Correlação entre feedback extrínseco, função cognitiva, desempenho físico e equilíbrio de idosos submetidos ao treinamento do equilíbrio postural com o exergame VirtualTer

The deficit in postural balance corresponds to one of the changes triggered by the aging process, which can be alleviated through gerontological rehabilitation. Exergames are an innovative approach that promotes fun, motivating training, enriched with stimuli and feedback. Extrinsic feedback, such a...

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Autor principal: Bezerra, Ana Beatriz de Oliveira
Outros Autores: Cavalcanti, Fabrícia Azevêdo da Costa
Formato: bachelorThesis
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/48610
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Resumo:The deficit in postural balance corresponds to one of the changes triggered by the aging process, which can be alleviated through gerontological rehabilitation. Exergames are an innovative approach that promotes fun, motivating training, enriched with stimuli and feedback. Extrinsic feedback, such as the game score, increases motivation, engagement and contributes to motor learning. This study aims to analyze the correlation between extrinsic feedback, cognitive function, physical performance and balance of elderly people submitted to postural balance training with the serious game VirtualTer. This is an descriptive study, with a sample composed of elderly people without cognitive impairment (SCC) and with mild cognitive impairment (MCI), who were evaluated with the Montreal Cognitive Assessment (MoCA), Short Physical Performance Battery (SPPB), Berg Balance Scale (BBS) and System Usability Scale (SUS). Participants performed three interventions per week for two weeks, totaling 6 sessions with VirtualTer, and the score obtained in each was recorded. This score was analyzed based on its variation and percentage of increase, both between the first and last day of intervention. An analysis of the total sample was performed, of the elderly CCL and SCC separately, and then the correlations between the values of the assessment instruments, the variation of the score and the percentage of increase in the score between the first and last session were performed. In the total sample, a significant negative and moderate correlation was observed between MoCA and percentage of increment in the score, negative and moderate correlation between BBS and the difference between the score of the first and last session; significant negative and moderate correlation between BBS and percentage increment in score. In the MCI elderly, a significant negative and strong correlation was observed between SPPB and the percentage of increase in the score, a significant positive and good correlation between SUS and the percentage of increase in the score. In the elderly SCC there was no correlation with statistical significance. Therefore, the physical performance and balance of elderly CCL and SCC can benefit from the cognitive, motor, playfulness and extrinsic feedback existing in the VirtualTer game, constituting an innovative, viable, safe intervention, with good usability and sufficient sensitivity to promote effects predominantly in elderly MCI. In addition, a good evolution was observed in the game scores, being greater in elderly people with cognitive, mobility, balance deficits and in those with better perception of the usability of the game. In this way, VirtualTer has great potential to be inserted in clinical interventions of Gerontological Physiotherapy, generating greater adherence and motivation from the offer of extrinsic feedback and greater incentive to practice physical activity, providing functional independence and lower risk of falls for older adults.