Análise intra e inter-avaliadores do tempo de resposta motora pelo software PhysioPlay® e sua relação com a fadiga em voluntários com câncer em tratamento.

Abstract

During cancer treatment, patients experience the symptom of cancer-related fatigue (CRF), which directly interferes with quality of life and the ability to perform activities of daily living. The association between negative symptoms resulting from treatment can interfere with adherence to therapy and even limit the effects of treatment, therefore, the development of effective integrated treatment strategies, such as the use of virtual reality, should be encouraged. PhysioPlay® is an exergame that presents an innovative, practical and low-cost proposal in order to be used as a tool for physical assessment and rehabilitation. In this sense, the present study aims to analyze the intra and inter-rater reliability of the PhysioPlay® and Trigno Delsys instruments in the assessment of motor response time in volunteers with cancer undergoing treatment. The sample consisted of 46 volunteers, of both sexes, undergoing chemotherapy and / or radiotherapy. The volunteers were allocated to groups corresponding to the type of cancer treatment modality: CG - Chemotherapy (26 volunteers); RG - Radiotherapy (13 volunteers); CRG - Chemotherapy-Radiotherapy (7 volunteers). All volunteers were assessed for cancer-related fatigue using the FACIT-F questionnaire, functional assessment using the scale PSFS and the response time assessment using the PhysioPlay® and Trigno 8 Channel Wireless instruments. through the ICC, excellent levels of reliability in the intra-rater analysis for both instruments in the three groups studied (PHY: CG = 1.00; RG = 1.00; CRG = 0.99 and TRIG: CG = 0.92; RG = 0.92; CRG = 0.96) In the inter-rater analysis there was excellent reliability for both instruments in the chemotherapy group (PHY: CG = 0.98; TRIG: CG = 0.99), excellent and good in the radiotherapy group for the PhysioPlay® and Trigno instruments respectively (PHY: RG = 0.98; TRIG: RG = 0.44) and good and reasonable in the chemotherapy-radiotherapy group (PHY: CRG = 0.49; TRIG: CRG = 0.29). It was observed that there was no correlation between the assessment instruments used (CG: r = 0.12; p = 0.56; RG: r = -0.12; p = 0.70; CRG: r = 0.54; p = 0.21), as well as there wasn’t correlation between the instruments and the questionnaires FACIT-F, FACT-G and PSFS. It is concluded that there is intra and inter-rater reliability between PhysioPlay® and Trigno Delsys instruments when used to assess motor response time in volunteers with cancer undergoing treatment.