O uso da realidade virtual na reabilitação do paciente após acidente vascular encefálico / The use of virtual reality in patient rehabilitation after stroke

Pedro Henrique de Sousa Miranda, Josiane Valéria Ribeiro Ferreira, Beatriz Azevedo Ferreira, Natália Ítala Menezes dos Santos, Bianca de Freitas Ribeiro, Clarice Costa Lopes, Adriane Gabrielle de Oliveira Ataíde, Isabelle Coelho da Silva, Maria Clara Monteiro da Silva, Augusto Cezar Ferraz da Costa

Abstract


Objetivo: Apresentar por meio de uma revisão integrativa a eficácia da realidade virtual na reabilitação do paciente acometido por acidente vascular encefálico. Métodos: Trata-se de uma revisão integrativa de caráter qualitativo e descritivo realizada por meio de pesquisa nas bases de dados PubMed (Biblioteca virtual dos estados unidos) e Phisiotherapy Evidence Database (PEDro). A pesquisa dos artigos ocorreu entre os meses de abril a maio de 2021. As palavras-chave utilizadas foram: virtual reality, stroke e rehabilitation. Foram utilizadas as seguintes combinações: reahabilitation AND stroke AND virtual reality. Resultados: Foram incluídos no estudo 12 artigos relacionados a aplicação da realidade virtual como forma de reabilitação no pacientes pós acidente vascular encefálico. Os artigos foram organizados em forma de quadro destacando os objetivos, métodos e principais resultados evidenciados nos estudos. Conclusão: A realidade virtual apresenta efeitos benéficos e se mostra uma intervenção cada vez mais promissora no tratamento de pacientes que sofreram acidente vascular encefálico, sendo evidenciados ganhos em diferentes funções, tais como, força de preensão palmar, cognição, coordenação, equilíbrio postural, memória, melhora da marcha, maior funcionalidade dos membros superiores e inferiores, e maior qualidade de vida e independência a partir da retomada das atividades de vida diária. Além disso, vale ressaltar que o uso da realidade virtual associado à terapia convencional torna os resultados ainda mais significativos.


Keywords


AVE, Realidade Virtual, Reabilitação.

References


BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à reabilitação da pessoa com acidente vascular cerebral. Brasília – DF, 2013.

CHO, Ki Hun; KIM, Min Kyu; LEE, Hwang-Jae; LEE, Wan Hee. Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients. The Tohoku Journal Of Experimental Medicine, v. 236, n. 4, p. 273-280, 2015.

CHOI Y.H; PAIK N.J. Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation. Journal of Visualized Experiments, v. 133, 2018.

CORBETTA, D. et al. Rehabilitation that incorporates virtual reality is more effective than standard rehabilitation for improving walking speed, balance and mobility after a stroke: a systematic review. Journal of Physiotherapy. Australian Physiotherapy Association, v. 61, n. 3, p. 177-124, 2015.

FARIA, A. et al. Benefits of virtual reality based cognitive rehabilitation through simulated activities of daily living: a randomized controlled trial with stroke patients. Journal of Neuroengineering and Rehabilitation, v. 1, n. 3, p. 96, 2016.

HUANG, Q. et al. Evaluating the effect and mechanism of upper limb motor function recovery induced by immersive virtual-reality-based rehabilitation for subacute stroke subject: study protocol for a randomized controlled trial. Trials journal, v. 20, p. 124, 2019.

JÚNIOR, S.L.A. et al. Performance of physiotherapists in the rehabilitation of stroke victims. Revista Interdisciplinar, v. 9, n. 3, p. 179-184, 2016.

KARAMIANS, R et al. Effectiveness of Virtual Reality- and Gaming-Based Interventions for Upper Extremity Rehabilitation Poststroke: A Meta-analysis. Archives of Physical Medicine and Rehabilitation, v. 101, n. 5, p. 885-896, 2019.

LANGHORNE P, COUPAR F, POLLOCK A. Motor recovery after stroke: asystematic review. The Lancet Neuroly, v. 8, n. 8, p. 741-54, 2009.

LEE, Han Suk; PARK, Yoo Junk; PARK, Sun Wook. The Effects of Virtual Reality Training on Function in Chronic Stroke Patients: a systematic review and meta-analysis. Biomed Research International, v. 2019, p. 1-12, 2019.

LEE MM, LEE KJ, SONG CH. Game-Based Virtual Reality Canoe Paddling Training to Improve Postural Balance and Upper Extremity Function: A Preliminary Randomized Controlled Study of 30 Patients with Subacute Stroke. Medical science monitor: international medical journal of experimental and clinical research, v. 24, p. 2590-2598, 2018.

MOTTA, E. et al. Physiotherapeutic intervention and length of stay in patients with stroke. Revista Neurociência, v. 16, n. 2, p. 118-123, 2008.

OGUN, M.N. et al. Effect of Leap Motion-based 3D Immersive Virtual Reality Usage on Upper Extremity Function in Ischemic Stroke Patients. Arquivos de Neuro-Psiquiatria, v. 77, n. 10, p. 681-688, 2019.

OH, Young-Bin et al. Efficacy of Virtual Reality Combined With Real Instrument Training for Patients With Stroke: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, v. 100, n. 8, p. 1400-1408, 2019.

PAES, J.P. et al. Relationship between postural control in upright stance and virtual reality in post-stroke individuals. Fisioterapia em movimento, v. 33, n. 003333, 2020.

PAVÃO S.L. et al. The virtual environment as an interface in post-stroke rehabilitation: case report. Fisioterapia movimento, v. 26, n. 2, p. 455-462, 2013.

PENG Q, YIN L, CAO Y. Effectiveness of Virtual Reality in the Rehabilitation of Motor Function of Patientes With Sabacute Stroke: A Meta-Analysis. Frontiers in Neurology, v. 12, n. 639535, 2021.

POMPEU, J.E. et al. The effects of virtual reality on stroke rehabilitation: a systematic review. Revista Motricidade, v. 10, n. 4, p. 111-122, 2014.

ROOIJ, Ilona J.M. de; PORT, Ingrid G.L. van de; MEIJER, Jan-Willem G.. Effect of Virtual Reality Training on Balance and Gait Ability in Patients With Stroke: systematic review and meta-analysis. Physical Therapy, v. 96, n. 12, p. 1905-1918, 2016

SAPOSNIK, C, et al. Efficacy and safety of non-immersive virtual reality exercises in stroke rehabilitation (EVREST): a randomized, multicenter, simple-blind and controlled study. The Lancet Neurology, v. 10, n. 15, p. 11019-1027, 2016.

SHIN, JH; PARK SB; JANG SH. Effects of game-based virtual reality on health-related quality of life in chronic stroke patients: A randomized, controlled study. Computers in Biology and Medicine, v. 63, p. 92-98, 2015.

SIN, H; LEE, G. Additional Virtual Reality Training Using Xbox Kinect in Stroke Survivors with Hemiplegia. American Journal of Physical Medicine & Rehabilitation, v. 92, n. 10, p. 871-880, 2013.

SUBRAMANIAN, S.K. et al. Arm Motor Recovery Using a Virtual Reality Intervention in Chronic Stroke: Randomized Control Trial. Neurorehabilitation and neural repair. Neurorehabilitation and neural repair, v. 27, n. 1, p. 13-23, 2013.

THIELBAR, K.O. et al. Training finger individuation with a mechatronic-virtual reality system leads to improved fine motor control post-stroke. Journal of Neuroengineering and Rehabilitation, v. 11, p. 171, 2014.

TIERI, Gaetano; MORONE, Giovanni; PAOLUCCI, Stefano; IOSA, Marco. Virtual reality in cognitive and motor rehabilitation: facts, fiction and fallacies. Expert Review Of Medical Devices, v. 15, n. 2, p. 107-117, 2018.

WANG Z, et al. Leap Motion-based virtual reality training for improving motor functional recovery of upper limbs and neural reorganization in subacute stroke patients. Neural Regeneration Research, v. 12, n. 11, p. 1823-1831, 2017.

YOSHIDA, H.M. et al. Motor skills, depressive symptoms and cognitive functions in post-stroke patients. Fisioterapia e Pesquisa, v. 26, n. 1, p. 9-14, 2019.




DOI: https://doi.org/10.34117/bjdv7n10-39

Refbacks

  • There are currently no refbacks.