Influence of the use of Wii Fit on static balance and gait in Parkinson disease
DOI:
https://doi.org/10.11606/issn.2317-0190.v27i2a171459Keywords:
Parkinson Disease, Video Games, Simulation Exercise, Postural Balance, Gait AnalysisAbstract
Parkinson Disease (PD) is characterized, especially, by bradykinesia, postural instability, reduced reflexes and changes in gait, increasing the risk of falls. Objective: To evaluate the influence of protocol exercises on static balance and gait with Wii Fit in PD. Method: This is an original article that analyzed static changes and gait in two patients with Parkinson who were submitted to Nintendo Wii® and evaluated before and after the protocol. The evaluation took place by analyzing static balance and gait, at the beginning and at the end of 6 weeks after the protocol of three games: Penguin Slide, Platforms and Balance Bubble, twice a week, covering the same sequence. The research was carried out at the Laboratório de Análise do Movimento Humano, linked to the Universidade de Fortaleza, from February to September 2015. Results: The baropodometric data, referring to the variation of the surface, showed a lower value after intervention. The average speed variable increased after activity. The distances between the 2nd and 3rd step and between the 3rd and 4th step also increased after the intervention, except for the latter for the first patient. With the Nitendo Wii Fit protocol, participants reported greater agility and safety in their strides, which can be proven by increasing their average speed. Patients showed an improvement in static balance and gait. Conclusion: Exercises protocoled in virtual reality in patients with PD improved the performance of static balance and gait, which tends to favor orthostatic stability and walking.
Downloads
References
Aguiar PMC, Severino P. Biomarcadores na doença de Parkinson: avaliação da expressão gênica no sangue periférico de pacientes com e sem mutações nos genes PARK2 e PARK8. Einstein. 2010; 8 (3): 291-7. Doi: https://doi.org/10.1590/s1679-45082010ao1674
Leandro LA. Fatores associados ao desempenho funcional de idosos portadores da Doença de Parkinson [Dissertação]. Curitiba: Universidade Federal do Paraná; 2011.
Queiroz FS. Autocuidado e qualidade de vida de idosas com Parkinson e disfunção miccional [Dissertação]. Salvador: Universidade Federal da Bahia; 2012.
Peternella FMN, Marcon SS. Descobrindo a Doença de Parkinson: impacto para o parkinsoniano e seu familiar. Rev Bras Enferm. 2009;62(1):1-4. Doi: https://doi.org/10.1590/S0034-71672009000100004
Almeida MHM, Castiglioni MC. Recursos tecnológicos: estratégia de promoção do autocuidado, atividades e participação para pessoas com doença de Parkinson. Rev Ter Ocup Univ São Paulo. 2007;18(3):152-7. Doi: https://doi.org/10.11606/issn.2238-6149.v18i3p152-157
Molina KI, Ricci NA, Moraes SA. Virtual reality using games for improving physical functioning in older adults: a systematic review. J Neuroeng Rehabil. 2014; 11(1):156. Doi: https://doi.org/10.1186/1743-0003-11-156
Fontoura VCB, Macêdo JGF, Silva LP, Silva IB, Coriolano MGWS, Monteiro D. Papel da reabilitação com realidade virtual na capacidade funcional e qualidade de vida de indivíduos com doença de Parkinson. Acta Fisiátr.2017;24(2):86-91. Doi: https://doi.org/10.5935/0104-7795.20170017
Barry G, Galna B, Rochester L. The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil. 2014;11 (1):33. Doi: https://doi.org/10.1186/1743-0003-11-33
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 Neuroeng Rehabil. 2014;11(1):12. Doi: https://doi.org/10.1186/1743-0003-11-12
Hoehn MM, Yahr MD. Parkinsonism onset, progression, and mortality. Neurology. 1967;17(5): 427-42. Doi: https://doi.org/10.1212/wnl.17.5.427
Langston JW, Widner H, Goetz CG, Brooks D, Fahn S, Freeman T, et al. Core assessment program for intracerebral transplantations (CAPIT). Mov Disord. 1992;7(1):2-13. Doi: https://doi.org/10.1002/mds.870070103
Deacon M, Parsons J, Mathieson S, Davies TC. Can Wii Balance? Evaluating a Stepping Game for Older Adults. IEEE Trans Neural Syst Rehabil Eng. 2018;26(9):1783-93. Doi: https://doi.org/10.1109/TNSRE.2018.2862146
Mengarelli A, Cardarelli S, Strazza A, Di Nardo F, Fioretti S, Verdini F. Validity of the Nintendo Wii balance board for the Assessment of Balance Measures in the Functional Reach Test. IEEE Trans Neural Syst Rehabil Eng. 2018;26(7):1400-1406. Doi: https://doi.org/10.1109/TNSRE.2018.2843884
Araújo LP, Rodrigues AP. Exercício físico e avaliação da capacidade funcional de idosos com Parkinson. Motricidade. 2018;14(SI):54-9. Doi: https://doi.org/10.6063/motricidade.16237
Crocetta TB, Oliveira SR, Liz CM, Andrade A. Tecnologias de realidade virtual e aumentada no desempenho humano: uma revisão. Fisioter Mov. 2015;28(4):823-35. Doi: https://doi.org/10.1590/0103-5150.028.004.AR01
Xu Q, Park Y, Huang X, Hollenbeck A, Blair A, Schatzkin A, et al. Physical activities and future risk of Parkinson disease. Neurology. 2010;75(4):341-8. Doi: https://doi.org/10.1212/WNL.0b013e3181ea1597
Paula FR, Lima LO, Salmela LFT. Exercício aeróbio e fortalecimento muscular melhoram o desempenho funcional na doença de Parkinson. Fisioter Mov. 2011; 24(3):379-88. Doi: https://doi.org/10.1590/S0103-51502011000300002
Fonseca LJP, Brandalize M, Brandalize D. Nintendo Wii na reabilitação de pacientes com paralisia cerebral – relato de caso. Arq Ciênc Saúde UNIPAR. 2012;16(1): 39-43. Doi: https://doi.org/10.25110/arqsaude.v16i1.2012.4565
Descatoire A, Thévenon A, Moretto A. Baropodometric information return device for foot unloading. Med Eng Phys. 2009;31(5):607-13. Doi: https://doi.org/10.1016/j.medengphy.2008.12.002
Klinger E, Chemin I, Lebreton S, Marié RM. Virtual action planning in Parkinson's disease: a control study. Cyberpsychol Behav. 2006;9(3):342-7.Doi: https://doi.org/10.1089/cpb.2006.9.342
Ebersbach G, Grust U, Ebersbach A, Wegner B, Gandor F, Kühn AA. Amplitude-oriented exercise in Parkinson’s disease: a randomized study comparing LSVT-BIG and a short training protocol. J Neural Transm. 2015;122(2): 253-6. Doi: https://doi.org/10.1007/s00702-014-1245-8
Fukunaga JY, Quitschal RM, Doná F, Ferraz HB, Ganança MM, Caovilla HH. Postural control in Parkinson's disease. Braz J Otorhinolaryngol. 2014;80(6):508-514. Doi: https://doi.org/10.1016/j.bjorl.2014.05.032
Sánchez-Arias MDR, Kleiner AFR, Hamanaka AYY, Santiago PRP, Gobbi LTB, Stella F. Restrição visual e oscilações corporais ântero-posteriores na doença de Parkinson. Acta Fisiátr. 2012;19(3):161-6. Doi: https://doi.org/10.5935/0104-7795.20120025
Frazzitta G, Maestri R, Ghilardi MF, Riboldazzi G, Perini M, Bertotti G, et al. Intensive rehabilitation increases BDNF serum levels in parkinsonian patients: a randomized study. Neurorehabil Neural Repair. 2014 Feb;28(2):163-8. Doi: https://doi.org/10.1177/1545968313508474
Gonçalves GB, Leite MA, Pereira JS. Influência das distintas modalidade de reabilitação sobre as disfunções motoras decorrentes da Doença de Parkinson. Rev Bras Neurol. 2011; 47 (2): 22-30.
Rose MH, Lokkegaard A, Sonne-holm S. Tremor irregularity, torque steadiness and rate of force development in Parkinson’s disease. Motor Control. 2012; 17(2):203-16. Doi: https://doi.org/10.1123/mcj.17.2.20
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Acta Fisiátrica
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.