Uso da realidade virtual como estratégia de reabilitação e lazer para pessoas com lesão da medula espinal: uma revisão integrativa / Use of virtual reality as a rehabilitation and leisure strategy for people with spinal cord injury: a integrative review

Intervenções com a Realidade Virtual (RV) tem sido descritas como alternativas para o tratamento de pessoas com lesão da medula espinal (LME). O presente estudo buscou oferecer uma visão geral das intervenções que utilizaram a RV na reabilitação e como estratégia de lazer destes indivíduos. Foi realizada uma revisão sistemática, nas bases de dados PubMed (Medline), Biblioteca Virtual em Saúde (BVS), Scielo e Lilacs nos últimos cinco anos. Um total de 13 artigos foram identificados. A RV foi utilizada para diversos objetivos como: verificar a melhora da função dos membros superiores; associar com estímulos sensoriais durante a marcha; identificar os efeitos da caminhada virtual sobre o grau de dor. Assim, percebe-se que a RV pode ser usada para diversas finalidades, além de fornecer um meio mais envolvente de tratamento para pessoas com LME, adicionando uma dimensão de prazer e um momento para o lazer.

Interventions with Virtual Reality (VR) have been described as alternatives for the treatment of people with spinal cord injury (LME). The present study sought to provide an overview of the interventions that used VR in the rehabilitation of these individuals. A systematic review was performed in the PubMed (Medline), Virtual Health Library (VHL), Scielo and Lilacs databases in the last 5 years. A total of 13 articles have been identified. VR was used for several purposes such as: to verify the improvement of upper limb function; associated with sensory stimuli during gait; to identify the effects of virtual walking on the degree of pain. Thus, it can be seen that RV can be used for different purposes, as well as providing a more involving means of treatment for people with LME, adding a dimension of pleasure and a moment for leisure.

Incidence and characteristics angiographic of patients with acute myocardial / Incidência e características angiográficas de pacientes com doença miocárdica aguda

Background: Acute myocardial infarction (AMI) is defined as the death of cardiomyocytes due to prolonged ischemia, caused by thrombosis and / or vasospasm on an atherosclerotic plaque. Objective: To determine the incidence of patients with myocardial infarction undergoing primary angioplasty; characterize the anthropometric variables and identify the risk factors in this population. Methods: This was a cross-sectional, observational, retrospective study in which we collected secondary data from medical records of a hospital in a city in the state of São Paulo, where the largest number of interventions is via Public Health System, patients with a diagnosis of Myocardial Infarction, undergoing primary coronary angioplasty, from January 2011 to December 2013. Results: The total sample consisted of 437 subjects, 282 male and 155 female. In this study, there was predominance of myocardial infarction in the anterior descending artery ADA (45.51%), followed by right coronary artery RCA (38.46%), in carrying out the rescue angioplasty and stent implantation in 96.62% of cases. There was a predominance of high blood pressure as risk factors for 73.71%, followed by smoking with 41.66% of the sample. Conclusion: According to the present study data, it appears a higher prevalence of infarction occurred in the ADA, with individuals performing the rescue angioplasty procedure and the placement of the stent, and a growing incidence of drug stent placement. We observed a high incidence of risk factors, prevailing hypertension

Gameterapia na coordenação motora e integração viso-motora em pessoas com Síndrome de Down / Game terapy in motor coordination and viso-motor integration in persons with Down Syndrome

O objetivo deste estudo foi examinar os efeitos da gameterapia na coordenação motora e integração viso-motora em indivíduos com síndrome de Down (SD). Quatro indivíduos com SD participaram do estudo. Os testes de Coordenação Corporal para Crianças (Körperkoordinationstest Für Kinder ­ KTK) e o Teste do Desenvolvimento da Integração Viso-Motora (Test of Visual-Motor Integration ­ VMI) foram aplicados. Os participantes realizaram 12 sessões de gameterapia, com duração de 20 minutos cada, com jogos do console Nintendo Wii. Os participantes foram submetidos aos testes KTK e VMI antes e após o programa de gameterapia. Todos os participantes apresentaram aumento no escore do teste KTK e no teste VMI, dois participantes apresentaram aumento do escore final nas duas partes que compõem o teste. Os resultados sugerem que a gameterapia altera variáveis relativas a coordenação motora e componentes que envolvem a percepção em indivíduos com SD.

The purpose of this study was to assess the effects of game therapy in the motor coordination and visual-motor integration in individuals with Down syndrome (DS). Four people with DS participated in the study. The Test of Body Coordination for Children (Körperkoordinationstest Für Kinder ­ KTK) and the Test of Visual-Motor Integration (VMI) were applied. The participants performed 12 sessions of game therapy, lasting 20 minutes each, with games of the Nintendo Wii console. The participants did KTK and VMI tests before and after the game therapy program. All participants improved their scores in the KTK and VMI tests, two participants increased the final score in the two parts of the test. The results suggest that game therapy changes variables related to motor coordination and components involving perception in individuals with DS.