O USO DA REALIDADE VIRTUAL COMO RECURSO TERAPÊUTICO NA FISIOTERAPIA: UMA REVISÃO SISTEMÁTICA
DOI:
https://doi.org/10.18310/2358-8306.v10n20.a2Palabras clave:
Fisioterapia, Realidade Virtual, Intervenção.Resumen
Introdução: o uso da Realidade Virtual (RV) tem sido crescente no contexto da Fisioterapia e da reabilitação, porém, ainda carece de maior embasamento científico para orientar a sua prática. O objetivo do presente estudo foi realizar uma revisão sistemática da literatura acerca da utilização da RV na reabilitação, nos mais diversos campos de atuação da Fisioterapia. Desenvolvimento: baseado nas recomendações PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses), os artigos foram selecionados a partir das bases de dados eletrônicas BVS, SciELO e Medline, em busca realizada entre os meses de dezembro de 2019 e março de 2020, utilizando os seguintes descritores: Virtual Reality Exposure Therapy associada ao descritor booleano AND e ao outro descritor Physical Therapy. O processo de busca seguiu as recomendações da estratégia PICOS. A busca foi limitada para artigos originais publicados nos últimos 10 anos, nos idiomas português, inglês e espanhol, envolvendo apenas estudos quantitativos com intervenções fisioterapêuticas. Foram identificados 147 estudos, e, após uma leitura detalhada e aplicação de todas as etapas de seleção, 35 estudos se encaixaram nos critérios de inclusão e exclusão, compondo a amostra final. Considerações finais: a utilização da RV já abrange diversos campos de atuação da Fisioterapia, especialmente no contexto neurológico. Sua utilização é considerada como eficaz, entretanto, ainda existem questionamentos quanto a sua superioridade quando comparada com a fisioterapia convencional.Citas
Burdea GC. Virtual rehabilitation--benefits and challenges. Methods Inf Med 2003; 42:519–523.
Tori, R, Kirner C, Siscoutto R. Fundamentos e tecnologia de realidade virtual e aumentada. Belém, PA: Sociedade Brasileira de Computação; 2006.
Neves LE, Cerávolo MP, Silva E, De Freitas WZ, Da Silva FF, Higino WP, et al. Cardiovascular effects of Zumba performed in a virtual environment using XBOX Kinect. J PhysTher Sci. 2015; 27(9):2863-5.
Sousa, F.H. Uma revisão bibliográfica sobre a utilização do Nintendo® Wii como instrumento terapêutico e seus fatores de risco. Revista Espaço Acadêmico 2011; 11(123):155-160.
Zyda M. From visual simulation to virtual reality to games. Computer. 2005; 38(9):25–32.
Adamovich SV, Fluet GG, Tunik E, Merians AS. Sensorimotor Training in Virtual Reality: A Review. NeuroRehabilitation. 2009; 25(1):29-44.
Franciulli PM, Silva GG, Bigongiari A, Barbanera M, Neto SER, Mochizuki L. Equilíbrio e ajuste postural antecipatório em idosos caidores: efeitos da reabilitação virtual e cinesioterapia. Acta Fisiátrica. 2016; 23(4):191-196.
Pluchino A, Lee SY, Asfour S, Roos BA, Signorile JF. Pilot study comparing changes in postural control after training using a video game balance board program and 2 standard activity-based balance intervention programs. Arch. Phys. Med. Rehabil. 2012; 93(7):1138-46.
Holden MK. Virtual environments for motor rehabilitation: Review. Cyberpsychol Behav. 2005; 8:187–211.
Meyns P, Pans L, Plasmans K, Heyrman L, Desloovere K, Molenaers G. The Effect of Additional Virtual Reality Training on Balance in Children with Cerebral Palsy after Lower Limb Surgery: A Feasibility Study. Games Health J. 2017; 6(1):39-48.
Singh DKA, Nordin NAM, Aziz NAA, Lim BK, Soh LC. Effects of substituting a portion of standard physiotherapy time with virtual reality games among community-dwelling stroke survivors. BMC Neurol. 2013; 13:199.
Yin C, Hsueh YH, Yeh CY, Lo HC, Lan YT. A Virtual Reality-Cycling Training System for Lower Limb Balance Improvement. Biomed Res. Int. 2016; 2016:9276508.
Miranda CS, Oliveira TP, Gouvêa JXM, Perez DB, Marques AP, Piemonte MEP. Balance Training in Virtual Reality Promotes Performance Improvement but not Transfer to Postural Control in People with Chronic Stroke. Games Health J. 2019; 8(4):294-300.
Kim N, Park Y, Lee BH. Effects of community-based virtual reality treadmill training on balance ability in patients with chronic stroke. J Phys Ther Sci. 2015; 27(3):655-658.
Lloréns R, Gil-Gómez JA, Alcañiz M, Colomer C, Noé E. Improvement in balance using a virtual reality-based stepping exercise: a randomized controlled trial involving individuals with chronic stroke. Clin. Rehabil. 2015; 29(3) 261–268.
Oliveira MPB, Ferreira DM, Silva JRT, Silva AM, Lobato DFM, Kosour C, et al. Realidade virtual na função motora de membros inferiores pós-acidente vascular encefálico. Acta Fisiátrica 2016; 23(3):135-139.
Cho KH, Lee KJ, Song CH. Vitual-Reality Balance Training with a Video-Game System Improves Dynamic Balance in Chronic Stroke Patients. Tohoku J. Exp. Med. 2012; 228: 69-74.
McEwen D, Taillon-Hobson A, Bilodeau M, Sveistrup H, Hillel Finestone H. Virtual Reality Exercise Improves Mobility After Stroke An Inpatient Randomized Controlled Trial. Stroke. 2014;45(6):1853-5.
Turolla A, Dam M, Ventura L, Tonin P, Agostini M, Zucconi C, et al. Virtual reality for the rehabilitation of the upper limb motor function after stroke: a prospective controlled trial. J. neuroengineering rehabil. 2013; 1:10:85.
Cho KH, Kim MK, Lee HJ, Lee WH. Virtual Reality Training with Cognitive Load Improves Walking Function in Chronic Stroke Patients. Tohoku J. Exp. Med. 2015; 236(4):273-80.
Ribeiro NMS, Ferraz DD, Pedreira É, Pinheiro Í, da Silva Pinto AC, Neto MG, et al. Virtual rehabilitation via Nintendo Wiit and conventional physical therapy effectively treat post-stroke hemiparetic patients. Top. Stroke Rehabil. 2015; 22(4):299-305.
Ramos RAA, Dias EA, Oliveira LFC, Guimarães TCM, Pernambuco AP, Chaves CMCM. Realidade virtual na reabilitação de portadores da doença de Parkinson. Fisioterapia Brasil 2016; 17(3):179-187.
Fontoura VCB, Macêdo JGF, Silva LP, Silva IB, Coriolano MGWS, Monteiro D. The role of rehabilitation with virtual reality in functional ability and quality of life of individuals with Parkinson’s disease. Acta Fisiátrica 2017; 24(2):86-91.
Feng H, Li C, Liu J, Wang L, Ma J, Li G. Virtual Reality Rehabilitation Versus Conventional Physical Therapy for Improving Balance and Gait in Parkinson’s Disease Patients: A Randomized Controlled Trial. Med. Sci. Monit. 2019; 25: 4186-4192.
Yang WC, Wang HK, Wu RM, Lo CS, Lin KH. Home-based virtual reality balance training and conventional balance training in Parkinson’s disease: A randomized controlled trial. J. Formos. Med. Assoc. 2016; 115(9):734-43.
Gutiérrez RO, Galán Del Río F, Cano de la Cuerda R, Alguacil Diego IM, González RA, Page JC. A telerehabilitation program by virtual reality-video games improves balance and postural control in multiple sclerosis patients. NeuroRehabilitation. 2013; 33(4):545-54.
Peruzzi A, Zarbo IR, Cereatti A, Croce UD, Mirelman A. An innovative training program based on virtual reality and treadmill: effects on gait of persons with multiple sclerosis. Disabil. Rehabil. 2016; 39(15):1557-1563.
El-Shamy S, Alsharif R. Effect of virtual reality versus conventional physiotherapy on upper extremity function in children with obstetric brachial plexus injury. J Musculoskelet Interact. 2017; 17(4):319-326.
Meldrum D, Herdman S, Vance R, Murray D, Malone K, Duffy D, et al. Effectiveness of Conventional Versus Virtual RealityeBased Balance Exercises in Vestibular Rehabilitation for Unilateral Peripheral Vestibular Loss: Results of a Randomized Controlled Trial. Arch. phys. med. rehabil. 2015; 96:1319-1328.
Arnoni JLB, Pavão SL, Silva FPS, Rocha NACF. Effects of virtual reality in body oscillation and motor performance of children with cerebral palsy: A preliminary randomized controlled clinical trial. Complementary Therapies in Clinical Practice 2019; 189–194.
Tefertiller C, Hays K, Natale A, O'Dell D, Ketchum J, Sevigny M. Results From a Randomized Controlled Trial to Address Balance Deficits After Traumatic Brain Injury. Arch. phys. med. rehabil. 2019; 100(8):1409-1416.
Cho C, Hwang W, Hwang S Chung Y. Treadmill Training with Virtual Reality Improves Gait, Balance, and Muscle Strength in Children with Cerebral Palsy. Tohoku J. Exp. Med. 2016; 238(3): 213-218.
Cuthbert JP, Staniszewski K, Hays K, Gerber D, Natale A, O’Dell D. Virtual reality-based therapy for the treatment of balance deficits in patients receiving inpatient rehabilitation for traumatic brain injury. Brain Inj. 2014; 28(2): 181–188.
Alahmari KA, Sparto PJ, Marchetti GF, Redfern MS, Furman JM, Whitney SL. Comparison of Virtual Reality Based Therapy with Customized Vestibular Physical Therapy for the Treatment of Vestibular Disorders. IEEE Trans. Neural Syst. Rehabil. Eng. 2014; 22(2):389-99.
Park J, Yim J. A New Approach to Improve Cognition, Muscle Strength, and Postural Balance in Community-Dwelling Elderly with a 3-D Virtual Reality Kayak Program. Tohoku J. Exp. Med., 2016; 238: 1-8.
Duque G, Boersma D, Loza-Diaz G, Hassan S, Suarez H, Geisinger D, et al. Effects of balance training using a virtual-reality system in older fallers. Clin. Interv. Aging. 2013; 8:257-263.
Bacha JMR, Gomes GCV, de Freitas TB, Viveiro LAP, da Silva KG, Bueno GC. Effects of Kinect Adventures Games Versus Conventional Physical Therapy on Postural Control in Elderly People: A Randomized Controlled Trial. Games Health J. 2018; 7(1):24-36.
Tsang WWN, Fu ASN. Virtual reality exercise to improve balance control in older adults at risk of falling. Hong Kong Med. J. 2016; 22(2):S19–22.
Lee S, Shin S. Effectiveness of Virtual Reality Using Video Gaming Technology in Elderly Adults with Diabetes Mellitus. Diabetes Technol. Ther. 2013; 15(6):489-96.
Gianola S, Stucovitz E, Castellini G, Mascali M, Vanni F, Tramacere I, et al. Effects of early virtual reality-based rehabilitation in patients with total knee arthroplasty. Medicine 2020; 99:7.
Shema SR, Brozgol M, Dorfman M, Maidan I, Sharaby-Yeshayahu L, Malik-Kozuch H, et al. Clinical Experience Using a 5-Week Treadmill Training Program With Virtual Reality to Enhance Gait in an Ambulatory Physical Therapy Service. Phys. Ther. 2014; 94(9):1319-26.
Martinho NM, Silva VR, Marques J, Carvalho LC, Iunes DH, Botelho S. The effects of training by virtual reality or gym ball on pelvic floor muscle strength in postmenopausal women: a randomized controlled trial. Braz. J. Phys. Ther. 2016; 20(3):248-257.
Silva JPLN, Novaes LFM, Santos LCR, Galindo BP, Cavalcante MA. Effects of Conventional and Virtual Reality Cardiovascular Rehabilitation in Body Composition and Functional Capacity of Patients with Heart Diseases: Randomized Clinical Trial. Int. j. cardiovasc. sci. 2018; 31(6)619-629.
Donnan GA, Fisher M, Macleod M, Davis SM. Stroke. Lancet 2008; 371:1612–1623.
Hochstenbach J, Prigatano G, Mulder T. Patients’ and relatives’ reports of disturbances 9 months after stroke: subjective changes in physical functioning, cognition, emotion, and behavior. Arch. Phys. Med. Rehabil. 2005; 86:1587–1593.
Schuck SO, Whestone A, Hill V, Levine P. Game-based, portable, upper extremity rehabilitation in chronic stroke. Top. Stroke Rehabil. 2011; 18(6):720–727.
Goble DJ, Cone BL, Fling BW. Using the Wii Fit as a tool for balance assessment and neurorehabilitation: the first half decade of “Wii-search”. J. neuroengineering rehabil. 2014; 11:12.
Barcala L, Grecco LA, Colella F, Lucareli PR, Salgado AS, Oliveira CS. Visual biofeedback balance training using wii fit after stroke: a randomized controlled trial. J Phys Ther Sci. 2013; 25(8):1027-32.
Vieira GP, Araujo DFGH, Leite MAA, Orsini M, Correa CL. Realidade virtual na reabilitação física de pacientes com doença de Parkinson. JHGD., 2014; 24(1):31-41.
Mohapatra S, Eviota AC, Ringquist KL, Muthukrishnan SR, Aruin AS. Compelled body weight shift technique to facilitate rehabilitation of individuals with acute stroke. ISRN Rehabil, 2012; 2012:1–14.
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