Eficácia da intervenção, baseada no Nintendo® Wii, nas cinco áreas centrais da Fisioterapia para as pessoas com doença de Parkinson uma revisão de escopo
Data
2021-07-26
Autores
Souza, Miguel Angelo Lelis de [UNIFESP]
Orientadores
Capellini, Verena Kise [UNIFESP]
Tipo
Trabalho de conclusão de curso de graduação
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Segundo a Diretriz Europeia de Fisioterapia para a doença de Parkinson (DP), o
tratamento fisioterapêutico das pessoas com DP deve abordar cinco áreas centrais:
capacidade física, transferências, equilíbrio, marcha e atividades manuais. O
objetivo desta revisão foi investigar se a intervenção com o Nintendo® Wii melhora
as cinco áreas centrais da Fisioterapia para as pessoas com DP. Trata-se de uma
revisão de escopo nas bases de dados MEDLINE, Embase, Web of Science,
Scopus, LILACS, PEDro, CINAHL e SciELO, com a seguinte estratégia de busca:
(parkinson) AND ((nintendo) OR (wii) OR (wiimote)). Os critérios de inclusão foram:
1) artigos publicados em português, inglês ou espanhol, independentemente da
data; 2) estudos originais (ensaios clínicos, estudos quasi-experimentais, estudos
piloto e estudos de antes e depois); 3) estudos realizados com indivíduos com DP,
com idade superior a 18 anos, independentemente do estágio da doença, do sexo
ou da etnia; 4) estudos que usaram como intervenção o Nintendo® Wii; e 5) estudos
que apresentaram como resultados desfechos relacionados a uma ou mais áreas
centrais da Fisioterapia para pessoas com DP. Artigos duplicados ou que não
possuíam o texto disponível na íntegra foram excluídos. A qualidade metodológica
dos estudos incluídos foi avaliada por meio da escala PEDro. A amostra foi
composta por 20 estudos, os quais apresentaram qualidade metodológica excelente
(n=0), boa (n=10), aceitável (n=1) e baixa (n=9). Dentre as cinco áreas centrais da
Fisioterapia para a pessoa com DP, a mais avaliada foi o equilíbrio (n=16), seguido
pela marcha (n=7), capacidade física (n=6) e atividades manuais (n=1). A
transferência não foi avaliada em nenhum dos artigos selecionados. Em comparação
com outras intervenções, o Nintendo® Wii foi tão ou mais eficaz para as quatro
áreas centrais avaliadas. Em geral, a terapia com Nintendo® Wii mostrou-se tão ou
mais eficaz que as terapias convencionais para o equilíbrio e a marcha de pessoas
com DP.
According to the European Physical Therapy Guideline for Parkinson's Disease (PD), the physical therapy treatment of people with PD should address five core areas: physical capacity, transfers, balance, gait and manual activities. to assess whether intervention with the Nintendo® Wii improves the five core areas of Physiotherapy for people with PD. this is a scoping review in the MEDLINE, Embase, Web of Science, Scopus, LILACS, PEDro, CINAHL and SciELO databases, with the following search strategy: (parkinson) AND (( nintendo) OR (wii) OR (wiimote)). Inclusion criteria were: 1) articles published in Portuguese, English or Spanish, regardless of date; 2) original studies (clinical trials, quasi-experimental studies, pilot studies and before and after studies); 3) studies carried out with individuals with PD, aged over 18 years, regardless of the stage of the disease, gender or ethnicity; 4) studies that used the Nintendo® Wii as an intervention; and 5) studies that presented outcomes related to one or more central areas of Physiotherapy for people with PD as results. Duplicate articles or articles that did not have the full text available were excluded. The methodological quality of the included studies was assessed using the PEDro scale. The sample consisted of 20 studies, which presented excellent methodological quality (n=0), good (n=10), acceptable (n=1) and low (n=9). Among the five core areas of Physiotherapy for people with PD, the most evaluated was balance (n=16), followed by gait (n=7), physical capacity (n=6) and manual activities (n=1). The transfer was not evaluated in any of the selected articles. Compared to other interventions, the Nintendo® Wii was as effective or more effective for the four core areas assessed. In general, therapy with Nintendo® Wii has been shown to be as effective or more effective than conventional therapies for balance and gait in people with PD.
According to the European Physical Therapy Guideline for Parkinson's Disease (PD), the physical therapy treatment of people with PD should address five core areas: physical capacity, transfers, balance, gait and manual activities. to assess whether intervention with the Nintendo® Wii improves the five core areas of Physiotherapy for people with PD. this is a scoping review in the MEDLINE, Embase, Web of Science, Scopus, LILACS, PEDro, CINAHL and SciELO databases, with the following search strategy: (parkinson) AND (( nintendo) OR (wii) OR (wiimote)). Inclusion criteria were: 1) articles published in Portuguese, English or Spanish, regardless of date; 2) original studies (clinical trials, quasi-experimental studies, pilot studies and before and after studies); 3) studies carried out with individuals with PD, aged over 18 years, regardless of the stage of the disease, gender or ethnicity; 4) studies that used the Nintendo® Wii as an intervention; and 5) studies that presented outcomes related to one or more central areas of Physiotherapy for people with PD as results. Duplicate articles or articles that did not have the full text available were excluded. The methodological quality of the included studies was assessed using the PEDro scale. The sample consisted of 20 studies, which presented excellent methodological quality (n=0), good (n=10), acceptable (n=1) and low (n=9). Among the five core areas of Physiotherapy for people with PD, the most evaluated was balance (n=16), followed by gait (n=7), physical capacity (n=6) and manual activities (n=1). The transfer was not evaluated in any of the selected articles. Compared to other interventions, the Nintendo® Wii was as effective or more effective for the four core areas assessed. In general, therapy with Nintendo® Wii has been shown to be as effective or more effective than conventional therapies for balance and gait in people with PD.
Descrição
Citação
SOUZA, Miguel Angelo Lelis de. Eficácia da intervenção, baseada no Nintendo® Wii, nas cinco áreas centrais da Fisioterapia para as pessoas com doença de Parkinson uma revisão de escopo. 2021. 28 f. Trabalho de conclusão de curso de graduação (Fisioterapia) - Instituto de Saúde e Sociedade, Universidade Federal de São Paulo, Santos, 2021.