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Effects of virtual rehabilitation in postural control of patients with Parkinson Disease

Grant number: 15/19622-7
Support type:Scholarships in Brazil - Scientific Initiation
Effective date (Start): November 01, 2015
Effective date (End): October 31, 2016
Field of knowledge:Health Sciences - Physiotherapy and Occupational Therapy
Principal Investigator:José Eduardo Pompeu
Grantee:Maria Carolina Carrer da Cunha
Home Institution: Faculdade de Medicina (FM). Universidade de São Paulo (USP). São Paulo , SP, Brazil

Abstract

Parkinson's disease (PD) is a neurodegererative disease that affects the production of dopamine by substantia nigra of midbrain. Postural instability is one of main symptoms of PD and, also, the most refractory to the dopaminergic replacement, directly affecting the quality of life of patients. Some studies have shown the positive effect of training with virtual reality on postural control in individuals with PD. Kinect is an infra-red sensor of video game that captures movements that are reproduced in the virtual environment by an avatar. Only one pilot study was published showing the effects of the use of Kinect games on postural control of elderly people with PD, but the evaluation methods involved only clinical scales. This study aims to analyze the effects of the Kinect Adventures! games on postural control of elderly people with PD. The outcomes will be the Limits of Stability (LOS), the area and velocity of the center of pressure (COP) in ten different sensory conditions. Ten individuals diagnosed with idiopathic PD, in stages I to III of the Hoehn & Yahr scale and aged between 60 and 80 years will be selected. 14 training sessions of one hour each, twice a week, will be performed by the participants. Individuals will be evaluated pre, post-intervention and 30 days after the last session of intervention. The distribution of the data will be analyzed through the Kormogorovo-Smironov test. Comparison of results in the three assessments will be done using one-way ANOVA. (AU)