Martins Fabiana Paula Almeida, Massetti Thaís, Crocetta Tania Brusque, Lopes Priscila Bianchi, da Silva Amanda Abreu, Figueiredo Eliketylen Fernandes, de Abreu Luiz Carlos, da Silva Talita Dias, Monteiro Carlos Bandeira de Mello
Study Design and Scientific Writing Laboratory, ABC Medical School (FMABC), Santo André, São Paulo, Brazil.
Research Laboratory, Northern Union of Education (UniNorte), Barão do Rio Branco Faculty, Rio Branco, Acre, Brazil.
Neuropsychiatr Dis Treat. 2019 Feb 4;15:417-428. doi: 10.2147/NDT.S184510. eCollection 2019.
To evaluate the performance improvement of individuals with hemiparesis cerebral palsy (CP) using a virtual task.
Twenty individuals were selected and distributed into two groups. The experimental group (CP group) comprised ten individuals with a medical diagnosis of CP, and ten individuals with typical development (sex- and age-matched) composed the control group (TD group). Both groups followed the same intervention protocol, which included a virtual coincident timing task: the participants performed upper limb movements in front of a computer's webcam and interacted with the task with the aim of virtually intercepting spheres that fell in four rows following the rhythm of a pre-selected song during an 8-minute period. To verify the influence on a real task, pre- and posttests were performed in a similar task, but with physical contact (using the spacebar on the keyboard of a computer). To analyze the data, we evaluated the variable, constant, and absolute errors during the task and in the pre- and posttests.
The results showed that there was an improvement in performance between the pre- and posttests; that is, after practicing the task in an environment without physical contact, there was a performance improvement in posttests in the real task, but only for the CP group. Moreover, there were significant differences in precision and accuracy between the two groups, with worse performance in the CP group.
Individuals with CP presented better performance in the real task after practice in a virtual reality task, albeit with worse performance compared with individuals with TD. This is an interesting result that supports the possible use of virtual tasks for the rehabilitation of individuals with CP.
使用虚拟任务评估偏瘫型脑瘫(CP)患者的性能改善情况。
选取20名个体并分为两组。实验组(CP组)由10名经医学诊断为CP的个体组成,10名发育正常(性别和年龄匹配)的个体组成对照组(TD组)。两组遵循相同的干预方案,其中包括一个虚拟同步计时任务:参与者在电脑网络摄像头前进行上肢运动,并与任务进行交互,目的是在8分钟内按照预先选定歌曲的节奏虚拟拦截落在四排中的球体。为了验证对实际任务的影响,在一个类似但有身体接触的任务(使用电脑键盘上的空格键)中进行了前后测试。为了分析数据,我们评估了任务期间以及前后测试中的可变误差、恒定误差和绝对误差。
结果表明,前后测试之间性能有所改善;也就是说,在无身体接触的环境中练习任务后,实际任务的后测试中性能有所提高,但仅针对CP组。此外,两组在精度和准确性方面存在显著差异,CP组表现更差。
CP患者在虚拟现实任务中练习后,在实际任务中的表现更好,尽管与TD患者相比表现较差。这是一个有趣的结果,支持了虚拟任务可能用于CP患者康复的观点。