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O efeito da realidade virtual em pacientes com esclerose múltipla: revisão bibliográfica
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Abstract(s)
Objetivo: Averiguar o papel da realidade virtual (RV) em pacientes com esclerose múltipla (EM). Metodologia: Pesquisa computorizada nas bases de dados PubMed, PEDro e Science Direct para identificar estudos randomizados controlados que avaliem a eficácia da RV na EM. Resultados: Nesta revisão foram incluídos 6 estudos randomizados controlados com 172 pacientes, com classificação metodológica média de 6.67 na escala de Physiotherapy Evidence Database (PEDro), dos quais 2 comparam o tratamento fisioterapêutico com o Lokomat-Pro e Removi respetivamente, versus só tratamento fisioterapêutico, 1 verificou a eficácia de uma plataforma de jogos “serious” comparando-os com os “exergames”, usados na NintendoWii. Outro estudo incluído, compara a fisioterapia com o Lokomat-Pro versus o Lokomat-Nanos, 1 compara o treino de equilíbrio por RV ao tratamento de fisioterapia. E por fim, 1 compara o treino de equilíbrio (Biodex Balance SB) a um grupo que não realiza intervenção. Conclusão: A RV pode contribuir para a reabilitação do equilíbrio, marcha, capacidade motora, influenciar positivamente a autoestima, no entanto, a RV não é muito utilizada na EM, devido à falta de conhecimento sobre a sua aplicabilidade. Sugere-se mais estudos sobre a RV para provar a sua eficácia.
Objective: To determine the role of virtual reality (VR) in patients with multiple sclerosis (MS). Methodology: Research Computerized on databases PubMed, PEDro and Science Direct to identify randomized controlled trials that evaluate the efficacy of VR in MS. Results: 6 randomized controlled trials with 172 patients, with an average methodological score of 6.67 on the Physiotherapy Evidence Database (PEDro) scale were included in the review, 2 studies compare the physiotherapeutic treatment with Lokomat-Pro and Removi respectively, vs only physiotherapeutic treatment, 1 verified the effectiveness of a "serious"gaming platform by comparing them to the "exergames" used on Nintendo Wii, 1 compares physiotherapy with Lokomat-Pro vs Lokomat-Nanos, 1 compared balancing training with VR to physical therapy treatment. And finally, 1 compares the balance training (Biodex Balance SB) to a group without intervention. Conclusion: VR can contribute to the rehabilitation of balance, gait control, motor capacity, positively influence self-esteem, however VR is not very applied due to lack of knowledge. Further studies are needed to prove their efficacy.
Objective: To determine the role of virtual reality (VR) in patients with multiple sclerosis (MS). Methodology: Research Computerized on databases PubMed, PEDro and Science Direct to identify randomized controlled trials that evaluate the efficacy of VR in MS. Results: 6 randomized controlled trials with 172 patients, with an average methodological score of 6.67 on the Physiotherapy Evidence Database (PEDro) scale were included in the review, 2 studies compare the physiotherapeutic treatment with Lokomat-Pro and Removi respectively, vs only physiotherapeutic treatment, 1 verified the effectiveness of a "serious"gaming platform by comparing them to the "exergames" used on Nintendo Wii, 1 compares physiotherapy with Lokomat-Pro vs Lokomat-Nanos, 1 compared balancing training with VR to physical therapy treatment. And finally, 1 compares the balance training (Biodex Balance SB) to a group without intervention. Conclusion: VR can contribute to the rehabilitation of balance, gait control, motor capacity, positively influence self-esteem, however VR is not very applied due to lack of knowledge. Further studies are needed to prove their efficacy.
Description
Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Licenciada em Fisioterapia
Keywords
Realidade virtual Esclerose Múltipla Fisioterapia Virtual reality Multiple Sclerosis Physiotherapy