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Uso de um jogo de tabuleiro na reabilitaĆ§Ć£o dos membros superiores de idosos institucionalizados em Portugal: um estudo piloto quase-experimental
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Advisor(s)
Abstract(s)
INTRODUĆĆO: A utilizaĆ§Ć£o do jogo como estratĆ©gia de reabilitaĆ§Ć£o tem revelado um especial impacto nas variĆ”veis cognitivas no idoso, nĆ£o sendo consensual o seu impacto em indicadores fĆsicos. OBJETIVO: Medir o efeito do treino com um jogo de tabuleiro na melhoria da coordenaĆ§Ć£o dos membros superiores e na forƧa de preensĆ£o palmar em idosos institucionalizados. Foi tambĆ©m caracterizada a percepĆ§Ć£o dos idosos sobre o jogo como estratĆ©gia de reabilitaĆ§Ć£o. MATERIAIS E MĆTODOS: Foi conduzido um estudo quase-experimental, longitudinal, incluindo 10 idosos institucionalizados sem alteraƧƵes significativas
na cogniĆ§Ć£o (6CIT 0-7) e na mobilidade dos membros superiores. Este grupo foi inicialmente avaliado (T0) quanto Ć ForƧa de preensĆ£o manual (FPM) e quanto Ć coordenaĆ§Ć£o dos membros superiores (Bateria
de testes EUROFIT), repetindo a avaliaĆ§Ć£o apĆ³s 2 semanas de terapias convencionais (T1), tendo sido novamente reavaliados 2 semanas apĆ³s frequentarem as terapias convencionais mais 2 horas adicionais de um programa com um jogo de tabuleiro (T2). Foi ainda coletada a perceĆ§Ć£o dos idosos sobre a experiĆŖncia com o jogo. Foi comparada a evoluĆ§Ć£o entre T0-T1 e T1-T2 usando o teste de Wilcoxon. RESULTADOS: Apenas entre T1 e T2 ocorreram mudanƧas significativas na EUROFIT (p=0.005) e na FPM para ambos os membros (p=0.005; p= 0.007). Os idosos destacaram uma maior relevĆ¢ncia do jogo no trabalho em equipe, no estĆmulo de raciocĆnio e de agilidade dos membros superiores. CONCLUSĆO: O jogo de tabuleiro Ć© uma potencial ferramenta para completar a terapia convencional, sendo a experiĆŖncia considerada muito positiva pelos idosos participantes (ClinicalTrials.gov IDIPL10062019).
INTRODUCTION: Using games as a rehabilitation strategy has significantly impacted cognitive variables in the elderly; however, its impact on physical indicators is not consensual. OBJECTIVE: To measure the effect of a training program with a board game on upper limb coordination and handgrip strength of institutionalized elderly. The elderlyās perception of playing a board game as a rehabilitation strategy was also characterised. MATERIALS AND METHODS: A longitudinal quasi-experimental study was carried out, including 10 institutionalized elderly people without significant changes in cognition (6CIT 0-7) and upper limb mobility. This group was initially evaluated (T0) for handgrip strength (HGS) and coordination of the upper limbs (EUROFIT test battery), repeating the assessment after 2 weeks of conventional therapies (T1), and also again 2 weeks after attending conventional therapies plus an additional 2 hours of a board game program (T2). The perception of the elderly about their experience with the game was also collected. The evolution between T0-T1 and T1-T2 was compared using the Wilcoxon test. RESULTS: Only between T1 and T2 were significant changes in EUROFIT (p=0.005) and HGS for both members (p=0.005; p= 0.007). A greater relevance of game-based program for teamwork, stimulating reasoning, and agility of the upper limbs was perceived. CONCLUSION: The board game is a potential tool to complement conventional therapy, and the experience is well perceived by the elderly participants (ClinicalTrials.gov IDIPL10062019).
INTRODUCTION: Using games as a rehabilitation strategy has significantly impacted cognitive variables in the elderly; however, its impact on physical indicators is not consensual. OBJECTIVE: To measure the effect of a training program with a board game on upper limb coordination and handgrip strength of institutionalized elderly. The elderlyās perception of playing a board game as a rehabilitation strategy was also characterised. MATERIALS AND METHODS: A longitudinal quasi-experimental study was carried out, including 10 institutionalized elderly people without significant changes in cognition (6CIT 0-7) and upper limb mobility. This group was initially evaluated (T0) for handgrip strength (HGS) and coordination of the upper limbs (EUROFIT test battery), repeating the assessment after 2 weeks of conventional therapies (T1), and also again 2 weeks after attending conventional therapies plus an additional 2 hours of a board game program (T2). The perception of the elderly about their experience with the game was also collected. The evolution between T0-T1 and T1-T2 was compared using the Wilcoxon test. RESULTS: Only between T1 and T2 were significant changes in EUROFIT (p=0.005) and HGS for both members (p=0.005; p= 0.007). A greater relevance of game-based program for teamwork, stimulating reasoning, and agility of the upper limbs was perceived. CONCLUSION: The board game is a potential tool to complement conventional therapy, and the experience is well perceived by the elderly participants (ClinicalTrials.gov IDIPL10062019).
Description
Keywords
Idoso Terapia recreativa Membros superiores Aged Recreation therapy Upper extremity
Citation
Rosa, M. N., Gordo, S., Pocinho, R., & Marinho, R. (2021). Uso de um jogo de tabuleiro na reabilitaĆ§Ć£o dos membros superiores de idosos institucionalizados em Portugal: um estudo piloto quase-experimental . Revista Pesquisa Em Fisioterapia, 11(4), 657ā670. https://doi.org/10.17267/2238-2704rpf.v11i4.3944
Publisher
Escola Bahiana de Medicina e SaĆŗde PĆŗblica