Improvements in motor tasks through the use of smartphone technology for individuals with Duchenne muscular dystrophy

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorCAPELINI, Amila Miliani
dc.contributor.authorSILVA, Talita Dias da
dc.contributor.authorTONKS, James
dc.contributor.authorWATSON, Suzanna
dc.contributor.authorALVAREZ, Mayra Priscila Boscolo
dc.contributor.authorMENEZES, Lilian Del Ciello de
dc.contributor.authorFAVERO, Francis Meire
dc.contributor.authorCAROMANO, Fatima Aparecida
dc.contributor.authorMASSETTI, Thais
dc.contributor.authorMONTEIRO, Carlos Bandeira de Mello
dc.date.accessioned2017-10-24T13:17:42Z
dc.date.available2017-10-24T13:17:42Z
dc.date.issued2017
dc.description.abstractBackground: In individuals severely affected with Duchenne muscular dystrophy (DMD), virtual reality has recently been used as a tool to enhance community interaction. Smartphones offer the exciting potential to improve communication, access, and participation, and present the unique opportunity to directly deliver functionality to people with disabilities. Objective: To verify whether individuals with DMD improve their motor performance when undertaking a visual motor task using a smartphone game. Patients and methods: Fifty individuals with DMD and 50 healthy, typically developing (TD) controls, aged 10-34 years participated in the study. The functional characterization of the sample was determined through Vignos, Egen Klassifikation, and the Motor Function Measure scales. To complete the task, individuals moved a virtual ball around a virtual maze and the time in seconds was measured after every attempt in order to analyze improvement of performance after the practice trials. Motor performance (time to finish each maze) was measured in phases of acquisition, short-term retention, and transfer. Results: Use of the smartphone maze game promoted improvement in performance during acquisition in both groups, which remained in the retention phase. At the transfer phases, with alternative maze tasks, the performance in DMD group was similar to the performance of TD group, with the exception of the transfer to the contralateral hand (nondominant). However, the group with DMD demonstrated longer movement time at all stages of learning, compared with the TD group. Conclusion: The practice of a visual motor task delivered via smartphone game promoted an improvement in performance with similar patterns of learning in both groups. Performance can be influenced by task difficulty, and for people with DMD, motor deficits are responsible for the lower speed of execution. This study indicates that individuals with DMD showed improved performance in a short-term motor learning protocol using a smartphone. We advocate that this technology could be used to promote function in this population.
dc.description.indexPubMed
dc.description.sponsorshipFAPESP (Fundacao de Amparo a Pesquisa do Estado de Sao Paulo) [2012/16970-6]
dc.identifier.citationNEUROPSYCHIATRIC DISEASE AND TREATMENT, v.13, p.2209-2217, 2017
dc.identifier.doi10.2147/NDT.S125466
dc.identifier.issn1178-2021
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/21881
dc.language.isoeng
dc.publisherDOVE MEDICAL PRESS LTD
dc.relation.ispartofNeuropsychiatric Disease and Treatment
dc.rightsopenAccess
dc.rights.holderCopyright DOVE MEDICAL PRESS LTD
dc.subjectmotor skills
dc.subjectphysical therapy
dc.subjectcell phone
dc.subjectvirtual reality exposure therapy
dc.subjecttransfer of learning
dc.subject.otherfiber conduction-velocity
dc.subject.otherneuromuscular diseases
dc.subject.othermuscle-fibers
dc.subject.otherchildren
dc.subject.otherstrength
dc.subject.otheradjustments
dc.subject.otherdisability
dc.subject.othercomputer
dc.subject.othersurvival
dc.subject.otherweakness
dc.subject.wosClinical Neurology
dc.subject.wosPsychiatry
dc.titleImprovements in motor tasks through the use of smartphone technology for individuals with Duchenne muscular dystrophy
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryisogb
hcfmusp.author.externalSILVA, Talita Dias da:Univ Fed Sao Paulo, Paulista Sch Med, Dept Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalTONKS, James:Univ Exeter, Sch Med, Exeter, Devon, England; Univ Lincoln, Lincoln, England; Haven Clin Psychol Practice, Bude, Cornwall, England
hcfmusp.author.externalWATSON, Suzanna:Cambridge Ctr Paediat Neuropsychol Rehabil, Cambridge, England
hcfmusp.author.externalFAVERO, Francis Meire:Univ Fed Sao Paulo, Paulista Sch Med, Dept Med, Sao Paulo, SP, Brazil
hcfmusp.author.externalMONTEIRO, Carlos Bandeira de Mello:Univ Sao Paulo, Fac Med, Grad Program Rehabil Sci, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcCAMILA MILIANI CAPELINI
hcfmusp.contributor.author-fmusphcMAYRA PRISCILA BOSCOLO ALVAREZ
hcfmusp.contributor.author-fmusphcLILIAN DEL CIELLO DE MENEZES
hcfmusp.contributor.author-fmusphcFATIMA APARECIDA CAROMANO
hcfmusp.contributor.author-fmusphcTHAIS MASSETTI
hcfmusp.description.beginpage2209
hcfmusp.description.endpage2217
hcfmusp.description.volume13
hcfmusp.origemWOS
hcfmusp.origem.pubmed28860778
hcfmusp.origem.scopus2-s2.0-85028324088
hcfmusp.origem.wosWOS:000408055000001
hcfmusp.publisher.cityALBANY
hcfmusp.publisher.countryNEW ZEALAND
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