Journals / İstanbul Kanuni Sultan Süleyman Tıp Dergisi / 2019 / Cilt: 11 - Sayı: 3
Demographic Characteristics of Robotic Rehabilitation Patients in a Public Rehabilitation Hospital According to Age Groups
- Pages
- 118–124
- DOI
- —
Abstract
Objective: The aim of this study is to investigate the demographic characteristics of patients undergoing robotic rehabilitation, according to age groups, in a public rehabilitation hospital. Method: Data of inpatients and outpatients undergoing robotic rehabilitation treatment for one year between January 1 and December 31, 2018, in our hospital were collected by retrospectively scanning the files. Patients were divided into 4 age groups as (0-20 years /21-40 years /41-60 years and > 61 years) and their data were compiled. Results: Within one year, 363 patients benefited from robotic rehabilitation treatment for a total of 8409 sessions. Mostly geriatric patients aged > 65 years (38,29%) benefited from robotic rehabilitation. The most frequently established diagnoses according to age groups were cerebral palsy in patients aged 0-20 (64.2%), paraplegia, and tetraplegia in patients aged 21-40, and 41-60 years (52.4%, and 20.2% vs 42.5%, and 22.6%), and hemiplagia (66.9%). When we look at the number of sessions according to patients’ diagnoses , most frequently hemiplagia was detected in patients who received 1-5 (40%), 6-10 (40.5%), 31-50 (42.0%) sessions of robotic rehabilitation, while paraplegia was mostly observed in patients who received 11-20 (35.0%), 21-30 (39.2%),51-100 (45.7%), and 101-300 (40.0%) sessions of robotic rehabilitation. Conclusion: Robotic rehabilitation is one of the innovative rehabilitation methods that has been used in increasing frequency in recent years. The diagnoses of the patients who benefit from robotic rehabilita-tion change according to age groups of the patients. Cerebral palsy was the most common diagnosis in adolescents and children (0-20 years), while paraplegia was the most frequent diagnosis in youngsters and adults (21-60 years). The most common diagnosis in the geriatric patient group (≥61 years) is hemiplegia. The group with the highest number of patients who were undergoing robotic rehabilitation was found to be hemiplegic patients who are over 61 years. It was found that hemiplegic patients most frequently underwent robotic rehabilitation. Although patients aged over 61 years of age most fre-quently benefited from robotic rehabilitation, adult paraplegic patientsaged 41-60 years received the greatest number of robotic rehabilitation sessions.
Özet
Amaç: Bu çalışmanın amacı, bir kamu rehabilitasyon hastanesinde robotik rehabilitasyon gören hasta-ların demografik özelliklerini yaş gruplarına göre ayırarak araştırmaktır.Yöntem: Bir yıl boyunca (1 Ocak-31 Aralık 2018), hastanemizde yatarak ve ayaktan robotik rehabilitas-yon tedavisi gören hastaların dosyaları retrospektif olarak taranarak veriler toplanmıştır. Hastalar (0-20 yaş/21-40 yaş/41-60 yaş ve 61 yaş üstü) 4 yaş grubuna ayrılmış ve veriler derlenmiştir.Bulgular: Bir yılda 363 hasta, toplam 8409 seans robotik rehabilitasyon tedavisinden yararlanmıştır. Robotik rehabilitasyondan yararlanan hastaların yaş ortalamasına bakıldığında en sık 61 yaş üstü geri-artrik hastaların (%38,29) bu tedaviden yararlandığı görülmüştür. Sıfır-yirmi yaş arası en sık tanı sereb-ral palsiyken (%64,2), 21-40 ve 41-60 yaş aralığında parapleji (%52,4/%42,5) ve tetrapleji (%2,2/%22,6); 61 yaş üstü geriartik hastalarda ise hemiplejidir (%66,9). Tanılara göre seans sayılarına bakıldığında 1-5 seans tedavi gören hastalarda en sık rastlanan tanı %40, 6-10 seans %40,5, 31-50 seans %42,0 hemip-leji olarak saptanmıştır. 11-20 seans (%35.0), 21-30 seans (%39,2),51-100 seans (%45,7), 101-300 (%40,0) seans tedavi gören hastalarda en sık rastlanan tanı ise paraplejidir.Sonuç: Robotik rehabilitasyon son yıllarda kullanımı artan yenilikçi rehabilitasyon biçimlerinden biridir. Yaş gruplarına göre robotik rehabilitasyondan yararlanan hasta tanıları değişmektedir. Çocuk ve ergen-lerde (0-20 yaş) serebral palsi en sık tanıyken, genç erişkin ve erişkinde (21-60 yaş) parapleji; geriartik hasta grubundaysa (≥61 yaş) hemipleji en sık rastlanan tanıdır. Robotik rehabilitasyon gören hasta sayısı en yüksek olan grup hemiplejik hastalar olarak saptanmıştır. Her ne kadar 61 yaş üstü hemiplejik hastalar robotik rehabilitasyondan en sık yararlanan hasta grubu olsalar da en fazla tedavi seans sayı-sına sahip yaş aralığı 41-60 yaş arası erişkin paraplejik hastalardır.