IMMEDIATE EFFECTS OF A REHABILITATION PROTOCOL WITH VIRTUAL REALITY ON THE POSTURAL STABILITY OF PACIENTES WITH PARKINSON`S DISEASE.
ResumoIntroduction: Parkinson's disease is a progressive chronic disorder, highly disabling that leads to
significant declines in functionality and quality of patient’s life. It is a common disease in middle-aged or
elderly and can affect 1% of people over 55 years. Objectives: The aim of this study was to evaluate the
immediate effects of a rehabilitation protocol with virtual reality on the postural stability of patients
with Parkinson's disease. Material and Methods: The research was conducted in a clinical school in four
weeks. Were selected for convenience 4 individuals, aged between 49 and 75 years, where all
participants took part in the experimental group receiving exercise with the Nintendo Wii Fit. The
subjects were classified by Hoehn and Yahr Disability Scale Stages (HY), then evaluated the signs and
symptoms for the unified scale evaluation of Parkinson's disease (UPDRS) and finally postural stability by
Mini BESTEST. After selection the participants went through an intervention with the Nintendo Wii Fit
targeted to stimulate their balance. On the third moment the participants were reassessed, where we
find that the treatment had positive influence on postural stability immediately after the intervention.
Results: The participant that is most favored with the intervention was the number 3, however,
everyone have obtained progress in at least one domain. Note that the task of turning on its own axis
obtained improvement in 3 of the 4 participants, featuring a possible interference of the game in agility,
sensory orientation and dynamic responses during gait. Discussion and Conclusion: With the results
obtained in this study it is suggested that VR has a real role in the development of motor control,
functionality, cognitive fitness and postural stability in patients with PD. The great advantage of this
technology is the better adherence to the rehabilitation process, because through visual and auditory
feedback provided by the game the therapy becomes attractive.
LOUREIRO, A. P. C; Feasibility of virtual therapy in rehabilitation of Parkinson’s disease patients: pilot
study; Rev Fisioter. Mov, 2012 jul/set; 25(3):659-66
ROCHA, P. R; et al; Estudo da viabilidade da utilização do Kinect como ferramenta no atendimento
fisioterapêutico de pacientes neurológicos. SBC - Proceedings of SBGames, 2012.
ZETTERGREN, K; et al; The effects of Nintendo Wii Fit training on gait speed, balance, functional mobility
and depression in one person with Parkinson’s disease, ATI - Applied Technologies & Innovations, 2011.