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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(03): e523-e529
DOI: 10.1055/s-0044-1785681
Original Research

Evaluation of Quality of Life After Use the Virtual Reality in Patients with Neurodegenerative Disease

Jéssica Spricigo Malisky 
1   Department of Otoneurology, Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
,
Bianca Lopes Cavalcante-Leão 
1   Department of Otoneurology, Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
,
Maria Izabel Severiano 
2   Department of Physical Therapy, Instituto Federal do Paraná, Curitiba, PR, Brazil
,
Geslaine Janaina Bueno dos Santos 
2   Department of Physical Therapy, Instituto Federal do Paraná, Curitiba, PR, Brazil
,
Hélio Augusto Guizoni Teive 
3   Department of Neurology, Movement Disorders Unit, Hospital das Clínicas, Universidade Federal do Paraná, Curitiba, PR, Brazil
,
Maria Renata José 
1   Department of Otoneurology, Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
,
Cristiano Miranda de Araújo 
1   Department of Otoneurology, Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
,
Bianca Simone Zeigelboim 
1   Department of Otoneurology, Postgraduate Program in Communication Disorders, Universidade Tuiuti do Paraná (UTP), Curitiba, PR, Brazil
› Author Affiliations Funding Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPQ), Registration number: 302650/2018-0.
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Abstract

Introduction Spinocerebellar ataxias (SCAs) are a heterogeneous group of neurodegenerative diseases.

Objective To evaluate the living standard of patients with SCA, by applying the Vestibular Disorders Activities of Daily Living Scale (VADL) and Activitiesspecific Balance Confidence Scale (ABC) questionnaires.

Methods An uncontrolled clinical trial study was conducted with 28 patients who underwent anamnesis, ENT evaluation, and vestibular assessment and the application of questionnaires VADL and ABC before and after rehabilitation with virtual reality.

Results The vestibular exam was altered in 64.3% of the cases. The result between the correlation of the VADL and ABC questionnaires showed significant results in all cases (p < 0.005). The correlation between the ages and disease length with the VADL and ABC questionnaires was significant in the T3 assessment (p = 0.015). The correlation between the disease length and the VADL questionnaire was significant in all cases (p < 0.005). The comparison of the vestibular rehabilitation result (T1 to T2) showed a significant difference for all the applied games, except for the ski slalom. The comparison of the vestibular rehabilitation result (T1 to T3) showed significant difference for all the applied games (p < 0.005) (1st assessment before the start of rehabilitation designated T1, after 10 rehabilitation sessions, considered T2 and, at the end of 20 rehabilitation sessions, called T3).

Conclusion We can point out a direct improvement in the living standard, reflected by the reduction of falls, better balance, and march, contributing to a higher self-confidence in patients in daily activities.

Keywords

Ataxia - quality of life - rehabilitation - neurodegenerative diseases - postural balance

Authorś Contributions

GJBS, BSZ, and MIS designed the study protocol. BSZ, JSM, and BLCL executed the study. CMA, BSZ, HAGT, and MRJ analyzed and interpreted the findings. BSZ, JMS, MIS, and GJBS wrote the manuscript. CMA and BLCL were responsible for the statistical analysis. HAGT and BSZ performed a critical revision of the manuscript for important intellectual content and were responsible for submitting the final approved manuscript.


The paper was presented in Brazilian Congress of Neurology, 2022.




Publication History

Received: 28 August 2022

Accepted: 28 January 2023

Article published online:
30 April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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