Efeito de um protocolo de fisioterapia com uso do console XBOX 360® sobre o equilíbrio e coordenação de crianças com alterações neuromotoras e musculoesqueléticas

Abstract

Introduction: Cerebral Palsy (CP), Down Syndrome (DS) and Congenital ClubFoot (CCF) are neuromotor and musculoskeletal disorders characterized by a delay in the development of motor function. Games with interactive technology are shown as a new type of therapy that assists motor learning and postural control. Objectives: To evaluate the gross motor coordination, balance and postural reaction of patients with Cerebral Palsy, Down Syndrome and Congenital Clubfoot through the Xbox 360® console. Methodology: This prospective, longitudinal, evaluative, observational and comparative study was approved by the Research Ethics Committee of the Federal University of Uberlândia (UFU) under the opinion of 1,627,901. The study was composed of 3 children with a medical diagnosis of Cerebral Palsy, Down Syndrome, and Congenital ClubFoot of both sexes, based on inclusion and exclusion criteria. After signing the Term of Free and Informed Consent, the general data of the children were collected. Next, the Xbox 360® Kinect Adventures, "Leaks" and "River Rush" games were used, and through them the coordination and balance of the upper and lower limbs were observed. Results: Regarding longitudinal treatment, improvement of the patients evaluated in the D and E dimensions before and after the therapy was observed (T: -2,9565; p: 0,0158), with statistically significant results in patient I (t; -9,000; p : 0.0352) when compared to patients II (t: -2,000; p: 0.1476) and III (t: -1.6667; p: 0.1720). Conclusion: Longitudinal treatment represents the best therapeutic approach for children with CP, DS and CCF, obtaining even more expressive results when applied to the care of patients with CCF, who present a musculoskeletal disorder only and not musculoskeletal and neuromotor as the two other patients.