Department of Occupational Therapy, Cheongju University, Cheongju 28503, Republic of Korea.
Int J Environ Res Public Health. 2023 Nov 1;20(21):7006. doi: 10.3390/ijerph20217006.
In a serious context, individuals with Cerebral Palsy (CP) have limited opportunities to engage in social interaction experiences. Through a review, this study provides an explanation and improved evidence of the methods for rehabilitation in games used in serious contexts for people with CP. Articles published from 2010 to 2022 focusing on serious game-based rehabilitation for people with CP are extracted from MEDILINE, Academic Search Ultimate, CINAHL, and the Web of Science. The articles were assessed based on the McMaster critical review form. This study analyzes the frequencies of goal and assessment tools according to the components using the International Classification of Functioning, Disability and Health (ICF). The evidence of all the studies is presented according to the principles of Population, Intervention, Comparison, Outcome (PICO) to organize the evidence. A total of 19 articles were selected. Five articles involved Randomized Controlled Trials (RCTs), six articles involved non-randomized one-group designs, three articles involved single experimental study designs, and five articles were case report designs. In the selected articles, the average score on the McMaster critical review form was 11.8 points. In the game-based rehabilitation for CP, more articles reported goals and assessment tools focusing on body function than goals and assessment tools focusing on activity and participation, according to the ICF. These findings provide a record of past work and identify the evidence to support the application of game-based rehabilitation for people with CP.
在严肃的环境中，脑瘫患者（CP）的社交互动机会有限。本研究通过综述，解释并提供了更多证据，说明在严肃环境中，游戏康复方法可用于 CP 患者。从 MEDILINE、Academic Search Ultimate、CINAHL 和 Web of Science 中提取了 2010 年至 2022 年期间专注于 CP 患者基于严肃游戏康复的文章。文章根据麦克马斯特批判性评价表进行评估。本研究根据国际功能、残疾和健康分类（ICF）的组成部分，分析了目标和评估工具的频率。根据人群、干预、比较、结局（PICO）原则，呈现了所有研究的证据，以组织证据。共选择了 19 篇文章。五篇文章涉及随机对照试验（RCTs），六篇文章涉及非随机单组设计，三篇文章涉及单一实验设计，五篇文章为病例报告设计。在选定的文章中，麦克马斯特批判性评价表的平均得分为 11.8 分。在 CP 的基于游戏的康复中，根据 ICF，更多的文章报告了关注身体功能的目标和评估工具，而不是关注活动和参与的目标和评估工具。这些发现记录了过去的工作，并确定了支持将基于游戏的康复方法应用于 CP 患者的证据。
