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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(02): 78-84
DOI: 10.1590/0004-282X20170195
Article

Effect of virtual reality in Parkinson's disease: a prospective observational study

Efeito da realidade virtual na doença de Parkinson: estudo observacional prospectivo
Maria Izabel Rodrigues Severiano
1   Instituto Federal de Educação, Ciência e Tecnologia do Paraná, Curitiba PR, Brasil
,
Bianca Simone Zeigelboim
2   Universidade Tuiuti do Paraná, Departamento de Otoneurologia, Curitiba PR, Brasil
,
Hélio Afonso Ghizoni Teive
3   Universidade Federal do Paraná, Hospital de Clínicas, Serviço de Neurologia, Curitiba PR, Brasil
,
Geslaine Janaína Barbosa Santos
4   Instituto Federal de Educação, Ciência e Tecnologia do Paraná, Departamento de Fisioterapia, Curitiba PR, Brasil
,
Vinícius Ribas Fonseca
2   Universidade Tuiuti do Paraná, Departamento de Otoneurologia, Curitiba PR, Brasil
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ABSTRACT

Objective: To assess the effectiveness of balance exercises by means of virtual reality games in Parkinson's disease.

Methods: Sixteen patients were submitted to anamnesis, otorhinolaryngological and vestibular examinations, as well as the Dizziness Handicap Inventory, Berg Balance Scale, SF-36 questionnaire, and the SRT, applied before and after rehabilitation with virtual reality games.

Results: Final scoring for the Dizziness Handicap Inventory and Berg Balance Scale was better after rehabilitation. The SRT showed a significant result after rehabilitation. The SF-36 showed a significant change in the functional capacity for the Tightrope Walk and Ski Slalom virtual reality games (p < 0.05), as well as in the mental health aspect of the Ski Slalom game (p < 0.05). The Dizziness Handicap Inventory and Berg Balance Scale showed significant changes in the Ski Slalom game (p < 0.05). There was evidence of clinical improvement in patients in the final assessment after virtual rehabilitation.

Conclusion: The Tightrope Walk and Ski Slalom virtual games were shown to be the most effective for this population.

RESUMO

Objetivo: Verificar a eficácia dos exercícios de equilíbrio com realidade virtual (RVi) na doença de Parkinson.

Métodos: Dezesseis pacientes foram submetidos a uma anamnese, exames otorrinolaringológico e vestibular, ao Dizziness Handicap Inventory (DHI), Escala de Equilíbrio de Berg (EEB), questionário SF-36 e o Teste de Sentar e Levantar (TSL) que foram aplicados antes e após a reabilitação com RVi.

Resultados: Os resultados dos escores finais do DHI e EEB foram melhores após a reabilitação. O TSL apresentou resultado significativo após a reabilitação. O SF-36 demonstrou alteração significativa da capacidade funcional para os jogos Tightrope Walk e Ski Slalom (p < 0,05) e da saúde mental para o jogo Ski Slalom (p < 0,05). O DHI e EEB apresentaram alterações significativas no jogo Ski Slalom (p < 0,05). Houve melhora clínica evidente dos pacientes após reabilitação virtual.

Conclusão: Os jogos virtuais Tightrope Walk e o Ski Slalom foram os mais eficazes.

Keywords:

Parkinson's disease - postural balance - quality of life - vestibular nuclei

Palavras-chave:

doença de Parkinson - equilíbrio postural - qualidade de vida - núcleos vestibulares


Publication History

Received: 02 August 2017

Accepted: 18 November 2017

Article published online:
28 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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