Papel da reabilitação com realidade virtual na capacidade funcional e qualidade de vida de indivíduos com doença de Parkinson / The role of rehabilitation with virtual reality in functional ability and quality of life of individuals with Parkinson's disease

A doença de Parkinson (DP) é uma patologia neurodegenerativa e progressiva podendo causar algumas limitações motoras que, por sua vez, podem impactar negativamente na qualidade de vida (QV) de indivíduos com DP. A realidade virtual (RV) vem sendo utilizada como tratamento destes pacientes. Objetivo: Avaliar a capacidade funcional e a QV de indivíduos com DP submetidos à RV com X-Box Kinect®. Método: Foram selecionados 20 indivíduos entre 50 a 80 anos, nos estágios 1 a 3 da doença. Divididos através de sorteio em dois grupos, o controle (GC) e o experimental (GE). O GC tratado com fisioterapia convencional, no período de cinco semanas, com duas sessões semanais de 60 minutos, enquanto o GE passou a metade do tempo com fisioterapia convencional e a outra metade realizou a RV. Os indivíduos foram submetidos a avaliações antes e após o tratamento através das seguintes escalas: UPDRS e PDQ-39. Resultados: Encontrou-se redução nos escores de todos os domínios da UPDRS e do PDQ-39 de ambos os grupos, sendo significativo apenas no grupo da GE. Conclusão: A RV aliada à fisioterapia é um método eficiente, influenciando no aspecto clínico e melhora da QV de indivíduos com DP

Parkinson's disease (PD) is a progressive neurodegenerative disorder of dopaminergic neurons that can cause some mobility limitations, which in turn, can negatively impact quality of life (QOL) of individuals with PD. Virtual reality (VR) has been used to treat these patients. Objective: Evaluate the functional capacity and QOL of individuals with PD using VR with X-Box Kinect®. Methods: 20 individuals classified as stages 1-3, aged 50-80 years were selected. They were randomly divided into two groups (control and experimental) with ten patients in each. The control group (CG) was treated with conventional therapy for five weeks, with two 60-minute sessions per week, whereas the experimental group (EG) had they sessions split in half: conventional physical therapy and virtual rehabilitation (VR). Subjects were evaluated before and after the treatment with the following scales: Unified Parkinson's Disease Rating Scale ­ (UPDRS) and Parkinson's Disease Questionnaire (PDQ-39). Result: We found a reduction in scores for all domains of UPDRS and PDQ-39 in both groups, but only in the EG this finding was significant. Conclusion: VR combined with physiotherapy is an efficient method, what may influence the clinical aspect and improve QOL of individuals with PD

Relationship between psychological factors and symptoms of TMD in university undergraduate students

Temporomandibular disorders is a collective term used to describe a number of related disorders involving the temporomandibular joints, masticatory muscles and occlusion with common symptoms such as pain, restricted movement, muscle tenderness and intermittent joint sounds. The multifactorial TMD etiology is related to emotional tension, occlusal interferences, tooth loss, postural deviation, masticatory muscular dysfunction, internal and external changes in TMJ structure and the various associations of these factors. The aim of this study was to evaluate the prevalence of the relationship between signs of psychological distress and temporomandibular disorder in university students. A total 150 volunteers participated in this study. They attended different courses in the field of human science at one public university and four private universities. TMD was assessed by the Research Diagnostic Criteria (RDC) questionnaire. Anxiety was measured by means of a self-evaluative questionnaire, Spielberger's Trait-State anxiety inventory, to evaluate students' state and trait anxiety. The results of the two questionnaires were compared to determine the relationship between anxiety levels and severity degrees of chronic TMD pain by means of the chi-square test. The significance level was set at 5%. The statistical analysis showed that the TMD degree has a positive association with state-anxiety (p=0.008; p<0.05) and negative with trait-anxiety (p=0.619; p<0.05). Moreover, a high TMD rate was observed among the students (40%). This study concluded that there is a positive association between TMD and anxiety.

Disfuncao temporomandibular e o termo usado para descrever uma serie de disturbios envolvendo as articulacoes temporomandibulares, musculos da mastigacao e oclusao, com sintomas comuns como dor, restricao de movimento, sensibilidade muscular e ruido articular intermitente. A etiologia da DTM e multifatorial e esta relacionada a tensao emocional, interferencias oclusais, perda de dentes, desvio postural, disfuncao muscular mastigatoria, mudancas internas e externas na estrutura da ATM, e a diferentes associacoes entre esses fatores. O objetivo deste estudo foi avaliar a relacao entre estresse psicologico e sinais de desordem temporomandibular em estudantes universitarios. Um total de 150 voluntarios participaram deste estudo sendo alunos de uma universidade publica e quatro universidades privadas de diferentes cursos da area de ciencias humanas. A avaliacao da DTM foi realizada por meio do questionario Research Diagnostic Criteria (RDC). Para a avaliacao da ansiedade foi aplicado o questionario Ansiedade Traco-Estado de Spielberger. Os resultados dos niveis de ansiedade e dos graus de DTM dos dois questionarios foram comparados pelo teste do qui-quadrado, com nivel de significancia de 5%. A analise estatistica mostrou que o grau de DTM tem relacao positiva para a Ansiedade-Estado (p = 0,008, p <0,05) e negativa para a ansiedade-traco (p = 0,619, p <0,05), alem disso, foi observado alto indice de DTM entre os estudantes (40%). Por meio dos resultados obtidos e analisados neste estudo, concluiuse que havia uma associacao positiva entre DTM e ansiedade.