Palavras-chave
Marcha
Realidade Virtual
Como Citar
Copyright © | Todos os direitos reservados.
A revista detém os direitos autorais exclusivos de publicação deste artigo nos termos da lei 9610/98.
Reprodução parcial
É livre o uso de partes do texto, figuras e questionário do artigo, sendo obrigatória a citação dos autores e revista.
Reprodução total
É expressamente proibida, devendo ser autorizada pela revista.
Resumo
Objetivo: Investigar se a intervenção por Realidade Virtual associado a esteira ergométrica beneficiará o congelamento de marcha no paciente com Doença de Parkinson. Métodos: Um estudo quantitativo, longitudinal, experimental, não controlado e aberto. Incluindo 2 pacientes de ambos os sexos e idade de 77 anos, com diagnóstico de Doença de Parkinson e que possuem congelamento de marcha. Ocorreu em uma clínica de instituto superior, 2 vezes por semana durante 5 semanas, com duração de 30 minutos a sessão. Foram avaliados no pré e pós-tratamento por meio de escalas de Índice de Marcha Dinâmica (IDM), Escala de Congelamento de Marcha (FOG-Q) e Escala Unificada de Avaliação da Doença de Parkinson (UPDRS) para o estadiamento da doença. Resultados: A intervenção levou a uma melhora discreta dos instrumentos de avaliação utilizados, (p=0,684) em IDM, (p=0,776) em FOG-Q e (p=0,544) em UPDRS, enfatizando a melhora principalmente da marcha com dupla tarefa. Conclusão: A intervenção mostrou benefícios no congelamento de marcha, evidenciando a efetividade deste tratamento devido a evolução positiva dos instrumentos utilizados, todavia, não foi um estudo com número elevado de sessões e de participantes, limitando os dados representados.
Referências
ARMSTRONG MJ e OKUN MS. Diagnosis and treatment of Parkinson disease: a review. Jama, 2020; 323(6): 548-560.
BEKKERS EMJ, et al. Do patients with Parkinson’s disease with freezing of gait respond differently than those without to treadmill training augmented by virtual reality?. Neurorehabilitation and neural repair, 2020; 34(5): 440-449.
BLAUWENDRAAT C, et al. The genetic architecture of Parkinson's disease. The Lancet Neurology, 2020; 19(2): 170-178.
CAGGIANO V, et al. Midbrain circuits that set locomotor speed and gait selection. Nature, 2018; 553(7689): 455-460.
CAPECCI M, et al. Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial. Annals of physical and rehabilitation medicine, 2019; 62(5): 303-312.
COHEN RG, et al. Fay B. Recovery from multiple APAs delays gait initiation in Parkinson’s disease. Frontiers in human neuroscience, 2017; 11: 60.
CUI CK e LEWIS SJG. Future therapeutic strategies for freezing of gait in Parkinson’s disease. Frontiers in Human Neuroscience, 2017; 15.
EHGOETZ MARTENS KA, et al. Evidence for subtypes of freezing of gait in Parkinson's disease. Movement Disorders, 2018; 33(7): 1174-1178.
FENG H, et al. Virtual reality rehabilitation versus conventional physical therapy for improving balance and gait in Parkinson’s disease patients: a randomized controlled trial. Medical science monitor: international medical journal of experimental and clinical research, 2019; 25: 4186.
FEIGIN, Valery L. et al. Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 2019; 18(5): 459-480.
GAO C, et al. Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments. Translational neurodegeneration, 2020; 9(1): 1-22.
GAßNER H, et al. Treadmill training and physiotherapy similarly improve dual task gait performance: a randomized-controlled trial in Parkinson’s disease. Journal of Neural Transmission, 2022; 129(9): 1189-1200.
GE HL, et al. The prevalence of freezing of gait in Parkinson’s disease and in patients with different disease durations and severities. Chinese Neurosurgical Journal, 2020; 6(1): 1-11.
JANEH O e STEINICKE F. A Review of the Potential of Virtual Walking Techniques for Gait Rehabilitation. Frontiers in Human Neuroscience, 2021; 15.
LEI C, et al. Effects of virtual reality rehabilitation training on gait and balance in patients with Parkinson's disease: A systematic review. PLoS One, 2019; 14(11): e0224819.
LU M, et al. Quantifying Parkinson’s disease motor severity under uncertainty using MDS-UPDRS videos. Medical Image Analysis, 2021; 73: 102179.
MANCINI M, et al. Clinical and methodological challenges for assessing freezing of gait: future perspectives. Movement Disorders, 2019; 34(6): 783-790.
MIRELMAN A, et al. Gait impairments in Parkinson's disease. The Lancet Neurology, 2019; 18(7): 697-708.
OPARA JA, et al. Motor assessment in Parkinsons disease. Ann Agric Environ Med, 2017; 24(3): 411-415.
OKUMA Y, et al. A prospective study of falls in relation to freezing of gait and response fluctuations in Parkinson's disease. Parkinsonism & related disorders, 2018; 46: 30-35.
PAZZAGLIA C, et al. Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson’s disease: a randomised controlled trial. Physiotherapy, 2020; 106: 36-42.
PELOSIN E, et al. Motor-cognitive treadmill training with virtual reality in Parkinson's disease: the effect of training duration. Frontiers in aging neuroscience, 2022; 871.
PINTO ESM, et al. Influência da dupla tarefa na esteira ergométrica sobre a doença de Parkinson. Ciência em movimento, 2015; 17(35): 9-18.
POZZI NG, et al. Freezing of gait in Parkinson’s disease reflects a sudden derangement of locomotor network dynamics. Brain, 2019; 142(7): 2037-2050.
ROSE T, et al. Immersion of virtual reality for rehabilitation-Review. Applied ergonomics, 2018; 69: 153-161.
SON M, et al. Evaluation of the turning characteristics according to the severity of Parkinson disease during the timed up and go test. Aging clinical and experimental research, 2017; 29(6): 1191-1199.
TRIEGAARDT J, et al. The role of virtual reality on outcomes in rehabilitation of Parkinson’s disease: meta-analysis and systematic review in 1031 participants. Neurological Sciences, 2020; 41(3): 529-536.
WEISS D, et al. Freezing of gait: understanding the complexity of an enigmatic phenomenon. Brain, 2020; 143(1): 14-30.
YAMAGAMI M, et al. Effects of virtual reality environments on overground walking in people with Parkinson disease and freezing of gait. Disability and Rehabilitation: Assistive Technology, 2020; 1-8.