Realidade virtual e estimulação transcraniana por corrente contínua anódica para melhora da função motora de membros superiores em crianças com síndrome de down: ensaio clínico controlado aleatorizado e duplo cego

Abstract

Objective: To perform a comparative analysis of the effects of manual reach training through virtual reality in the upper limb, with and without the association of transcranial stimulation by direct current of children with Down's Syndrome. Materials and methods: Study I: A systematic review was conducted with a search in four databases, according to: randomized controlled study; virtual reality, cerebral palsy; Down Syndrome published between 2010 and 2016. Study II: A systematic review was conducted with a search in four databases according to: randomized controlled study; cross-sectional study; evaluation; motion analysis; Dowm syndrome; Member published between 2010 and 2016. Study III: Detailed description of the protocol of a virtual reality intervention study associated with transcriana stimulation by direct current. Study IV: Comparative study between children with Down Syndrome and with typical Development, making a relation between the parameters of motor function of the upper limbs to the assessments constituted by single evaluation of three-dimensional analysis of the movement. Study V: ETCC anodic was performed with an intensity of 1 mA in bilateral M1 in a sample of 24 children with Down Syndrome, allocated in two groups (active and sham). The pacing protocol was performed with three training sessions per week, and the evaluations took place in three moments: pre, post-protocol and 1-month follow-up, consisting of three-dimensional analysis of manual upper limb movement, quality of manual skills and brain activity in the C3 and Cz regions of the cortex. Materials and methods: Study I: A systematic review was conducted with a search in four databases, according to: randomized controlled study; virtual reality, cerebral palsy; Down Syndrome published between 2010 and 2016. Study II: A systematic review was conducted with a search in four databases according to: randomized controlled study; cross-sectional study; evaluation; motion analysis; Dowm syndrome; Member published between 2010 and 2016. Study III: Detailed description of the protocol of a virtual reality intervention study associated with transcriana stimulation by direct current. Study IV: Comparative study among children with Down Syndrome and with typical Development, making a relation between the parameters of motor function of the upper limbs to the assessments constituted by single evaluation of three-dimensional analysis of the movement. Study V: ETCC was performed with an intensity of 1 mA in bilateral M1 in a sample of 24 children with Down Syndrome, allocated in two groups (active and sham). The pacing protocol was performed with three training sessions per week, and the evaluations took place in three moments: pre, post-protocol and 1-month follow-up, consisting of three-dimensional analysis of manual upper limb movement, quality of manual skills and brain activity in the C3 and Cz regions of the cortex.