体感游戏对脑瘫儿童上肢功能影响的系统评价

doi:10.11852/zgetbjzz2022-1103

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (5): 535-540.DOI: 10.11852/zgetbjzz2022-1103

体感游戏对脑瘫儿童上肢功能影响的系统评价

杨婷婷^1,2, 李鑫^1,2,3, 俞鑫璐^1,2, 张博^1,2, 庞伟^1,2,3

1.佳木斯大学康复医学院,黑龙江佳木斯 154007;
2.佳木斯大学儿童康复神经实验室,黑龙江佳木斯 154007;
3.佳木斯大学附属第三医院

收稿日期:2022-09-13 修回日期:2022-11-05 发布日期:2023-05-06 出版日期:2023-05-10
通讯作者: 庞伟,E-mail:pangwei76@aliyun.com
作者简介:杨婷婷(1998-),女,河南人,硕士研究生在读,主要研究方向为小儿脑瘫的综合康复。
基金资助:
2022年度黑龙江省自然科学基金联合引导项目(LH2022H092);佳木斯大学校级科技创新团队项目(Cxtd-2013-02); 佳木斯大学优秀学科团队项目(JDXKTD-2019006); 佳木斯大学学科建设项目(1450253019);佳木斯大学儿童康复医学学科团队(1450253021); 黑龙江省级领军人才梯队后备带头人资助资金项目(黑人社函【2018】384号);黑龙江省应用技术研究与开发计划项目(GA19C008)

Systematic review of the effects of motion sensing game on upper limb function in children with cerebral palsy

YANG Tingting^1,2, LI Xin^1,2,3, YU Xinlu^1,2, ZHANG Bo^1,2, PANG Wei^1,2,3

1. Rehabilitation Medicine School of Jiamusi University, Jiamusi, Heilongjiang 154007, China;
2. Children's Rehabilitation Neurology Laboratory, Jiamusi University, Jiamusi, Heilongjiang 154007, China;
3. The Third Affiliated Hospital of Jiamusi University

Received:2022-09-13 Revised:2022-11-05 Online:2023-05-10 Published:2023-05-06
Contact: PANG Wei, E-mail:pangwei76@aliyun com

摘要/Abstract

摘要： 目的系统评价体感游戏对脑瘫儿童上肢功能的影响,探究其疗效。方法采用主题检索,检索中国知网、万方、维普数据库、PubMed、Web of Sciences 建库至2022年9月9日的相关文献。对纳入文献的研究对象、年龄、干预设备及方法、干预时间、干预频率、评价指标、干预结果等信息进行提取,采用修改后的Jadad量表进行文献质量评价。结果共纳入7篇文献,主要集中在对脑瘫儿童上肢功能、手功能、手的灵巧性及握力等方面的研究。有6项研究表明经体感游戏干预后上肢功能、上肢速度、手功能、握力、痉挛及日常生活活动独立性有所改善,父母压力减轻,有1项研究表明经干预后,并未改善上肢协调性、手功能,但握力及照顾者对手功能的感知有所改善。结论体感游戏对改善脑瘫儿童的上肢功能有积极影响,但对上肢协调性及手功能改善方面尚有争议,仍需进一步探讨。

关键词: 体感游戏, 脑瘫, 上肢, 系统评价

Abstract: Objective To systematically review the effects of motion sensing game on upper limb function in children with cerebral palsy. Methods The relevant articles from CNKI, Wanfang Database, VIP Database, PubMed, and Web of Sciences Database up to September 9th, 2022 were retrieved by thematic retrieval. The information including study subjects, age, intervention equipment and methods, intervention time, intervention frequency, evaluation index and intervention results included in the literature were retrived, and the literature quality was evaluated using the modified Jadad Scale. Results A total of 7 articles were included, mainly focusing on the upper limb function, hand function, hand dexterity and grip strength of children with cerebral palsy. Six studies showed improvements in upper limb function, upper limb speed, hand function, grip strength, spasticity, and independence in activities of daily living and reduced parental stress after motion sensing game intervention. One study showed no improvement in upper limb coordination or hand function after the intervention, but grip strength and caregiver perception of hand function improved. Conclusion Motion sensing game has a positive effect on improving the upper limb function of children with cerebral palsy, but there is still controversy about the improvement of upper limb coordination and hand function, which needs further discussion.

Key words: motion sensing game, cerebral palsy, upper limb, systematic review

中图分类号:

R742.3

杨婷婷, 李鑫, 俞鑫璐, 张博, 庞伟. 体感游戏对脑瘫儿童上肢功能影响的系统评价[J]. 中国儿童保健杂志, 2023, 31(5): 535-540.

YANG Tingting>, LI Xin>, YU Xinlu>, ZHANG Bo>, PANG Wei>. Systematic review of the effects of motion sensing game on upper limb function in children with cerebral palsy[J]. Chinese Journal of Child Health Care, 2023, 31(5): 535-540.

参考文献

[1] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,《中国脑性瘫痪康复指南(2022)》编委会.中国脑性瘫痪康复指南(2022)第一章:概论[J].中华实用儿科临床杂志,2022,37(12):887-892.
Chinese Association of Rehabilitation Medicine Pediatric Rehabilitation Committee, Chinese Association of Rehabilitation of Disabled Persons Rehabilitation Committee for Cerebral Palsy, Chinese Medical Doctor Association Pediatric Rehabilitation Committee, Chinese Rehabilitation Guidelines for Cerebral Palsy (2022) Editorial Board. Chinese rehabilitation guidelines for cerebral palsy (2022) part 1:Overview[J]. Chin J Appl Clin Pediatr, 2022,37(12):887-892.(in Chinese)
[2] Preston N, Weightman A, Gallagher J, et al. Feasibility of school-based computer-assisted robotic gaming technology for upper limb rehabilitation of children with cerebral palsy[J]. Disabil Rehabil Assist Technol, 2016;11(4):281-288.
[3] Montoro-Cárdenas D, Cortés-Pérez I, Zagalaz-Anula N, et al. Nintendo Wii Balance Board therapy for postural control in children with cerebral palsy:A systematic review and meta-analysis[J]. Dev Med Child Neurol,2021,63(11):1262-1275.
[4] Daoud MI, Alhusseini A, Ali MZ, et al. A game-based rehabilitation system for upper-limb cerebral palsy:A feasibility study[J]. Sensors (Basel), 2020,20(8):2416.
[5] 钱怡. 体感游戏在脑瘫学生上肢功能康复中的应用研究[D].上海:华东师范大学,2021.
Qian Y. Application of motion sensing games in upper limb functional Rehabilitation of cerebral palsy students[D].Shanghai:East China Normal University,2021.(in Chinese)
[6] Sevick M, Eklund E, Mensch A, et al. Using free internet videogames in upper extremity motor training for children with cerebral Palsy[J]. Behav Sci (Basel), 2016,6(2):10.
[7] Wang TN, Chen YL, Shieh JY, et al. Commercial exergaming in home-based pediatric constraint-induced therapy:A randomized trial[J]. OTJR (Thorofare N J), 2021,41(2):90-100.
[8] El-Shamy SM PhD, PT, El-Banna MF PhD, et al. Effect of Wii training on hand function in children with hemiplegic cerebral palsy[J]. Physiother Theory Pract,2020,36(1):38-44.
[9] Avcil E, Tarakci D, Arman N, et al. Upper extremity rehabilitation using video games in cerebral palsy:A randomized clinical trial[J]. Acta Neurol Belg, 2021,121(4):1053-1060.
[10] Tarakci E, Arman N, Tarakci D, et al. Leap motion controller-based training for upper extremity rehabilitation in children and adolescents with physical disabilities:A randomized controlled trial[J]. J Hand Ther, 2020,33(2):220-228.e1.
[11] Sajan JE, John JA,Grace P, et al. Wii-based interactive video games as a supplement to conventional therapy for rehabilitation of children with cerebral palsy:A pilot, randomized controlled trial[J]. Dev Neurorehabil, 2017,20(6):361-367.
[12] Acar G, Altun GP, Yurdalan S, et al. Efficacy of neurodevelopmental treatment combined with the Nintendo(®) Wii in patients with cerebral palsy[J]. J Phys Ther Sci, 2016,28(3):774-780.
[13] Chiu HC, Ada L, Lee HM. Upper limb training using Wii Sports Resort for children with hemiplegic cerebral palsy:A randomized, single-blind trial[J].Clin Rehabil, 2014,28(10):1015-1024.
[14] Daoud MI, Alhusseini A, Ali MZ, et al. A game-based rehabilitation system for upper-limb cerebral palsy:A feasibility study[J].Sensors (Basel), 2020,20(8):2416.
[15] 汤加利,史惟,郭金颖,等.学龄期脑瘫患儿日常生活活动能力状况及影响因素分析[J].中国康复医学杂志,2014,29(6):552-556.
Tang JL, Shi W, Guo JY, et al. Analysis of the status of activities of daily living and influencing factors in children with school-age cerebral palsy[J]. Chinese Journal of Rehabilitation Medicine, 2014,29(6):552-556.(in Chinese)
[16] Babaiasl M, Mahdioun SH, Jaryani P, et al. A review of technological and clinical aspects of robot-aided rehabilitation of upper-extremity after stroke[J]. Disabil Rehabil Assist Technol,2016,11(4):263-280.
[17] Kassee C, Hunt C, Holmes MWR, et al. Home-based Nintendo Wii training to improve upper-limb function in children ages 7 to 12 with spastic hemiplegic cerebral palsy[J]. J Pediatr Rehabil Med, 2017,10(2):145-154.
[18] Goyal C, Vardhan V, Naqvi W. Virtual reality-based intervention for enhancing upper extremity function in children with hemiplegic cerebral palsy:A literature review[J].Cureus, 2022,14(1):e21693.
[19] Luna-Oliva L, Ortiz-Gutiérrez RM, Cano-de laCuerda R, et al. Kinect Xbox 360 as a therapeutic modality for children with cerebral palsy in a school environment:A preliminary study[J]. Neuro Rehabilitation, 2013,33(4):513-521.
[20] Wuang YP, Chiang CS, Su CY, et al. Effectiveness of virtual reality using Wii gaming technology in children with Down syndrome[J]. Res Dev Disabil, 2011,32(1):312-321.
[21] Chen Y, Fanchiang HD, Howard A. Effectiveness of virtual reality in children with cerebral palsy:A systematic review and Meta-analysis of randomized controlled trials[J]. Phys Ther, 2018,98(1):63-77.
[22] AlSaif AA, Alsenany S. Effects of interactive games on motor performance in children with spastic cerebral palsy[J]. J Phys Ther Sci, 2015,27(6):2001-2003.
[23] Gatica-Rojas V, Cartes-Velásquez R, Guzmán-Muñoz E, et al. Effectiveness of a Nintendo Wii balance board exercise programme on standing balance of children with cerebral palsy:A randomised clinical trial protocol[J]. Contemp Clin Trials Commun, 2017,6:17-21.
[24] Camara Machado FR, Antunes PP, Souza JM, et al. Motor improvement using motion sensing game devices for cerebral palsy rehabilitation[J]. J Mot Behav, 2017,49(3):273-280.
[25] Wang ZR, Wang P, Xing L, et al. Leap Motion-based virtual reality training for improving motor functional recovery of upper limbs and neural reorganization in subacute stroke patients[J]. Neural Regen Res, 2017,12(11):1823-1831.
[26] Gatica-Rojas V, Méndez-Rebolledo G, Guzman-Muñoz E, et al. Does Nintendo Wii Balance Board improve standing balance?A randomized controlled trial in children with cerebral palsy[J]. Eur J Phys Rehabil Med, 2017,53(4):535-544.
[27] Johansen T,Strøm V, Simic J, et al. Effectiveness of training with motion-controlled commercial video games on hand and arm function in young people with cerebral palsy:A systematic review and meta-analysis[J]. J Rehabil Med, 2019,52(1):jrm00012.
[28] Ravi DK, Kumar N, Singhi P. Effectiveness of virtual reality rehabilitation for children and adolescents with cerebral palsy:An updated evidence-based systematic review[J].Physiotherapy, 2017,103(3):245-258.
[29] Farr WJ, Green D, Bremner S, et al. Feasibility of arandomised controlled trial to evaluate home-based virtual reality therapy in children with cerebral palsy[J]. Disabil Rehabil, 2021,43(1):85-97.
[30] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,《中国脑性瘫痪康复指南(2022)》编委会.中国脑性瘫痪康复指南(2022)第四章:康复治疗(上)[J].中华实用儿科临床杂志,2022,37(16):1201-1229.
Chinese Association of Rehabilitation Medicine Pediatric Rehabilitation Committee, Chinese Association of Rehabilitation of Disabled Persons Rehabilitation Committee for Cerebral Palsy, Chinese Medical Doctor Association Pediatric Rehabilitation Committee, Chinese Rehabilitation Guidelines for Cerebral Palsy (2022) Editorial Board. Chinese rehabilitation guidelines for cerebral palsy (2022) part 4:Rehabilitation treatment(Ⅱ)[J]. Chin J Appl Clin Pediatr, 2022,37(16):1201-1229.(in Chinese)

体感游戏对脑瘫儿童上肢功能影响的系统评价

Systematic review of the effects of motion sensing game on upper limb function in children with cerebral palsy

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	仲琛, 胡珊珊, 张恒硕, 张翠, 姚传磊, 宋祺鹏. 水中运动疗法联合常规康复疗法对学龄前痉挛型脑瘫儿童运动功能的影响[J]. 中国儿童保健杂志, 2023, 31(5): 486-490.
[2]	刘金, 张芳, 王建忠. 脑瘫患儿血清25-羟维生素D水平与小腿骨骼肌发育及粗大运动功能量表评分的关系[J]. 中国儿童保健杂志, 2023, 31(5): 541-545.
[3]	吴茜茜, 郝朝丽, 曾佩, 郭津. 脑性瘫痪儿童伴随交流障碍的影响因素及治疗研究进展[J]. 中国儿童保健杂志, 2023, 31(1): 52-57.
[4]	梁伟健, 丁忠冰, 李梦雅. 44例5~7岁痉挛型脑瘫儿童言语流利性障碍的临床特征[J]. 中国儿童保健杂志, 2022, 30(7): 702-705.
[5]	熊华春, 周志恒, 周洋萍, 王军, 朱登纳, 陈精慧. 下肢康复机器人训练联合家庭姿势管理对脑瘫患儿运动功能的疗效研究[J]. 中国儿童保健杂志, 2022, 30(7): 711-714.
[6]	陆祖韬, 倪钰飞, 顾秋燕, 徐仁杰, 葛向阳. 离心收缩训练联合强制诱导运动疗法对痉挛型偏瘫儿童上肢功能及表面肌电特征的影响[J]. 中国儿童保健杂志, 2022, 30(7): 801-805.
[7]	赵明月, 项栋良, 张春艳, 乌云塔娜, 杨海凤, 李爽, 王琰, 王艳. 高危儿早期干预的研究进展[J]. 中国儿童保健杂志, 2022, 30(5): 531-534.
[8]	陈婧, 童光磊. 脑瘫儿童进食功能分级系统及营养不良分析[J]. 中国儿童保健杂志, 2022, 30(5): 544-547.
[9]	胡昊, 亓毅飞. 脑性瘫痪致病机制中的遗传因素初探[J]. 中国儿童保健杂志, 2022, 30(3): 237-239.
[10]	王静, 岳玲, 陈智红, 孙素真, 马贵林, 白冰, 陈翠英. 悬吊训练联合MOTOmed智能训练应用于痉挛型脑瘫儿童的康复疗效研究[J]. 中国儿童保健杂志, 2022, 30(3): 240-243.
[11]	钟得香, 翟淳, 陈建平. 目标达成量表在脑瘫康复中的应用进展[J]. 中国儿童保健杂志, 2022, 30(2): 172-175.
[12]	陈婧, 童光磊, 施磊, 叶福玲, 冯超, 徐学翠, 李红. 脑瘫儿童主观全面营养评估方法的临床研究[J]. 中国儿童保健杂志, 2022, 30(2): 212-215.
[13]	吕萍萍, 崔乃雪, 韩静, 胡梦珠, 乐蕾, 单瑞洁. 孤独症谱系障碍儿童焦虑评估工具的系统评价[J]. 中国儿童保健杂志, 2022, 30(12): 1358-1363.
[14]	邓经辉, 龙正印, 吕志刚, 卢永雪, 牟尅蓉, 唐雪怡. 核心稳定训练改善痉挛型脑瘫患儿运动能力的Meta分析[J]. 中国儿童保健杂志, 2022, 30(11): 1226-1230.
[15]	郝朝丽, 吴茜茜, 韩清梅, 曾佩, 郭津. 目标-活动-运动强化疗法对脑瘫高危儿早期干预的应用进展[J]. 中国儿童保健杂志, 2022, 30(10): 1104-1107.