FIT THROUGH FUN - Games in Upper Motor Rehab for Children with Cerebral Palsy, Navigating the Challenges and Benefit: a Scoping Review

Abstract

Background and Objective: Children with cerebral palsy (CP) experience significant limitations in daily activities, particularly due to motor impairments affecting upper limb function. While traditional physiotherapy is essential, its repetitive nature may reduce motivation and engagement. Emerging video game-based therapy (VGBT) offers potential to improve motor outcomes and adherence through interactive tasks. This review explores the role of video games in improving upper motor function in children with CP, focusing on their benefits, challenges, and accessibility. Method: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. Literature was sourced from PubMed, ProQuest, and Scopus. Studies were appraised for quality using the McMaster Critical Review Form for quantitative studies. Results: Twenty-one articles were selected based on inclusion criteria, with an average McMaster score of 13.33. Video game-based therapies (VGBT), particularly exergames and virtual reality (VR), show promise in improving upper limb function in children with CP. Studies report improvements in hand function, coordination, and motor dexterity, alongside increased engagement and adherence. These interventions help address issues in traditional therapy, such as monotony and low participation. Adaptive feedback and biofeedback-enhanced games also offer potential for individualized therapy. However, challenges such as limited technology access, personalization, and long-term efficacy remain. Conclusion: This review demonstrates the effectiveness of VGBT in improving upper limb function and overcoming limitations of conventional therapies. Addressing barriers, such as technology access and the need for personalized interventions, is critical for maximizing VGBT's benefits. Further research into adaptable, accessible, and personalized interventions is essential to ensure equitable rehabilitation outcomes for all children with CP.