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Effectiveness of virtual reality games for falls, postural oscillations, pain and quality of life of individual HAM/TSP: a randomized, controlled, clinical trial

2020-10Journal article Restricted access
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dc.contributor.authorPatrício, Naiane Araújo
dc.contributor.authorVidal, Diogo Guedes
dc.contributor.authorPinto, Elen Beatriz
dc.contributor.authorSá, Katia Nunes
dc.contributor.authorBaptista, Abrahão Fontes
dc.date.accessioned2020-10-08T09:15:13Z
dc.date.available2020-10-08T09:15:13Z
dc.date.issued2020-10
dc.description.abstractPeople with HTLV-1 associated myelopathy or tropical spastic paraparesis (HAM/TSP) have sensorimotor losses and postural instability, resulting in frequent falls. These findings stimulate the use of exercise protocols associated with postural control. This study investigated the effectiveness of a balance training exercise protocol through a virtual game. This is a randomized crossover clinical trial performed in subjects with imbalance disorders (HAM/TSP). To evaluate postural oscillations by baropodometry (total area, anterior, posterior and lateral projection), the Footwork® system was used and by cinemetry (angle of the body, hip and ankle alignment in the lateral view), the CVMob system. In addition, the Brief Pain Inventory and the WHOQoL Bref were used to measure pain intensity and quality of life. Comparison tests of the averages (intra and inter groups) and correlations were applied considering an alpha of 5% and power of 80%. The study was approved by the Ethics Committee of the Catholic University of Salvador and registered in the Clinical Trials database (NCT02877030). The final sample consisted of 26, predominantly female subjects. An increase in the postural oscillations of the control subjects (p < 0.05), a reduction in the occurrence of falls (p = 0.039) and an improvement in the quality of life of the control-test group (p < 0.05) were observed. Virtual game training did not improve the static balance, promoting an increase in postural oscillations. Immediately after the application of the protocol, there was a reduction in fall occurrence and improvement in the quality of life.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationPatrício, N.A., Vidal, D.G., Pinto, E.B. et al. Effectiveness of virtual reality games for falls, postural oscillations, pain and quality of life of individual HAM/TSP: a randomized, controlled, clinical trial. J. Neurovirol. 26, 676–686 (2020). https://doi.org/10.1007/s13365-020-00880-xpt_PT
dc.identifier.doi10.1007/s13365-020-00880-xpt_PT
dc.identifier.issn1355-0284
dc.identifier.urihttp://hdl.handle.net/10284/9030
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/article/10.1007/s13365-020-00880-xpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectHAM/TSPpt_PT
dc.subjectVirtual realitypt_PT
dc.subjectPostural balancept_PT
dc.subjectPainpt_PT
dc.subjectQuality of lifept_PT
dc.titleEffectiveness of virtual reality games for falls, postural oscillations, pain and quality of life of individual HAM/TSP: a randomized, controlled, clinical trialpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage686pt_PT
oaire.citation.issue5pt_PT
oaire.citation.startPage676pt_PT
oaire.citation.titleJournal of NeuroVirologypt_PT
oaire.citation.volume26pt_PT
person.familyNameGuedes Vidal
person.givenNameDiogo
person.identifierU-1156-2017
person.identifier.ciencia-idC918-3B10-A36E
person.identifier.orcid0000-0002-2777-2372
person.identifier.scopus-author-id57205490753
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication9b0caf31-c394-40a1-81a9-7149008ad9d7
relation.isAuthorOfPublication.latestForDiscovery9b0caf31-c394-40a1-81a9-7149008ad9d7

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