Sensorimotor Exercises in Virtual Reality Platform in Individuals With Human T-lymphotropic Virus

Study Overview
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Brief Summary
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Testing the effectiveness of an exercise protocol engines sensory performed through a virtual reality platform in individuals infected with HTLV-1

Detailed Description
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Crossover randomized clinical trial to be conducted with people having a previous diagnosis of HTLV-1, they can remain in standing position without assistance. They will be excluded from those presenting amputation of the lower limbs, pregnancy, psychiatric disorders, rheumatic or orthopedic diseases, other neurological disorders associated and those that are experiencing difficulty in understanding the assessment tools used. They will also be recruited to a comparative group, healthy individuals, matched for sex, age and education level. It will be performed three assessments, before randomization, after 10 weeks and after 20 weeks, which will be evaluated in balance, functional mobility, gait and posture. The participants infected with HTLV-1, will be divided into two groups by random distribution, a group will begin the treatment protocol with video game immediately after the first evaluation and the other after ten weeks, with the crossing of the groups . Concealment of allocation will be guaranteed to the examiners who will have no contact with the physiotherapist who will apply the exercise protocol and the team member responsible for drawing. Patients will also be instructed to maintain confidentiality of the entry in the exercise program to other patients and examiners.

Official Title
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Sensorimotor Exercises in Virtual Reality Platform and Balance in Individuals With Human T-lymphotropic Virus

Conditions
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HTLV-1

Intervention / Treatment
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* Other: Video game


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: people having a previous diagnosis of HTLV-1, which can remain in standing position without assistance. Exclusion Criteria: amputation of the lower limbs, pregnancy, psychiatric disorders, rheumatic or orthopedic diseases, other neurological disorders associated and those that are experiencing difficulty in understanding the assessment tools used.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Test control group<br>Start the sensorimotor exercises protocol with video game immediately after the first evaluation | Other: Video game<br>* The protocol sensorimotor exercises consist of a virtual game that attaches to the Nintendo Wii and using arrows that are thrown from above, players must perform weight-shifting movements in the Nintendo platform to the target be directed to the trajectory the arrows. The goal is to catch as many arrows.<br>|
| Active Comparator: Control test group<br>Start of sensorimotor exercises with video game protocol after ten weeks | Other: Video game<br>* The protocol sensorimotor exercises consist of a virtual game that attaches to the Nintendo Wii and using arrows that are thrown from above, players must perform weight-shifting movements in the Nintendo platform to the target be directed to the trajectory the arrows. The goal is to catch as many arrows.<br>|
| No Intervention: comparison group<br>No intervention | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Timed up and Go | Functional mobility in patients with HTLV-1 undergoing rehabilitation with video game | average 8 weeks | 
| Gait performance at CvMob (Software for movement analysis) | Gait performance in patients with HTLV-1 undergoing rehabilitation with video game | an average 8 weeks | 
| Posture analysis at CvMob (Software for movement analysis) | Posture analysis in patients with HTLV-1 undergoing rehabilitation with video game | average 8 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Brief Pain Inventory (BPI) | Pain in patients with HTLV-1 undergoing rehabilitation with video game | average 8 weeks | 
| WHOQOL BRIEF | Quality of life in patients with HTLV-1 undergoing rehabilitation with video game | average 8 weeks |