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ACAR, GÖNÜL

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GÖNÜL

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2016 - 201912020 - 20211
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Author: POLAT, MİNE GÜLDEN × Has files: true ×

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    PublicationOpen Access
    Efficacy of neurodevelopmental treatment combined with the Nintendo (R) Wii in patients with cerebral palsy
    (SOC PHYSICAL THERAPY SCIENCE, 2016) ACAR, GÖNÜL; Acar, Gonul; Altun, Gamze Polen; Yurdalan, SaadetUfuk; Polat, Mine Gulden
    [Purpose] The aim of this study was to investigate the efficiency of Nintendo (R) Wii games in addition to neurodevelopmental treatment in patients with cerebral palsy. [Subjects and Methods] Thirty hemiparetic cerebral palsy patients (16 females, 14 males; mean age, 6-15 years) were included in the study and divided into two groups: a neurodevelopmental treatment+Nintendo Wii group (group 1, n=15) and a neurodevelopmental treatment group (group 2, n=15). Both groups received treatment in 45-minute sessions 2 days/week for six weeks. Use of the upper extremities, speed, disability and functional independence were evaluated using the Quality of Upper Extremity Skills Test, Jebsen Taylor Hand Function Test, ABILHAND-Kids test, and Pediatric Functional Independence Measure (self-care) before and after treatment. [Results] There were statistically significant improvements in all parameters for group 1 and group 2 (except quality of function) after six weeks of treatment. Intergroup analysis showed that group 1 was superior to group 2 in mean change differences in the Jebsen Taylor Hand Function Test. [Conclusion] Our results showed that neurodevelopmental treatment is effective for improving hand functions in hemiplegic cerebral palsy. To provide a enjoyable, motivational, safe, and effective rehabilitation program, the Nintendo (R) Wii may be used in addition to neurodevelopmental treatment.
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    PublicationOpen Access
    Neuroimaging in Developmental Coordination Disorder
    (2021-04-05) GÜNAY YAZICI, CANAN; Yıldırım, Canan; Acar, Gönül; Gülden Polat, Mine; Mete, Emel; Kaygusuz, Reyhan; Yazıcı, Canan Günay
    Developmental coordination disorder (DCD) is a neuromotor disorder of unknown etiology characterized by motor skill disorder, which significantly inhibits the child’s ability to perform daily living activities and affects psychosocial well-being. DCD is one of the least understood and studied neuromotor disorders, and little is known about the neural mechanisms underlying motor impairment. This makes it difficult to understand why children with DCD have difficulty in learning motor skills and what is the best intervention to optimize motor functions. With the further development of neuroimaging techniques, the number of neuroimaging studies to understand the underlying mechanisms in children with DCD has increased in recent years. Results from these studies suggest that children with DCD activate different regions of the brain during functional tasks and show differences in white matter microstructure, cerebellum, basal ganglia, parietal lobe, and parts of the frontal lobe (medial orbitofrontal cortex and dorsolateral prefrontal cortex) compared with typically developing children. We believe that these neuroimaging data obtained from numerous studies will contribute to the explanation of neural mechanisms related to impaired motor function in children with DCD.