Otimizando envolvimento em atividades e participação: um estudo utilizando a realidade virtual para adultos pós-Acidente Vascular Encefálico

• Ano de defesa: 2017
• Autor(a) principal: ARAMAKI, Alberto Luiz
• Orientador(a): SILVA E DUTRA, Fabiana Caetano Martins
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Triângulo Mineiro
• Programa de Pós-Graduação: Programa de Pós-Graduação Stricto Sensu em Atenção à Saúde
• Departamento: Instituto de Ciências da Saúde - ICS::Curso de Graduação em Enfermagem
• País: Brasil
• Palavras-chave em Português: Atividades Cotidianas.; Terapia de exposição à Realidade Virtual.; Acidente Vascular Cerebral.
• Palavras-chave em Inglês: Activities of Daily Living.; Virtual Reality Exposure Therapy.; Stroke.
• Palavras-chave em Espanhol: Actividades Cotidianas.; Terapia de Exposición Mediante Realidad Virtual.; Accidente Cerebrovascular.
• Área do conhecimento CNPq: Saúde Coletiva
• Link de acesso: http://bdtd.uftm.edu.br/handle/tede/720

INTRODUCTION: The Virtual Reality (VR) is a possible environmental factor that positively influences the performance and the ability of the individual in executing tasks, and even their body functions and structures. VR can help the application of motor learning principles and the neuroplasticity during rehabilitation, allowing for a better functionality level and the active participation of the user in the rehabilitation process. Literature points out evidences that the technologies with the use of games started being accepted in rehabilitation environments, especially with patients that suffered strokes. OBJECTIVE: Describing he changes in the functionality components (activity and participation) provoked by the use of virtual reality as a therapeutic resource for patients who had strokes. METHODOLOGY: This study was a longitudinal intervention (pre- and post-test) with a quantitative and qualitative methodology, divided in two stages. Stage I: A realization of the tie pre-test/post-test was conducted with the use of VR to improve the involvement in the participation and diminish the activity limitations of adults who had strokes. The instruments COPM and P-SCALE were used to obtain information regarding the changes in their occupational performance and their participation, respectively. Stage II: Qualitative and phenomenological approach, targeted at the universe of meaning and experience of patients regarding the use of VR during the rehabilitation sections. The intervention program was made up of three weekly sections during 40 minutes each, for 12 weeks. The console used was the Xbox 360, with the ®KINECT movement sensors, that captured the movements of the body of the patients. RESULTS: There were 10 participants, six male and four female, aging from 21 to 59 years of age, who had been afflicted by the stroke from 2 to 24 months at the time of the research. The activities reported in the COPM were distributed in the categories of self-care, productive activities and leisure-related activities, and were mostly related to an inability to perform selfcare activities. In the domains performance and satisfaction, after both pre- and post-test, there was a significant improvement (P<0.001). The statistical power reached for 10 subjects was 99%. The results of the participation with the PScale in both tests showed meaningful increases (p=0.046) after intervention and reached a statistical power of 59.96%. From the analysis of the interviews, the following thematic categories were identified in the narratives: (1) Losses, ruptures and difficulties after the stroke; (2) video game use and its potential; and (3) improvement in functionality and future plans. CONCLUSION: The VR has showed itself to be a n important therapeutic resource, efficient to provoke meaningful changes in the functionality components (activity and participation) in stroke patients.