Balance and antecipatory postural adjustments in elderly fallers: effects of kinesiotherapy and virtual rehabilitation

Abstract

Aging causes a number of changes in motor control of the individual and consequently in postural adjustments. Objective: To evaluate the balance and anticipatory postural adjustments of the agonist muscles and the ankle joint antagonists and compare the effect of rehabilitation virtual and kinesiotherapy in the elderly. Methods: Twenty four elderly participated of this study divided into two groups. 12 participants and the kinesiotherapy group by 12 participants composed the virtual rehabilitation group, equally. The treatment protocol was conducted for six weeks. Virtual rehabilitation group used Xbox 360 with kinect and Your Shape Fitness Evolved game. In the kinesiotherapy group the same protocol exercises were performed. Results: The results indicated a statistically significant difference between pre and post intervention phases in Berg Balance Scale in both groups. There was decreased activation of tibialis anterior muscle in the right functional range of task after interventions, and increased lateral gastrocnemius muscle activation rights in the trunk flexion after training. No differences were observed in muscle activation between the two types of intervention. Conclusion: Protocols with therapeutic exercise and virtual rehabilitation were effective in improving balance and functional capacity of fallers, with no differences between the two types of intervention.

Effect of an Intervention Based on Multisensory Environment for Proprioception Assessment in Children With Down Syndrome: Case Study

“…The children motor skills were stretched throughout this virtual world engagement, which also helped them with balance and cognitive abilities. The findings demonstrate that our multisensory environment (MSE) can be utilized to induce visual feedback in order to create conflicts between visual, somatosensory, and vestibular information in order to educate different sensory systems, as is also addressed by various types of research [1], [2], [17], [22].…”

“…However, new trends in assistive technology-based tools utilized in multimodal therapies are using various types of stimuli because of technical advancements in therapeutic interventions [17], [42]. Serious games may employ multisensory interventions based on RGB-D multi cameras as one method of movement analysis [38].…”

Efeito do uso da reabilitação virtual com o X-box® no risco de quedas em idosos

“…Sabe-se que os idosos podem se tornar mais vulneráveis às quedas, devido às alterações decorrentes do envelhecimento (Franciulli et al, 2016). O jogo do X-box® utilizado nesta pesquisa envolve transferência de peso corporal controlada, movimentos coordenados e rápidos, bem como a detecção dos estímulos audiovisuais.…”

“…Quanto ao equilíbrio avaliado através da EBB foi evidenciado que houve um aumento da média após a intervenção de 48,1±5,1 para 52,4±3,5, assemelhando-se aos estudos de Barros et al (2016) e Franciulli et al (2016) que após o uso do X-box® verificaram através da mesma escala, melhora do equilíbrio e redução do risco de quedas em idosos, com aumento do escore de 37,5± 6,29 para 42.7± 3,83 e 49.1 ± 5.5 para 54.5 ± 2. Em relação ao TUG obteve-se no exposto estudo diminuição do escore de 15,3±4,1 para 12,8±3,1 após RV, que apesar de não ter alterado a faixa de independência parcial e baixo risco de quedas, aproximou-se da normalidade, o que indica mudanças positivas.…”

“…Com o acelerado crescimento desta população busca-se desenvolver novas estratégias terapêuticas que propiciem a melhora da capacidade funcional desses indivíduos (Pereira et al, 2015). A Reabilitação Virtual (RV) é um recurso tecnológico que vem sendo bastante explorado como forma de abordagem terapêutica (Pinheiro et al, 2017), proporcionando ao indivíduo uma experiência multissensorial através do feedback audiovisual despertando o interesse em realizar e repetir as atividades em função da ludicidade dos jogos propostos Research, Society and Development, v. 9, n. 10, e3049108638, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i10.8638 5 (Franciulli et al, 2016). Dentre as possibilidades de utilização deste recurso destacam-se o X-box® e o Nintendo Wii® (Mendes et al, 2015).…”