2011, Número 1
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Rev Mex Neuroci 2011; 12 (1)
Impacto del Programa de Terapia de Realidad Virtual sobre lasevaluaciones escolares en pacientes con mielomeningocele y parálisis cerebral infantil
Márquez-Vázquez RE, Martínez-Castilla Y, Rolón-Lacarriere ÓG
Idioma: Español
Referencias bibliográficas: 53
Paginas: 16-26
Archivo PDF: 79.46 Kb.
RESUMEN
Introducción: La terapia de realidad virtual (TRV) esuna terapia innovadora en el área de salud.
Objetivo: Analizar el impacto de la RV en el desempeñoescolar en niños con discapacidad con parálisis cere-bral infantil (PCI) y mielomeningocele (MMC).
Pacientes y método: 31 pacientes finalizaron el estudio: 14(45.16%) femeninos y 17 (54.83%) masculinos. Con diag-nóstico de PCI en 20 pacientes (64.51%) y MMC 11casos (35.48%). El impacto global de la terapia de RVsobre las evaluaciones escolares se obtuvo alcorrelacionar la calificación previa a la aplicacióndel programa de terapia RV (
A) y la calificación in-mediatamente al finalizar dicho programa (
B), y lacalificación obtenida dos meses posterior al haberlafinalizado (
C).El análisis estadístico se realizó median-te la prueba de Kendall.
Resultados: Se obtuvo: A
vs.B media de +0.8 (Min-0.7 Max +1.5), p = 0.003; A
vs. Cmedia de + 0.2 (Min-1.3 Max +2.4), p = 0.003. Al anali-zar el grado escolar: Primaria A
vs. B, p = 0.001; y A
vs.C p = 0.0002, Secundaria A
vs. B, p = 0.17, A
vs. C, p =0.24. Con respecto a PCI se obtuvo A
vs. B, p = 0.07; A
vs. C p 0.003, y en MMC A
vs. B p -= 0.0004 y MMC A
vs.C p = 0.001.
Conclusión: La Terapia de RV beneficiaprincipalmente a los pacientes con MMC y en gradoescolar primaria. Hubo mejoría en los pacientes con PCI dos meses después de haber finalizado la terapiade RV.
REFERENCIAS (EN ESTE ARTÍCULO)
1.Chesher C. “Colonizing Virtual Reality Construction of the Discourseof Virtual Reality 1984-1992” Cultronix 1994, 1(1): 1-27.
2.Munslow A. “History and Myth” Discourse and Culture, The Creationof America. London: 1992, p. 68-88.
3.Baram Y. “Virtual Reality Visual Feedback Cues for Gait Improvement inChildren with Gait Dissorders due to Cerebral Palsy”. EuropeanNeurological Society; 2009. 4.Hoffman HG. “Virtual Reality Therapy”. Scientific American; 2004, p.60-5.
4.Hoffman HG. “Virtual Reality Therapy”. Scientific American; 2004, p.60-5.
5.Arthur KW, Booth KS. “Evaluating 3D task for fish tank virtual worlds”.ACM Transactions on Information Systems 1993; 11: 239-65.
6.Burt DE. “Virtual Reality in Anesthesia”. British Journal of Anesthesia1995; 75: 472-80.
7.Rose FD. “Virtual Reality in Rehabilitation Following Traumatic BrainInjury”, European Conference of Disability, Virtual Reality & AssociatedTechnologies and University of Reading, UK 1996, p.1-8.
8.Keshner EA. “Virtual Reality and Physical Rehabilitation a New Toy ora New Research and Rehabilitation Tool?” Journal of Neuroengineeringand Rehabilitation 2004; 1(8): 1-8.
9.Mohnsen, B. “Virtual Reality Applications in Physical Education” 2003;74.
10.Durlach N. “Virtual Reality Scientific and Technological Challenges”National Research Council, p. VII.
11.Parra Márquez JC. “Introducción Práctica a la Realidad Virtual” Ed. Bio-Bio 2001; 2(9): 54-64.
12.Bates J. “Virtual Reality, Art and Entretainment” The Journal ofTeleoperators and Virtual Environments 1991; 133: 1-8.
13.Szekely G. “Virtual Reality in Medicine”. British Medicine Journal 1999;319: 1305-10.
14.Cameron BM. “Virtual-Reality-Assisted Interventional Procedures”.Clinical Orthopedics and Related Research 2006; 442: 63-73.
15.Robb RA. “Virtual Reality in Medicine: A Personal Perspective”. Journalof Visualizations 2002; 5(4): 317-26.
16.Gorman PJ, Meier AH. “Simulation and Virtual Reality in SurgicalEducation Real or Unreal?” Archives of Surgery 1999; 134: 1203-8.
17.Hoffman HG, Hollander A. “Physically touching, and tasting virtualobjects enhances the realism of virtual experiences.” Virtual Reality:Research, Development and Application; 1998, p. 59-63.
18.Weiss PL, Katz N. “The Potential of Virtual Reality for Rehabilitation”Journal of Rehabilitation and Developmental 2004; 41(5): VII-X.
19.Keshner EA. “Virtual Reality and Physical Rehabilitation a New Toy ora New Research and Rehabilitation Tool?”. Journal of Neuroengineeringand Rehabilitation 2004; 1(8): 1-8.
20.Rizzo AA, Schulties MT, Kerns K. “Analysis of Assets for Virtual Realityin Neuropsychology”. Technology in Cognitive Rehabilitation 2004;14: 207-39.
21.Carozzo M, Lacquaniti F. “Virtual Reality a Tutorial”Electroencephalographic and Clinical Neurophysiology/Electromyography and Motor Control 1998; 109: 1-9.
22.Stanney K, Salvendy G. “Aftereffects and Sense of Presence in VirtualEnvironments: Formulations of a Research and Development Agenda”International Journal of Human-Computer Interaction 1998; 10: 135-87.
23.Hoffman HG, Patterson DR. “Use of Virtual Reality for AdjunctiveTreatment of Adult Burn Pain During Physical Therapy: A ControlledStudy”. Clinical Journal of Pain 2000; 21: 25-33.
24.Sharar S, Carrougher G. “Factors Influencing the Efficacy of VirtualReality Distraction Analgesia During Postburn Physical Therapy:Preliminary Results from 3 Ongoing Studies”. Archives of Physical Me-dicine and Rehabilitation 2007; 88(12): 43-9.
25.Haik J. “The Use of Video Capture Virtual Reality in Burn Rehabilitation:The Possibilities”. Journal of Burn Care and Research 2006; 27: 195-7.
26.Van Twillert BMS. “Computer Generated Virtual Reality to Control Painand Anxiety in Pediatric and Adult Burn Patients Turing Wuound Dres-sing Changes”. Clinical Journal of Pain 2008; 24(4): 649-701.
27.Ellis J. Spanos N. “Cognitive-behavioral Interventios for Children´s DistressDuring Bone Narrow Aspirations and Lumbar Punctures: A CriticalReview”. Journal of Pain and Symptom Management 1994; 9: 96-108.
28.Gershon J, Zimand E. “Use of Virtual Reality as a Distractor for PainfulProcedures in a Patient with Pediatric Cancer: A Case Study”. CyberPsychology & Behavior 2003; 6: 657-66.
29.Gershon J, Zimand E. “A Pilot Feasibility Study of Virtual Reality as aDistraction for Children With Cancer” American Academy of Childrenand Adolescence Psychiatry 2004; 43(10): 1243-9.
30.Szekely G, Satava RM. “Virtual Reality in Medicine”. British MedicalJournal 1999; 319: 1305.
31.Rose FD, Johnson DA. “Virtual reality in brain damage rehabilitation”.Medical Science Research 1994; 22: 82.
32.Zhang L, Abreu BC, B Masel, Scheibel RS, Christiansen CH, HuddlestonN, Ottenbacher KJ. “Virtual Reality in Assessment of Selected CognitiveFunction After Brain Injury”. American Journal of Medicine & PhysicalRehabilitation 2001; 80: 597-604.
33.Dickman S, Machamer J. “Neuropsychological Recovery in Patientswith Moderate to Sever Head Injury: 2 Years Follow-up” Journal ofClinical and Experimental Neuropsychology 1990; 12: 507-19.
34.Jennette B. “Vegetative Survival: The Medical and Ethical Dilemmas”Neuropsychology and Rehabilitation 1993; 3: 99-108.
35.Tinson D.J. “How Stroke Patients Spend Their Day: An ObservationalStudy of the Treatment Regime Offered to Patients with MovementsDisorders in Hospital Following Stroke”. International Disability Studies1989; 11: 45-9.
36.Neistedt ME. “ A Meal Preparation Treatment, Protocol for Adults withBrain Injury”. American Journal of Occupational Therapy 1994; 48:431-8.
37.Pugnetti L, Mendozzi L. “Evaluation and Retraining of Adults CognitiveImpairment: Which Role for Virtual Reality Technology?”. Computers inBiology and Medicine 1995; 25: 213-17.
38.Zhang L, Abreu BC. “A Virtual Reality Environment for Evaluation ofDaily Living Skills in Brain Injury Rehabilitation: Reliability and Validity”.Archives of Physical Medicine and Rehabilitation 2003; 84: 1118-24.
39.Cristiensen C, Abreu BC. “Creating a Virtual Environment for BrainInjury Rehabilitation and Research: A Preliminary Report”. Journal ofMedicine and Virtual Reality 1996; 1: 6-9.
40.Rose FD, Johnson DA, Attree EA, Leadbetter AG,. Andrews TK. “Virtualreality in neurological rehabilitation”. British Journal of Therapy andRehabilitation 1996; 3: 223-8.
41.Salter RB. “Trastornos y lesiones del sistema musculoesquelético”. 3a.Ed. Editorial Masson. 181-2.
42.American Academy of Pediatrics - Comitee on Genetics. “Ácido fólicopara la prevención de los defectos del tubo neural.” Pediatrics 1999;48(2): 122-4.
43.Kizony R, Razz L, Katz N, Weiss PL. “Using a Video Projected VR Systemfor Patients With Spinal Cord Injury”. Journal of Rehabilitation Researchand Development” 2005; 44(142): 595-608.
44.Katz N, Hartmann-Maier A. “Relationship of Cognitive Performanceand Daily Function of Clients Following Right Hemisphere Stroke:Predictive and Ecological Validity of the LOTCA Battery”. OccupationalTherapy Journal 2000; 20: 3-17.
45.Stineman G, Granger CV. “Epidemiology of Stroke-Related Disabilityand Rehabilitation Outcome”. Physical Medicine and RehabilitationClinical of North America 1991; 2: 457-71.
46.Cunnigaham, Krishack M. “Virtual Reality Promotes Visual and CognitiveFunction in Rehabilitation”. Cyber Psychology & Behavior 1999; 2: 19-23.
47.Steultjens E, Dekker J, Bouter L, Van de Nes J, Lambregts B. “OccupatinalTherapy for Children With Cerebral Palsy: A Systematic Review”. ClinicalRehabilitation 2004; 18: 1-14.
48.Valdés J. Enfoque Integral de la Parálisis Cerebral para su Diagnóstico yTratamiento. 1a. Ed. México: Editorial La Prensa Médica Mexicana, S.A.de C.V.: 1998.
49.Coutiño B. “Implicaciones Bioéticas en el Niño Discapacitado”. Temasde Pediatría, Asociación Mexicana de Pediatría. Editorial Mc Graw HillInteramericana; 2001, p. 45-6.
50.Reid D. Campell K. “The Use of Virtual Reality with Children withCerebral Palsy: A Pilot Randomized Trial”. Therapeutic Recreation Journal2006; 40(4): 255-68.
51.Michiel JA. “A Low-Cost Video Game Applied for Training of UpperExtremity Function in Children with Cerebral Palsy: A Pilot Study”.Cyber Psychology & Behavior 2008; 11(1): 27-32.
52.Chen YP. “Use of Virtual Reality to Improve Upper-Extremity Control inChildren with Cerebral Palsy: A Single Subject Design”. Physical Therapy2007; 87(11): 1441-57.
53.Regan C. “An investigation into nausea and other side-effects of head-coupled immersive virtual reality”. Virtual Reality, 1995: 1(1): 17-32.