Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study

Burak Menek; Doç. Dr. Ayşe Betül Oktay; Devrim Tarakcı

doi:10.37989/gumussagbil.1274979

Araştırma Makalesi

Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study

Yıl 2023, Cilt: 12 Sayı: 4, 1950 - 1958, 26.12.2023

Burak Menek Doç. Dr. Ayşe Betül Oktay Devrim Tarakcı

https://doi.org/10.37989/gumussagbil.1274979

Öz

The use of technological rehabilitation as a comp-lementary approach has gained popularity in recent years. This study aimed to create serious games for shoulder rehabilitation and investigate their impact on patients with rotator cuff rupture in terms of pain, range of motion, joint position sense, and approxima-tion force. Additionally, it aimed to showcase the collaboration between physiotherapists and engineers in developing technological rehabilitation software. The study involved 20 patients with rotator cuff rup-ture who underwent the Serious-Game Exercise (SGE) program twice a week for six weeks. All individuals were assessed before and after the treatment, and the results showed significant differences in all measured parameters (p<0.05). The study concluded that SGE is an effective therapy for patients with rotator cuff rupture, and serious games can be a viable alternative therapeutic approach.

Anahtar Kelimeler

Exercise, Exergaming, Gamification, Rotator cuff

Kaynakça

1. Choi, S.D, Guo, L, Kang, D. and Xiong, S. (2017). “Exer-game Technology and Interactive Interventions for Elderly Fall Prevention: A Systematic Literature Review”. Applied Ergonomics, 65, 570–581. https://doi.org/10.1016/j.apergo.2016.10.013
2. Kurillo, G, Hemingway, E, Cheng, M.L. and Cheng, L. (2022). “Evaluating the Accuracy of the Azure Kinect and Kinect V2.” Sensors (Basel, Switzerland), 22 (7), 2469. https://doi.org/10.3390/s22072469
3. Taylor, M.J, McCormick, D, Shawis, T, Impson, R. and Griffin, M. (2011). “Activity-Promoting Gaming Systems in Exercise and Rehabilitation”. Journal of Rehabilitation Research and Development, 48 (10), 1171–1186. https://doi.org/10.1682/jrrd.2010.09.0171
4. Clark, R.A, Bryant, A.L, Pua, Y, McCrory, P, Bennell, K. and Hunt, M. (2010). “Validity and Reliability of the Nin-tendo Wii Balance Board for Assessment of Standing Ba-lance”. Gait & Posture,31 (3), 307–310. https://doi.org/10.1016/j.gaitpost.2009.11.012
5. Fernández-González, P, Carratalá-Tejada, M, Monge-Pereira, E, Collado-Vázquez, S, Sánchez-Herrera Baeza, P, Cuesta-Gómez, A, Oña-Simbaña, E.D, Jardón-Huete, A, Molina-Rueda, F, Balaguer-Bernaldo de Quirós, C, Mian-golarra-Page, J.C. and Cano-de la Cuerda, R. (2019). “Leap Motion Controlled Video Game-Based Therapy for Upper Limb Rehabilitation in Patients with Parkinson's Disease: A Feasibility Study”. Journal of Neuroengineering and Re-habilitation, 16 (1), 133. https://doi.org/10.1186/s12984-019-0593-x
6. Proença, J.P, Quaresma, C. and Vieira, P. (2018). “Serious Games for Upper Limb Rehabilitation: A Systematic Re-view”. Disability and Rehabilitation. Assistive Techno-logy, 13 (1), 95–100. https://doi.org/10.1080/17483107.2017.1290702
7. Noveletto, F, Soares, A.V, Eichinger, F.L.F, Domenech, S.C, Hounsell, M.D.S. and Filho, P.B. (2020). “Biomedical Serious Game System for Lower Limb Motor Rehabilita-tion of Hemiparetic Stroke Patients”. IEEE Engineering in Medicine and Biology Society, 28 (6), 1481–1487. https://doi.org/10.1109/TNSRE.2020.2988362
8. Menek, B, Tarakci, D, Tarakci, E. and Menek, M.Y. (2022). “Investigation on the Efficiency of the Closed Ki-netic Chain and Video-Based Game Exercise Programs in the Rotator Cuff Rupture: A Randomized Trial”. Games for Health Journal, 11 (5), 298–306. https://doi.org/10.1089/g4h.2021.0210
9. Martin-Niedecken, A.L, Schwarz, T. and Schättin, A. (2021). “Comparing the Impact of Heart Rate-Based In-Game Adaptations in an Exergame-Based Functional High-Intensity Interval Training on Training Intensity and Expe-rience in Healthy Young Adults”. Frontiers in Psychology, 12, 572877. https://doi.org/10.3389/fpsyg.2021.572877
10. Gordt, K, Gerhardy, T, Najafi, B. and Schwenk, M. (2018). “Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performan-ce in Healthy and Patient Populations: A Systematic Re-view and Meta-Analysis of Randomized Controlled Tri-als”. Gerontology, 64 (1), 74–89. https://doi.org/10.1159/000481454
11. Gumaa, M. and Rehan Youssef, A. (2019). “Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systema-tic Review and Meta-Analysis”. Physical Therapy, 99 (10), 1304–1325. https://doi.org/10.1093/ptj/pzz093
12. Menek, M.Y. and Tarakci, D. (2021). Kalça Çevresi Kas Kuvveti Denge ve Fonksiyonu Etkiler Mi?. Sağlık Akade-misi Kastamonu, 7 (1), 100-111. https://doi.org/10.25279/sak.665186
13. Cruz-Díaz, D, Romeu, M, Velasco-González, C, Martínez-Amat, A. and Hita-Contreras, F. (2018). “The Effective-ness of 12 Weeks of Pilates Intervention on Disability, Pain and Kinesiophobia in Patients with Chronic Low Back Pain: A Randomized Controlled Trial”. Clinical Re-habilitation, 32 (9), 1249–1257. https://doi.org/10.1177/0269215518768393
14. Dutta, K.T. (2012). “Evaluation of the Kinect™ Sensor for 3-D Kinematic Measurement in the Workplace”. Applied Ergonomics, 43 (4), 645–649. https://doi.org/10.1016/j.apergo.2011.09.011
15. Monteiro-Junior, R.S, Vaghetti, C.A, Nascimento, O.J, Laks, J. and Deslandes, A.C. (2016). “Exergames: Neu-roplastic Hypothesis About Cognitive Improvement and Biological Effects on Physical Function of İnstitutionalized Older Persons”. Neural Regeneration Research, 11 (2), 201–204. https://doi.org/10.4103/1673-5374.177709
16. Yong Joo, L, Soon Yin, T, Xu, D, Thia, E, Pei Fen, C, Kuah, C.W. and Kong, K.H. (2010). “A Feasibility Study Using Interactive Commercial off-the-Shelf Computer Gaming in Upper Limb Rehabilitation in Patients After Stroke”. Journal of Rehabilitation Medicine, 42 (5), 437–441. https://doi.org/10.2340/16501977-0528
17. Barry, G, Galna, B. and Rochester, L. (2014). “The Role of Exergaming in Parkinson's Disease Rehabilitation: A Systematic Review fo the Evidence”. Journal of Neuroen-gineering and Rehabilitation, 11, 33. https://doi.org/10.1186/1743-0003-11-33
18. Chao, Y.Y, Scherer, Y.K. and Montgomery, C.A. (2015). “Effects of Using Nintendo Wii™ Exergames in Older Adults: A Review of the Literature”. Journal of Aging and Health, 27 (3), 379–402. https://doi.org/10.1177/0898264314551171
19. Miller, C.A, Hayes, D.M, Dye, K, Johnson, C. and Me-yers, J. (2012). “Using the Nintendo Wii Fit and Body We-ight Support to Improve Aerobic Capacity, Balance, Gait Ability, and Fear of Falling: Two Case Reports”. Journal of Geriatric Physical Therapy, 35 (2), 95–104. https://doi.org/10.1519/JPT.0b013e318224aa38
20. Yen, H.Y. and Chiu, H.L. (2021). “Virtual Reality Exergames for Improving Older Adults' Cognition And Depression: A Systematic Review and Meta-Analysis of Randomized Control Trials”. Journal of the American Medical Directors Association, 22 (5), 995–1002. https://doi.org/10.1016/j.jamda.2021.03.009
21. Chen, Y, Zhang, Y, Guo, Z, Bao, D. and Zhou, J. (2021). “Comparison Between the Effects of Exergame Interven-tion and Traditional Physical Training on Improving Ba-lance and Fall Prevention in Healthy Older Adults: A Sys-tematic Review and Meta-Analysis”. Journal of Neuroen-gineering and Rehabilitation, 18 (1), 164. https://doi.org/10.1186/s12984-021-00917-0
22. Pekyavas, N.O. and Ergun, N. (2017). “Comparison of Virtual Reality Exergaming and Home Exercise Programs in Patients with Subacromial Impingement Syndrome and Scapular Dyskinesis: Short Term Effect”. Acta Orthopae-dica et Traumatologica Turcica, 51 (3), 238–242. https://doi.org/10.1016/j.aott.2017.03.008
23. Alfieri, F.M, da Silva Dias, C, de Oliveira, N.C. and Battis-tella, L.R. (2022). “Gamification in Musculoskeletal Reha-bilitation”. Current Reviews in Musculoskeletal Medicine, 15 (6), 629–636. https://doi.org/10.1007/s12178-022-09797-w
24. Jonsdottir, J, Bertoni, R, Lawo, M, Montesano, A, Bowman, T. and Gabrielli, S. (2018). “Serious Games for Arm Rehabilitation of Persons with Multiple Sclerosis. A Randomized Controlled Pilot Study”. Multiple Sclerosis and Related Disorders, 19, 25–29. https://doi.org/10.1016/j.msard.2017.10.010
25. Steiner, B, Elgert, L, Saalfeld, B. and Wolf, K.H. (2020). “Gamification in Rehabilitation of Patients with Musculos-keletal Diseases of the Shoulder: Scoping Review”. JMIR Serious Games, 8 (3), e19914. https://doi.org/10.2196/19914
26. Beristain-Colorado, M.D.P, Ambros-Antemate, J.F, Var-gas-Treviño, M, Gutiérrez-Gutiérrez, J, Moreno-Rodriguez, A, Hernández-Cruz, P.A, Gallegos-Velasco, I.B. and Torres-Rosas, R. (2021). “Standardizing the De-velopment of Serious Games for Physical Rehabilitation: Conceptual Framework Proposal”. JMIR Serious Games, 9 (2), e25854. https://doi.org/10.2196/25854
27. Amengual Alcover, E, Jaume-I-Capó, A. and Moyà-Alcover, B. (2018). “PROGame: A Process Framework for Serious Game Development for Motor Rehabilitation The-rapy”. PloS One, 13 (5), e0197383. https://doi.org/10.1371/journal.pone.0197383
28. Wittkopf, P.G, Lloyd, D.M, Coe, O, Yacoobali, S. and Billington, J. (2020). “The Effect of Interactive Virtual Re-ality on Pain Perception: A Systematic Review of Clinical Studies”. Disability and Rehabilitation, 42 (26), 3722–3733. https://doi.org/10.1080/09638288.2019.1610803
29. Collado-Mateo, D, Merellano-Navarro, E, Olivares, P.R, García-Rubio, J. and Gusi, N. (2018). “Effect of Exerga-mes on Musculoskeletal Pain: A Systematic Review and Meta-Analysis”. Scandinavian Journal of Medicine & Sci-ence in Sports, 28 (3), 760–771. https://doi.org/10.1111/sms.12899

Fizyoterapist ve Mühendis İş Birliği ile Rehabilitasyon Yazılımının Geliştirilmesi: Omuz Rehabilitasyonu Pilot Çalışması

Yıl 2023, Cilt: 12 Sayı: 4, 1950 - 1958, 26.12.2023

Burak Menek Doç. Dr. Ayşe Betül Oktay Devrim Tarakcı

https://doi.org/10.37989/gumussagbil.1274979

Öz

Teknolojik rehabilitasyon, son yıllarda popüler olan tamamlayıcı yaklaşımlardan biridir. Bu çalış-manın amacı omuz rehabilitasyonu için serious oyun-larının oluşturulması ve omuza yönelik tasarlanan bu oyunların rotator cuff rüptürü olan bireylerde ağrı, eklem hareket açıklığı, eklem pozisyon hissi ve ap-roksimasyon kuvveti üzerindeki etkisini incelemektir. Ayrıca fizyoterapistler ve mühendislerin iş birliği ile teknolojik rehabilitasyon yazılımlarının oluşturulması amaçlandı. Çalışmaya rotator cuff rüptürü olan 20 hasta dahil edildi. Katılımcılar 6 hafta boyunca haf-tada iki kez omuz rehabilitasyonu için geliştirilen seri-ous oyun egzersiz programına alındı. Tedavi öncesi ve sonrası tüm bireylerin ağrı şiddeti, fleksiyon, ab-duksiyon ve eksternal rotasyon eklem hareket açıklı-ğı, eklem pozisyon hissi ve aproksimasyon kuvveti değerlendirildi. Grubun tedavi öncesi ve sonrası tüm değerlendirme parametrelerinde istatistiksel olarak anlamlı fark vardı (p<0,05). Omuz rehabilitasyonu için serious oyun egzersiz programının rotator cuff rüptürü olan bireylerde etkili olduğu ve alternatif bir terapatik strateji olarak serious oyunlarının kullanıla-bileceği bulunmuştur.

Anahtar Kelimeler

Egzersiz, Exergaming, Oyunlaştırma, Rotator cuff

Kaynakça

1. Choi, S.D, Guo, L, Kang, D. and Xiong, S. (2017). “Exer-game Technology and Interactive Interventions for Elderly Fall Prevention: A Systematic Literature Review”. Applied Ergonomics, 65, 570–581. https://doi.org/10.1016/j.apergo.2016.10.013
2. Kurillo, G, Hemingway, E, Cheng, M.L. and Cheng, L. (2022). “Evaluating the Accuracy of the Azure Kinect and Kinect V2.” Sensors (Basel, Switzerland), 22 (7), 2469. https://doi.org/10.3390/s22072469
3. Taylor, M.J, McCormick, D, Shawis, T, Impson, R. and Griffin, M. (2011). “Activity-Promoting Gaming Systems in Exercise and Rehabilitation”. Journal of Rehabilitation Research and Development, 48 (10), 1171–1186. https://doi.org/10.1682/jrrd.2010.09.0171
4. Clark, R.A, Bryant, A.L, Pua, Y, McCrory, P, Bennell, K. and Hunt, M. (2010). “Validity and Reliability of the Nin-tendo Wii Balance Board for Assessment of Standing Ba-lance”. Gait & Posture,31 (3), 307–310. https://doi.org/10.1016/j.gaitpost.2009.11.012
5. Fernández-González, P, Carratalá-Tejada, M, Monge-Pereira, E, Collado-Vázquez, S, Sánchez-Herrera Baeza, P, Cuesta-Gómez, A, Oña-Simbaña, E.D, Jardón-Huete, A, Molina-Rueda, F, Balaguer-Bernaldo de Quirós, C, Mian-golarra-Page, J.C. and Cano-de la Cuerda, R. (2019). “Leap Motion Controlled Video Game-Based Therapy for Upper Limb Rehabilitation in Patients with Parkinson's Disease: A Feasibility Study”. Journal of Neuroengineering and Re-habilitation, 16 (1), 133. https://doi.org/10.1186/s12984-019-0593-x
6. Proença, J.P, Quaresma, C. and Vieira, P. (2018). “Serious Games for Upper Limb Rehabilitation: A Systematic Re-view”. Disability and Rehabilitation. Assistive Techno-logy, 13 (1), 95–100. https://doi.org/10.1080/17483107.2017.1290702
7. Noveletto, F, Soares, A.V, Eichinger, F.L.F, Domenech, S.C, Hounsell, M.D.S. and Filho, P.B. (2020). “Biomedical Serious Game System for Lower Limb Motor Rehabilita-tion of Hemiparetic Stroke Patients”. IEEE Engineering in Medicine and Biology Society, 28 (6), 1481–1487. https://doi.org/10.1109/TNSRE.2020.2988362
8. Menek, B, Tarakci, D, Tarakci, E. and Menek, M.Y. (2022). “Investigation on the Efficiency of the Closed Ki-netic Chain and Video-Based Game Exercise Programs in the Rotator Cuff Rupture: A Randomized Trial”. Games for Health Journal, 11 (5), 298–306. https://doi.org/10.1089/g4h.2021.0210
9. Martin-Niedecken, A.L, Schwarz, T. and Schättin, A. (2021). “Comparing the Impact of Heart Rate-Based In-Game Adaptations in an Exergame-Based Functional High-Intensity Interval Training on Training Intensity and Expe-rience in Healthy Young Adults”. Frontiers in Psychology, 12, 572877. https://doi.org/10.3389/fpsyg.2021.572877
10. Gordt, K, Gerhardy, T, Najafi, B. and Schwenk, M. (2018). “Effects of Wearable Sensor-Based Balance and Gait Training on Balance, Gait, and Functional Performan-ce in Healthy and Patient Populations: A Systematic Re-view and Meta-Analysis of Randomized Controlled Tri-als”. Gerontology, 64 (1), 74–89. https://doi.org/10.1159/000481454
11. Gumaa, M. and Rehan Youssef, A. (2019). “Is Virtual Reality Effective in Orthopedic Rehabilitation? A Systema-tic Review and Meta-Analysis”. Physical Therapy, 99 (10), 1304–1325. https://doi.org/10.1093/ptj/pzz093
12. Menek, M.Y. and Tarakci, D. (2021). Kalça Çevresi Kas Kuvveti Denge ve Fonksiyonu Etkiler Mi?. Sağlık Akade-misi Kastamonu, 7 (1), 100-111. https://doi.org/10.25279/sak.665186
13. Cruz-Díaz, D, Romeu, M, Velasco-González, C, Martínez-Amat, A. and Hita-Contreras, F. (2018). “The Effective-ness of 12 Weeks of Pilates Intervention on Disability, Pain and Kinesiophobia in Patients with Chronic Low Back Pain: A Randomized Controlled Trial”. Clinical Re-habilitation, 32 (9), 1249–1257. https://doi.org/10.1177/0269215518768393
14. Dutta, K.T. (2012). “Evaluation of the Kinect™ Sensor for 3-D Kinematic Measurement in the Workplace”. Applied Ergonomics, 43 (4), 645–649. https://doi.org/10.1016/j.apergo.2011.09.011
15. Monteiro-Junior, R.S, Vaghetti, C.A, Nascimento, O.J, Laks, J. and Deslandes, A.C. (2016). “Exergames: Neu-roplastic Hypothesis About Cognitive Improvement and Biological Effects on Physical Function of İnstitutionalized Older Persons”. Neural Regeneration Research, 11 (2), 201–204. https://doi.org/10.4103/1673-5374.177709
16. Yong Joo, L, Soon Yin, T, Xu, D, Thia, E, Pei Fen, C, Kuah, C.W. and Kong, K.H. (2010). “A Feasibility Study Using Interactive Commercial off-the-Shelf Computer Gaming in Upper Limb Rehabilitation in Patients After Stroke”. Journal of Rehabilitation Medicine, 42 (5), 437–441. https://doi.org/10.2340/16501977-0528
17. Barry, G, Galna, B. and Rochester, L. (2014). “The Role of Exergaming in Parkinson's Disease Rehabilitation: A Systematic Review fo the Evidence”. Journal of Neuroen-gineering and Rehabilitation, 11, 33. https://doi.org/10.1186/1743-0003-11-33
18. Chao, Y.Y, Scherer, Y.K. and Montgomery, C.A. (2015). “Effects of Using Nintendo Wii™ Exergames in Older Adults: A Review of the Literature”. Journal of Aging and Health, 27 (3), 379–402. https://doi.org/10.1177/0898264314551171
19. Miller, C.A, Hayes, D.M, Dye, K, Johnson, C. and Me-yers, J. (2012). “Using the Nintendo Wii Fit and Body We-ight Support to Improve Aerobic Capacity, Balance, Gait Ability, and Fear of Falling: Two Case Reports”. Journal of Geriatric Physical Therapy, 35 (2), 95–104. https://doi.org/10.1519/JPT.0b013e318224aa38
20. Yen, H.Y. and Chiu, H.L. (2021). “Virtual Reality Exergames for Improving Older Adults' Cognition And Depression: A Systematic Review and Meta-Analysis of Randomized Control Trials”. Journal of the American Medical Directors Association, 22 (5), 995–1002. https://doi.org/10.1016/j.jamda.2021.03.009
21. Chen, Y, Zhang, Y, Guo, Z, Bao, D. and Zhou, J. (2021). “Comparison Between the Effects of Exergame Interven-tion and Traditional Physical Training on Improving Ba-lance and Fall Prevention in Healthy Older Adults: A Sys-tematic Review and Meta-Analysis”. Journal of Neuroen-gineering and Rehabilitation, 18 (1), 164. https://doi.org/10.1186/s12984-021-00917-0
22. Pekyavas, N.O. and Ergun, N. (2017). “Comparison of Virtual Reality Exergaming and Home Exercise Programs in Patients with Subacromial Impingement Syndrome and Scapular Dyskinesis: Short Term Effect”. Acta Orthopae-dica et Traumatologica Turcica, 51 (3), 238–242. https://doi.org/10.1016/j.aott.2017.03.008
23. Alfieri, F.M, da Silva Dias, C, de Oliveira, N.C. and Battis-tella, L.R. (2022). “Gamification in Musculoskeletal Reha-bilitation”. Current Reviews in Musculoskeletal Medicine, 15 (6), 629–636. https://doi.org/10.1007/s12178-022-09797-w
24. Jonsdottir, J, Bertoni, R, Lawo, M, Montesano, A, Bowman, T. and Gabrielli, S. (2018). “Serious Games for Arm Rehabilitation of Persons with Multiple Sclerosis. A Randomized Controlled Pilot Study”. Multiple Sclerosis and Related Disorders, 19, 25–29. https://doi.org/10.1016/j.msard.2017.10.010
25. Steiner, B, Elgert, L, Saalfeld, B. and Wolf, K.H. (2020). “Gamification in Rehabilitation of Patients with Musculos-keletal Diseases of the Shoulder: Scoping Review”. JMIR Serious Games, 8 (3), e19914. https://doi.org/10.2196/19914
26. Beristain-Colorado, M.D.P, Ambros-Antemate, J.F, Var-gas-Treviño, M, Gutiérrez-Gutiérrez, J, Moreno-Rodriguez, A, Hernández-Cruz, P.A, Gallegos-Velasco, I.B. and Torres-Rosas, R. (2021). “Standardizing the De-velopment of Serious Games for Physical Rehabilitation: Conceptual Framework Proposal”. JMIR Serious Games, 9 (2), e25854. https://doi.org/10.2196/25854
27. Amengual Alcover, E, Jaume-I-Capó, A. and Moyà-Alcover, B. (2018). “PROGame: A Process Framework for Serious Game Development for Motor Rehabilitation The-rapy”. PloS One, 13 (5), e0197383. https://doi.org/10.1371/journal.pone.0197383
28. Wittkopf, P.G, Lloyd, D.M, Coe, O, Yacoobali, S. and Billington, J. (2020). “The Effect of Interactive Virtual Re-ality on Pain Perception: A Systematic Review of Clinical Studies”. Disability and Rehabilitation, 42 (26), 3722–3733. https://doi.org/10.1080/09638288.2019.1610803
29. Collado-Mateo, D, Merellano-Navarro, E, Olivares, P.R, García-Rubio, J. and Gusi, N. (2018). “Effect of Exerga-mes on Musculoskeletal Pain: A Systematic Review and Meta-Analysis”. Scandinavian Journal of Medicine & Sci-ence in Sports, 28 (3), 760–771. https://doi.org/10.1111/sms.12899

Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Sağlık Kurumları Yönetimi
Bölüm	Araştırma Makaleleri
Yazarlar	Burak Menek 0000-0002-5206-0254 Doç. Dr. Ayşe Betül Oktay 0000-0003-0827-173X Devrim Tarakcı 0000-0001-9804-368X
Yayımlanma Tarihi	26 Aralık 2023
Yayımlandığı Sayı	Yıl 2023 Cilt: 12 Sayı: 4

Kaynak Göster

APA	Menek, B., Oktay, D. D. A. B., & Tarakcı, D. (2023). Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(4), 1950-1958. https://doi.org/10.37989/gumussagbil.1274979
AMA	Menek B, Oktay DDAB, Tarakcı D. Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. Aralık 2023;12(4):1950-1958. doi:10.37989/gumussagbil.1274979
Chicago	Menek, Burak, Doç. Dr. Ayşe Betül Oktay, ve Devrim Tarakcı. “Development of Rehabilitation Software With the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12, sy. 4 (Aralık 2023): 1950-58. https://doi.org/10.37989/gumussagbil.1274979.
EndNote	Menek B, Oktay DDAB, Tarakcı D (01 Aralık 2023) Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12 4 1950–1958.
IEEE	B. Menek, D. D. A. B. Oktay, ve D. Tarakcı, “Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 4, ss. 1950–1958, 2023, doi: 10.37989/gumussagbil.1274979.
ISNAD	Menek, Burak vd. “Development of Rehabilitation Software With the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 12/4 (Aralık 2023), 1950-1958. https://doi.org/10.37989/gumussagbil.1274979.
JAMA	Menek B, Oktay DDAB, Tarakcı D. Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12:1950–1958.
MLA	Menek, Burak vd. “Development of Rehabilitation Software With the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 12, sy. 4, 2023, ss. 1950-8, doi:10.37989/gumussagbil.1274979.
Vancouver	Menek B, Oktay DDAB, Tarakcı D. Development of Rehabilitation Software with the Cooperation of Physiotherapists and Engineers: A Shoulder Rehabilitation Pilot Study. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2023;12(4):1950-8.

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