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Título

THE IMPORTANCE TEVALUATION OF QUALITY OF LIFE WITH THE USE OF VIRTUAL REALITY IN PATIENTS WITH SPINOCEREBELLAR ATAXIA

Resumo

Introduction: Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases, featuring the presence of progressive cerebellar ataxia, whose early clinical symptoms are balance and motor coordination decline and ocular disorders. Objective: To evaluate the living standard of patients with SCAs, by applying the Vestibular Disorders Activities of Daily Living Scale (VADL) and Activities-specific Balance Confidence Scale (ABC) questionnaires, before and after rehabilitation with virtual reality (ViR). Method: An uncontrolled clinical trial study was conducted with 28 patients suffering from SCA (mean of 41.6 years, ± of 16.9 years), underwent anamnesis, otolaryngologic examination, vestibular screening, and the application of protocols applied before and after rehabilitation with ViR. Result: The most reported otoneurological complaints in the anamnesis were: imbalance (85.7%), fall (28.5%), dizziness (17.8%), diplopia (10.7%), and tremor (7.1%); The vestibular exam was altered in 64.3% of the cases; The comparison results between the evaluation time (T1, T2 and T3) and the dimensions (functional, locomotion and instrumental) from the VADL did not show significant differences (1st assessment before the start of rehabilitation designated T1, after 10 rehabilitation sessions, considered T2 and, at the end of 20 rehabilitation sessions, called T3);The results from the ABC revealed that there was not significant differences when compared with the evaluation time (T1, T2 and T3); The result between the correlation of the VADL and ABC questionnaires showed significant results in all cases. The correlation between the ages and disease length with the VADL and ABC questionnaires was significant between the age and the instrumental dimension of the VADL questionnaire, in the T3 assessment. The correlation between the disease length and the VADL questionnaire was significant in all cases; The comparison of the ViR result (T1 to T2) showed significant difference for all of the applied games, except for the ski slalom. The comparison of the ViR result (T1 to T3) showed significant difference for all of the applied games. Conclusion: We can point out a direct improvement of the living standard, reflected by the reduction of falls, better balance and march, contributing to a higher self-confidence in patients in daily activities. We also point out the importance of ViR as the symptomatology in this kind of population improved.

Palavras Chave

spinocerebellar ataxia, balance, quality of life, rehabilitation, virtual reality, balance exercises