PARKINSONVR: A REALIDADE VIRTUAL COMO AUXILIADORA EM TRATAMENTOS FISIOTERAPÊUTICOS PARA PACIENTES COM DOENÇA DE PARKINSON

Autores

  • Eduardo Henrique Shikama Dias
  • Aline Duarte Ferreira Universidade do Oeste Paulista
  • Natália Zamberlan Ferreira Universidade do Oeste Paulista
  • Robson Augusto Siscoutto Universidade do Oeste Paulista

Palavras-chave:

Realidade Virtual, Reabilitação, Fisioterapia, Doença de Parkinson

Resumo

A doença de Parkinson (DP) é caracterizada por tremores, bradicinesia, rigidez, perda de reflexo postural, problemas de marcha e perda de neurônios dopaminérgicos da substância negra. Embora não exista cura para a DP, existem diversos e eficientes tratamentos para auxiliar no dia a dia, sendo uma delas, a fisioterapia. A fisioterapia pode ajudar a minimizar a evolução da doença e melhorar a qualidade de vida do paciente. Porém, tratamentos convencionais de fisioterapia muitas vezes são vistos como algo repetitivo e desestimulador para os pacientes, afetando na eficácia do tratamento. Para evitar esse problema, novas práticas de tratamento aliadas à fisioterapia vêm sendo estudadas, como o uso da realidade virtual (RV). Diante disso, este trabalho apresenta um aplicativo computacional de RV para auxiliar nos tratamentos fisioterapêuticos de pacientes com DP fazendo uso de ambientes virtuais 3D interativos e customizados. O aplicativo foi avaliado pelos pesquisadores envolvidos no projeto, por meio de um questionário de usabilidade específico para este tipo de ambiente, obtendo média final de (4,77), desvio padrão de (0,35) e intervalo de confiança de [4,46; 5,08], sendo considerado apto para testes em pacientes reais no futuro. 

Downloads

Os dados de download ainda não estão disponíveis.

Referências

AMPRIMO, G. et at. Assessment Tasks and Virtual Exergames for Remote Monitoring of Parkinson’s Disease: An Integrated Approach Based on Azure Kinect. 2022. Sensors, v. 22, n. 21, p. 8173, 2022. DOI: https://doi.org/10.3390/s22218173.

BALISTA, V. PhysioJoy: Sistema de Realidade Virtual para Avaliação e Reabilitação de Déficit Motor. In: SBGames, 12., 2013, São Paulo. Proceedings [...]. São Paulo: SBC, 2013. p. 16-19. Disponível em: http://www.sbgames.org/sbgames2013/proceedings/workshop/WorkshopVAR-6_Full.pdf. Acesso em: 24 nov. 2023.

BATLA, A. What Is and What Is Not Parkinson’s Disease?. In: BATLA, A.; VIBHA, D. Understanding Parkinsonism: The Clinical Perspective. 1.ed. New Delhi, India: Jaypee Brothers Medical Publishers, 2018. DOI: https://doi.org/10.5005/jp/books/14125_2.

BOLAND, A.; CHERRY, G.; DICKSON, R. Doing a systematic review: A student’s guide. 1. ed. Liverpool: Sage Publications, 2013. 240 p.

BROOKE, J. SUS: A “quick and dirty” usability scale. Usability Eval. Ind. 189. , 1995. Disponível em: https://www.researchgate.net/publication/2285 93520_SUS_A_quick_and_dirty_usability_scale. Acesso em: 20 nov. 2023.

CAMPO-PRIETO, P.; CANCELA-CARRAL, J.; RODRÍGUEZ-FUENTES, G. Wearable immersive virtual reality device for promoting physical activity in Parkinson’s disease patients. Sensors, v. 22, n. 9, p. 3302, 2022. DOI: https://doi.org/10.3390/s22093302.

CIKAJLO, I.; POTISK, K. Advantages of using 3D virtual reality based training in persons with Parkinson's disease: a parallel study. J Neuroeng Rehabil., v. 16, n. 1, p. 119, 2019. DOI: https://doi.org/10.1186/s12984-019-0601-1

FAHN, S.; ELTON, R; Members of the UPDRS Development Committee. The Unified Parkinson’s Disease Rating Scale. 1987. In: FAHN, S.; MARSDEN, C.D.; CALNE, D.B.; GOLDSTEIN, M. (eds.). Recent Developments in Parkinson’s Disease. [S. l.]: McMellam Health Care Information, Florham Park, 1987, v. 2, p. 153-163.

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. Med Sci Monit, v. 25, p. 4186-4192, 2019. DOI: https://doi.org/10.12659/MSM.916455.

FERRAZ, D. D. et al. The Effects of Functional Training, Bicycle Exercise, and Exergaming on Walking Capacity of Elderly Patients With Parkinson Disease: A Pilot Randomized Controlled Single-blinded Trial. Archives of physical medicine and rehabilitation, v. 99, n. 5, p. 826-833, 2018. DOI: https://doi.org/10.1016/j.apmr.2017.12.014

GANDOLFI, M. et al. Virtual Reality Telerehabilitation for Postural Instability in Parkinson's Disease: A Multicenter, Single-Blind, Randomized, Controlled Trial. BioMed research international, v. 2017, p. 7962826, 2017. DOI: https://doi.org/10.1155/2017/7962826.

GRAMMATIKOPOULOU, A. et al. Motion analysis of Parkinson diseased patients using a video game approach. In: ACM INTERNATIONAL CONFERENCE ON PERVASIVE TECHNOLOGIES RELATED TO ASSISTIVE ENVIRONMENTS (PETRA '19). 12., 2019, New York. Proceedings [...]. New York: Association for Computing Machinery, 2019, p. 523–527. DOI: https://doi.org/10.1145/3316782.3322757.

HENRIQUE, P.; COLUSSI, E.; MARCHI, A. Effects of Exergame on Patients' Balance and Upper Limb Motor Function after Stroke: A Randomized Controlled Trial. Journal of stroke and cerebrovascular diseases , v. 28, n. 8, p. 2351-2357, 2019. DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2019.05.031.

KASHIF, M. et al. Combined effects of virtual reality techniques and motor imagery on balance, motor function and activities of daily living in patients with Parkinson's disease: a randomized controlled trial. Epistemonikos. 2022. Disponível em: https://www.epistemonikos.org/pt/documents/42be3cff73847c2483be06a1c89ffd8558583c77. Acesso em: 25 nov. 2023.

KIM, A.; DARAKJIAN, N.; FINLEY, J. Walking in fully immersive virtual environments: an evaluation of potential adverse effects in older adults and individuals with Parkinson's disease. J Neuroeng Rehabil. , n. 14, n. 1, p.1-12, 2017. DOI: https://doi.org/10.1186/s12984-017-0225-2

LIKERT, R. A Technique for the Measurement of Attitudes, no. 136-165. In: A Technique for the Measurement of Attitudes, publisher not identified. Virginia: Columbia university, 1932. Disponível em: https://books.google.com.br/books?id=9rotAAAAYAAJ. Acesso em: 20 nov. 2023.

LOHSE, K. R. et al. Virtual Reality Therapy for Adults Post-Stroke: A Systematic Review and MetaAnalysis Exploring Virtual Environments and Commercial Games in Therapy. PloS one, v. 9, n. 3, p. e93318, 2014. DOI: https://doi.org/10.1371/journal.pone.0093318

MARANESI, E. et al. The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial. Int. J. Environ. Res, v. 19, p. 14818, 2022. DOI: https://doi.org/10.3390/ijerph192214818.

MEDIAPIPE. Pose Landmark Detection Guide. 2023. Disponível em: https://developers.google.com/mediapipe/solutions/vision/pose_landmarker. Acesso em: 11 dez. 2023.

MEDIAPIPE. Solutions guide. 2023. Disponível em: https://developers.google.com/mediapipe/solutions/guide. Acesso em: 11 dez. 2023.

MELLO, M.; BOTELHO, A. Correlação das escalas de avaliação utilizadas na doença de Parkinson com aplicabilidade na fisioterapia. Fisioterapia em Movimento, v. 23, n. 1, p. 121-127, 2010. DOI: https://doi.org/10.1590/S0103-5150201000010001223

MOHAMMADI, P. et al. Real-time Control of Whole-body Robot Motion and Trajectory Generation for Physiotherapeutic Juggling in VR. In: IEEE/RSJ INTERNATIONAL CONFERENCE ON INTELLIGENT ROBOTS AND SYSTEMS (IROS), Madrid, Spain, 2018. Anais [...]. Madri: IEEE, 2018, p. 270-277. DOI: https://doi.org/10.1109/IROS.2018.8593632

MOURA, J. A. et al. Virtual functional mobility test: A potential novel tool for assessing mobility of individuals with Parkinson's disease in a multitask condition. Journal of clinical neuroscience v. 93, p. 17-22, 2021 Disponível em: DOI: https://doi.org/10.1016/j.jocn.2021.08.017

NIELSEN, J. Heuristic Evaluation, New York, NY: John Wiley & Sons, 1994.

NIELSEN, J. Usability Engineering, San Francisco, CA: Morgan Kaufmann Publishers Inc., 1993.

NIELSEN, J.; MOLICH, R. Heuristic evaluation of user interfaces. In: THE SIGCHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS EMPOWERING PEOPLE - CHI '90, New York, NY, ACM, 1990 Proceedings [...]. New York 1990,p. 249-256. DOI: https://doi.org/10.1145/97243.97281

NIH - National Institute on Aging. Parkinson 's Disease: Causes, Symptoms, and Treatments. 2022. Disponível em: https://www.nia.nih.gov/health/parkinsons-disease. Acesso em: 20 nov. 2023.

NUIC, D. et al. The feasibility and positive effects of a customized videogame rehabilitation programme for freezing of gait and falls in Parkinson's disease patients: a pilot study. Journal of neuroengineering and rehabilitation, v.. 15, n. 1, p. 31, Apr. 2018. DOI: https://doi.org/10.1186/s12984-018-0375-x.

O'NEIL, O. et al. Virtual Reality for Neurorehabilitation: Insights From 3 European Clinics [published correction appears in PM R. 2018 Dec;10(12):1437]. PM&R, v. 10, n. 9 (Suppl 2), p.S198-S206, 2018 DOI: https://doi.org/10.1016/j.pmrj.2018.08.375

OPENCV. About. 2023. Disponível em: https://opencv.org/about/. Acesso em: 11 dez. 2023.

PACHOULAKIS, I.; PAPADOULOS, N.; ANALYTI, A. Kinect-Based Exergames Tailored to Parkinson Patients. 2018. In: INTERNATIONAL JOURNAL OF COMPUTER GAMES TECHNOLOGY. HINDAWI, 2018. Volume 2018, Article ID 2618271, 14 pages DOI: https://doi.org/10.1155/2018/2618271

PAZZAGLIA, C. et al. Comparison of virtual reality rehabilitation and conventional rehabilitation in Parkinson's disease: a randomised controlled trial.Physiotherapy, v. 106 , n. 2020, p. 36-42, 2020.DOI: https://doi.org/10.1016/j.physio.2019.12.007

PFIZER. Doença de Parkinson. 2022. Disponível em: https://www.pfizer.com.br/noticias/ultimas-noticias/doenca-de-parkinson. Acesso em: 20 nov. 2022.

RADDER, D. L. M. et al. Physiotherapy in Parkinson’s Disease: A Meta-Analysis of Present Treatment Modalities. SAGE Journals, v. 34, n. 10, 2020. DOI: https://doi.org/10.1177/154596832095.

RIEDER, C. R. M. Doença de Parkinson. In: TERRA, N. L. Entendendo a doença de Parkinson: informações para pacientes, familiares e cuidadores. 1.ed. Porto Alegre, RS: EDIPUCRS, 2016.

SANTOS, P. et al. Efficacy of the Nintendo Wii combination with Conventional Exercises in the rehabilitation of individuals with Parkinson's disease: A randomized clinical trial. NeuroRehabilitation, v. 45, n. 2, p. 255-263, 2019. DOI: https://doi.org/10.3233/NRE-192771.

SILVA, K. et al. Effects of virtual rehabilitation versus conventional physical therapy on postural control, gait, and cognition of patients with Parkinson's disease: study protocol for a randomized controlled feasibility trial. Pilot Feasibility Stud.,, v. 3, p. 68, 2017. . DOI: https://doi.org/10.1186/s40814-017-0210-3.

SOUZA, A. et al. A efetividade da fisioterapia nas disfunções cinético funcionais causadas pelo Parkinson. In: FERRARI, F. C. C. R. Fisioterapia na atenção à saúde 3. Ponta Grossa, PR: Atena, 2020.DOI: https://doi.org/10.22533/at.ed.09520170817.

Downloads

Publicado

2024-06-27

Como Citar

PARKINSONVR: A REALIDADE VIRTUAL COMO AUXILIADORA EM TRATAMENTOS FISIOTERAPÊUTICOS PARA PACIENTES COM DOENÇA DE PARKINSON. (2024). Colloquium Exactarum. ISSN: 2178-8332, 16(1), 1-16, e244861. https://journal.unoeste.br/index.php/ce/article/view/4861

Artigos Semelhantes

1-10 de 410

Você também pode iniciar uma pesquisa avançada por similaridade para este artigo.

Artigos mais lidos pelo mesmo(s) autor(es)

1 2 > >>