Keywords
Physiotherapy
Pain
Exercise in Virtual Reality
Quality of life
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Abstract
Objective: To evaluate the influence of game therapy on pain intensity, balance and quality of life in patients with diabetic neuropathy. Methods: 4 volunteers, diagnosed with diabetic neuropathy, aged 60.5 ± 7.50 years old, underwent treatment with game therapy for 24 sessions, 3x/week for 50 minutes, and were evaluated pre and post-intervention using a questionnaire to screen for neuropathic pain (DN4) and numerical pain scale, Tinetti scale, Romberg test, Timed Up and Go (TUG), and quality of life by Neuropathy-Specific Quality of Life (NeuroQol). Results: Post-treatment higher mean values were observed for the Romberg test for Eyes Open (OA) and Eyes Closed (OF) (p<0.001 and p=0.016) respectively, Tinetti Balance Scale (p=0.003) and quality of life (p<0.001) compared to pre-treatment, as well as lower values for pain on the Numerical Pain Scale (NPS) (p=0.007) and for TUG (p=0.007). Conclusion: In the present study, game therapy proved to be effective in improving the symptoms of diabetic neuropathy, regarding pain and balance, consequently contributing to the improvement of the quality of life of these patients, since it acts directly on functional, physical and psychological issues.
References
ALBUQUERQUE VT, et al. O uso da realidade virtual no equilíbrio postural de idosos: revisão de literatura. International Journal of Development Research, 2020; 10(11): 41917-41924.
ANDRADE LCA, et al. Timed Up and Go teste na avaliação do risco de quedas em idosos: uma revisão de literatura. Research, Society and Development, 2021; 10(13): e321101321615.
BARAVIEIRA PB, et al. Análise perceptivo-auditiva de vozes rugosas e soprosas: correspondência entre a escala visual analógica e a escala numérica. In: CoDAS, 2016; 163-167.
CANO-MAÑAS MJ, et al. Effects of Video-Game Based Therapy on Balance, Postural Control, Functionality, and Quality of Life of Patients with Subacute Stroke: A Randomized Controlled Trial. Journal of healthcare engineering, 2020.
COELHO FVB, et al. Realidade virtual na recuperação da marcha em pacientes pós acidente vascular encefálico: revisão sistemática. Pesquisa, Sociedade e Desenvolvimento, 2022; 11(7): e55411730514.
COSTA AF, et al. Carga do diabetes mellitus tipo 2 no Brasil. Cadernos de Saúde Pública, 2017; 33: 00197915.
DA SILVA DIAS T, et al. As contribuições da gameterapia no desempenho motor de indivíduo com paralisia cerebral. Cadernos Brasileiros de Terapia Ocupacional, 2017; 25: 3.
GAUTHIER LV, et al. Video Game Rehabilitation for Outpatient Stroke (VIGoROUS): protocol for a multi-center comparative effectiveness trial of in-home gamified constraint-induced movement therapy for rehabilitation of chronic upper extremity hemiparesis. BMC neurology, 2017; 17(1): 109.
GUDALA K, et al. Hindi version of short form of douleur neuropathique 4 (S-DN4) questionnaire for assessment of neuropathic pain component: a cross-cultural validation study. The Korean journal of pain, 2017; 30(3): 197-206.
HICKS CW e SELVIN E. Epidemiology of Peripheral Neuropathy and Lower Extremity Disease in Diabetes. Curr Diab Rep, 2019; 19(10): 86.
HUNG ES, et al. Effects of Interactive Video Game-Based Exercise on Balance in Diabetic Patients with Peripheral Neuropathy: An Open-Level, Crossover Pilot Study. Evidence-based complementary and alternative medicine: eCAM, 2019.
INTERNATIONAL DIABETES FEDERATION. IDF Diabetes Atlas, 9th edn. Brussels, Belgium: 2019.
KAMIŃSKA MS, et al. The effectiveness of virtual reality training in reducing the risk of falls among elderly people. Clinical interventions inaging, 2018; 13: 2329-2338.
KU J, et al. Three-Dimensional Augmented Reality System for Balance and Mobility Rehabilitation in the Elderly: A Randomized Controlled Trial. Cyberpsychology, behavior and social networking, 2019; 22(2): 132-141.
MACONE A e OTIS JAD. Neuropathic Pain. Seminars in Neurology, 2018; 38(6): 644-653.
MAGNO LD, et al. Fisioterapia convencional versus conceito balance sobre alterações sensorio-motoras da neuropatia diabética. Reserch medical journal, 2017; 1(1): 1-9.
MARONESI CTP, et al. Exercícios físicos em portadores de neuropatia diabética: revisão sistemática e metanálise de ensaios clínicos randomizados. Fisioterapia e Pesquisa, 2016; 23(2): 216-223.
MATHEVE T, et al. Virtual reality distraction induces hypoalgesia in patients with chronic low back pain: a randomized controlled trial. Journal of neuroengineering and rehabilitation, 2020; 17(1): 55.
MONTEIRO RL, et al. Protocol for evaluating the effects of a foot-ankle therapeutic exercise program on daily activity, foot-ankle functionality, and biomechanics in people with diabetic polyneuropathy: a randomized controlled trial. BMC musculoskeletal disorders, 2018; 19: 400.
NASCIMENTO AAG e OLIVEIRA PK. Benefícios do exercício físico em portadores de diabetes. Monografia. (Educação Física) - Faculdade de Ciências da Educação e Saúde Centro Universitário de Brasília, Brasília, 2020; 17 p.
PEDROSA HC, et al. Neuropatias e Pé Diabético. 1ª edição. São Paulo: AC Farmaceutica, 2014.
PEEBLES AT, et al. A Virtual Reality Game Suite for Graded Rehabilitation in Patients With Low Back Pain and a High Fear of Movement: Within-Subject Comparative Study. JMIR serious games, 2022; 10(1): e32027.
RIBEIRO MCS, et al. A gameterapia utilizada como ferramenta no equilíbrio de pacientes hemiparético espásticos. Revista UNIANDRADE, 2022; 22(1): 62-73.
ROSA TSM, et al. Avaliação do equilíbrio corporal em idosos institucionalizados com queixa de tontura. Revista Kairós-Gerontologia, 2017; 20(4): 345-366.
ROSENBERGER DC, et al. Challenges of neuropathic pain: focus on diabetic neuropathy. Journal of neural transmission (Vienna, Austria: 1996), 2020; 127(4): 589-624.
SCURA D e MUNAKOMI S. Tinetti Teste de Marcha e Equilíbrio. StatPearls. Ilha do Tesouro (FL): Publicação StatPearls; 2022.
SELVARAJAH D, et al. Diabetic peripheral neuropathy: advances in diagnosis and strategies for screening and early intervention. The lancet. Diabetes & endocrinology, 2019; 7(12): 938-948.
SEYEDIZADEH SH, et al. The Effects of Combined Exercise Training (Resistance-Aerobic) on Serum Kinesin and Physical Function in Type 2 Diabetes Patients with Diabetic Peripheral Neuropathy (Randomized Controlled Trials). Journal of diabetes research, 2020; 6978128.
SOTOMAIOR B. Efeito do treinamento de força na dor neuropática em modelo animal de diabetes. Dissertação (Mestrado em educação física) - Setor de Ciências Biológicas. Universidade Federal do Paraná, Curitiba, 2021; 94 p.
XAVIER ATF, et al. Adaptação cultural e validação do Neuropathy - and Foot Ulcer – Specific Quality of Life (NeuroQol) para a língua portuguesa do Brasil - Fase 1. Rev. Latino-Am. Enfermagem, 2011; 19(6): 10.