Pimentel-Ponce M, Romero-Galisteo R P, Palomo-Carrión R, Pinero-Pinto E, Merchán-Baeza J A, Ruiz-Muñoz M, Oliver-Pece J, González-Sánchez M
Ejercicio libre de la profesión.
Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, España.
Neurologia (Engl Ed). 2021 Apr 15. doi: 10.1016/j.nrl.2021.02.011.
Gamification consists of the use of games in non-playful contexts. It is widely employed in the motor rehabilitation of neurological diseases, but mainly in adult patients. The objective of this review was to describe the use of gamification in the rehabilitation of children and adolescents with neuromotor impairment.
We performed a systematic review of clinical trials published to date on the MEDLINE (PubMed), Scielo, SCOPUS, Dialnet, CINAHL, and PEDro databases, following the PRISMA protocol. The methodological quality of the studies identified was assessed using the PEDro scale.
From a total of 469 studies, 10 clinical trials met the inclusion criteria. We analysed the gamification systems used as part of the rehabilitation treatment of different neuromotor conditions in children and adolescents. Cerebral palsy was the most frequently studied condition (6studies), followed by developmental coordination disorder (3), and neurological impairment of balance and coordination (1).
The use of gamification in rehabilitation is helpful in the conventional treatment of neuromotor disorders in children and adolescents, with increased motivation and therapeutic adherence being the benefits with the greatest consensus among authors. While strength, balance, functional status, and coordination also appear to improve, future research should aim to determine an optimal dosage.
游戏化是指在非游戏情境中运用游戏。它在神经疾病的运动康复中被广泛应用,但主要针对成年患者。本综述的目的是描述游戏化在患有神经运动障碍的儿童和青少年康复中的应用。
我们按照PRISMA方案,对MEDLINE(PubMed)、Scielo、SCOPUS、Dialnet、CINAHL和PEDro数据库中迄今发表的临床试验进行了系统综述。使用PEDro量表评估所纳入研究的方法学质量。
在总共469项研究中,有10项临床试验符合纳入标准。我们分析了作为儿童和青少年不同神经运动疾病康复治疗一部分所使用的游戏化系统。脑瘫是研究最频繁的疾病(6项研究),其次是发育性协调障碍(3项),以及平衡和协调神经损伤(1项)。
游戏化在康复中的应用有助于儿童和青少年神经运动障碍的常规治疗,作者们普遍认为其最大益处在于增加动机和治疗依从性。虽然力量、平衡、功能状态和协调性似乎也有所改善,但未来的研究应旨在确定最佳剂量。