Cited by 89Cerebral Palsy and Movement DisordersEducational Games and GamificationStroke Rehabilitation and Recovery

Can serious games be incorporated with conventional treatment of children with cerebral palsy? A review

Bonnechère, B., Jansen, B., Omelina, L., Degelaen, M., Wermenbol, V., Rooze, M., Van Sint Jan, S.·2014·Research in Developmental Disabilities

Abstract

The use of video games in rehabilitation is becoming more popular to clinicians. These games are embedded in off-the-shelf commercial entertainment applications or especially-developed for clinical purposes. Treatment of cerebral palsy (CP) children is a challenging task for clinicians. Lack of motivation and progress monitoring are two important factors clinicians need to deal with. The use of serious games (SG), sometimes referred to as Virtual Rehabilitation (VR), could therefore be an interesting adjuvant to conventional treatment for these patients. This is however a new discipline and many scientific issues remain to be solved. The aim of this paper is to describe available conventional treatment for CP children together with the level of evidence of each approach. A systematic review of the use of SG in rehabilitation is then conducted. 31 papers (7 randomized clinical trials, 16 cohort studies and 8 single-cases studies) were selected and analyzed, and their level of evidence compared to the conventional treatment. These studies reported outcomes for 352 patients. In summary, this review shows that it is difficult to compare those studies despite the large amount of patients. This is due to the lack of standardization in patient rehabilitation strategy and to the use of various clinical scales and scores. This non-standardization in patient follow-up between previously-published works make evidence-based conclusions difficult to obtain in order to support these techniques objectively. The use of SG for rehabilitation purposes currently meets similar issues. This paper proposes standardization strategies in order to improve treatment comparison and SG use in rehabilitation.

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Crossref · 10.1016/j.ridd.2014.04.016

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Authors
Bonnechère, B., Jansen, B., Omelina, L., Degelaen, M., Wermenbol, V., Rooze, M., & Van Sint Jan, S.
Affiliations
  • Université Libre de Bruxelles (BE)
  • Vrije Universiteit Brussel (BE)
  • Erasmus Hospital (BE)
Corresponding author
Bonnechère, B.
Venue
Research in Developmental Disabilities
Publisher
Elsevier BV
Published
2014-08
Volume
35
Issue
8
Pages
1899-1913
ISSN
0891-4222 (ISSN-L)
OpenAlex
W1998879402
Cited by
89
References
89
Citations by year
2026: 5 · 2025: 2 · 2024: 9 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 11 · 2019: 11 · 2018: 7 · 2017: 15 · 2016: 4 · 2015: 3
FWCI
1.01
Type
journal article
Language
en
Open access
closed
Locations
  • Research in Developmental Disabilities (publishedVersion)
  • PubMed (publishedVersion)
  • Dépôt institutionnel de l'Université libre de Bruxelles (Université Libre de Bruxelles) (submittedVersion)
Funders
Innoviris
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
  • Social Sciences › Psychology › Developmental and Educational Psychology › Educational Games and Gamification
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Keywords
serious games, virtual rehabilitation, cerebral palsy, children, treatment standardization, level of evidence, patient motivation, progress monitoring
MeSH terms
Cerebral Palsy, Child, Games, Experimental, Humans, Motor Activity, Movement Disorders, Randomized Controlled Trials as Topic, Video Games

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