Effect of Virtual Therapy on Upper Limb Motor Rehabilitation of Children With Hemiparesis

Authors

  • Anelise Vilas Bôas Fisioterapeuta graduada na Universidade do Vale do Sapucaí (UNIVÁS), Pouso Alegre-MG, Brasil.
  • Walter Luiz Magalhães Fernandes Médico, residência médica em Neurologia Infantil pela UNICAMP, Campinas- SP, Brasil.
  • Andréia Maria Silva Fisioterapeuta, docente do curso de Fisioterapia da Universidade do Vale do Sapucaí - UNIVÁS e Universidade Federal de Alfenas- UNIFAL, Alfenas-MG, Brasil.
  • Adriana Teresa Silva Fisioterapeuta, docente do curso de Fisioterapia da Universidade do Vale do Sapucaí - UNIVÁS e Universidade Federal de Alfenas- UNIFAL, Alfenas-MG, Brasil.

DOI:

https://doi.org/10.34024/rnc.2013.v21.8148

Keywords:

Rehabilitation, Hemiparesis, Function

Abstract

 

Objective. This study aimed to investigate the effect of virtual therapy on the motor ability of hemiparetic children’s upper limb. Method. The sample consisted of three hemiparetic children (8.66±2.30 years). The Pediatric Evaluation of Disability of Inventory (PEDI) and Mo­tor Activity Inventory (MAL) were used for initial and final assess­ments and the number of hits in each game was counted as well. For the treatment, a hardware (video game) was used, Nintendo brand, model Wii Sports software, using the games (tennis, baseball, golf, boxing). During a period of two weeks, the therapy lasted for 1 hour and 10 minutes each day, consecutively. Results. There was statistical difference in two children in the PEDI (p=0,00) and in the MAL, related to the quality of the upper limb’s use (p=0,00) where as re­lation to the frequency of use, there was statistical difference in all three children in all four games had a increase. Conclusion. It was concluded that the use of Virtual Reality can promote functional gain for hemiparetic children’s upper limb.

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References

Costa MCF, Bezerra PP, Oliveira APR. Impacto da hemiparesia na simetria e na transferência de peso: repercussões no desempenho funcional. Rev Neurocienc 2006;14:10-3.

Ortega DS. O Paciente Neurológico/Neurocirúrgico Pediátrico. In: Sarmento GJV. Fisioterapia Respiratória em Pediatria e Neonatologia. Barueri: Manole; 2007, p. 176-95.

Gomes FL. Fraqueza Muscular. In: Lopes AC, José FF, Lopes Rd. Guias de medicina. Barueri: Manole; 2007, p. 1857-71.

Morais GFS, Nascimento LR, Glória AE, Salmela LFT, Paiva CMR, Lopes TAT. A influência do fortalecimento muscular no desempenho motor do membro superior parético de indivíduos acometidos por Acidente Vascular Encefálico. Acta Fisiatr 2008;15:245-8.

Nascimento LR, Glória AE, Habib ES. Effects of constraint-induced movement therapy as a rehabilitation strategy for the affected upper limb of children with hemiparesis: systematic review of the literature. Rev Bras Fisioter 2009;13:97-102. http://dx.doi.org/10.1590/S1413-35552009005000022

Gianni MADC. Paralisia Cerebral – Aspectos clínicos. In: Moura EW, Silva PAC. Fisioterapia: aspectos clínicos e práticos da reabilitação. 3 ed. São Paulo: Artes Médicas; 2005, p.13-25.

Marinho APS, Souza MAB, Pimentel AM. Desempenho funcional de crianças com paralisia cerebral diparéticas e hemiparéticas. Rev Cien Med Biol 2008;7:57-66.

Carvalho LFA, Affonseca CA, Guerra SD, Ferreira AR, Goulart EMA. Traumatismo Cranioencefálico Grave em Crianças e Adolescentes. Rev Bras Ter Int. 2007;19:98-106. http://dx.doi.org/10.1590/S0103-507X2007000100013

Junior AL. Conduta frente à criança com trauma craniano. J Ped 2002;78:40-7. 10.Jerônimo RA, Lima SMPF. Tecnologias Computacionais e ambientes virtuais no processo terapêutico de reabilitação. Mundo Saúde 2006;30:96-106.

Kisner C, Tori R. Introdução à Realidade Virtual, Realidade misturada e hiperrealidade. In: Kisner C, Tori R. Realidade virtual: conceitos e tendências. São Paulo: Mania de Livro; 2004, p.3-20.

Broeren J. Virtual rehabilitation: Implications for persons with stroke(endereço na internet). Gothenburg, Sweden: Gothenburg University Publications Electronic Archive (GUPEA).(atualizado em 2011; assessado em 2012). Disponível em: http://gupea.ub.gu.se/bitstream/2077/7329/1/PhD_Thesis_Jurgen_Broeren.pdf.

Deuschle VP, Cechella C. O déficit em consciência fonológica e sua relação com a dislexia: diagnóstico e intervenção. Rev CEFAC 200914.Silva MFMC, Kleinhans ACS. Processos cognitivos e plasticidade Cerebral na Síndrome de Down. Rev Bras Ed Esp 2006;12:123-38.

Vasconselos RLDM, Moura TL, Campos TF, Lindquist ARR, Guerra RO. Avaliação do desempenho funcional de crianças com paralisia cerebral de acordo com os níveis de comprometimento motor. Rev Bras Fisioter 2009; 13:390-7. http://dx.doi.org/10.1590/S1413-35552009005000051

Fonseca JO, Cordani LK, Oliveira MC. Aplicação do inventário de avaliação pediátrica de incapacidade (PEDI) com crianças portadoras de paralisia cerebral tetraparesia espástica. Rev Ter Ocup USP 2005;16:67-74.

Carlberg EB, Vollestad NK. Everyday functioning in Young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Dev MedChild Neurol 2003;45:603-12.

Uswatte G, Taub E. Implications of the Learned Nonuse Formulation for Measuring Rehabilitation Outcomes: Lessons From Constraint-Induced Movement Therapy. Rehabil Psychol 2005;50:34-42. http://dx.doi.org/10.1037/0090-5550.50.1.34

Wolf SL, Lecraw DE, Barton LA, Jann BB. Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients. Exp Neurol 1989;104:125-32. http://dx.doi.org/10.1016/S0014-4886(89)80005-6

Paz LPDS. Quantidade e qualidade do uso da extremidade superior parética após acidente cerebrovascular [dissertação]. Campinas: Faculdade de Ciências Médicas da Universidade Estadual de Campinas, Unicamp, 2007.

Jang SH, You SH, Hallett M, Cho YW, Park CM, Cho SH. Cortical Reorganization and Associated Functional Motor Recovery After Virtual Reality in Patients With Chronic Stroke: An Experimenter-Blind Preliminary Study. Arc Phys Med Rehabil 2005;86:2218-23. http://dx.doi.org/10.1016/j.apmr.2005.04.015

Flynn S, Copar S, Ghate N, Harris M, Palma P, Bender A. Effects of Virtual Reality Immersion in Individuals with Central Nervous System Injury (endereço na internet). Philadelphia: Temple University. (atualizado em 2012; acessado em 2012). Disponível em: http://www.temple.edu/ispr/prev_conferences/proceedings/2007/Flynn,%20et%20al.pdf

Reid DT. The influence of virtual reality on playfulness in children with cerebral palsy: a pilot study. Occup Ther Inte 2004;11:131-44. http://dx.doi.org/10.1002/oti.202

Deutsch JE, Borbely M, Filler J, Huhn K, Bowlby PG. Use of a Low-Cost, Commercially Available Gaming Console (Wii) for Rehabilitation of an Adolescent With Cerebral Palsy. Phys Ther2008;88:1196-207. http://dx.doi.org/10.2522/ptj.20080062

Weiss PL, Rand D, Katz N, Kizony R. Video capture virtual reality as a flexible and effective rehabilitation tool. J NeuroEngin Rehabil 2004;12:1-12.

Ferreira LR, Silva AT, Deamo RA. A utilização da realidade virtual como recurso terapêutico: estudo de caso [dissertação]. Itajubá: Centro Universitario de Itajubá: Universitas, 2008.

Griffiths M. The educational benefits of videogames Video games have great positive potential in addition to their entertainment value and there has been considerable success when games are designed to address a specific problem or to teach a certain skill. Edu Health 2002;20:47-51.

You SH, Jang SH, Kim YH. Cortical reorganization induced by virtual reality therapy in a child with hemiparetic cerebral palsy. Dev Med Child Neurol 2005;47:628-35. http://dx.doi.org/10.1111/j.1469-8749.2005.tb01216.x

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Published

2013-12-31

How to Cite

Bôas, A. V., Fernandes, W. L. M., Silva, A. M., & Silva, A. T. (2013). Effect of Virtual Therapy on Upper Limb Motor Rehabilitation of Children With Hemiparesis. Revista Neurociências, 21(4), 556–562. https://doi.org/10.34024/rnc.2013.v21.8148

Issue

Vol. 21 No. 4 (2013)

Section

Relato de Caso
##plugins.generic.dates.received## 2019-02-25
##plugins.generic.dates.published## 2013-12-31

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