Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial
Abstract INTRODUCTION: Individuals with human T-cell lymphotropic virus 1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) experience sensorimotor alterations, which can affect functional performance. Virtual reality (VR) videogaming is a therapeutic option, though there is scarce eviden...
Published in: | Revista da Sociedade Brasileira de Medicina Tropical |
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Online Access: | https://doi.org/10.1590/0037-8682-0623-2020 https://doaj.org/article/c79f5d88b0c349d496b8013d52516a27 |
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ftdoajarticles:oai:doaj.org/article:c79f5d88b0c349d496b8013d52516a27 2023-05-15T15:08:40+02:00 Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial Erika Pedreira da Fonseca Katia Nunes Sá Rebeca Freitas Reis Nunes Camille Rosa de Jesus Souza Mayra Castro de Matos Sousa Elen Beatriz Pinto 2021-01-01T00:00:00Z https://doi.org/10.1590/0037-8682-0623-2020 https://doaj.org/article/c79f5d88b0c349d496b8013d52516a27 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100306&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0623-2020 https://doaj.org/article/c79f5d88b0c349d496b8013d52516a27 Revista da Sociedade Brasileira de Medicina Tropical, Vol 54 (2021) Gait Tropical spastic paraparesis Mobility limitation Postural balance Virtual reality Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.1590/0037-8682-0623-2020 2022-12-30T23:24:18Z Abstract INTRODUCTION: Individuals with human T-cell lymphotropic virus 1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) experience sensorimotor alterations, which can affect functional performance. Virtual reality (VR) videogaming is a therapeutic option, though there is scarce evidence for its use in this population. We aimed to investigate the therapeutic effects of a VR video game on functional mobility, balance, and gait speed in individuals with HAM/TSP. METHODS: We conducted a blinded, crossover clinical trial comprising 29 individuals with HAM/TSP and randomized them into two groups: (1) early therapy: rehabilitative protocol started immediately after the initial evaluation and (2) late therapy: rehabilitative protocol started 10 weeks later. We assessed all participants for balance using the Berg Balance Scale (BBS) scores, functional mobility using the Timed Up and Go (TUG) test, and gait speed using video camera and CvMob software. Differences were considered significant if p<0.05. RESULTS: The early therapy group individuals presented with higher BBS scores (p=0.415), less TUG times (p=0.290), and greater gait speed (p=0.296) than the late therapy group individuals. CONCLUSIONS: VR videogaming is a useful option for rehabilitative therapy in individuals with HAM/TSP; it positively affects balance, functional mobility, and gait speed. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 54 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Gait Tropical spastic paraparesis Mobility limitation Postural balance Virtual reality Arctic medicine. Tropical medicine RC955-962 |
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Gait Tropical spastic paraparesis Mobility limitation Postural balance Virtual reality Arctic medicine. Tropical medicine RC955-962 Erika Pedreira da Fonseca Katia Nunes Sá Rebeca Freitas Reis Nunes Camille Rosa de Jesus Souza Mayra Castro de Matos Sousa Elen Beatriz Pinto Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
topic_facet |
Gait Tropical spastic paraparesis Mobility limitation Postural balance Virtual reality Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTION: Individuals with human T-cell lymphotropic virus 1-associated myelopathy/tropical spastic paraparesis (HAM/TSP) experience sensorimotor alterations, which can affect functional performance. Virtual reality (VR) videogaming is a therapeutic option, though there is scarce evidence for its use in this population. We aimed to investigate the therapeutic effects of a VR video game on functional mobility, balance, and gait speed in individuals with HAM/TSP. METHODS: We conducted a blinded, crossover clinical trial comprising 29 individuals with HAM/TSP and randomized them into two groups: (1) early therapy: rehabilitative protocol started immediately after the initial evaluation and (2) late therapy: rehabilitative protocol started 10 weeks later. We assessed all participants for balance using the Berg Balance Scale (BBS) scores, functional mobility using the Timed Up and Go (TUG) test, and gait speed using video camera and CvMob software. Differences were considered significant if p<0.05. RESULTS: The early therapy group individuals presented with higher BBS scores (p=0.415), less TUG times (p=0.290), and greater gait speed (p=0.296) than the late therapy group individuals. CONCLUSIONS: VR videogaming is a useful option for rehabilitative therapy in individuals with HAM/TSP; it positively affects balance, functional mobility, and gait speed. |
format |
Article in Journal/Newspaper |
author |
Erika Pedreira da Fonseca Katia Nunes Sá Rebeca Freitas Reis Nunes Camille Rosa de Jesus Souza Mayra Castro de Matos Sousa Elen Beatriz Pinto |
author_facet |
Erika Pedreira da Fonseca Katia Nunes Sá Rebeca Freitas Reis Nunes Camille Rosa de Jesus Souza Mayra Castro de Matos Sousa Elen Beatriz Pinto |
author_sort |
Erika Pedreira da Fonseca |
title |
Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
title_short |
Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
title_full |
Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
title_fullStr |
Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
title_full_unstemmed |
Therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: A randomized crossover clinical trial |
title_sort |
therapeutic effects of virtual reality video gaming on functional mobility, balance, and gait speed in individuals with tropical spastic paraparesis: a randomized crossover clinical trial |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2021 |
url |
https://doi.org/10.1590/0037-8682-0623-2020 https://doaj.org/article/c79f5d88b0c349d496b8013d52516a27 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 54 (2021) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100306&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0623-2020 https://doaj.org/article/c79f5d88b0c349d496b8013d52516a27 |
op_doi |
https://doi.org/10.1590/0037-8682-0623-2020 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
54 |
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