Estudo de caso sobre o efeito do Nintendo Wii® no equilíbrio e nas AVDs na doença de Parkinson
DOI:
https://doi.org/10.34024/rnc.2024.v32.18636Palavras-chave:
Doença de Parkinson, Fisioterapia, Reabiliatação, Realidade VirtualResumo
Introdução. A doença de Parkinson (DP) é caracterizada pela degeneração acentuada dos neurônios dopaminérgicos na parte compacta da substância negra, essa alteração repercute negativamente no equilíbrio e consequentemente nas atividades de vida diária (AVDs) em indivíduos com a DP. A realidade virtual (RV) é um recurso terapêutico que pode ser utilizado na prática clínica do fisioterapeuta de forma de potencializar o efeito do atendimento, por proporcionar atividades com máxima semelhança às que são vivenciadas no mundo real. Objetivo. Avaliar os efeitos da RV (Nintendo Wii®) na melhora do equilíbrio e nas AVDs na DP. Método. Trata-se de um estudo de caso de dois participantes com DP que receberam a intervenção com RV, 2 vezes por semana durante 10 semanas. Os desfechos avaliados nesse estudo foram: equilíbrio e AVDs (MiniBESTest, TUG, TFV, FES-I e PDQ-39). Foi utilizado o pacote de jogos Wii Fit e Wii Fit Plus como opção de tratamento do equilíbrio no Nintendo Wii® (Soccer Heading, Table Tilt, Tightrope Walk e Tilt City). Resultado. Ao MiniBESTest após a intervenção, os pacientes apresentaram melhora e manutenção dos pontos, enquanto para o TUG, TFV e o FES-I houve mudança dos pontos, apontando uma melhora dos pacientes ao final do estudo. Para o PDQ-39 foi observada melhora na maioria dos itens relacionados às AVDs. Conclusão. A reabilitação utilizando a RV (Nintendo Wii®) ofertada 2 vezes por semana durante 10 semanas promoveu melhora na pontuação da maioria dos itens estudados após a intervenção, o que corroborou com a melhora dos participantes.
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Copyright (c) 2024 Tobias Julio de Oliveira, Fernando Miguel Félix, Fernanda de Oliveira Yamane
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Aprovado 2024-07-19
Publicado 2024-08-13
