Abstract
RESUMO O objetivo deste estudo foi revisar sistematicamente a literatura sobre a eficácia do Nintendo Wii na melhora de desfechos funcionais e de saúde de indivíduos com doença de Parkinson. A revisão foi desenvolvida seguindo o PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), com buscas nas bases de dados MEDLINE, SciELO, LILACS e PEDro mediante estratégia de busca composta pela combinação dos termos “Wii”, “Doença de Parkinson”, “reabilitação” e “fisioterapia”, seguida de busca manual. Os critérios de inclusão foram: estudos experimentais ou quase-experimentais relacionados a intervenções envolvendo o uso do Nintendo Wii para melhora de desfechos funcionais em indivíduos com doença de Parkinson, publicados até fevereiro de 2016, sem restrição de idioma. A qualidade metodológica dos estudos foi avaliada pela escala PEDro. Dos 701 estudos encontrados, foram selecionados sete que atenderam aos critérios de inclusão, a maioria (57,14%) apresentava qualidade metodológica ruim e era do tipo quase-experimental. Os resultados sugerem que o uso do Wii parece eficaz para melhora de desfechos funcionais (equilíbrio, mobilidade, desempenho motor e independência) e de saúde (diminuição do risco de quedas), sendo mais consistentes os resultados para melhora do equilíbrio. São necessários estudos com melhor qualidade metodológica para o estabelecimento das evidências e, ainda, padronizações sobre os tipos de jogos, intensidade e frequência adequados para cada tipo de paciente com DP.
Highlights
Parkinson’s disease (PD) is a chronic, progressive and degenerative disorder of the central nervous system, the second most common neurodegenerative disease and the leading cause of Parkinsonism, with higher prevalence in the population over 65 years of age and in the male sex[1,2]
The results of the studies included in this review suggest that the use of Nintendo Wii is effective to improve functional outcomes and health outcomes, being more consistent the evidence regarding the balance
The studies of this review included individuals with PD with more commonly described clinical and demographic characteristics[1] and used assessment tools to classify the severity of the disease, Hoehn & Yahr and Unified Parkinson’s Disease Rating Scale (UPDRS), which are commonly cited and recommended for assessment and staging of PD25
Summary
Parkinson’s disease (PD) is a chronic, progressive and degenerative disorder of the central nervous system, the second most common neurodegenerative disease and the leading cause of Parkinsonism, with higher prevalence in the population over 65 years of age and in the male sex[1,2]. Among the virtual reality devices with potential for use in rehabilitation, the video game Nintendo Wii stands out with its feasibility, safety and efficacy in the improvement of balance of patients with cerebrovascular accident (CVA), cerebral palsy (CP), multiple sclerosis and traumatic brain injury (TBI). In a recent study[10] that aimed to list, compare and classify VR devices that assessed the motor symptoms of people with PD, Nintendo Wii showed good clinimetric properties and was recommended for measuring the postural instability and monitor the motor signs of these individuals. Despite its advantages and possibilities, it is not yet clear the effectiveness of this technology in the rehabilitation process of individuals with PD. The objective of this systematic review was to verify the effectiveness of Nintendo Wii in rehabilitating these individuals
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
