Sousa Daniel Lima, Teixeira Silmar, de Oliveira Adonias Caetano, Lima Lucas Daniel Batista, Moreira Rayele, Silva Francisco, Teles Ariel Soares
Parnaíba Delta Federal University, Parnaíba, Brazil.
Federal University of Maranhão, São Luís, Brazil.
Games Health J. 2025 Feb;14(1):11-20. doi: 10.1089/g4h.2023.0220. Epub 2024 Nov 26.
Motor rehabilitation in patients with facial disorders, such as facial paralysis (FP), has faced challenges in maintaining the patients' engagement and motivation in the intensive and repetitive execution of the exercises. To assist in the facial rehabilitation process, gamified tools (GTs) have been proposed to promote stimulation and engagement in affected patients. This study provides a comprehensive review on the use of GTs to aid facial rehabilitation, with the aim of investigating the potential of such computer-based tools to motivate facial mime exercises. A systematic search conducted on May 22, 2024, across five databases (Scopus, Web of Science, IEEE Xplore, ACM Digital Library, and MEDLINE/PubMed) returned 1043 articles. The selection of studies resulted in 15 articles included for analysis, most of which were intended for patients recovering from FP. Bell's palsy, paralysis resulting from stroke, orofacial apraxia, and cerebral palsy were the patient disorders addressed in the articles. Facial mimic movements used for rehabilitation varied, the main actions considered in the studies were opening and closing the eyes, smiling, and raising the eyebrows. Studies focused on developing tools and conducting experiments with participants. Despite advances made by the selected studies, proposed computer-based tools for facial rehabilitation have not yet reached the necessary maturity for their use in clinical settings. Consequently, additional efforts are needed to perform new studies to mitigate the challenges presented in this research area. Therefore, this is a constantly evolving area of research and offers a huge window of opportunity for further research.
面部疾病患者（如面瘫患者）的运动康复在让患者持续积极参与高强度的重复训练方面面临挑战。为辅助面部康复进程，有人提出使用游戏化工具（GTs）来促进对受影响患者的刺激和参与度。本研究全面综述了游戏化工具在辅助面部康复方面的应用，旨在探究此类基于计算机的工具激发面部模仿训练的潜力。2024年5月22日在五个数据库（Scopus、科学网、IEEE Xplore、ACM数字图书馆和MEDLINE/PubMed）上进行的系统检索共返回1043篇文章。经过研究筛选，最终纳入15篇文章进行分析，其中大部分针对面瘫恢复患者。文章中涉及的患者疾病包括贝尔氏面瘫、中风导致的瘫痪、口面失用症和脑瘫。用于康复的面部模仿动作各不相同，研究中主要考虑的动作有睁眼、闭眼、微笑和挑眉。研究重点在于开发工具并对参与者进行实验。尽管所选研究取得了进展，但所提出的用于面部康复的基于计算机的工具尚未达到在临床环境中使用所需的成熟度。因此，需要进一步努力开展新的研究，以应对该研究领域存在的挑战。所以，这是一个不断发展的研究领域，为进一步研究提供了巨大的机会窗口。
