Efeitos do treinamento físico combinado com realidade virtual na funcionalidade e qualidade de vida de pacientes em hemodiálise

• Autor(a) principal: Maynard, Luana Godinho
• Data de Publicação: 2018
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da UFS
• Texto Completo: http://ri.ufs.br/jspui/handle/riufs/8897
• topic: Ciências da saúde; Terapia de exercício; Hemodiálise; Terapia de Exposição de Realidade Virtual; Videogames; Exercise therapy; Renal dialysis; Virtual Reality Exposure Therapy; Video games; CIENCIAS DA SAUDE

The evolution in physical and emotional impairment that accompanies chronic kidney disease directly affects quality of life (QoL). One way to recover biopsychosocial conditions is through physical exercise. Although this approach is still not very routine in dialysis clinics, physical training is capable of improving QoL. Incentive tools such as virtual reality (VR) facilitate engagement through the playfulness of proposed activities. Thus, the objective of this study was to evaluate the effects physical training combined with VR on the functional capacity and QoL of patients in hemodialysis. Methods Randomized experimental study for control and intervention groups in which intradialytic training was combined with RV three times a week. The results were oriented at baseline and after 12 weeks. Functional capacity tests include walking speed (T10), Timed up and go (TUG) and Duke activity status index (DASI). To evaluate a QoL was used KDQOL-SFTM1.3 and to investigate depressive symptoms, the Center for Epidemiological Scale - Depression. An analysis of variance of repeated measures was used to evaluate how the rest of the groups in our main results and the level of significance of 5%. Results The exercise improved functional capacity (TUG_ p = 0.002, DASI _p <0.001) and QV in the physical and specific domains (physical function p = 0.047, physical performance p = 0.021, PCS p <0.001, renal disease effect, p = 0.013). There was no influence on depressive symptoms (p = 0.154). Conclusion Physical training combined with virtual reality with the capacity to improve functional capacity and some quality of life domains of hemodialysis patients.