RESUMO
OBJECTIVE: The objective of this review is to identify the most frequently evaluated functioning assessment methods and instruments or physical tests for adults in hemodialysis and to link these to International Classification of Functioning, Disability and Health categories. INTRODUCTION: Chronic kidney disease is one of the main causes of morbidity, mortality and incapacity worldwide. Individuals show decreased functioning, which is associated with limitations in activities and social participation, and early mortality. Thus, evaluating functioning could help identify the needs of these patients, directing rehabilitation choices and strategies. INCLUSION CRITERIA: Studies of adult patients (18 years or over) undergoing hemodialysis treatment will be included. Initially, the main aspects of functionality related to physical functions, body structures, activities, and participation will be summarized, in addition to the influence of environmental factors, through the instruments and methods described in the studies found. The context will be hemodialysis treatment in hospitals. Therefore, data on home dialysis of any kind or renal transplantation will not be considered. There will be no language restrictions. Studies from 2009 will be included, METHODS:: This research will be conducted via the following: i) identification of the instruments and methods used to evaluate functioning in patients; ii) charting the data, iii) linking the functioning aspects of the selected studies to International Classification of Functioning, Disability and Health categories, and iv) summarizing and reporting the results. Two independent researchers will conduct the initial search, and the data extracted will be collated in a table.
Assuntos
Classificação Internacional de Funcionalidade, Incapacidade e Saúde , Insuficiência Renal Crônica , Atividades Cotidianas , Adulto , Avaliação da Deficiência , Humanos , Diálise Renal , Insuficiência Renal Crônica/terapia , Literatura de Revisão como AssuntoRESUMO
OBJETIVOS: Avaliar a aplicabilidade de um sensor de movimento, baseado em realidade virtual, para promover a reabilitação do membro superior após um acidente vascular cerebral. RELATO DOS CASOS: Três pacientes após acidente vascular cerebral realizaram um treino para reabilitação do membro superior com realidade virtual usando a tecnologia Leap Motion Controller e o jogo Playground 3D®, durante três dias consecutivos. No primeiro e no terceiro dia, foram avaliados com os testes Caixa e Blocos, Coordenação Óculo-Manual de Melo e Estimulação Magnética Transcraniana. No último dia, foram aplicadas Fichas de Avaliação da Experiência do paciente. Após o treinamento proposto, observou-se diminuição do limiar motor em ambos os hemisférios cerebrais e melhores desempenhos nos testes que avaliaram a habilidade manual e óculo-manual. A terapia proposta foi bem recebida pelos pacientes testados. CONCLUSÕES: Não foram observados efeitos adversos e os resultados mostram-se promissores e precisos no treinamento realizado com realidade virtual usando a tecnologia Leap Motion Controller e o jogo Playground 3D®. O treinamento proporcionou uma participação ativa dos pacientes na reabilitação das sequelas de extremidade superior após um acidente vascular cerebral.
AIMS: To evaluate the applicability of a virtual reality-based motion sensor for post-stroke upper limb rehabilitation. CASES DESCRIPTION: Three post-stroke patients were subjected to virtual reality training for rehabilitation of their upper limbs using the Leap Motion Controller technology and the game Playground 3D® for 3 consecutive days. On the first and last days, the Box and Blocks test, the De Melo Eye-Hand Coordination Test, and transcranial magnetic stimulation were applied. On the last day, the patients were evaluated with the Experience Evaluation Form. After the proposed training, a lower motor threshold was observed in both cerebral hemispheres, as well as better performance in the tests that evaluated hand and eye-hand coordination skills. The proposed therapy was well received by the patients. CONCLUSIONS: No adverse effects were observed, and promising and precise results were obtained for the virtual reality-based training using the Leap Motion Controller and Playground 3D®. The training allowed patients to have an active role in the rehabilitation of strokeinduced upper limb sequelae.