{"id":14189,"date":"2025-08-01T16:30:51","date_gmt":"2025-08-01T14:30:51","guid":{"rendered":"https:\/\/ivrt.de\/?p=14189"},"modified":"2026-04-28T17:51:39","modified_gmt":"2026-04-28T15:51:39","slug":"inme-sonrasi-vestibueler-rehabilitasyon","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/vestibulaere-rehabilitation-nach-einem-schlaganfall\/","title":{"rendered":"\u0130nme sonras\u0131 vestib\u00fcler rehabilitasyon"},"content":{"rendered":"<p><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p>Ba\u015f d\u00f6nmesi, denge sorunlar\u0131 ve y\u00fcr\u00fcy\u00fc\u015f bozuklu\u011fu inme sonras\u0131nda s\u0131k g\u00f6r\u00fclen sonu\u00e7lard\u0131r ve bir\u00e7ok hastan\u0131n ya\u015fam kalitesini olumsuz etkiler. Bu ba\u011flamda, s\u00f6zde <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon tedavisi<\/a> (VR) odak noktas\u0131 \u2013 aslen vestibular organ\u0131n denge bozukluklar\u0131n\u0131n tedavisinden kaynaklanan bir terapi yakla\u015f\u0131m\u0131.<\/p>\n\n\n\n<p>G\u00fcncel bir derleme \u00e7al\u0131\u015fmas\u0131 (Fan ve ark., 2025), toplam 769 inme hastas\u0131n\u0131n yer ald\u0131\u011f\u0131 15 \u00e7al\u0131\u015fmay\u0131 de\u011ferlendirdi. Sonu\u00e7: Sanal ger\u00e7eklik (VR), merkezi kaynakl\u0131 denge bozukluklar\u0131nda, \u00f6zellikle inme sonras\u0131 subakut d\u00f6nemde belirgin iyile\u015fmeler sa\u011flayabilmektedir.<\/p>\n\n\n\n<p>\ud83d\udd17 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40520068\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/strong><\/a><\/p>\n\n\n\n<p><strong>Temel Bulgular<\/strong><\/p>\n\n\n\n<p>Somut olarak \u015fu etkiler g\u00f6r\u00fclm\u00fc\u015ft\u00fcr:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Geli\u015ftirilmi\u015f duru\u015f ve y\u00fcr\u00fcy\u00fc\u015f g\u00fcvenli\u011fi (\u00f6rn. \u201eTimed Up and Go\u201c testinde k\u0131salm\u0131\u015f s\u00fcre)<\/li>\n\n\n\n<li>Azalt\u0131lm\u0131\u015f ba\u015f d\u00f6nmesi<\/li>\n\n\n\n<li>G\u00fcnl\u00fck ya\u015famda daha iyi denge hissi<\/li>\n\n\n\n<li>\u00d6zellikle etkili: En az 4 hafta s\u00fcren ve \u015fu unsurlar\u0131n kombinasyonunu i\u00e7eren programlar: <a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/giris-egzersizleri\/\" data-type=\"page\" data-id=\"104\">g\u00f6z-ba\u015f koordinasyonu<\/a> ve d\u00f6nme hareketleri<\/li>\n<\/ul>\n\n\n\n<p><strong>Zorluklar nerede?<\/strong><\/p>\n\n\n\n<p>Olumlu sonu\u00e7lara ra\u011fmen \u00e7al\u0131\u015fma verileri heterojen kalmaya devam etmektedir. Egzersizlerin s\u00fcresi, yo\u011funlu\u011fu ve yap\u0131s\u0131na ili\u015fkin bug\u00fcne kadar birle\u015fik standartlar bulunmamaktad\u0131r. Ayr\u0131ca genellikle bireysel uyarlamalardan yoksun kal\u0131nmakta olup bir\u00e7ok program h\u00e2l\u00e2 kal\u0131p halinde (mekanik bir \u015fekilde) uygulanmaktad\u0131r. Bununla birlikte, objektif vestib\u00fcler testler de nadiren kullan\u0131lmaktad\u0131r.<\/p>\n\n\n\n<p><strong>Klinik uygulama i\u00e7in sonu\u00e7<\/strong><\/p>\n\n\n\n<p>VR umut vadediyor; ancak etkili olmas\u0131 i\u00e7in:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00f6zel olarak uyarlanmak<\/li>\n\n\n\n<li>en az d\u00f6rt hafta s\u00fcreyle ger\u00e7ekle\u015ftirilmelidir<\/li>\n\n\n\n<li>bol tekrar yaparak merkezi telafi mekanizmalar\u0131n\u0131 hedefli bir \u015fekilde harekete ge\u00e7irmek<\/li>\n<\/ul>\n\n\n\n<p>\u00d6zellikle inme sonras\u0131 erken d\u00f6nemde (1\u20136 ay) etkinin en b\u00fcy\u00fck oldu\u011fu g\u00f6r\u00fclmektedir.<\/p>\n\n\n\n<p><strong>\ud83d\udc49 Nas\u0131l yap\u0131laca\u011f\u0131n\u0131 \u00f6\u011frenmek istiyorsun <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon<\/a> merkezi ba\u015f d\u00f6nmesi t\u00fcrlerinde bile hedefli olarak kullan\u0131lmaktad\u0131r?<\/strong><br>G\u00fcncel e\u011fitim tekliflerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p><\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>Hastalar i\u00e7in \u2013 basit\u00e7e a\u00e7\u0131kland\u0131<\/strong><\/p>\n\n\n\n<p><strong>\u0130nme sonras\u0131 yeniden g\u00fcvenli bir \u015fekilde ayakta durma ve y\u00fcr\u00fcme<\/strong><\/p>\n\n\n\n<p>Bir\u00e7ok insan fel\u00e7 ge\u00e7irdikten sonra bacaklar\u0131nda kendini g\u00fcvensiz hisseder. Ba\u015f d\u00f6nmesi, sallant\u0131 hissi veya y\u00fcr\u00fcrken ya\u015fanan korku nadir de\u011fildir \u2013 bu durum genellikle ya\u015fam\u0131 b\u00fcy\u00fck \u00f6l\u00e7\u00fcde k\u0131s\u0131tlar.<\/p>\n\n\n\n<p><strong>\u0130yi haber<\/strong><\/p>\n\n\n\n<p>Yard\u0131mc\u0131 olabilecek bir tedavi var: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\">vestib\u00fcler rehabilitasyon<\/a>. Aslen denge organ\u0131n\u0131n tedavisinden kaynaklanmaktad\u0131r \u2013 ancak fel\u00e7 sonras\u0131 sorunlara da yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p>\ud83d\udcc4 <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40520068\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40421807\/\" target=\"_blank\" rel=\"noreferrer noopener\">Orijinal \u00e7al\u0131\u015fmaya<\/a><\/p>\n\n\n\n<p><strong>Vestib\u00fcler rehabilitasyon ne i\u015fe yarar?<\/strong><\/p>\n\n\n\n<p>\u2022 y\u00fcr\u00fcrken ve ayakta dururken daha fazla g\u00fcvenlik<br>\u2022 daha az ba\u015f d\u00f6nmesi<br>\u2022 Kendi v\u00fccudunuza kar\u015f\u0131 daha fazla g\u00fcven<br><br>Egzersizler basittir, ki\u015fiye \u00f6zel uyarlanabilir ve birka\u00e7 hafta boyunca d\u00fczenli olarak yap\u0131ld\u0131\u011f\u0131nda \u00f6zellikle etkilidir.<\/p>\n\n\n\n<p><strong>Bilmekte fayda var<\/strong><\/p>\n\n\n\n<p>Her egzersiz herkes i\u00e7in uygun de\u011fildir. Bu nedenle, \u00f6zel olarak e\u011fitilmi\u015f terapistlerin tedaviyi y\u00f6nlendirmesi ve e\u015flik etmesi \u00f6nemlidir.<\/p>\n\n\n\n<p>\ud83c\udfaf <strong>\u00d6zel olarak e\u011fitilmi\u015f t\u00fcm IVRT\u00ae Ba\u015f D\u00f6nmesi ve Vestib\u00fcler Terapistleri<\/strong>, inme sonras\u0131 ba\u015f d\u00f6nmesi deneyimi olanlar, bizim arac\u0131l\u0131\u011f\u0131m\u0131zla bulabilir <strong><a href=\"https:\/\/ivrt.de\/tr\/etkilenenler-icin\/terapist-arama\/\" data-type=\"page\" data-id=\"101\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT Terapist Arama<\/a><\/strong><\/p>\n\n\n\n<p><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Schwindel, Gleichgewichtsprobleme und Gangunsicherheit sind h\u00e4ufige Folgen nach einem Schlaganfall \u2013 und beeintr\u00e4chtigen die Lebensqualit\u00e4t vieler Patient:innen. Zunehmend r\u00fcckt dabei die sogenannte vestibul\u00e4re Rehabilitationstherapie (VR) in den Fokus \u2013 ein Therapieansatz, der urspr\u00fcnglich aus der Behandlung von Gleichgewichtsst\u00f6rungen des Vestibularorgans stammt. Eine aktuelle \u00dcbersichtsarbeit (Fan et al., 2025) hat 15 Studien mit insgesamt [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":17998,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":966,"footnotes":""},"categories":[215],"tags":[],"class_list":["post-14189","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/14189","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=14189"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/14189\/revisions"}],"predecessor-version":[{"id":17491,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/14189\/revisions\/17491"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/17998"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=14189"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=14189"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=14189"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}