Avaliação do equilíbrio, da simetria corporal e da funcionalidade em pacientes hemiparéticos submetidos ao treino por biofeedback visual

Abstract

The aim of this study was to assess balance, body symmetry and functionality after balance training using visual biofeedback for the Wii Fit. Study participants were twenty hemiparetic subjects aged 59.35 ± months, divided into two groups: the conventional group (CG) underwent conventional physical therapy and the other group, group Wii (WG) underwent conventional physical therapy exercises associated with the Wii Fit. In the analysis of functionality both groups showed an increase in the performance of functional activities in accordance with the scores on the Berg balance scales, Time Up and Go and Functional Independence Measure. The analysis of bodily symmetry was based on examination of baropodometry measuring the peak plantar pressure (PP) in the hemiparetic side (H) and non-paretic side (NP) and found that in both groups (CG and WG) initially showed an asymmetry in the PP and after the proposed intervention this PP was more symmetrical. Regarding the equilibrium analysis was performed examining stabilometry axes mediumlateral (ML), anteroposterior (AP) and the oscillation of center of pressure (COP) under conditions of eyes open (EO) and eyes closed (EC). In all analyzes both groups showed a decrease in body oscillations, whereas WG ML showed a more significant reduction than the CG on the condition of EC. In the AP axis, the decrease was significant fluctuation in both groups, WG the EC achieved better results. The analysis of the COP, both groups showed a reduction in body sway. The present study demonstrated that there is no significant difference between the interventions, the two appropriate methods in the rehabilitation process.