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| Resumos e Ăndices | 197.52 KB | Adobe PDF | ||
| Dissertação | 5 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: Ă crescente o interesse e o nĂșmero de pesquisas cientĂficas sobre o uso das consolas comerciais na reabilitação de indivĂduos que sofreram um Acidente Vascular Cerebral (AVC). No entanto, a especificidade da sintomatologia em cada indivĂduo resulta em estudos com poucos resultados homogĂ©neos e pouco extrapolativos. Objetivo: Averiguar o contributo da intervenção com Nintendo Wii no controlo postural em indivĂduos que sofreram um AVC, na melhoria da simetria corporal, equilĂbrio e mobilidade. MĂ©todos: Duas mulheres, com 47 e 67 anos de idade; e um homem com 68 anos de idade; ambos com diagnĂłsticos de AVC isquĂ©mico com lesĂŁo no hemisfĂ©rio direito apresentando um quadro motor de hemiparesia esquerda, realizaram diariamente 60 minutos de fisioterapia convencional e um programa de treino de equilĂbrio em pĂ© de 15 minutos com a Nintendo Wii, ao longo de 20 sessĂ”es, 5x por semana. A avaliação inicial e final da intervenção foi feita por uma Plataforma de Forças Laboratorial, pela Plataforma da Nintendo Wii - Wii Balance Board, pela Escala de EquilĂbrio de Berg (EEB) e pelo Teste Timed 'Up-and-Go' (TUG). Na anĂĄlise da simetria corporal foram avaliadas as mĂ©dias e coeficientes de variação das trĂȘs componentes de força reativa e calculadas as percentagens de transferĂȘncia de peso em quatro atividades: em pĂ© de olhos abertos e fechados, e durante a tarefa do agachamento e transferĂȘncia de sentado para de pĂ©. Resultados: Em todas as atividades verificou-se um predomĂnio na transferĂȘncia do peso para o lado nĂŁo afetado. Contudo, no final da intervenção a diferença entre os dois membros inferiores reduz, principalmente com olhos abertos. Em ambas as atividades observou-se que a componente de força reativa, Fx (medio-lateral) apresentou maiores valores de mĂ©dia de deslocamento do centro de pressĂŁo, mas a componente de força reativa, Fy (Ăąntero-posterior) apresentou maiores coeficientes de variação. De forma global, o membro inferior esquerdo, afetado, tende a oscilar menos, em ambas as avaliaçÔes. Na anĂĄlise da funcionalidade ambos os participantes demonstraram aumento na execução de atividades funcionais, de acordo com a pontuação na EEB e TUG. ConclusĂŁo: O presente estudo demonstrou que a aplicação desta abordagem, como complemento Ă abordagem terapĂȘutica convencional, parece ter contribuĂdo para melhorar a distribuição do peso, o equilĂbrio, a mobilidade e velocidade nestes trĂȘs participantes.
ABSTRACT - Introduction: An increasing interest and the number scientific research on the use of commercial consoles in the rehabilitation of individuals who have suffered a stroke. However, the specificity of each individual symptom results in studies is uneven and some extrapolation. Objective: To investigate the contribution of intervention with Nintendo Wii Âź on postural control in individuals who have suffered a stroke, improving body symmetry, balance and mobility. Methods: Two women, 47 and 67 years old, and a man with 68 year old; both with a diagnosis of ischemic stroke in the right hemisphere lesion presenting a framework engine left hemiparesis, underwent 60 minutes of daily physical therapy and a program standing balance training of 15 minutes with Nintendo WiiÂź Plus over 20 sessions, 5x per week. The initial assessment and end of the intervention was made by a Force Platform Lab, the Nintendo Wii Âź Platform - Wii Balance Board, the Berg Balance Scale (BBS) and the Test Timed 'Up-and-Go' (TUG). In the analysis of body symmetry were assessed averages and coefficients of variation of the three components of reactive power, and calculated the percentages of weight transfer into four activities: standing with eyes open and closed, and during the task of squatting and sitting transfer for standing. Results: In all four activities there was a predominance in the transfer of weight to the unaffected side. But at the end of the intervention, the difference between the two lower limbs reduces, especially with open eyes. In both activities was observed that the component of reactive force, Fx (mediumlateral) had higher mean displacement of center of pressure, but the reactive power components, Fy (anteroposterior) showed higher coefficients of variation. Globally the left lower limb affected, tends to fluctuare less in both assessments. In the analysis of functionality both participants demonstrated increased performance of functional activities in accordance with a score of BBS and TUG. Conclusion: The present study demonstrated that the application of this approach as a complement to conventional therapeutic approach seems to have contributed to improving weight distribution, balance, mobility and speed in all three participants.
ABSTRACT - Introduction: An increasing interest and the number scientific research on the use of commercial consoles in the rehabilitation of individuals who have suffered a stroke. However, the specificity of each individual symptom results in studies is uneven and some extrapolation. Objective: To investigate the contribution of intervention with Nintendo Wii Âź on postural control in individuals who have suffered a stroke, improving body symmetry, balance and mobility. Methods: Two women, 47 and 67 years old, and a man with 68 year old; both with a diagnosis of ischemic stroke in the right hemisphere lesion presenting a framework engine left hemiparesis, underwent 60 minutes of daily physical therapy and a program standing balance training of 15 minutes with Nintendo WiiÂź Plus over 20 sessions, 5x per week. The initial assessment and end of the intervention was made by a Force Platform Lab, the Nintendo Wii Âź Platform - Wii Balance Board, the Berg Balance Scale (BBS) and the Test Timed 'Up-and-Go' (TUG). In the analysis of body symmetry were assessed averages and coefficients of variation of the three components of reactive power, and calculated the percentages of weight transfer into four activities: standing with eyes open and closed, and during the task of squatting and sitting transfer for standing. Results: In all four activities there was a predominance in the transfer of weight to the unaffected side. But at the end of the intervention, the difference between the two lower limbs reduces, especially with open eyes. In both activities was observed that the component of reactive force, Fx (mediumlateral) had higher mean displacement of center of pressure, but the reactive power components, Fy (anteroposterior) showed higher coefficients of variation. Globally the left lower limb affected, tends to fluctuare less in both assessments. In the analysis of functionality both participants demonstrated increased performance of functional activities in accordance with a score of BBS and TUG. Conclusion: The present study demonstrated that the application of this approach as a complement to conventional therapeutic approach seems to have contributed to improving weight distribution, balance, mobility and speed in all three participants.
Description
Mestrado em Fisioterapia.
Keywords
Fisioterapia Medicina de reabilitação Controlo postural AVC Nintendo Wii Physiotherapy Rehabilitation Postural control Stroke
Citation
Cruz SI. Nintendo Wii: uso terapĂȘutico no controlo postural em indivĂduos que sofreram um acidente vascular cerebral [Dissertation]. Lisboa: Escola Superior de Tecnologia da SaĂșde de Lisboa/Instituto PolitĂ©cnico de Lisboa; 2012.