GAMETHERAPY EFFECTS ON PATIENT REHABILITATION AT A BURNS INTENSIVE CARE UNIT: A PILOT STUDY

Authors

  • Fernanda Araújo Felipe Calixto Author
  • Fernanda Oliveira de Carvalho Author
  • Jessica Paloma Rosa de Souza Silva Author
  • Manoel Jakson de Souza Silva Author
  • Paulo Vinícius Paes Lima Author
  • Catarina Andrade Garcez Cajueiro Author
  • Adriano Antunes de Souza Araújo Author
  • Paula Santos Nunes Author

DOI:

https://doi.org/10.56238/arev7n10-164

Keywords:

Virtual Reality, Rehab, Burned, Nintendo Wii

Abstract

Objectives: Assess the effect of game therapy on functional rehabilitation of burned patients within a Burns Intensive Care Unit.

Design: controlled and randomized pilot study. Twenty-nine patients with upper limbs and thoracic burns. Ten sessions were performed in both groups, lasting 30 min. Test group (Gwii n = 15) was rehabilitated through of tennis, golf and boxing, while control group (GPt n = 14) were assigned activities that addressed the same goals of game therapy. Main outcome measure: palmar grip strength test, maximal respiratory pressures, six-minute walking test, functional independence level, anxiety and pain determined by Burns Specific Pain Anxiety Scale. Randomization: Patients were distributed into two intervention groups: Group Nintendo Wii Sport (n = 10) and Group Conventional Physical Therapy (n = 10), through a random and independent draw.  Statistical analysis: The comparative analyses between intra- and inter-group physiotherapy protocols were paired tests of Student or Wilcoxon. 

Results: A significant increase in MEP (p = 0.0226), right upper limb dynamometry (p = 0.0203), left upper limb dynamometry (p = 0.0367), FIL (p = 0.0003) and 6MWT (p = 0.0019), as well as a significant reduction of anxiety and pain level (p = 0.0323), yet in GPt group all variables studied had a significant improvement. However, in the evaluations between the groups (inter-group), there was no significant difference in any variable studied. 

Conclusion: Game Therapy may be a resource with therapeutic potential in the functional recovery of the burned patients, since, in this study, it obtained results similar to conventional physiotherapy

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References

1. Camuci MB, Martins JT, Cardeli AAM, Robazzi MLC. Caracterização epidemiológica de pacientes adultos internados em uma unidade de terapia intensiva de queimados. Cogitare enferm. 2014;19(1):78-83.

2. Ebid AA, Omar MT, Abd El Baky AM. Effect of 12-week isokinetic training on muscle strength in adult with healed thermal burn. Burns. 2012;38(1):61-68.

3. Ward RS. Physical rehabilitation. St. Louis, MO: Mosby; 1998.

4. Borges F. Modalidades Terapêuticas nas Disfunções Estéticas, SP: Phorte, 2010.

5. Schmitt YS, Hoffman HG, Blough DK, Patterson DR. et al. A randomized, controlled trial of immersive virtual reality analgesia, during physical therapy for pediatric burns. Burns. 2011; 37(1): 61-82.

6. Bosch PR, Poloni J, Thornton A, Lynskey JV. The Heart Rate Response to Nintendo Wii Boxing in Young Adults. Cardiopulm. Phys. Ther. j. 2012;23(2):13-29.

7. Cacau LAP, Oliveira GU, Maynard LG, et al. The use of the virtual reality as intervention tool in the postoperative of cardiac surgery. Rev Bras Cir Cardiovasc 2013;28(2):281-289.

8. Gonçalves GB, Leite MA, Orsini M, Pereira JS. Effects of using the nintendo wii fit plus platform in the sensorimotor training of gait disorders in Parkinson’s disease. Int. j. neurol. 2014;6(1):5048.

9. Barry G, Galna B, Rochester L. The role of exergaming in Parkinson’s disease rehabilitation: a systematic review of the evidence. J Neuroeng Rehabil. 2014;11: 33.

10. Choi JH, Han EY, Kim BR, et al. Effectiveness of commercial gamingbased virtual reality movement therapy on funcion al recovery of upperextremity in subacute stoke patientes. Ann Rehabil Med 2014;38(4):485-493.

11. American Thoracic Society/European Respiratory Society. ATS/ERS Statement on respiratory Muscle Testing. J Respir Crit Care Med. 2002;166:518-624.

12. Riberto M, Miyazaki MH, Jucá SSH, Sakamoto H, Pinto PPN, Battistella LR - Validação da Versão Brasileira da Medida de Independência Funcional. Acta Fisiatr 2004;11(2):72-76.

13. Echevarria-Guanilo ME, Dantas RA, Farina JA Jr, Faber AW, Alonso J, Rajmil L, Rossi LA. Reliability and validity of the Brazilian-Portuguese version of the Burns Specific Pain AnxietyScale (BSPAS). Int J Nurs Stud. 2011; 48(1): 47-55.

14. American Thoracic Society (ATS). ATS statement: guidelines for the six-minute walk test. J Respir Crit Care Med. 2002;166 (1):111-117.

15. Rostagno C, Olivo G, Comeglio M, Boddi V, Banchelli M, Galanti G, Prognostic value of 6-minute walk corridor test in patients with mild to moderate heart failure: comparison with other methods of functional evaluation, Eur J Heart Fail. 2003;5(3):247-252.

16. Aquino ES, Mourão FA, Physical et al., Comparative analysis of the six-minute walk test in healthy children and adolescents, Rev Brasil. Fisioter. 2010;14(1):75-80.

17. Torquato JA, Pardal DM, Lucato JJ, Fu C, Gómez DS. O curativo compressivo usado em queimadura de tórax influencia na mecânica do sistema respiratório? Rev Bras Queim. 2009; 8(1):28-33.

18. Billinger SA, Coughenour E, MacKay-Lyons MJ, Ivey FM. Reduced Cardiorespiratory Fitness after Stroke: Biological Consequences and Exercise-Induced Adaptations. Stroke Res Treat. 2012;2012:959120.

19. Ache JD, Ovando AC, Külkamp W, Borges NG. Força de preensão palmar: uma revisão. Rev Bras cineantropom desempenho Hum. 2010;12(3):209-216.

20. Meldrum D, Cahalane E, Conroy R et al. Quantitative assessment of motor fatigue: normative values and comparison with prior-polio patients. Amyotroph Lateral Scler. 2007;8(3):170-176.

21. Caruso P, Luis A, Albuquerque P, et al. Diagnostic methods to assess inspiratory and expiratory muscle strength. J Bras Pneumol. 2015;41(2):110-123.

22. Kumar SP. Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain: a randomized placebo controlled crossover study. N Am J Med Sci. 2011;3:456–461.

23. Ezechieli M, Siebert CH, Ettinger M, et al. Força muscular da coluna lombar em diferentes esportes. Technol Health Care. 2013;21:379-386.

24. ChangWD, Lin HY, Lai PT. Core strength training for patients with chronic low back pain. J Phys Ther Sci. 2015;27(3):619-622.

25. Mohammadian M, Choobineh A, Haghdoost A, Hasheminejad N. Normative data of grip and pinch strengths in healthy adults of Iranian population. Iran J Public Health. 2014;43(8):1113–1122.

26. Puh U. Age-related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res. 2010;33:4–11.

27. Mesquita TMJC, Gardenghi G. Imobilismo e fraqueza muscular adquirida na unidade de terapia intensiva. Revis. Bras. Saúde Funcional. 2016;1(3);1-12.

28. Wu X, Baer LA, Wolf SE, Wade CE, Walters TJ. The impact of muscle disuse on muscle atrophy in severely burned rats. JSurg Res.2010; 164(2):243-25.

29. Bailey P, Thomsen GE, Spuhler VJ, Blair R, Jewkes J, Bezdjian L, et al. Early activity is feasible and safe in respiratory failure patients. Critical Care Medicine. 2007;35:139–145.

30. Krentz JR, Farthing JP. Neural and morphological changes in response to a 20-day intense eccentric training protocol. Eur J Appl Physiol. 2010;110(2):333-340.

31. Truong AD, Fan E, Brower RG, Needham DM. Bench-to-beside review: mobilizing patients in the intensive care unit from pathophysiology to clinical trials. Crit Care. 2009;13(4):216.

32. Folland JP, Williams AG. The adaptations to strength training: morphological and neurological contributions to increased strength. Sports Medicine 2007;37(2):145-168, 2007.

33. Gerrard P, Goldstein R, Divita MA, Ryan CM, Mix J, Niewczyk P, Kazis L, Kowalske K, Zafonte R, Schneider JC. Validity and reliability of the FIM instrument in the inpatient burn rehabilitation population. Arch Phys Med Rehabil. 2013;94(8):1521-1526.

34. Kimura Y, Yamada M, Hamanaka K, Tanaka N, Muroh Y. Usefulness of the prediction method based on a logarithmic model for functional recovery in stroke patients: in case of using the motor functional Independence Measure score. Int J Rehabil Res. 2017;40(2):134-137.

35. Tabata M, Shimizu R, Kamekawa D, et al. Six-Minute Walk Distance Is an Independent Predictor of Hospital Readmission in Patients With Chronic Heart Failure. Int Heart J. 2014;55(4):331-336.

36. Mazzoleni S, Montagnani S, Vagheggini G, Buono L, Moretti F, Dario P, Ambrosino N. Interactive videogame as rehabilitation tool of patients with chronic respiratory diseases: Preliminary results of a feasibility study. Respir Med. 2014;108(10):1516-1524.

37. Simões LA, Dias JMD, Marinho KC, Pinto CLLR, Britto RR. Relações da função muscular respiratória e de membros inferiores de idosos comunitários com a capacidade funcional avaliada por teste de caminhada. Rev Bras Fisio. 2010;14(1):24-30.

38. Veloso-Guedes CA1, Rosalen ST, Thobias CM, et al. Validation of 20-Meter Corridor for the 6-Minute Walk Test in Men on Liver Transplantation Waiting List, Transplantation proceedings 2011;43(4):1322-1324.

39. Subtil MML, Goes DC, Gomes TC, de Souza ML. O Relacionamento Interpessoal e a Adesão na Fisioterapia. Fisioter Mov. 2011; 24(4):745-753.

40. Medeiros LG, Almeida RMM, Rigoli MM, Kristensen CH. Transtornos psiquiátricos em pacientes vítimas de queimaduras. Psicologia: teoria e prática. 2012;14(2):56-65.

41. Davydow DS, Katon WJ, Zatzick DF. Psychiatric morbidity and functional impairment in survivors of burns, traumatic injuries, and ICU stays for other critical illnesses: A review of the literature. International Review of Psychiatry. 2009;21:531–538.

42. Medeiros LG, Kristensen CH, Almeida RMM. Estresse pós-traumático, ansiedade e depressão em vítimas de queimaduras. Arq. Bras. Psicol. 2010;62(1):148-158.

43. Costa GOP, Silva GA, Santos AG. Perfil clínico e epidemiológico das queimaduras: evidências para o cuidado de enfermagem. Rev Cienc Saud. 2015;8(3):146-155.

44. Morris LD, Louw QA, Grimmer-Somers K. The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review. Clin J Pain. 2009; 25(9):815-826.

45. Hoffman HG, Doctor JN, Patterson DR, et al. Use of virtual reality as an adjunctive treatment of adolescent burn pain during wound care: A case report. Pain. 2000;85:305–309

46. Sharar SR, Carrougher GJ, Nakamura D, Hoffman HG, Blough DK, Patterson DR. Factors influencing the efficacy of virtual reality distraction analgesia during postburn physical therapy: preliminary results from 3 ongoing studies. Arch Phys Med Rehabil. 2007;88(2):43-49.

47. LEE G. Effects of Training Using Video Games on the Muscle Strength, Muscle Tone, and Activities of Daily Living of Chronic Stroke Patients. J Phys Ther Sci. 2013;25(5):595-597.

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Published

2025-10-15

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How to Cite

CALIXTO, Fernanda Araújo Felipe; DE CARVALHO, Fernanda Oliveira; SILVA, Jessica Paloma Rosa de Souza; SILVA, Manoel Jakson de Souza; LIMA, Paulo Vinícius Paes; CAJUEIRO, Catarina Andrade Garcez; ARAÚJO, Adriano Antunes de Souza; NUNES, Paula Santos. GAMETHERAPY EFFECTS ON PATIENT REHABILITATION AT A BURNS INTENSIVE CARE UNIT: A PILOT STUDY. ARACÊ , [S. l.], v. 7, n. 10, p. e8952 , 2025. DOI: 10.56238/arev7n10-164. Disponível em: https://periodicos.newsciencepubl.com/arace/article/view/8952. Acesso em: 8 dec. 2025.