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游戏化与儿童和青少年神经运动康复:系统综述。

Gamification and neurological motor rehabilitation in children and adolescents: a systematic review.

机构信息

Ejercicio libre de la profesión, Spain.

Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain.

出版信息

Neurologia (Engl Ed). 2024 Jan-Feb;39(1):63-83. doi: 10.1016/j.nrleng.2023.12.006. Epub 2023 Dec 7.

Abstract

INTRODUCTION

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.

METHODS

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.

RESULTS

From a total of 469 studies, 11 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 (6 studies), followed by developmental coordination disorder (3), neurological gait disorders (1), and neurological impairment of balance and coordination (1).

CONCLUSION

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.

摘要

简介

游戏化是指将游戏应用于非游戏情境。它在神经疾病的运动康复中得到广泛应用,但主要针对成年患者。本综述的目的是描述游戏化在神经运动障碍儿童和青少年康复中的应用。

方法

我们按照 PRISMA 协议,对 MEDLINE(PubMed)、Scielo、SCOPUS、Dialnet、CINAHL 和 PEDro 数据库中迄今发表的临床研究进行了系统综述。使用 PEDro 量表评估所确定研究的方法学质量。

结果

从总共 469 项研究中,有 11 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障碍康复治疗一部分使用的游戏化系统。脑瘫是研究最多的疾病(6 项研究),其次是发育性协调障碍(3 项)、神经步态障碍(1 项)和神经平衡与协调障碍(1 项)。

结论

游戏化在康复中的应用有助于改善儿童和青少年神经运动障碍的常规治疗,增加动机和治疗依从性是作者最一致认可的益处。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。

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