Biyogeribildirimin Cerrahi Bakımda Kullanımı
Özet
Biyogeribildirim; hasta bireyin kalp hızı değişkenliği, elektromiyografi, deri iletkenliği gibi fizyolojik sinyallerini gerçek zamanlı görselleştirerek kendi fizyolojik yanıtlarını düzenlemeyi öğreten, girişimsel olmayan bir geleneksel ve tamamlayıcı tıp uygulamasıdır. Cerrahi bakım ortamında biyogeribildirim, ameliyat öncesi anksiyetenin giderilmesi, ameliyat sonrası ağrı yönetimi, solunum rehabilitasyonu ve fonksiyonel iyileşme gibi çeşitli hedeflerle kullanılmıştır. Son yıllarda kalp hızı değişkenliği bazlı yaklaşımlar ve elektromiyografi bazlı geri bildirimler ile biyogeribildirim destekli sanal gerçeklik uygulamaları klinik çalışmalarda incelenmiştir. Örneğin; pelvik taban ameliyat öncesi biyogeribildirim çalışmalarında idrar kaçırma ve kontinans geri kazanımı gibi spesifik kazanımlar meta-analizlerde ortaya konulmuştur. Bununla birlikte çalışmaların heterojenliği, örneklem büyüklükleri ve uygulama protokollerindeki farklılıklar nedeniyle kanıt düzeyleri arasında değişiklik görülmektedir. Bu bölümde cerrahi bakımda (ameliyat öncesi, sırası ve sonrası) biyogeribildirim uygulamaları, etki mekanizmaları, güncel klinik çalışmalar ve bakıma entegrasyon örnekleri özetlenmiştir.
Biofeedback is a non-invasive traditional and complementary medical practice that teaches patients to regulate their own physiological responses by visualizing real-time physiological signals (such as heart rate variability, electromyography, and skin conductance). In surgical care settings, biyogeribildirim has been used for various purposes, including reducing preoperative anxiety, managing postoperative pain, supporting respiratory rehabilitation, and promoting functional recovery. In recent years, heart rate variability–based approaches, electromyography-based feedback, and biyogeribildirim-assisted virtual reality applications have been examined in clinical studies. For example meta-analyses of preoperative pelvic floor biyogeribildirim interventions have demonstrated specific benefits such as reduction of urinary incontinence and improvement of continence. However, due to heterogeneity among studies, sample sizes, and differences in intervention protocols, the levels of evidence vary. This chapter summarizes biyogeribildirim applications in surgical care (preoperative, intraoperative, and postoperative), their mechanisms of action, current clinical research, and examples of integration into care.
Referanslar
Larsson F, Strömback U, Rysst Gustafsson S. et al. Perception of feeling safe perioperatively: A concept analysis. International Journal of Qualitative Studies on Health and Well-Being. 2023;18(1):2216018. doi:10.1080/17482631.2023.2216018
Celik E, Sari I. Biyogeribildirim: İşlevi, organizma üzerindeki etkileri ve spor bilimlerindeki kullanımı. Turkısh Journal of Sports Medicine. 2022;57(2):108–116. doi:10.47447/tjsm.0566
Goldenberg JZ, Brignall M, Hamilton M, et al. Biyogeribildirim for treatment of irritable bowel syndrome. The Cochrane Database of Systematic Reviews. 2019;11:CD012530. doi:10.1002/14651858.CD012530.pub2
Sakakibara M. Evaluation of heart rate variability and application of heart rate variability biyogeribildirim: Toward further research on slow-paced abdominal breathing in Zen meditation. Applied Psychophysiology and Biyogeribildirim. 2022;47(4):345–356. doi:10.1007/s10484-022-09546-2
American Psychological Association. Biyogeribildirim and applied psychophysiology. Available from: https://www.apa.org/ed/graduate/specialize/biyogeribildirim (Accessed 14 November 2025).
van der Zwan JE, de Vente W, Huizink AC, et al. Physical activity, mindfulness meditation, or heart rate variability biyogeribildirim for stress reduction: A randomized controlled trial. Applied Psychophysiology and Biyogeribildirim. 2015;40(4):257–268. doi:10.1007/s10484-015-9293-x
Malik K, Dua A. Advancing patient care with biyogeribildirim. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
Dai YK, Wu YB, Li RL, et al. Efficacy and safety of non-pharmacological interventions for irritable bowel syndrome in adults. World Journal of Gastroenterology. 2020;26(41):6488–6509. doi:10.3748/wjg.v26.i41.6488
Basmajian JV. Biyogeribildirim in rehabilitation: A review of principles and practices. Archives of Physical Medicine and Rehabilitation. 1981;62(10):469–475.
Riener R, Lünenburger L, Jezernik S, et al. Patient-cooperative strategies for robot-aided treadmill training: First experimental results. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2005;13(3):380–394. doi:10.1109/TNSRE.2005.848628
Merkle TP, Hofmann N, Knop C, et al. Biyogeribildirim's effect on orthosis use: Insights from continuous six-week monitoring of ankle fracture loading. Sensors (Basel). 2025;25(3):825. doi:10.3390/s25030825
Ramakumar N, Sama S. Exploring heart rate variability biyogeribildirim as a nonpharmacological intervention for enhancing perioperative care: A narrative review. Turkish Journal of Anaesthesiology and Reanimation. 2024;52(4):125–133. doi:10.4274/TJAR.2024.241658
Lv A, Gai T, Zhang S, et al. Electrical stimulation plus biyogeribildirim improves urination function, pelvic floor function, and distress after reconstructive surgery: A randomized controlled trial. International Journal of Colorectal Disease. 2023;38(1):226. doi:10.1007/s00384-023-04513-7
Calderone A, Mazzurco Masi VM, De Luca R, et al. The impact of biyogeribildirim in enhancing chronic pain rehabilitation: A systematic review of mechanisms and outcomes. Heliyon. 2025;11(2):e41917. doi:10.1016/j.heliyon.2025.e41917
Orgil Z, Johnson L, Karthic A, et al. Feasibility and acceptability of perioperative application of biyogeribildirim-based virtual reality versus active control for pain and anxiety in children and adolescents undergoing surgery: Protocol for a pilot randomised controlled trial. BMJ Open. 2023;13(1):e071274. doi:10.1136/bmjopen-2022-071274
Barnett M, Langer SA, Matsoukas K, et al. Biyogeribildirim in pediatric, adolescent, and young adult cancer care: A systematic review. Children (Basel). 2025;12(8):998. doi:10.3390/children12080998
Martino Cinnera A, Morone G, Bisirri A, et al. Headaches treatment with EMG biyogeribildirim: A focused systematic review and meta-analysis. European journal of Physical and Rehabilitation Medicine. 2023;59(6):697–705. doi:10.23736/S1973-9087.23.07745-6
Gullett N, Zajkowska Z, Walsh A, et al. Heart rate variability as a way to understand associations between the autonomic nervous system and affective states: A critical review. International Journal of Psychophysiology. 2023;192:35–42. doi:10.1016/j.ijpsycho.2023.08.001
Morin CM, Culbert JP, Schwartz SM. Nonpharmacological interventions for insomnia: A meta-analysis of treatment efficacy. American Journal of Psychiatry. 1994;151(8):1172–1180. doi:10.1176/ajp.151.8.1172
Kondo K, Noonan KM, Freeman M, et al. Efficacy of biyogeribildirim for medical conditions: An evidence map. Journal of General Internnal Medicine. 2019;34(12):2883–2893. doi:10.1007/s11606-019-05215-z
Giggins OM, Persson UM, Caulfield B. Biyogeribildirim in rehabilitation. Journal of Neuroengineering Rehabiltation. 2013;10:60. doi:10.1186/1743-0003-10-60
Moss DP. Review of: Lehrer PM, Woolfolk RL, editors. Principles and practice of stress management (4th ed.). Guilford; 2021. Appl Psychophysiol Biyogeribildirim. 2022;47(2):143–4. doi:10.1007/s10484-022-09537-3
Noble D. Claude Bernard, the first systems biologist, and the future of physiology. Experimental Physiology. 2008;93(1):16–26. doi:10.1113/expphysiol.2007.038695
Millett D. Hans Berger: From psychic energy to the EEG. Perspectives in Biology and Medicine. 2001;44(4):522–542. doi:10.1353/pbm.2001.0070
Miller NE. Learning of visceral and glandular responses. Science. 1969;163(3866):434–445. doi:10.1126/science.163.3866.434
Kamiya J. The first communications about operant conditioning of the EEG. Journal of Neurotherapy. 2011;15(1):65–73. doi:10.1080/10874208.2011.545764
Peper E, Shaffer F. Biyogeribildirim history: An alternative view. Biyogeribildirim. 2010;38(4):142–147. doi:10.5298/1081-5937-38.4.03
Lehrer PM, Vaschillo E, Vaschillo B. Resonant frequency biyogeribildirim training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biyogeribildirim. 2000;25(3):177–191. doi:10.1023/A:1009554825745
Richards R, van den Noort JC, Dekker J, et al. Gait retraining with real-time biyogeribildirim to reduce knee adduction moment: Systematic review of effects and methods used. Archives of Physical Medicine and Rehabilitation. 2017;98(1):137–150. doi:10.1016/j.apmr.2016.07.006
Chepeha DB, Barbon CEA, Esemezie AO, et al. Telemedicine-enabled biyogeribildirim electropalatography rehabilitation (TEBER): A pilot study for patients treated with surgery for oral cavity carcinoma. Head & Neck. 2024;46(7):1737–1751. doi:10.1002/hed.27721
Diller ML, Master V. Integrative surgery: Embedding complementary and nonpharmacologic therapies into surgical pain management strategies. The American Surgeon. 2023;89(2):192–196. doi:10.1177/00031348221110244
Mi N, Zhang ST, Sun XL, et al. Mindfulness meditation combined with BrainLink intelligent biyogeribildirim for pancreatic cancer patients undergoing chemotherapy: A randomized controlled trial. Brain and Behavior. 2024;14(12):e70197. doi:10.1002/brb3.70197
Orgil Z, Karthic A, Bell NF, et al. Use of biyogeribildirim-based virtual reality in pediatric perioperative and postoperative settings: Observational study. JMIR Perioperative Medicine. 2024;7:e48959. doi:10.2196/48959
Girishan Prabhu V, Stanley L, Morgan R, et al. Designing and developing a nature-based virtual reality with heart rate variability biyogeribildirim for surgical anxiety and pain management: Evidence from total knee arthroplasty patients. Aging & Mental Health. 2024;28(5):738–753. doi:10.1080/13607863.2023.2270442
Chen SF, Pan WL, Gau ML, et al. Heart rate variability biyogeribildirim training reduces early maternal stress, anxiety, and depression in women undergoing cesarean delivery: A randomized controlled trial. Applied Psychophysiology and Biyogeribildirim. 2024;49(4):637–650. doi:10.1007/s10484-024-09656-z
Kelly NA, Althubaiti A, Katapadi AD, et al. Association of vibrotactile biyogeribildirim with reduced ergonomic risk for surgeons during tonsillectomy. JAMA Otolaryngology-- Head & Neck Surgery. 2023;149(5):397–403. doi:10.1001/jamaoto.2023.0044
Leung KL, Segal RM, Bernstein JD, et al. Surgical ergonomics: Assessment of surgeon posture and impact of training device during otolaryngology procedures. Laryngoscope Investigative Otolaryngology. 2022;7(5):1351–1359. doi:10.1002/lio2.901
Goessl VC, Curtiss JE, Hofmann SG. The effect of HRV biyogeribildirim training on stress and anxiety: A meta-analysis. Psychological Medicine. 2017;47(15):2578–2586. doi:10.1017/S0033291717001003
Kokic T, Pavic R, Vuksanic M, et al. Effects of electromyographic biyogeribildirim-assisted exercise on functional recovery and quality of life in patients after total hip arthroplasty: A randomized controlled trial. Journal of Personalized Medicine. 2023;13(12):1716. doi:10.3390/jpm13121716
Xie YJ, Wang S, Gong QJ, et al. Effects of electromyography biyogeribildirim for patients after knee surgery: A systematic review and meta-analysis. Journal of Biomechanics. 2021;120:110386. doi:10.1016/j.jbiomech.2021.110386
Kothgassner OD, Goreis A, Bauda I, et al. Virtual reality biyogeribildirim interventions for treating anxiety: A systematic review, meta-analysis and future perspective. Wiener Klinische Wochenschrift. 2022;134(Suppl 1):49–59. doi:10.1007/s00508-021-01991-z
Lüddecke R, Felnhofer A. Virtual reality biyogeribildirim in health: A scoping review. Appliedl Psychophysiol and Biyogeribildirim. 2022;47(1):1–15. doi:10.1007/s10484-021-09529-9
Pizzoli SFM, Marzorati C, Gatti D, et al. A meta-analysis on heart rate variability biyogeribildirim and depressive symptoms. Scientific Reports. 2021;11(1):6650. doi:10.1038/s41598-021-86149-7
Terzoni S, Parozzi M, Rocco B, et al. Preoperative biyogeribildirim improves continence recovery after open prostatectomy: A systematic review and meta-analysis. Dissertation Nursing. 2023;2:52–63. doi:10.54103/dn/20383
Brea-Gómez B, Pazo-Palacios R, Pérez-Gisbert L, et al. Pelvic floor muscle training with preoperative biyogeribildirim in patients with postprostatectomy incontinence: A systematic review and meta-analysis of randomised clinical trials. European Urology Focus. 2025; 11(5):767-781. doi:10.1016/j.euf.2025.04.004
Terzoni S, Maruccia S, Di Prisco L, et al. Preoperative pelvic muscle training for continence recovery after prostatectomy: Yet another meta-analysis? Neurourology and Urodynamics. 2025; 1-10. doi:10.1002/nau.70167
Ivascu R, Torsin LI, Hostiuc L, et al. The surgical stress response and anesthesia: A narrative review. Journal of Clinical Medicine. 2024;13(10):3017. doi:10.3390/jcm13103017
Anderson TA, Segaran JR, Toda C, et al. High-frequency heart rate variability index: A prospective, observational trial assessing utility as a marker for the balance between analgesia and nociception under general anesthesia. Anesthesia and Analgesia. 2020;130(4):1045–1053. doi:10.1213/ANE.0000000000004180
Zhan J, Wu ZX, Duan ZX, et al. Heart rate variability-derived features based on deep neural network for distinguishing different anaesthesia states. BMC Anesthesiology. 2021;21(1):66. doi:10.1186/s12871-021-01285-x
Reilly A, Sharif A, Bhagra O, et al. Evaluation of mindfulness-based interventions for pain, anxiety, and depression in spinal cord injury patients: A systematic review and meta-analysis. Clinical Neurology and Neurosurgery. 2025;251:108839. doi:10.1016/j.clineuro.2025.108839
Cao G, Zhang X, Wang F, et al. Biyogeribildirim combined with percutaneous electrical pudendal nerve stimulation for the treatment of low anterior rectal resection syndrome: A study protocol for a randomized controlled trial. Trials. 2024;25(1):440. doi:10.1186/s13063-024-08300-9
Akkaya N, Ardic F, Ozgen M, et al. Efficacy of electromyographic biyogeribildirim and electrical stimulation following arthroscopic partial meniscectomy: A randomized controlled trial. Clinical Rehabilitation. 2012;26(3):224–236. doi:10.1177/0269215511419382
Li H, Guo C, Gao J, et al. Effectiveness of biyogeribildirim therapy in patients with bowel dysfunction following rectal cancer surgery: A systematic review with meta-analysis. Therapeutics and Clinical Risk Management. 2022;18:71–93. doi:10.2147/TCRM.S344375
Luo J, Xie N, Yang L. Observation of the intervention effect of biyogeribildirim therapy combined with cluster nursing on perioperative constipation in patients with thoracolumbar fracture. Frontiers in Surgery. 2022;9:847068. doi:10.3389/fsurg.2022.847068
Al-Monajjed R, Albers P, Droop J, et al. PRO-P: Evaluating the effect of electronic patient-reported outcome measures monitoring compared with standard care in prostate cancer patients undergoing surgery—study protocol for a randomized controlled trial. Trials. 2024;25(1):754. doi:10.1186/s13063-024-08579-8
Normahani P, Makwana N, von Rosenberg W, et al. Self-assessment of surgical ward crisis management using video replay augmented with stress biyogeribildirim. Patient Safety in Surgery. 2018;12:6. doi:10.1186/s13037-018-0153-5
Kokic T, Pavic R, Vuksanic M, et al. Effects of electromyographic biyogeribildirim-assisted exercise on functional recovery and quality of life in patients after total hip arthroplasty: A randomized controlled trial. Journal of Personalized Medicine. 2023;13(12):1716. doi:10.3390/jpm13121716
Wagner B, Steiner M, Huber DFX, et al. The effect of biyogeribildirim interventions on pain, overall symptoms, quality of life and physiological parameters in patients with pelvic pain: A systematic review. Wiener Klinische Wochenschrift. 2022;134(Suppl 1):11–48. doi:10.1007/s00508-021-01827-w
Referanslar
Larsson F, Strömback U, Rysst Gustafsson S. et al. Perception of feeling safe perioperatively: A concept analysis. International Journal of Qualitative Studies on Health and Well-Being. 2023;18(1):2216018. doi:10.1080/17482631.2023.2216018
Celik E, Sari I. Biyogeribildirim: İşlevi, organizma üzerindeki etkileri ve spor bilimlerindeki kullanımı. Turkısh Journal of Sports Medicine. 2022;57(2):108–116. doi:10.47447/tjsm.0566
Goldenberg JZ, Brignall M, Hamilton M, et al. Biyogeribildirim for treatment of irritable bowel syndrome. The Cochrane Database of Systematic Reviews. 2019;11:CD012530. doi:10.1002/14651858.CD012530.pub2
Sakakibara M. Evaluation of heart rate variability and application of heart rate variability biyogeribildirim: Toward further research on slow-paced abdominal breathing in Zen meditation. Applied Psychophysiology and Biyogeribildirim. 2022;47(4):345–356. doi:10.1007/s10484-022-09546-2
American Psychological Association. Biyogeribildirim and applied psychophysiology. Available from: https://www.apa.org/ed/graduate/specialize/biyogeribildirim (Accessed 14 November 2025).
van der Zwan JE, de Vente W, Huizink AC, et al. Physical activity, mindfulness meditation, or heart rate variability biyogeribildirim for stress reduction: A randomized controlled trial. Applied Psychophysiology and Biyogeribildirim. 2015;40(4):257–268. doi:10.1007/s10484-015-9293-x
Malik K, Dua A. Advancing patient care with biyogeribildirim. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025.
Dai YK, Wu YB, Li RL, et al. Efficacy and safety of non-pharmacological interventions for irritable bowel syndrome in adults. World Journal of Gastroenterology. 2020;26(41):6488–6509. doi:10.3748/wjg.v26.i41.6488
Basmajian JV. Biyogeribildirim in rehabilitation: A review of principles and practices. Archives of Physical Medicine and Rehabilitation. 1981;62(10):469–475.
Riener R, Lünenburger L, Jezernik S, et al. Patient-cooperative strategies for robot-aided treadmill training: First experimental results. IEEE Transactions on Neural Systems and Rehabilitation Engineering. 2005;13(3):380–394. doi:10.1109/TNSRE.2005.848628
Merkle TP, Hofmann N, Knop C, et al. Biyogeribildirim's effect on orthosis use: Insights from continuous six-week monitoring of ankle fracture loading. Sensors (Basel). 2025;25(3):825. doi:10.3390/s25030825
Ramakumar N, Sama S. Exploring heart rate variability biyogeribildirim as a nonpharmacological intervention for enhancing perioperative care: A narrative review. Turkish Journal of Anaesthesiology and Reanimation. 2024;52(4):125–133. doi:10.4274/TJAR.2024.241658
Lv A, Gai T, Zhang S, et al. Electrical stimulation plus biyogeribildirim improves urination function, pelvic floor function, and distress after reconstructive surgery: A randomized controlled trial. International Journal of Colorectal Disease. 2023;38(1):226. doi:10.1007/s00384-023-04513-7
Calderone A, Mazzurco Masi VM, De Luca R, et al. The impact of biyogeribildirim in enhancing chronic pain rehabilitation: A systematic review of mechanisms and outcomes. Heliyon. 2025;11(2):e41917. doi:10.1016/j.heliyon.2025.e41917
Orgil Z, Johnson L, Karthic A, et al. Feasibility and acceptability of perioperative application of biyogeribildirim-based virtual reality versus active control for pain and anxiety in children and adolescents undergoing surgery: Protocol for a pilot randomised controlled trial. BMJ Open. 2023;13(1):e071274. doi:10.1136/bmjopen-2022-071274
Barnett M, Langer SA, Matsoukas K, et al. Biyogeribildirim in pediatric, adolescent, and young adult cancer care: A systematic review. Children (Basel). 2025;12(8):998. doi:10.3390/children12080998
Martino Cinnera A, Morone G, Bisirri A, et al. Headaches treatment with EMG biyogeribildirim: A focused systematic review and meta-analysis. European journal of Physical and Rehabilitation Medicine. 2023;59(6):697–705. doi:10.23736/S1973-9087.23.07745-6
Gullett N, Zajkowska Z, Walsh A, et al. Heart rate variability as a way to understand associations between the autonomic nervous system and affective states: A critical review. International Journal of Psychophysiology. 2023;192:35–42. doi:10.1016/j.ijpsycho.2023.08.001
Morin CM, Culbert JP, Schwartz SM. Nonpharmacological interventions for insomnia: A meta-analysis of treatment efficacy. American Journal of Psychiatry. 1994;151(8):1172–1180. doi:10.1176/ajp.151.8.1172
Kondo K, Noonan KM, Freeman M, et al. Efficacy of biyogeribildirim for medical conditions: An evidence map. Journal of General Internnal Medicine. 2019;34(12):2883–2893. doi:10.1007/s11606-019-05215-z
Giggins OM, Persson UM, Caulfield B. Biyogeribildirim in rehabilitation. Journal of Neuroengineering Rehabiltation. 2013;10:60. doi:10.1186/1743-0003-10-60
Moss DP. Review of: Lehrer PM, Woolfolk RL, editors. Principles and practice of stress management (4th ed.). Guilford; 2021. Appl Psychophysiol Biyogeribildirim. 2022;47(2):143–4. doi:10.1007/s10484-022-09537-3
Noble D. Claude Bernard, the first systems biologist, and the future of physiology. Experimental Physiology. 2008;93(1):16–26. doi:10.1113/expphysiol.2007.038695
Millett D. Hans Berger: From psychic energy to the EEG. Perspectives in Biology and Medicine. 2001;44(4):522–542. doi:10.1353/pbm.2001.0070
Miller NE. Learning of visceral and glandular responses. Science. 1969;163(3866):434–445. doi:10.1126/science.163.3866.434
Kamiya J. The first communications about operant conditioning of the EEG. Journal of Neurotherapy. 2011;15(1):65–73. doi:10.1080/10874208.2011.545764
Peper E, Shaffer F. Biyogeribildirim history: An alternative view. Biyogeribildirim. 2010;38(4):142–147. doi:10.5298/1081-5937-38.4.03
Lehrer PM, Vaschillo E, Vaschillo B. Resonant frequency biyogeribildirim training to increase cardiac variability: Rationale and manual for training. Applied Psychophysiology and Biyogeribildirim. 2000;25(3):177–191. doi:10.1023/A:1009554825745
Richards R, van den Noort JC, Dekker J, et al. Gait retraining with real-time biyogeribildirim to reduce knee adduction moment: Systematic review of effects and methods used. Archives of Physical Medicine and Rehabilitation. 2017;98(1):137–150. doi:10.1016/j.apmr.2016.07.006
Chepeha DB, Barbon CEA, Esemezie AO, et al. Telemedicine-enabled biyogeribildirim electropalatography rehabilitation (TEBER): A pilot study for patients treated with surgery for oral cavity carcinoma. Head & Neck. 2024;46(7):1737–1751. doi:10.1002/hed.27721
Diller ML, Master V. Integrative surgery: Embedding complementary and nonpharmacologic therapies into surgical pain management strategies. The American Surgeon. 2023;89(2):192–196. doi:10.1177/00031348221110244
Mi N, Zhang ST, Sun XL, et al. Mindfulness meditation combined with BrainLink intelligent biyogeribildirim for pancreatic cancer patients undergoing chemotherapy: A randomized controlled trial. Brain and Behavior. 2024;14(12):e70197. doi:10.1002/brb3.70197
Orgil Z, Karthic A, Bell NF, et al. Use of biyogeribildirim-based virtual reality in pediatric perioperative and postoperative settings: Observational study. JMIR Perioperative Medicine. 2024;7:e48959. doi:10.2196/48959
Girishan Prabhu V, Stanley L, Morgan R, et al. Designing and developing a nature-based virtual reality with heart rate variability biyogeribildirim for surgical anxiety and pain management: Evidence from total knee arthroplasty patients. Aging & Mental Health. 2024;28(5):738–753. doi:10.1080/13607863.2023.2270442
Chen SF, Pan WL, Gau ML, et al. Heart rate variability biyogeribildirim training reduces early maternal stress, anxiety, and depression in women undergoing cesarean delivery: A randomized controlled trial. Applied Psychophysiology and Biyogeribildirim. 2024;49(4):637–650. doi:10.1007/s10484-024-09656-z
Kelly NA, Althubaiti A, Katapadi AD, et al. Association of vibrotactile biyogeribildirim with reduced ergonomic risk for surgeons during tonsillectomy. JAMA Otolaryngology-- Head & Neck Surgery. 2023;149(5):397–403. doi:10.1001/jamaoto.2023.0044
Leung KL, Segal RM, Bernstein JD, et al. Surgical ergonomics: Assessment of surgeon posture and impact of training device during otolaryngology procedures. Laryngoscope Investigative Otolaryngology. 2022;7(5):1351–1359. doi:10.1002/lio2.901
Goessl VC, Curtiss JE, Hofmann SG. The effect of HRV biyogeribildirim training on stress and anxiety: A meta-analysis. Psychological Medicine. 2017;47(15):2578–2586. doi:10.1017/S0033291717001003
Kokic T, Pavic R, Vuksanic M, et al. Effects of electromyographic biyogeribildirim-assisted exercise on functional recovery and quality of life in patients after total hip arthroplasty: A randomized controlled trial. Journal of Personalized Medicine. 2023;13(12):1716. doi:10.3390/jpm13121716
Xie YJ, Wang S, Gong QJ, et al. Effects of electromyography biyogeribildirim for patients after knee surgery: A systematic review and meta-analysis. Journal of Biomechanics. 2021;120:110386. doi:10.1016/j.jbiomech.2021.110386
Kothgassner OD, Goreis A, Bauda I, et al. Virtual reality biyogeribildirim interventions for treating anxiety: A systematic review, meta-analysis and future perspective. Wiener Klinische Wochenschrift. 2022;134(Suppl 1):49–59. doi:10.1007/s00508-021-01991-z
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