of shoulder movements, allowing for clavicle rotation and abduction. Despite its relatively small size and limited bony locking, the SCJ requires robust ligaments to maintain stability and withstand substantial forces. Particularly in sports like football, martial arts, and soccer, direct and indirect traumas can easily lead to injuries in this joint. SCJ injuries are relatively common, and they often complicate other shoulder injuries. Because of the strength of its ligaments, dislocations of this joint are rare, accounting for less than 1% of all dislocations. However, posterior dislocations, although infrequent, can be life-threatening. In this chapter, we will provide a brief overview of the anatomy, patterns of injury, imaging techniques, and treatment options related to the SCJ. © 2025 Springer Nature Switzerland AG.
