Aplicação de Jogos Terapêuticos: Demandas e Desafios
Resumo
Estudos têm demonstrado possíveis papéis de jogos para videogames no tratamento e reabilitação de processos patológicos, principalmente relacionados ao SNC. Pesquisadores vêm tentando estabelecer vantagens deste uso terapêutico em casos de AVC, AVE e paralisia cerebral e, mais recentemente, estudos apontam benefícios no tratamento da doença de Parkinson e da obesidade. Apesar de se tratar de uma área considerada nova e, ainda com escassez de publicações a este respeito, percebe-se a potencialidade destes instrumentos para auxílio no tratamento de outras doenças que interfiram em funções cognitivas, motoras e motivacionais dos indivíduos. Desta forma, o presente artigo é o resultado de uma revisão da literatura a respeito do uso e do impacto dos jogos terapêuticos sobre os tratamentos de pacientes que apresentem doenças do SNC, entre outras. Para tanto, foram selecionados artigos científicos das principais bases de dados internacionais publicados entre os anos de 2008 e 2014, incluindo estudos realizados utilizando as plataformas Wii, Xbox e Xbox com suporte para Kinect. Os dados obtidos revelam um panorama atualizado do uso de jogos em terapêutica na área de saúde e permitem levantar alguns desafios apontando as necessidades e as barreiras existentes para o uso efetivo de jogos para os diversos problemas de saúde, bem como sua possível capacidade de influenciar nos tratamentos tradicionais adotados, em cada situação, a exemplo das intervenções fisioterapêuticas e dos tratamentos farmacológicos. Percebe-se ainda que mais pesquisas são necessárias para ampliar o entendimento e a aplicação da interface entre jogos terapêuticos e terapêuticas tradicionais, ao tempo em que, merece discussão o uso comercial iminente como grande obstáculo para a utilização dos jogos em saúde.Downloads
Referências
Alvarez MV, Grogan PM, Rodriguez M. Connecting with Kinect ® to improve motor and gait function in Parkinson’s disease. Mov Disord 2012, 27: S297-S297.
Anderson F, Annett M, Bischof WF. Lean on Wii: physical rehabilitation with virtual reality Wii peripherals. Stud Health Technol Inform. 2010;154:229-34.
Bao X, Mao Y, Lin Q, Qiu Y, Chen S, Li L, Cates RS, Zhou S, Huang D. Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke. Neural Regen Res. 2013 Nov 5;8(31):2904-13. doi: 10.3969/j.issn.1673-5374.2013.31.003.
Barry G, Galna B, Rochester L. The role of exergaming in Parkinson's disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil. 2014 Mar 7;11:33. doi: 10.1186/1743-0003-11-33.
Bokhari R, Bollman-McGregor J, Kahoi K, Smith M, Feinstein A, Ferrara J. Design, development, and validation of a take-home simulator for fundamental laparoscopic skills: using Nintendo Wii for surgical training. Am Surg. 2010 Jun;76(6):583-6.
Borghese NA, Pirovano M, Lanzi PL, Wüest S, de Bruin ED. Computational Intelligence and Game Design for Effective At-Home Stroke Rehabilitation. Games Health J. 2013 Apr;2(2):81-88.
Braam KI, Van der Torre P, Takken T, Veening MA, van Dulmen-den Broeder E, Kaspers GJ. Physical exercise training interventions for children and young adults during and after treatment for childhood cancer. Cochrane Database Syst Rev. 2013 Apr 30;4:CD008796. doi: 10.1002/14651858.CD008796.pub2.
Clark R, Kraemer T. Clinical use of Nintendo Wii bowling simulation to decrease fall risk in an elderly resident of a nursing home: a case report. J Geriatr Phys Ther. 2009;32(4):174-80.
Deutsch JE, Borbely M, Filler J, Huhn K, Guarrera-Bowlby P. Use of a low-cost, commercially available gaming console (Wii) for rehabilitation of an adolescent with cerebral palsy. Phys Ther. 2008 Oct;88(10):1196-207. Epub 2008 Aug 8.
Fluet GG, Deutsch JE. Virtual Reality for Sensorimotor Rehabilitation Post-Stroke: The Promise and Current State of the Field. Curr Phys Med Rehabil Rep. 2013 Mar;1(1):9-20.
Friedman N, Chan V, Reinkensmeyer AN, Beroukhim A, Zambrano GJ, Bachman M, Reinkensmeyer DJ. Retraining and assessing hand movement after stroke using the MusicGlove: comparison with conventional hand therapy and isometric grip training. J Neuroeng Rehabil. 2014 Apr 30;11:76. doi: 10.1186/1743-0003-11-76.
Galna B, Jackson D, Schofield G, McNaney R, Webster M, Barry G, Mhiripiri D, Balaan M, Olivier P, Rochester L. Retraining function in people with Parkinson’s disease using the microsoft kinect: game design and pilot testing. J NeuroEngineering and Rehab. 2014, 11:60.
Gamberini L, Cardullo S, Seraglia B, Bordin A. Neuropsychological testing through a Nintendo Wii console. Stud Health Technol Inform. 2010;154:29-33.
Hernandez HA, Grahan N, Fehlings D, Switzer L, Ye Z, Bellay Q, Hamza A, Savery C, Stach T. Design of an exergaming station for children with cerebral palsy. In Computer Human Interaction, Austin, Texas, USA. 2012.
Ilg W, Schatton C, Schicks J, Giese MA, Schöls L, Synofzik M. Video game-based coordinative training improves ataxia in children with degenerative ataxia. Neurology. 2012 Nov 13;79(20):2056-60. doi: 10.1212/WNL.0b013e3182749e67. Epub 2012 Oct 31.
Jelsma J, Pronk M, Ferguson G, Jelsma-Smit D. The effect of the Nintendo Wii Fit on balance control and gross motor function of children with spastic hemiplegic cerebral palsy. Dev Neurorehabil. 2013;16(1):27-37. doi: 10.3109/17518423.2012.711781. Epub 2012 Oct 3.
Lange B, Chang CY, Suma E, Newman B, Rizzo AS, Bolas M. Development and evaluation of low cost game-based balance rehabilitation tool using the Microsoft Kinect sensor. Conf Proc IEEE Eng Med Biol Soc. 2011, 2011: 1831-1834.
Leon B, Basteris A, Infarinato F, Sale P, Nijenhuis S, Prange G, Amirabdollahian F. Grasps recognition and evaluation of stroke patients for supporting rehabilitation therapy. Biomed Res Int. 2014;2014:318016. doi: 10.1155/2014/318016. Epub 2014 Sep 2.
Levac D, Espy D, Fox E, Pradhan S, Deutsch JE. Kinect-ing" With Clinicians: A Knowledge Translation Resource to Support Decision Making About Video Game Use in Rehabilitation. Phys Ther. 2014 Sep 25. [Epub ahead of print].
Lokk J, Salman Roghani R, Delbari A. Effect of methylphenidate and/or levodopa coupled with physiotherapy on functional and motor recovery afterstroke--a randomized, double-blind, placebo-controlled trial. Acta Neurol Scand. 2011 Apr;123(4): 266-73. doi: 10.1111/j.1600-0404.2010.01395.x.
Luna-Oliva L, Ortiz-Gutiérrez RM, Cano-de la Cuerda R, Piédrola RM, Alguacil-Diego IM, Sánchez-Camarero C, Martínez Culebras Mdel C. Kinect Xbox 360 as a therapeutic modality for children with cerebral palsy in a school environment: a preliminary study. NeuroRehabilitation. 2013;33(4):513-21. doi: 10.3233/NRE-131001.
Mendes FAD, Pompeua JE, Lobo AM, da Silva KG, Oliveira TD, Zormignani, AP, Piemonte MEP. Motor learning, retention and transfer after virtual-reality-based trainingin Parkinson’s disease – effect of motor and cognitive demands of games: a longitudinal, controlled clinical study. Physiotherapy. 2012, 98: 217-223.
Mikulca JA, Nguyen V, Gajdosik DA, Teklu SG, Giunta EA, Lessa EA, Tran CH, Terak EC, Raffa RB. Potential novel targets for Alzheimer pharmacotherapy: II. Update on secretase inhibitors and related approaches. J Clin Pharm Ther. 2014 Feb;39(1):25-37. doi: 10.1111/jcpt.12112. Epub 2013 Dec 8.
Mouawad MR, Doust CG, Max MD, McNulty PA. Wii-based movement therapy to promote improved upper extremity function post-stroke: A pilot study. J Rehabil Med. 2011 May;43(6):527-33.
Novak D1, Nagle A, Keller U, Riener R. Increasing motivation in robot-aided arm rehabilitation with competitive and cooperative gameplay. J Neuroeng Rehabil. 2014 Apr 16;11:64. doi: 10.1186/1743-0003-11-64.
Penko AL, Barkley JE. Motivation and physiologic responses of playing a physically interactive video game relative to a sedentary alternative in children. Ann Behav Med. 2010 May;39(2):162-9.
Pompeu JE, Mendes FAD, da Silva KG, Lobo AM, Oliveira TD, Zomignani, AP, Piemonte MEP. Effect of Nintendo Wii ™-based motor and cognitive training on activities of daily living in patients with Parkinson’s disease: A randomized clinical trial. Physiotherapy. 2012, 98: 196-204.
Radtka S, Hone R, Brown C, Mastick J, Melnick ME, Dowling GA. Feasibility of Computer-Based Videogame Therapy for Children with Cerebral Palsy. Games Health J. 2013 Aug;2(4):222-228.
Ramstrand N1, Lygnegård F. Can balance in children with cerebral palsy improve through use of an activity promoting computer game? Technol Health Care. 2012;20(6):501-10. doi: 10.3233/THC-2012-0696.
Saposnik G, Mamdani M, Bayley M, Thorpe KE, Hall J, Cohen LG, Teasell R; EVREST Steering Committee; EVREST Study Group for the Stroke Outcome Research Canada Working Group. Effectiveness of Virtual Reality Exercises in STroke Rehabilitation (EVREST): rationale, design, and protocol of a pilot randomized clinical trial assessing the Wii gaming system. Int J Stroke. 2010 Feb;5(1):47-51.
Saposnik G1, Teasell R, Mamdani M, Hall J, McIlroy W, Cheung D, Thorpe KE, Cohen LG, Bayley M; Effectiveness of virtual reality using Wii gaming technology in stroke rehabilitation: a pilot randomized clinical trial and proof of principle. Stroke. 2010 Jul;41(7):1477-84.
Shah N, Basteris A, Amirabdollahian F. Design Parameters in Multimodal Games for Rehabilitation. Games Health J. 2014 Feb 1;3(1):13-20.
Shih CH, Shih CT, Chu CL. Assisting people with multiple disabilities actively correct abnormal standing posture with a Nintendo Wii balance board through controlling environmental stimulation. Res Dev Disabil. 2010 Jul-Aug;31(4):936-42. Epub 2010 Apr 9.
Silveira Fernandes AB, Oliveira Dos Passos J, Paiva de Brito D, Campos TF. Comparison of the immediate effect of the training with a virtual reality game in stroke patients according side brain injury. NeuroRehabilitation. 2014 Jan 1;35(1):39-45. doi: 10.3233/NRE-141105.
Taylor MJ, Lindsverk H, Nygaard M, Hunt J, Shanks J, Griffin M, Shawis T, Impson R. Comparing the energy expenditure of Wii-Fit-based therapy with that of traditional physiotherapy in an older adult population. J Am Geriatr Soc. 2014 Jan;62(1):203-5.
Yong Joo L, Soon Yin T, Xu D, Thia E, Pei Fen C, Kuah CW, Kong KH. A feasibility study using interactive commercial off-the-shelf computer gaming in upper limb rehabilitation in patients after stroke. J Rehabil Med. 2010 May;42(5):437-41.
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