Efeitos do uso do vídeo game na funcionalidade de adolescentes com paralisia cerebral: estudo de caso único

Abstract

Introduction: The use of video games as a physical therapy intervention in patients with Cerebral Palsy (CP) is a new tool with positive results found in the literature, promoting improvements in its functionality, activities and participation. Objective: To evaluate foot balance, gross motor function, gait speed, muscle mobility and endurance before and after an intensive video game intervention protocol in adolescents with CP. Methodology: A single case experimental study, type A-B-A, involving four adolescents diagnosed with CP, aged 15 to 18 years, Gross Motor Classification System (GMFCS) level II, able to understand simple orders for the intervention. Two trained researchers carried out the evaluations of the three phases of the study: (A) two weeks long, and four evaluations (two each week); (B) lasting two weeks with four evaluations (two each week); (A) Lasting four weeks with four evaluations (one per week). The outcome variables of this study were foot balance analysis (Pressure of Center Oscillation-COP), gait speed (10-meter walking test-TC-10 at usual speed-TC-10H and fast speed TC-10). 10R), mobility (Timed Up and Go-TUG), endurance (Sit to Stand Five Times -STS-5), and gross motor activity (Gross Motor Function Measure- GMFM-66). The intervention was based on twelve Nintendo® Wii video games, with sessions of 6 times per week (Monday to Saturday) for two weeks, lasting 90 minutes per session, and a maximum rest time of 15 minutes. For the analysis of the outcome variables, the 2 standard deviation band method was used, which determined the statistical significance in the comparisons between the baseline, intervention and follow-up phases. Results: Significant changes in the results of the GMFM D dimension (Participants 2 and 3), TC-10R (Participants 2, 3 and 4) and TC-10H (Participant 2), STS-5 (Participants 3 and 4) tests were observed. TUG (Participant 3) and COP (Participants 2 and 3). Conclusion: This study suggests that intensive intervention with Nintendo® Wii video games in adolescents with different types of CPs, GMFCS II, may be effective in promoting changes in the functionality of these young people.