Use of Virtual Rehabilitation to Improve the Symmetry of Body Temperature, Balance, and Functionality of Patients with Stroke Sequelae.

Autor: Zanona AF; Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil.; Applied Neuroscience Laboratory, Federal University of Pernambuco - UFPE, Recife, Brazil.; Department of Occupational Therapy, Federal University of Sergipe - UFS, Lagarto, Sergipe, Brazil.; Department of Physiotherapy, Federal University of Pernambuco - UFPE, Recife, Brazil., de Souza RF; Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil.; Department of Physical Education, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil.; Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil., Aidar FJ; Department of Physical Education, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil.; Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil.; Graduate Program in Master's Level in Physical Education, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil., de Matos DG; Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil., Santos KMB; Group of Studies and Research of Performance, Sport, Health and Paralympic Sports - GEPEPS, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil., Paixão MDC; Department of Occupational Therapy, Federal University of Sergipe - UFS, Lagarto, Sergipe, Brazil., Sampaio PYS; Department of Occupational Therapy, Federal University of Sergipe - UFS, Lagarto, Sergipe, Brazil., Almeida Junior H; Department of Physical Education, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil.; Graduate Program in Master's Level in Physical Education, Federal University of Sergipe - UFS, São Cristovão, Sergipe, Brazil., Monte-Silva KK; Postgraduate Program in Neuropsychiatry and Behavioral Sciences, Federal University of Pernambuco, Recife, Brazil.; Applied Neuroscience Laboratory, Federal University of Pernambuco - UFPE, Recife, Brazil.; Department of Physiotherapy, Federal University of Pernambuco - UFPE, Recife, Brazil.
Jazyk: angličtina
Zdroj: Annals of neurosciences [Ann Neurosci] 2019 Jan; Vol. 25 (3), pp. 166-173. Date of Electronic Publication: 2018 Jun 07.
DOI: 10.1159/000488581
Abstrakt: Background: Stroke rehabilitation that is based on the patients' needs, experiences, and priorities requires extensive knowledge and skills to capture and integrate the perspectives of the subject.
Purpose: The objective of this study was to evaluate the acute effect of an occupational therapy protocol associated with virtual reality (VR) on the symmetry of body temperature (BTP), balance, and functionality of patients with stroke sequelae.
Methods: Ten patients (69.84 ± 7.55 years) diagnosed with stroke between 2 and 10 years earlier were evaluated during clinical care sessions integrated with VR games. Associated with games, all patients were stimulated to use both upper and lower limbs and distribute body weight symmetrically, and perceptual stimuli of body-half training, alignment, postural control, and balance were given. The variables of thermography (temperature [°C] and body asymmetry) of the upper and lower limbs, balance (Berg scale), and functionality were analyzed before and after the test.
Results: BTP was reduced in the 4 upper and lower limb body regions of interest: the right arm ( p = 0.024, Cohen's d = 1.02), previous direct hand ( p = 0.034, Cohen's d = 1.22), right back hand ( p = 0.003, Cohen's d = 1.85) and Left ( p = 0.013, Cohen's d = 0.92), right thigh ( p = 0.035, Cohen's d = 1.32), and left thigh ( p = 0.047, Cohen's d = 0.92). The mean of the bilateral asymmetry variation of the arm in the anterior position at the pre test was classified according to the level of attention monitoring (which means that the asymmetry rate is above normal), changing its state at the end of the intervention to normal. There was an increase in the functional independence score ( p = 0.015, Cohen's d = 0.50) and in the static and dynamic balance function ( p = 0.001, Cohen's d = 0.07).
Conclusion: VR associated with occupational therapeutic planning can amplify and potentiate neurological recovery following stroke.
Databáze: MEDLINE
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