Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review

BackgroundInnovative technologies such as game consoles and smart toys used with games or playful approaches have proven to be successful and attractive in providing effective and motivating hand therapy for children with cerebral palsy (CP). Thus, there is an increased inter...

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Main Authors: Tamara Veronica Pinos Cisneros, Annette Brons, Ben Kröse, Ben Schouten, Geke Ludden
Format: Article
Language:English
Published: JMIR Publications 2023-10-01
Series:JMIR Serious Games
Online Access:https://games.jmir.org/2023/1/e44904
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author Tamara Veronica Pinos Cisneros
Annette Brons
Ben Kröse
Ben Schouten
Geke Ludden
author_facet Tamara Veronica Pinos Cisneros
Annette Brons
Ben Kröse
Ben Schouten
Geke Ludden
author_sort Tamara Veronica Pinos Cisneros
collection DOAJ
description BackgroundInnovative technologies such as game consoles and smart toys used with games or playful approaches have proven to be successful and attractive in providing effective and motivating hand therapy for children with cerebral palsy (CP). Thus, there is an increased interest in designing and implementing interventions that can improve the well-being of these children. However, to understand how and why these interventions are motivating children, we need a better understanding of the playful elements of technology-supported hand therapy. ObjectiveThis scoping review aims to identify the playful elements and the innovative technologies currently used in hand therapy for children with CP. MethodsWe included studies that design or evaluate interventions for children with CP that use innovative technologies with game or play strategies. Data were extracted and analyzed based on the type of technology, description of the system, and playful elements according to the Lenses of Play, a play design toolkit. A total of 31 studies were included in the analysis. ResultsOverall, 54 papers were included in the analysis. The results showed high use of consumer technologies in hand therapy for children with CP. Although several studies have used a combination of consumer technologies with therapeutic-specific technologies, only a few studies focused on the exclusive use of therapeutic-specific technologies. To analyze the playfulness of these interventions that make use of innovative technologies, we focused our review on 3 lenses of play: Open-ended Play, where it was found that the characteristics of ludus, such as a structured form of play and defined goals and rules, were the most common, whereas strategies that relate to paidia were less common. The most commonly used Forms of Play were physical or active form and games with rules. Finally, the most popular Playful experiences were control, challenge, and competition. ConclusionsThe inventory and analysis of innovative technology and playful elements provided in this study can be a starting point for new developments of fun and engaging tools to assist hand therapy for children with CP.
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spelling doaj.art-f1e04ddfda2341f7b268f90acb3ba1a42023-10-16T14:16:43ZengJMIR PublicationsJMIR Serious Games2291-92792023-10-0111e4490410.2196/44904Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping ReviewTamara Veronica Pinos Cisneroshttps://orcid.org/0000-0002-2814-292XAnnette Bronshttps://orcid.org/0000-0001-9328-5612Ben Krösehttps://orcid.org/0000-0003-1237-0618Ben Schoutenhttps://orcid.org/0000-0002-6176-7171Geke Luddenhttps://orcid.org/0000-0003-4508-9865 BackgroundInnovative technologies such as game consoles and smart toys used with games or playful approaches have proven to be successful and attractive in providing effective and motivating hand therapy for children with cerebral palsy (CP). Thus, there is an increased interest in designing and implementing interventions that can improve the well-being of these children. However, to understand how and why these interventions are motivating children, we need a better understanding of the playful elements of technology-supported hand therapy. ObjectiveThis scoping review aims to identify the playful elements and the innovative technologies currently used in hand therapy for children with CP. MethodsWe included studies that design or evaluate interventions for children with CP that use innovative technologies with game or play strategies. Data were extracted and analyzed based on the type of technology, description of the system, and playful elements according to the Lenses of Play, a play design toolkit. A total of 31 studies were included in the analysis. ResultsOverall, 54 papers were included in the analysis. The results showed high use of consumer technologies in hand therapy for children with CP. Although several studies have used a combination of consumer technologies with therapeutic-specific technologies, only a few studies focused on the exclusive use of therapeutic-specific technologies. To analyze the playfulness of these interventions that make use of innovative technologies, we focused our review on 3 lenses of play: Open-ended Play, where it was found that the characteristics of ludus, such as a structured form of play and defined goals and rules, were the most common, whereas strategies that relate to paidia were less common. The most commonly used Forms of Play were physical or active form and games with rules. Finally, the most popular Playful experiences were control, challenge, and competition. ConclusionsThe inventory and analysis of innovative technology and playful elements provided in this study can be a starting point for new developments of fun and engaging tools to assist hand therapy for children with CP.https://games.jmir.org/2023/1/e44904
spellingShingle Tamara Veronica Pinos Cisneros
Annette Brons
Ben Kröse
Ben Schouten
Geke Ludden
Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
JMIR Serious Games
title Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
title_full Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
title_fullStr Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
title_full_unstemmed Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
title_short Playfulness and New Technologies in Hand Therapy for Children With Cerebral Palsy: Scoping Review
title_sort playfulness and new technologies in hand therapy for children with cerebral palsy scoping review
url https://games.jmir.org/2023/1/e44904
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