Treino de equilíbrio e marcha em indivíduos hemiplégicos por acidente vascular cerebral utilizando realidade virtual

Abstract

This monograph aims to determine the possibility of rehabilitation through the virtual reality, specifically the use of the Nintendo Wii Fit in balance training, acquisition of independent walking and restitution of the functionality in the individuals with hemiplegia after stroke. We conducted a nonrandomized clinical trial time series. Seven individuals participated, aged between 40 and 75, who attended the Department of Physical Therapy, University Hospital of Santa Maria / RS. The volunteers were evaluated as to the balance by the Berg Balance Scale (BBS) and the Plate Force. The march was evaluated by Dynamic Gait Index (IMD) and the functionality and autonomy by the Functional Independence Measure (FIM). Was developed and applied a protocol of balance training using Nintendo Wii Fit® from the references in the literature. The data were processed and postural balance variables, IMD, BERG and MIF were verified by Spearman correlation test. The significance level for all tests was 5%. The intensity of the correlation was classified by the criterion of Malina. We found a moderate correlation between most of the data submitted after the training protocol with Wii Fit ®. There was a strong and significant correlation (p <0.05) between the data found on the force platform and the MIF. In conclusion, the protocol established from the games NWFit ® suggest to be effective for treating disorders of the static equilibrium in this study by the correlation between postural control variables obtained by the plate force and functionality in activities of daily living. The results of this study suggest that Wiireabilitation can be considered as a adjuvant therapy with conventional rehabilitation.