Quality of life of people with Parkinson’s disease after treatment with non-immersive virtual reality
DOI:
https://doi.org/10.5935/0104-7795.20160017Keywords:
Parkinson Disease, Quality of Life, Occupational Therapy, Video Games, RehabilitationAbstract
Objective: To analyze the influence of treatment with non-immersive virtual reality games (VR) on the quality of life (QOL) of people with Parkinson’s disease (PD). Methods: Uncontrolled clinical trial using 14 people with PD between stages I and IV of PD. Treatment with NIVR occurred for 6 months, 1 initial assessment and 2 quarterly re-evaluations. The instruments to measure the results were the Parkinson’s Disease Questionnaire (PDQ-39) and a Self-Perception of Performance Questionnaire. The treatment protocol used was Kinect® for Xbox 360, and the following games: Kinect Advenctures®, Your Shape: Fitness Evolved®, and Kinect Sports®. Statistical analysis of the PDQ-39 used the Wilcoxon test (p ≤ 0.05) while the Self-Perception of Performance Questionnaire was analyzed qualitatively for thematic content, identifying six categories. Results: There was a statistically significant difference after 3 months of treatment with the NIVR games in terms of mobility, emotional well-being, stigma, cognition, and total score of the PDQ-39. After 6 months of treatment the results were maintained, but no further gains. However, for a neurodegenerative disease this maintenance of gains is favorable for the functional prognosis of the patients. In the thematic categories, what stood out was an improvement of reports on mobility, activities of daily living, emotional well-being, stigma, and bodily discomfort. Conclusion: Treatment with NIVR benefits QOL of people with PD, especially including mobility, emotional well-being, stigma, and cognition
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References
Schrag A, Jahanshahi M, Quinn N. What contributes to quality of life in patients with Parkinson's disease? J Neurol Neurosurg Psychiatry. 2000;69(3):308-12.
Wirdefeldt K, Adami HO, Cole P, Trichopoulos D, Mandel J. Epidemiology and etiology of Parkinson's disease: a review of the evidence. Eur J Epidemiol. 2011;26 Suppl 1:S1-58. DOI: http://dx.doi.org/10.1007/s10654-011-9581-6
Clarke CE. Parkinson's disease. BMJ. 2007;335(7617):441-5. DOI: http://dx.doi.org/10.1136/bmj.39289.437454.AD
Pereira D, Garrett C. Risk factors for Parkinson disease: an epidemiologic study. Acta Med Port. 2010;23(1):15-24.
Teive HAG. Etiopatogenia da doença de Parkinson. Rev Neuroc. 2005;13(4):201-14.
Scattolin FAA. Qualidade de vida: a evolução do conceito e os instrumentos de medida. Rev Fac de Cienc Med. 2006;8(4):1-5.
Findley LJ. The economic impact of Parkinson's disease. Parkinsonism Relat Disord. 2007;13 Suppl:S8-S12. DOI: http://dx.doi.org/10.1016/j.parkreldis.2007.06.003
Andrade LAF, Barbosa ER, Cardoso F, Teive HAG. Doença de Parkinson: estratégias atuais de tratamento. 2 ed. São Paulo: Segmento Farma; 2006.
Chaudhuri KR, Healy DG, Schapira AH; National Institute for Clinical Excellence. Non-motor symptoms of Parkinson's disease: diagnosis and management. Lancet Neurol. 2006;5(3):235-45. DOI: http://dx.doi.org/10.1016/S1474-4422(06)70373-8
Aragon A, Kings J. Occupational therapy for people with Parkinson's: best practice guidelines. London: College of Occupational Therapists; 2010.
Conselho Federal de Fisioterapia e Terapia Ocupacional. Resolução n. 316, de 19 de julho de 2006. Dispõe sobre a prática de atividades de vida diária, de atividades instrumentais da vida diária e tecnologia assistiva pelo Terapeuta Ocupacional e dá outras providências. Diário Oficial da República Federativa do Brasil, Brasília (DF); 2006 Ago 3; Seção 1:79.
Pedral C, Bastos PA. Terapia Ocupacional: metodologia e prática. 2 ed. Rio de Janeiro: Rubio; 2013.
Rocha EF, Castiglioni MC. Reflexões sobre recursos tecnológicos: ajudas técnicas, tecnologia assistiva, tecnologia de assistência e tecnologia de apoio. Rev Ter Ocup Univ São Paulo. 2005;16(3):97-104.
Weiss PLT, Katz N. The potential of virtual reality for rehabilitation. J Rehabil Res Dev. 2004; 41(5): 7-10.
Crosbie JH, Lennon S, Basford JR, McDonough SM. Virtual reality in stroke rehabilitation: still more virtual than real. Disabil Rehabil. 2007;29(14):1139-46. DOI: http://dx.doi.org/10.1080/09638280600960909
Tori R, Kirner C, Siscoutto RA. Fundamentos e tecnologia de realidade virtual e aumentada. Porto Alegre: Sociedade Brasileira de Computação; 2006.
Lana RC, Álvares LMRS, Nasciutti-Prudente C, Goulart FRP, Teixeira-Salmela LF, Cardoso FE. Percepção da qualidade de vida de indivíduos com doença de Parkinson através do PDQ-39. Rev Bras Fisioter. 2007;11(5):397-402. DOI: http://dx.doi.org/10.1590/S1413-35552007000500011
Souza RG, Borges V, Silva SM, Ferraz HB. Quality of life scale in Parkinson's disease PDQ-39 - (Brazilian Portuguese version) to assess patients with and without levodopa motor fluctuation. Arq Neuropsiquiatr. 2007;65(3B):787-91. DOI: http://dx.doi.org/10.1590/S0004-282X2007000500010
Marinus J, Ramaker C, van Hilten JJ, Stiggelbout AM. Health related quality of life in Parkinson's disease: a systematic review of disease specific instruments. J Neurol Neurosurg Psychiatry. 2002;72(2):241-8. DOI: http://dx.doi.org/10.1136/jnnp.72.2.241
Crepeau EB, Schell BAB. Analisando ocupações e atividades. In: Crepeau EB, Cohn ES, Schell BAB. Terapia Ocupacional - Willard & Spackman. 11 ed. Rio de Janeiro: Guanabara Koogan; 2011. p. 363-78.
Bardin L. Análise de conteúdo. 4 ed. Lisboa: Edições 70; 2010.
Herz NB, Mehta SH, Sethi KD, Jackson P, Hall P, Morgan JC. Nintendo Wii rehabilitation ("Wii-hab") provides benefits in Parkinson's disease. Parkinsonism Relat Disord. 2013;19(11):1039-42. DOI: http://dx.doi.org/10.1016/j.parkreldis.2013.07.014
Munhoz RP. A fase pré-motora da doença de Parkinson. In: Andrade LA, Barbosa ER, Cardoso F, Teive HAG. Doença de Parkinson: estratégias atuais de tratamento. São Paulo: Omnifarma; 2010. p.18-21.
Tolosa E, Compta Y, Gaig C. The premotor phase of Parkinson's disease. Parkinsonism Relat Disord. 2007;13 Suppl:S2-7. DOI: http://dx.doi.org/10.1016/j.parkreldis.2007.06.007
Tori R, Kirner C. Fundamentos de realidade virtual. In: Tori R, Kirner C, Siscoutto RA. Fundamentos e tecnologia de realidade virtual e aumentada. Porto Alegre: Sociedade Brasileira de Computação; 2006. p. 2-21.
Mirelman A, Maidan I, Herman T, Deutsch JE, Giladi N, Hausdorff JM. Virtual reality for gait training: can it induce motor learning to enhance complex walking and reduce fall risk in patients with Parkinson's disease? J Gerontol A Biol Sci Med Sci. 2011;66(2):234-40.
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