Eylem Gözlem Terapisi (EGT) hareketlerin izlenmesi sonrası aynı hareketlerin taklit edilmesi ile merkezi sinir sistemi restorasyonunu destekleyen nörorehabilitasyon temelli bir tedavi yaklaşımıdır. Serebral palsi, parkinson, inme, ortopedik yaralanmalar, alzheimer ve konuşma bozuklukları gibi pek çok hastalıkta, fonksiyonu gerçekleştiren nöral yapıları aktive etmek için nörofizyolojik mekanizmadan yararlanan yeni bir rehabilitasyon yaklaşımı olarak bilinir. Sağlıklı bireylerde ve nörolojik veya ortopedik etkilenimi olan bireylerde yapılan araştırmalar; EGT uygulamasının gözlemcinin motor sisteminde kolaylaştırmayı indüklediği ve eylem-algı eşleştirme mekanizmasını desteklediği bilinir. Bu derleme, Serebral Palsi (SP) tanılı çocuklarda üst ekstremiteye yönelik uygulanan EGT programlarının kullanımı ve etkinliği ile ilgili mevcut bilgileri gözden geçirmek amacıyla planlanmıştır. EGT kullanımının farklı koşullara kolayca adapte edilebilmesi, nöral plasitisiteyi destekleyerek motor öğrenmeyi fasilite etmesi ve ekonomik olması nedeniyle, SP’li çocukların üst ekstremite rehabilitasyonunda kullanımının uygun olduğu; ancak protokol, süre ve uygulama şekli açısından optimal uygulama prensiplerinin belirlenebilmesi için daha detaylı çalışmalara ihtiyaç olduğu düşünülmektedir.

Aim: Caring needs of children with special needs increase the stress levels of caregivers for many reasons. The aim of this study was to examine, compare, and provide recommendations regarding the stress levels, factors influencing stress levels, and coping strategies among caregivers of both healthy and special needs children during disaster periods. Method: This research was planned as a cross-sectional study. The survey, which was created in an electronic environment, disseminated to as many people as possible across the country via e-mail, various communication networks, and social media. After the demographic information of 261 caregivers were recorded, the Depression Anxiety Stress Scale 21, the Caregiver Strain Index, and the Ways of Coping Inventory Questionnaire were administered. Results: While the stress level was high (Mean±SD:7.67±3.98) in the caregivers of children with special needs, this level was within the normal limits (Mean±SD:6.44±3.61) in the caregivers of healthy children. There was a significant difference between the groups (p:0.009). In terms of coping with stress, caregivers of children with special needs were found to prefer emotion-focused/passive approaches, and there was a difference between the groups (p:0.000). Conclusion: The restrictive conditions during disaster period can impact the mental health of caregivers of special needs children, and there are several factors involved in this process. In line with this, we believe that specific policies and strategies need to be developed to support the mental health of caregivers of special needs children during extraordinary situations such as disaster scenarios.

Stroke is a significant cause of death and disability worldwide. With the increasing lifespan, the risk of stroke has risen by 50% in the last 20 years, and currently, one in four individuals is at risk of experiencing a stroke. In the early stages of stroke rehabilitation, an interdisciplinary approach is essential to increase independence and ensure patients are discharged from the hospital in a shorter time. This approach involves physicians, physiotherapists, nurses, psychologists, and other healthcare professionals. This review examines the effects of session-specific parameters of the robot-assisted gait training device, Lokomat, used in stroke rehabilitation. Studies have shown that high guidance force levels (100%) decrease sensorimotor cortex engagement, while lower guidance force levels (30-50%) enhance muscle activation and support motor learning. Additionally, adjusting body weight support between 30% and 50% has been found to yield the most effective results. Increasing walking speed has also been observed to enhance muscle activation.