Sistema para Reabilitação Motora e Análise Compensatória pós Acidente Vascular Encefálico
Resumo
O Acidente Vascular Encefálico é uma das doenças mais comuns que levam ao comprometimento da destreza dos membros superiores. Novas abordagens terapêuticas, como ambientes virtuais, têm se preocupado com o aprimoramento avaliativo de protocolos individualizados, que integram a reabilitação sensorial para uma maior recuperação funcional de indivíduos. Porém, em resposta a perda funcional de um membro, é comum o aprendizado de formas compensatórias de movimento. Esta proposta aborda um sistema composto por um ambiente virtual e um dispositivo robótico, altamente personalizáveis com o objetivo de auxiliar na reabilitação motora de pacientes com hemiparesia nos membros superiores, decorrente de um Acidente Vascular Encefálico, bem como analisar sua dinâmica de movimento através de um modelo biomecânico.
Palavras-chave:
Acidente Vascular Encefálico, Ambiente Virtual, Dispositivo Robótico, Reabilitação Neurológica, Compensação
Referências
Ministério da Saúde (BR). 2013. Diretrizes de atenção à reabilitação da pessoa com acidente vascular cerebral. [link].
David A Greenberg, Michael J Aminoff, and Roger P Simon. 2014, pp. 488. Neurologia clínica, 8rd ed. Artmed, Porto Alegre.
Arthur Clifton Guyton. 2006. Tratado de fisiologia médica. Elsevier Brasil.
Megan Heenan, Robert A Scheidt, Douglas Woo, and Scott A Beardsley. 2014. Intention tremor and deficits of sensory feedback control in multiple sclerosis: a pilot study. Journal of NeuroEngineering and Rehabilitation 11, 1 (2014), 170. DOI: 10.1186/1743-0003-11-170.
John W Krakauer. 2006. Motor learning: its relevance to stroke recovery and neurorehabilitation. Current Opinion in Neurology 19, 1 (Feb. 2006), 84–90. DOI: 10.1097/01.wco.0000200544.29915.cc.
Peter Langhorne, Robert Wagenaar, and Cecily Partridge. 1996. Physiotherapy after stroke: More is better? Physiotherapy Research International 1, 2 (June 1996), 75–88. DOI: 10.1002/pri.6120010204.
Kate Laver, Stacey George, Susie Thomas, Judith E. Deutsch, and Maria Crotty. 2012. Virtual Reality for Stroke Rehabilitation. Stroke 43, 2 (Feb. 2012). DOI: 10.1161/strokeaha.111.642439.
Mindy F. Levin, Jeffrey A. Kleim, and Steven L. Wolf. 2008. What Do Motor “Recovery” and “Compensation” Mean in Patients Following Stroke? Neurorehabilitation and Neural Repair 23, 4 (Dec. 2008), 313–319. DOI: 10.1177/1545968308328727.
Mindy F. Levin, Eliane C. Magdalon, Stella M. Michaelsen, and Antonio A. F. Quevedo. 2015. Quality of Grasping and the Role of Haptics in a 3-D Immersive Virtual Reality Environment in Individuals With Stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering 23, 6 (Nov. 2015), 1047–1055. DOI: 10.1109/tnsre.2014.2387412.
Mindy F. Levin, Stella M. Michaelsen, Carmen M. Cirstea, and Agnès Roby-Brami. 2002. Use of the trunk for reaching targets placed within and beyond the reach in adult hemiparesis. Experimental Brain Research 143, 2 (Jan. 2002), 171–180. DOI: 10.1007/s00221-001-0976-6.
R. E. Lrvine. 1972. Movement Therapy in Hemiplegia: A Neurophysiological Approach. The Gerontologist 12, 2 Part 1 (June 1972), 205–208. DOI: 10.1093/geront/12.2_part_1.205a.
Hirofumi Nakayma, Henrik Stig Jørgensen, Hans Otto Raaschou, and Tom Skyhøj Olsen. 1994. Compensation in recovery of upper extremity function after stroke: The Copenhagen Stroke Study. Archives of Physical Medicine and Rehabilitation 75, 8 (Aug. 1994), 852–857. DOI: 10.1016/0003-9993(94)90108-2.
Susan B O’sullivan, Thomas J Schmitz, and George D Fulk. 2017, pp. 1688. Fisioterapia: avaliação e tratamento, 6rd ed. Editora Manole.
Johanna V. G. Robertson, Nicolas Roche, and Agnès Roby-Brami. 2012. Influence of the side of brain damage on postural upper-limb control including the scapula in stroke patients. Experimental Brain Research 218, 1 (Feb. 2012), 141–155. DOI: 10.1007/s00221-012-3014-y.
Edward Taub, Gitendra Uswatte, and Victor W. Mark. 2014. The functional significance of cortical reorganization and the parallel development of CI therapy. Frontiers in Human Neuroscience 8 (June 2014). DOI: 10.3389/fnhum.2014.00396.
M. Thornton, S. Marshall, J. McComas, H. Finestone, A. McCormick, and H. Sveistrup. 2005. Benefits of activity and virtual reality based balance exercise programmes for adults with traumatic brain injury: Perceptions of participants and their caregivers. Brain Injury 19, 12 (Jan. 2005), 989–1000. DOI: 10.1080/02699050500109944.
Joost van Kordelaar, Erwin E. H. van Wegen, and Gert Kwakkel. 2012. Unraveling the interaction between pathological upper limb synergies and compensatory trunk movements during reach-to-grasp after stroke: a cross-sectional study. Experimental Brain Research 221, 3 (July 2012), 251–262. DOI: 10.1007/s00221-012-3169-6.
Derick T. Wade. 1993. Measurement in neurologic rehabilitation. Current Opinion in Neurology 6, 5 (Oct. 1993), 778–784. DOI: 10.1097/00019052-199310000-00017.
David A Greenberg, Michael J Aminoff, and Roger P Simon. 2014, pp. 488. Neurologia clínica, 8rd ed. Artmed, Porto Alegre.
Arthur Clifton Guyton. 2006. Tratado de fisiologia médica. Elsevier Brasil.
Megan Heenan, Robert A Scheidt, Douglas Woo, and Scott A Beardsley. 2014. Intention tremor and deficits of sensory feedback control in multiple sclerosis: a pilot study. Journal of NeuroEngineering and Rehabilitation 11, 1 (2014), 170. DOI: 10.1186/1743-0003-11-170.
John W Krakauer. 2006. Motor learning: its relevance to stroke recovery and neurorehabilitation. Current Opinion in Neurology 19, 1 (Feb. 2006), 84–90. DOI: 10.1097/01.wco.0000200544.29915.cc.
Peter Langhorne, Robert Wagenaar, and Cecily Partridge. 1996. Physiotherapy after stroke: More is better? Physiotherapy Research International 1, 2 (June 1996), 75–88. DOI: 10.1002/pri.6120010204.
Kate Laver, Stacey George, Susie Thomas, Judith E. Deutsch, and Maria Crotty. 2012. Virtual Reality for Stroke Rehabilitation. Stroke 43, 2 (Feb. 2012). DOI: 10.1161/strokeaha.111.642439.
Mindy F. Levin, Jeffrey A. Kleim, and Steven L. Wolf. 2008. What Do Motor “Recovery” and “Compensation” Mean in Patients Following Stroke? Neurorehabilitation and Neural Repair 23, 4 (Dec. 2008), 313–319. DOI: 10.1177/1545968308328727.
Mindy F. Levin, Eliane C. Magdalon, Stella M. Michaelsen, and Antonio A. F. Quevedo. 2015. Quality of Grasping and the Role of Haptics in a 3-D Immersive Virtual Reality Environment in Individuals With Stroke. IEEE Transactions on Neural Systems and Rehabilitation Engineering 23, 6 (Nov. 2015), 1047–1055. DOI: 10.1109/tnsre.2014.2387412.
Mindy F. Levin, Stella M. Michaelsen, Carmen M. Cirstea, and Agnès Roby-Brami. 2002. Use of the trunk for reaching targets placed within and beyond the reach in adult hemiparesis. Experimental Brain Research 143, 2 (Jan. 2002), 171–180. DOI: 10.1007/s00221-001-0976-6.
R. E. Lrvine. 1972. Movement Therapy in Hemiplegia: A Neurophysiological Approach. The Gerontologist 12, 2 Part 1 (June 1972), 205–208. DOI: 10.1093/geront/12.2_part_1.205a.
Hirofumi Nakayma, Henrik Stig Jørgensen, Hans Otto Raaschou, and Tom Skyhøj Olsen. 1994. Compensation in recovery of upper extremity function after stroke: The Copenhagen Stroke Study. Archives of Physical Medicine and Rehabilitation 75, 8 (Aug. 1994), 852–857. DOI: 10.1016/0003-9993(94)90108-2.
Susan B O’sullivan, Thomas J Schmitz, and George D Fulk. 2017, pp. 1688. Fisioterapia: avaliação e tratamento, 6rd ed. Editora Manole.
Johanna V. G. Robertson, Nicolas Roche, and Agnès Roby-Brami. 2012. Influence of the side of brain damage on postural upper-limb control including the scapula in stroke patients. Experimental Brain Research 218, 1 (Feb. 2012), 141–155. DOI: 10.1007/s00221-012-3014-y.
Edward Taub, Gitendra Uswatte, and Victor W. Mark. 2014. The functional significance of cortical reorganization and the parallel development of CI therapy. Frontiers in Human Neuroscience 8 (June 2014). DOI: 10.3389/fnhum.2014.00396.
M. Thornton, S. Marshall, J. McComas, H. Finestone, A. McCormick, and H. Sveistrup. 2005. Benefits of activity and virtual reality based balance exercise programmes for adults with traumatic brain injury: Perceptions of participants and their caregivers. Brain Injury 19, 12 (Jan. 2005), 989–1000. DOI: 10.1080/02699050500109944.
Joost van Kordelaar, Erwin E. H. van Wegen, and Gert Kwakkel. 2012. Unraveling the interaction between pathological upper limb synergies and compensatory trunk movements during reach-to-grasp after stroke: a cross-sectional study. Experimental Brain Research 221, 3 (July 2012), 251–262. DOI: 10.1007/s00221-012-3169-6.
Derick T. Wade. 1993. Measurement in neurologic rehabilitation. Current Opinion in Neurology 6, 5 (Oct. 1993), 778–784. DOI: 10.1097/00019052-199310000-00017.
Publicado
18/10/2021
Como Citar
CYRINO, Gabriel; ZAGO, Najara; ARAMAKI, Roberta; CARDOSO, Alexandre; SOARES, Alcimar; LAMOUNIER, Edgard.
Sistema para Reabilitação Motora e Análise Compensatória pós Acidente Vascular Encefálico. In: WORKSHOP DE TESES E DISSERTAÇÕES - SIMPÓSIO DE REALIDADE VIRTUAL E AUMENTADA (SVR), 23. , 2021, Evento Online.
Anais [...].
Porto Alegre: Sociedade Brasileira de Computação,
2021
.
p. 7-8.
DOI: https://doi.org/10.5753/svr_estendido.2021.17649.
