WoS İndeksli Yayınlar Koleksiyonu
Permanent URI for this collectionhttps://hdl.handle.net/20.500.14627/6
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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.Article Citation - WoS: 2The Effectiveness of Blood Flow Restriction Training on Upper Extremity Muscle Strength: a Systematic Review(Georg Thieme verlag Kg, 2024) Yazgan, Elif Aleyna; Atli, Ecenur; Ozdincler, Arzu RazakObjective This systematic review aims to investigate the effect of blood flow restriction training (BFRT) on upper extremity muscle strength in pathological conditions of the upper extremity musculoskeletal system or in healthy individuals. Materials and Methods This study was conducted in accordance with the PRISMA guideline statement. The randomized controlled studies which published from January 2000 to May 2022 were searched in the PubMed, Web of Science, MEDLINE, Scopus, and Cochrane Library databases. Inclusion criteria were healthy clinical population or musculoskeletal pathology related to the upper extremity, participants aged 18 and above, application of blood flow restriction to the arm, a randomized controlled study design, and publication in English. Additionally, the presentation of upper extremity muscle strength as an outcome measurement was required. The quality of the studies was evaluated using The Physiotherapy Evidence Database (PEDro) scale. Articles that were non-randomized, inaccessible in full text, and scored 4 or below on the PEDro scale were excluded. Results Five studies were included with 219 participants. The included studies had PEDro scores ranging from 5 to 8, with an average score of 6.4. This review demonstrated a positive or neutral effect of BFRT on grip strength and shoulder strength. Conclusion Although some studies have reported positive effects of BFRT on upper extremity muscle strength, there is no conclusive evidence regarding the protocol to be used for increasing upper extremity muscle strength.