Faculty of Electrical Engineering and Computer Science, University of Maribor, Maribor, Slovenia.
Community Healthcare Centre Dr. Adolf Drolc, Maribor, Slovenia.
Curr Pediatr Rev. 2020;16(1):26-32. doi: 10.2174/1573396315666190808115238.
Children with developmental disabilities may need support with motor skills such as balance improvement, cognitive skills such as vocabulary learning, or social skills such as adequate interpretation of emotional expressions. Digital interactive games could support the standard treatments. We aimed to review clinical studies which investigated the application of serious games in children with developmental disabilities.
We searched MEDLINE and Scopus on 05 May 2019 limited to the English language. We included people between two and 24 years of age who were affected by neurodevelopmental disorders and who received digital serious game-based medical interventions such as any computer- based or video-based games. We considered any study design reporting primary data. We used title, abstract, and full-text of journal articles to build diagnostic groups, and we described some selected specific game applications.
The majority of the 145 relevant studies reported on autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), developmental coordination disorder (DCD), and disabilities affecting intellectual abilities (DAIA). 30 of the 145 studies reported a randomized design. We detailed six specific applications aimed at improving abilities in children with ASD, ADHD, cerebral palsy, and Down syndrome. We visualized the diagnostic groups by bibliographic mapping, and limited the text to the title and abstract of journal articles.
We identified promising results regarding anxiety reduction, stress regulation, emotion recognition, and rehabilitation. Currently, there appears to be a lack of clinical evidence that children with neurodevelopmental disorders can benefit from the application of serious games.
患有发育障碍的儿童可能需要在运动技能方面获得支持，例如平衡能力的提高，认知技能方面的词汇学习，或社交技能方面的情绪表达的充分理解。数字互动游戏可以支持标准治疗。我们旨在综述研究应用严肃游戏治疗发育障碍儿童的临床研究。
我们于 2019 年 5 月 5 日在 MEDLINE 和 Scopus 中进行了检索，仅限于英文文献。我们纳入了年龄在 2 至 24 岁之间，患有神经发育障碍并接受数字严肃游戏为基础的医学干预的患者，如任何基于计算机或视频的游戏。我们考虑了报告原始数据的任何研究设计。我们使用期刊文章的标题、摘要和全文来构建诊断组，并描述了一些选定的特定游戏应用。
145 篇相关研究中有 118 篇报道了自闭症谱系障碍（ASD）、注意缺陷多动障碍（ADHD）、发育协调障碍（DCD）和影响智力的残疾（DAIA）。145 篇研究中有 30 篇报道了随机设计。我们详细介绍了六个旨在提高 ASD、ADHD、脑瘫和唐氏综合征儿童能力的特定应用。我们通过文献映射来可视化诊断组，并将文本限制在期刊文章的标题和摘要。
我们发现严肃游戏在减少焦虑、调节压力、情绪识别和康复方面具有很大的潜力。目前，似乎缺乏临床证据表明患有神经发育障碍的儿童可以从严肃游戏的应用中受益。
