Ortiz-Huerta J H, Perez-de-Heredia-Torres M, Guijo-Blanco V, Santamaria-Vazquez M
Universidad de Burgos, Burgos, Espana.
Universidad Rey Juan Carlos. Facultad de Ciencias de la Salud, 28922 Alcorcon, Espana.
Rev Neurol. 2018 Jan 16;66(2):49-58.
In recent years video games and games consoles have been developed that are potentially useful in rehabilitation, which has led to studies conducted to evaluate the degree of efficacy of these treatments for people following a stroke.
To analyse the literature available related to the effectiveness of applying video games consoles in the functional recovery of the upper extremities in subjects who have survived a stroke.
A review of the literature was conducted in the CINHAL, Medline, PEDro, PsycArticles, PsycInfo, Science Direct, Scopus and Web of Science databases, using the query terms 'video game', 'stroke', 'hemiplegia', 'upper extremity' and 'hemiparesis'. After applying the eligibility criteria (clinical trials published between 2007 and 2017, whose participants were adults who had suffered a stroke with involvement of the upper extremity and who used video games), the scientific quality of the selected studies was rated by means of the PEDro scale. Eleven valid clinical trials were obtained for the systematic review.
The studies that were selected, all of which were quantitative, presented different data and the inferential results indicated different levels of significance between control and experimental groups (82%) or between the different types of treatment (18%).
The use of video games consoles is a useful complement for the conventional rehabilitation of the upper extremities of persons who have survived a stroke, since it increases rehabilitation time and enhances the recovery of motor functioning. Nevertheless, homogeneous intervention protocols need to be implemented in order to standardise the intervention.
近年来，已开发出在康复方面可能有用的电子游戏及游戏机，这促使人们开展研究以评估这些治疗方法对中风患者的疗效程度。
分析与应用游戏机促进中风幸存者上肢功能恢复的有效性相关的现有文献。
在CINHAL、Medline、PEDro、PsycArticles、PsycInfo、Science Direct、Scopus和科学网数据库中进行文献综述，使用检索词“电子游戏”“中风”“偏瘫”“上肢”和“偏瘫”。在应用纳入标准（2007年至2017年发表的临床试验，参与者为患有上肢受累中风的成年人且使用电子游戏）后，通过PEDro量表对所选研究的科学质量进行评分。共获得11项有效临床试验用于系统评价。
所选研究均为定量研究，呈现了不同的数据，推断结果表明对照组与实验组之间（82%）或不同治疗类型之间（18%）存在不同程度的显著性差异。
对于中风幸存者，使用游戏机是上肢传统康复的有益补充，因为它增加了康复时间并促进了运动功能恢复。然而，需要实施统一的干预方案以规范干预措施。
