Effects of a Video Game-Based Intervention on the Attention and Functional Independence of Older Adults after Cerebrovascular Accident
DOI:
https://doi.org/10.1590/1809-2950/14643623012016Abstract
The population aging is increasing the number of chronical diseases that result in cognitive and motor limitations, how stroke. The objective of the research was to investigate the effects of Motion Rehab game in attention and independence in the elderly after stroke. It is a study of control intervention before and after, where population was 10 elderly people with average ages of 67,7 and 71 years old, with cerebrovascular damage caused by ischemic stroke, and users of the Physical rehabilitation center. The research sessions were realized individually, once a week frequency, with 15 minutes long, during 15 weeks. The research tools were, Mini Mental State Examination, Functional Independence Measure, Geriatric Depression Scale and Colorful Trails Test. The research sessions were realized individually, once a week frequency, with 15 minutes long, during 15 weeks. In the data analysis the Student t test for paired samples was applied. The results determine significant differences in the attention and independence after the interventions with the game. During the colorful trails tests´ the time reduced 330,5±140,8 second at the evaluation, from 259,4±112,5 second the reevaluation (p=0,039), for more, the psychologist professional interference needs decreases from 0,8±0,5 to 0,4±0,3 (p=0,036). The Functional Independence average obtained at first was a score of 102,3 ± 23,4 (modified dependence) and at the reevaluation a score of 107±18,6 (modified independence) (p=0,044). It was possible to conclude that the interventions brought benefits to the elderly people, turning in an alternative to the physics and cognitive rehabilitations to that population.Downloads
References
Bavelier D, Green SC, Han DH, Renshaw PF, Merzenich MM,
Gentile DA. Brains on video games ¿ viewpoint. Nat Rev
Neurosci. 2011;12:763-8.
WHO - World Health Organization. Stroke, Cerebrovascular
accident: Health topics. Geneva, 2013. Disponível em:
www.who.int/topics/cerebrovascular_accident/en/>. Acesso
em: 22 jun. 2013.
WHO – World Health Organization. Stroke, Cerebrovascular
accident. Geneva, 2014. Disponível em: < http://www.emro.
who.int/health-topics/stroke-cerebrovascular-accident/
index.html>. Acesso em: 19 fev. 2015.
Langhorne P, Coupar F, Pollock A. Motor recovery after
stroke: a systematic review. Lancet Neurol. 2009;8(8):741-54.
Molina KI, Ricci NA, Moraes AS, Perracini MR. Virtual reality
using games for improving physical functioning in older
adults: a systematic review. J NeuroEng Rehabil. 2014;11(156).
Anguera JA, Boccanfuso J, Rintoul JL, Al-Hashimi O, Faraji F,
Janowich J, et al.. Video game training enhances cognitive
control in older adults. Nature, 2013;501(7465):97-101.
Rivero TS, Querino EHG, Satarling-Alves I. Videogame: seu
impacto na atenção, percepção e funções executivas. Rev
Neuropsicol Latinoam. 2012;4(3):1-15.
Vogiatzaki E, Krukowski A. Serious games for stroke
rehabilitation employing immersive user interfaces in 3D
virtual environment. J Health Inf. 2014;6:105-13.
Rocha PR, Defavari AH, Brandão PS. Estudo da viabilidade
da utilização do Kinect como ferramenta no atendimento
fisioterapêutico de pacientes neurológicos. In: XI Simpósio
Brasileiro de jogos e Entretenimento Digital, Brasília - DF. 2012.
Kim BR, Chun MH, Kim LS, Park Y. Effect of virtual
reality on cognition in stroke patients. Ann Rehabil Med.
;35(4):450-9.
Pompeu JE, Alonso TH, Bordello IM, Alvarenga APSM,
Torriani-Pasin C. Os efeitos da realidade virtual na reabilitação
do acidente vascular encefálico: Uma revisão sistemática.
Motricidade, 2014;10(4):111-22.
Folstein M F, Folstein SE, Mchugh PR. “Mini-Mental State”: a
pratical method for grading the cognitive state of patients
for the clinic. J Psych Res. 1975;12:198.
Bertolucci, PHF, Brucki SMD, Campacci SR, Juliano Y. O Miniexame do Estado Mental em uma população geral: impacto
da escolaridade. Arq Neuro-Psiquiatr.1994;52(1):1-7.
Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto
IH. Sugestões para o uso do mini-exame do estado mental
no Brasil. Arq Neuropsiquiatr. 2003;61(3B):777-81.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde.
Departamento de Atenção Básica. Envelhecimento e saúde
da pessoa idosa. Cadernos de Atenção Básica nº 19. Brasília:
Ministério da Saúde, 2006. 192p.
Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M,
et al. Development and validation of a geriatric depression
scale: a preliminary report. J Psychiatr Res. 1983;17(1):37-49.
Rabelo I, Pacanaro S, Rossetti M, Lerme I. (2010). Teste de
trilhas coloridas. São Paulo: Casa do Psicólogo, 2010.
Burke JW, McNeill MDJ, Charles PJ, Morrow PJ,
Crosbie JH, McDonough SM. Optimising engagement
for stroke rehabilitation using serious games. Vis
Comput.2009;25:1085-99.
Cruz KCT, Diogo MJDE. Avaliação da capacidade funcional de
idosos com acidente vascular encefálico. Acta Paul Enferm.
;22(5):666-72.
Parahyba MI, Veras R. Diferenciais sociodemográficos no
declínio funcional em mobilidade física entre os idosos no
Brasil. Cienc Saude Coletiva. 2008;13(4):1257-64.
Freitas D, Da Gama A, Figueiredo L, Chaves TM., MarquesOliveira D, Teichrieb,V, et al. Development and evaluation of
a Kinect based motor rehabilitation game. Proceedings of
SBGames. 2012;4:144-53.
Downloads
Published
Issue
Section
License
Copyright (c) 2016 Fisioterapia e Pesquisa
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.