Game Therapy Research Articles

Pengaruh Terapi Musik dan Terapi Video Game terhadap Tingkat Nyeri Anak Usia Prasekolah yang Dilakukan Pemasangan Infus

The purpose of this study was to determine the differences in the average level of pain in preschoolers who were infused after being given music therapy and video game therapy at Bhayangkara TK III Hospital in Bengkulu city. This research is a quantitative study. This type of research is quasy experimental research with post test only control group approach, which is a study that did not take measurements before intervention. Measurements were only carried out after intervention, with 24 respondents taken in 2 groups, namely music therapy. and video game therapy. Data collection instruments used to measure pain with wong baker face pain rating scale. Data analysis using t-test The results of the study were that there were significant differences in the level of pain in preschoolers who were infused before and after being given music therapy and video game therapy. It is expected that nurses will apply music therapy and video game therapy as a technique for transferring pain to children.
 Keywords: Preschool, Video Game, Music, Pain Level.

Forming a Tolerant Attitude Towards Children in the Vocational Training of Social Workers

The article considers one of the urgent problems of training future social workers to form a tolerant attitude towards children using interactive technologies. In particular, the essence of such concepts as tolerance, training of future social workers, interactive technologies is revealed. The features of interactive methods for recognizing tolerance in interaction with others are highlighted: modeling of life situations, the use of role-playing games, a joint solution to the problem. Attention is directed to the awareness of tolerance in interaction with others through the modeling of life situations, the use of role-playing games, the joint solution of the problems of group interaction in accepting others.The features of interactive gaming methods are summarized: modeling, role-playing situations, game dramatization, organizational-active games, business games, simulation games, correctional games, didactic games, contests. The content of the joint work in the group for regulating students' tolerant behavior is revealed from the point of view of discussing ideas about the situation two-four-all together, dialogue, discussion. To form a desire to accept the individuality of each person, the values of another, the content of interactive methods is presented: a joint project, a team search for information, a circle of ideas, brainstorming, training-education, a decision tree.The article is devoted to the methods of art therapy: therapy, isotherapy, game therapy, fairy tale therapy, puppet therapy, music therapy, dance therapy. The presented interactive methods in the training of future social workers require a combination of collective, cooperative, group and pair collaboration based on equal, equal subject-subject interaction with the mandatory use of reflection of knowledge, skills and methods of their implementation.

The use of video games combined with conventional physical therapy in children with upper limb fractures: An exploratory study.

To determine the effect of rehabilitation using video games combined with conventional therapy in children with loss of range of motion (ROM) after conservative or surgical treatment of upper limb fractures. This retrospective observational study included 12 children (9 boys, 3 girls; mean age: 6.75 ± 2.83 y) treated with combined video game and conventional physical therapy following upper limb fracture. Children completed 60 minutes of combined therapy (20 minutes of game therapy and 40 minutes of physical therapy) two times per week until therapy was no longer warranted. The flexion and extension ROM of the elbow and wrist, pronation and supination of the forearm, and pain during rest and effort were measured at the beginning and end of treatment. Children experienced significantly increased extension (p< 0.001) and flexion (p< 0.01) ROM of the elbow, increased flexion ROM of the wrist (p< 0.05), and reduced pain during effort (p< 0.05) after an average of 6 weeks of combined treatment. The use of video games with conventional therapy was effective in reducing pain and recovering ROM in children with upper limb fractures.

The Effect of Video-based Game Therapy on Treatment Intensity in Children With Cerebral Palsy

The Effect of Video-based Game Therapy on Treatment Intensity in Children With Cerebral Palsy

Introduction to Games for People With Dementia

Dementia is typically classified into mild, moderate, and severe stages based on symptom severity. Prevention and early diagnosis is one of the care goals for dementia. Mild cognitive impairment (MCI) is a transitional stage between the cognitive changes of normal aging and dementia. Initiating an appropriate treatment regimen and methods at a sufficiently early stage has been shown to be effective in postponing the onset of dementia. Previous studies have confirmed the effectiveness of non-pharmacological treatments in improving the cognitive functions, reducing the onset of the behavioral and psychological symptoms of dementia, and training the physical functions of daily living in patients diagnosed with MCI. Game therapy, in addition to reminiscence therapy, music therapy, cognitive training, cognitive stimulation, and aromatherapy, is one of these non-pharmacological treatments. Moreover, game therapy may be used as a tool to screen individuals for symptoms of dementia. Using easily accessible, user-friendly, and affordable games, patients with dementia and their caregivers may receive their therapy in a more relaxed and enjoyable manner. Patients and their caregivers who perceive a prescribed therapy as a game are expected to exhibit higher motivation to use, which should result in better treatment outcomes. This paper will introduce and compare several games for people with dementia, providing valuable information for caregivers and healthcare professionals who are responsible for caring for patients with dementia.

A Brief Discussion on the Design of the Games for ASD Children's Rehabilitation Training

Based on the development of new media technology, the current development of serious games for children education is achieved through its social-education function equipped with entertainment and the rapid growth of computer technology. Such development advantages not only promote children education at present but also will provide multiple choices for special education for children and special rehabilitation training for children. In this paper, based on the present training measures and training methods for children with autism rehabilitation, I will analyze the Feeling Series Game applied to the autism rehabilitation training for children, and redesign the game in a more reasonable type in the era when human-computer interaction is developing rapidly. The purpose is to promote children's psychology healthy through enhancing their motor skills and improving the coordination of each functional group. Such game therapy will be very efficient and convenient that become an effective way for ASD children to change their behavioral cognition.

Ability of people with post-stroke hemiplegia to self-administer FES-assisted hand therapy video games at home: An exploratory case series.

IntroductionThis article describes the development and initial clinical testing of an innovative home-based treatment for upper extremity hemiplegia that integrates contralaterally controlled functional electrical stimulation with hand therapy video games.MethodsWe explored the ability of seven participants with moderate-to-severe hand impairment to self-administer 12 weeks of contralaterally controlled functional electrical stimulation video game therapy at home for 10 h/week and in-lab with a therapist for four h/week. Clinical suitability was assessed by device usage logs, qualitative surveys, and clinical motor and cognitive outcomes.ResultsThree participants completed the study with > 95% compliance and four did not. Factors linked to incompletion included development of trigger finger in the non-paretic hand, acceptance of a new full-time job, residence relocation, and persistence of drowsiness from anti-spasticity medication. Those who completed the treatment perceived qualitative benefits and experienced gains in motor and cognitive outcomes.ConclusionIndividuals with moderate-to-severe chronic post-stroke upper extremity hemiplegia can self-administer contralaterally controlled functional electrical stimulation video game therapy for up to 90 min/day at home. We also identified social and physiological factors that may preclude its use for daily home treatment. Further studies are warranted and are in progress to estimate treatment effect and optimal dose of this intervention.

The Effectiveness of Game Therapy on Deaf Children's Social Adaptation and Communication Skills

The Effectiveness of Game Therapy on Deaf Children's Social Adaptation and Communication Skills

КОМПЛЕКСНЫЙ ПОДХОД В ПРЕОДОЛЕНИИ НАРУШЕНИЙ РЕЧИ У ДЕТЕЙ С РАССТРОЙСТВАМИ АУТИСТИЧЕСКОГО СПЕКТРА

Цель. Статья посвящена проблеме преодоления нарушений речи у детей с расстройствами аутистического спектра (РАС). Предметом анализа выступают различные подходы к работе по речевому развитию детей с данной категорией нарушения. Автор ставит целью рассмотреть комплексный подход в преодолении речевых нарушений у детей с РАС.Метод или методология проведения работы. Основу исследования образуют методы зарубежных и российских школ, такие как «Терапия объятий», ТЕАССН-подход эмоционально-уровневый, поведенческий подходы, комментирование, эмоциональное заражение, психодрама, игротерапия, арттерапия, музыкотерапия, обсуждение жизненных ситуаций и книг, сочинение сказок и историй, различные приемы релаксации.Результаты. Результаты работы заключаются в том, что выявленный в данной работе показатель прироста количественно-качественных показателей доказывает, что эффективность коррекционно-педагогической работы по преодолению системного недоразвития речи у детей с РАС зависит от того, насколько было соблюдено условие комплексного подхода, т. е. объединены усилия специалистов различного профиля, произошло ли слияние различных методик по работе с аутистами, насколько качественной была организация микросоциума (семья, ДОУ, группа сверстников, спортивные секции и т.д.).Область применения результатов. Результаты исследования могут быть использованы в коррекционно-развивающей работе с детьми с расстройствами аутистического спектра.

Use of digital game therapy among elderly persons undergoing dialytic treatment: cognitive aspects and depressive symptoms

Abstract Objective :to evaluate the presence of depressive symptoms and cognitive disorders before and after an intervention program with a digital therapeutic game among elderly persons undergoing hemodialysis. Method: a quasi-experimental study was carried out with 26 elderly patients on hemodialysis. For the data collection, a questionnaire relating to sociodemographic and health conditions, the Geriatric Depression Scale - 15 items and Addenbrooke’s Cognitive Examination Revised were used. The intervention with the digital therapeutic game was performed over 5 sessions. Results: of the participants, 80.8% were male, with a mean age of 66.7 (± 5.8) years. The mean pre-intervention depressive symptom score was 3.9 (± 3.0) while post-intervention it was 2.8 (± 2.9), representing a statistically significant difference (p = 0.005). Regarding cognitive function, there was no statistically significant difference before and after the intervention. There was a statistically significant difference in the mean of the depressive symptom scores, which were lower after the intervention. In addition, there was no statistically significant difference in the mean of the cognitive assessments. Conclusion: intervention studies with patients undergoing hemodialysis treatment are still scarce and this study describes the positive results of an intervention with a digital therapeutic game, demonstrating improvement in the depressive symptoms of the participants.

Efeito de um programa de gameterapia no equilíbrio de idosos

Introduo: a gameterapia uma interveno que promove a melhora do equilbrio em idosos. Objetivos: verificar a eficcia da utilizao de gameterapia em Nintendo WII para melhora do equilbrio de idosos. Mtodos: trata-se de um estudo piloto com 10 idosos de ambos os sexos. Foram aplicados testes especficos como Escala de Equilbrio de Berg, Teste Timed Up and Go e Teste do Alcance Funcional e aps realizado a gameterapia por meio de jogos de esporte, agilidade e raciocnio do Nintendo WII. Foi utilizado o teste t de student dependente um nvel de significncia de p 0,05. Resultados: ao comparar o efeito do programa de treinamento de Nintendo WII no equilbrio dos idosos, verificou-se diferena significativa (p 0,05) em todos os testes de equilbrio, evidenciando que o programa de interveno baseado no Nintendo WII teve um efeito positivo sobre o equilbrio dos idosos. Concluso: a gameterapia por meio do Nintendo WII proporcionou aos idosos melhora do seu equilbrio.

A Comparison between the Effectiveness of Game Therapy and Emotional Intelligence Training on Social Compatibility and Communicative Skills of Exceptional Primary School Hyperactive and Deaf Children

Background In order to enhance social adaptability and communication skills of exceptional children, researchers are trying to find a more effective and reliable approach. The present study aimed to compare the effectiveness of Game Therapy and Emotional Intelligence Education on the social compatibility and communicative skills of hyperactive and deaf children. Materials and Methods The population of this study included all the deaf and hyperactive students of the exceptional elementary school in Sari, Iran, in the school months of June to January 2017. The sample included 50 participants selected through cluster random sampling and divided into 2 experimental and control groups of deaf children each with 10 members and 2 experimental and control groups of hyperactive children each with 15 members. Inactive controls were placed. The instrumentation was Rutter Children's (Teacher's Form) Behavioral Questionnaire, Social Skills Rating by Teachers Scale, Game Therapy Intervention method for 12 sessions, and Emotional Intelligence Training for 8 sessions each lasting 1 hour on all male and female members of both groups. In order to compare the effectiveness, covariance analysis and t-test were administered and analyzed by SPSS version 23.0 software. Results: The findings of this study indicated that 12 sessions of game therapy and 8 sessions of emotional intelligence training significantly affect social compatibility and communicative skills of hyperactive and deaf students (P < 0.05). Conclusion According to the results, the effectiveness of Game Therapy and Emotional Intelligence Training was higher on social compatibility and communicative skills of hyperactive children than the deaf children.

ТЕХНОЛОГИИ ТЕАТРОТЕРАПИИ В СОВРЕМЕННОЙ СОЦИАЛЬНОЙ РЕАБИЛИТАЦИИ

The technologies of theatre therapy in modern social rehabilitation are presented, the components of the pair of theatre system are revealed: game therapy; hospital clownery; psychodrama; psychomelodrama; satidrama; figurative psychodrama; pesso-therapy; psychogymnastics; “theatre of the oppressed”; forum theatre; “political theatre”; invisible theatre; theatre of memories; playback theatre; theatre of homeless artists or other unprotected categories; theatre of sports. It is noted that theatre therapy is extremely important for the social rehabilitation of children. We discuss some of the most outstanding achievements of the experimental technology theatre therapy in different countries: USA (project “Invisible People”); Greece; Russia (Project “Invizibl people” or “People Invisible”; All-Russian Festival of Special Theatres “ProTeatr”; project “Ariadne's Thread”; project “Touch-Ables”; “Theatre of Open-Hearted”; “ARTель inspiration”; “NeFoрмат”; “Speak Freely” (L.V. Soloveva)). It is indicated that by means of theatre therapy there is an improvement of skills of conscious action in the conditions of dramatic work, processes of self-knowledge in the context of development of emotional-strong-willed and intellectual-cognitive spheres of the personality are stimulated. The implementation of art therapy technologies in the modern practice of social rehabilitation is extremely relevant and in demand. That is why so important theoretical and methodological justification of formation and promising directions of development of these technologies, as well as creating the appropriate database information and methodological support that takes into account the latest advances in medical and psycho-pedagogical branches of scientific knowledge. Also important specialized programs for retraining and advanced training of social workers, taking into account innovative developments in the field of social rehabilitation, including technologies of theatre therapy.

Animal-assisted therapy as a method of working in children with early mental retardation

The specifics of the animal-assisted play therapy in children with mental retardation is aimed at development of a child-oriented relationship in which the therapist enters the world of the child, consider the thoughts, feelings, perceptions and ideas that are important for the child, and through the relationships that follow, it provides emotional a safe environment in which children can overcome the problems, to cope with fear and anxiety, and to move forward in the direction of psychosocial health. Used on the basis of the Centre's psychosocial rehabilitation of children and adolescents Feldman Ecopark animal-assisted play therapy for children with mental retardation based on the natural ways in which children learn about themselves and their relationship with the world around them. This approach helps the child to develop respect for themselves and others, awareness of the body, self-esteem, as well as a wider recognition and enforcement of their own abilities. Game animalotherapy combines two promising therapeutic approaches in working with children, adolescents and families: game therapy and animalotherapy. Living with pets as therapeutic partners offers children new opportunities for reducing protection, learning to express their feelings, build healthy relationships, and overcome problems. Such experiences can change the thoughts of children about themselves and give them opportunities by offering a new understanding of their relationship with other animals and ultimately other people. The field of game animallotherapy has increased significantly, and there is a hope that further training and use of game animallotherapy will lead to an increase in research processes and results.

Occupational therapy rehabilitation of industrial setup hand injury cases for functional independence using modified joystick in interactive computer gaming in Anand, Gujarat

Background: The prevalence of hand injury cases in India from road traffic incidences is about 30% and the total number of hand injuries would go higher on adding the industrial injury cases. Several studies have provided preliminary descriptions of the benefits of virtual reality and video games in rehabilitation training. There are many studies showing beneficial utility of video games in rehabilitation and improvement of functional independence of the hand injury patients using high-cost video game such as “Wii” and others. Aims and Objectives: This study aims to find the impact of low-cost video game therapy against the conventional therapy in improving the hand function in terms of range of motion, grip strengths, and functional independence. Materials and Methods: Patients coming to occupational therapy unit with hand injury fulfilling inclusion-exclusion criteria and agreeing to participate in the study were randomly divided into two groups - conventional therapy group and video game group based on the computer-generated random allocation. The duration of therapy was same for the two groups. The readings for hand function in terms of range of motion, grip strengths, and functional independence were documented for both the groups before the treatment and after the treatment and were compared statistically for finding the difference if any. Results: The findings of the study showed that both the groups had improved in terms of the hand function as in the range of motion, grip strengths, and functional independence at the end of treatment irrespective of the treatment arm they were in P 0.05). However, the experimental group seemed to enjoy their treatment more than their counterparts as expressed in informal communications; therefore, we may conclude the gaming method to be more preferred method of the treatment for the condition. Conclusion: We conclude that the video gaming method is as effective as that of the conventional method for improving the strengths, grip, range of motion, and functional independence in hand injury cases, but the video gaming being more interesting and involving, is deemed to be much more enjoyable by the patients compared to the conventional. Since the patients find it interesting, they look forward for more of the sessions. This is a positive motivation for the compliance of the patients for completing the treatment properly and getting maximum benefit of the therapy.

The Experience of Caring for a Child Suffering From Incontinent Dermatitis

This paper describes the experience of caring for a child with incontinent dermatitis that was caused by improper family care. From March 27, 2015 to April 2, 2015, the authors used Gordon's 11 functional health parameters to collect subjective and objective data on the physical, mental and social conditions of the care recipient. To understand the nursing-related problems, including impaired skin integrity, acute pain, and caregiver anxiety, the data for this case and his mother were conducted by observation, physical assessment, the process of caring, and communication. For the three nursing problems, we established a good relationship with the family by providing individual care, continuously active care, listening, and companionship. In order to reduce the pain during wound dressing, we used game therapy and an attention-transfer technique that was based on the case's preferences. We encouraged family members to participate in treatment in order to ensure that the case continued to receive proper and continuous care after returning home. The authors taught the family members the correct information for treating incontinent dermatitis in order to reduce their concerns and to enhance their confidence and care abilities. We hope that this nursing experience may provide a reference for other nursing staffs when caring for similar cases in order to ensure appropriate quality of care.

GAMETERAPIA NA COORDENAÇÃO MOTORA E INTEGRAÇÃO VISO-MOTORA EM PESSOAS COM SÍNDROME DE DOWN

O objetivo deste estudo foi examinar os efeitos da gameterapia na coordenação motora e integração viso-motora em indivíduos com síndrome de Down (SD). Quatro indivíduos com SD participaram do estudo. Os testes de Coordenação Corporal para Crianças (Körperkoordinationstest Für Kinder – KTK) e o Teste do Desenvolvimento da Integração Viso-Motora (Test of Visual-Motor Integration – VMI) foram aplicados. Os participantes realizaram 12 sessões de gameterapia, com duração de 20 minutos cada, com jogos do console Nintendo Wii. Os participantes foram submetidos aos testes KTK e VMI antes e após o programa de gameterapia. Todos os participantes apresentaram aumento no escore do teste KTK e no teste VMI, dois participantes apresentaram aumento do escore final nas duas partes que compõem o teste. Os resultados sugerem que a gameterapia altera variáveis relativas a coordenação motora e componentes que envolvem a percepção em indivíduos com SD.

GAMETERAPIA NA COORDENAÇÃO MOTORA E INTEGRAÇÃO VISO-MOTORA EM PESSOAS COM SÍNDROME DE DOWN

The purpose of this study was to assess the effects of game therapy in the motor coordination and visual-motor integration in individuals with Down syndrome (DS). Four people with DS participated in the study. The Test of Body Coordination for Children (Korperkoordinationstest Fur Kinder – KTK) and the Test of Visual-Motor Integration (VMI) were applied. The participants performed 12 sessions of game therapy, lasting 20 minutes each, with games of the Nintendo Wii console. The participants did KTK and VMI tests before and after the game therapy program. All participants improved their scores in the KTK and VMI tests, two participants increased the final score in the two parts of the test. The results suggest that game therapy changes variables related to motor coordination and components involving perception in individuals with DS.

Patient Engagement Is Related to Impairment Reduction During Digital Game-Based Therapy in Stroke.

Upper limb impairment in the chronic phase of stroke recovery is persistent, disabling, and difficult to treat. The objectives of this study were to determine whether therapeutic enjoyment is related to clinical improvement after upper limb rehabilitation and to assess the feasibility of a therapy gaming system. Ten chronic stroke survivors with persistent upper limb impairment were enrolled in the study. Upper limb impairment was evaluated by using the Fugl-Meyer Assessment of Upper Extremity Function (FMA-UE). The Physical Activity Enjoyment Scale (PACES) assessed the level of therapy enjoyment, and the System Usability Scale (SUS) measured the ease of operation of the game. Upper limb therapy involved 30 minutes of novel digital gaming therapy, three times per week, for 6 weeks. The average improvement in the FMA-UE after the digital gaming therapy was 2.8 (±2.1) points. Participants scored the digital gaming system as having good usability (SUS: 72 ± 7.9), and the physical activity as enjoyable (PACES: 65.8 ± 10.6). There was a strong positive correlation between improvement in the FMA-UE score and the PACES (Spearman's Rho = 0.84; P < 0.002). This pilot study demonstrates the feasibility and potential for improvements in upper limb motor function by using digital gaming in the chronic stroke patient population. The positive correlation found between therapy enjoyment and clinical gains highlights the importance of engagement in therapy to optimize outcomes in chronic stroke survivors.

Analysis of autonomic modulation of heart rate in patients with Parkinson's disease and elderly individuals submitted to game therapy training.

Elderly patients and individuals with Parkinson's disease have a reduction in autonomic heart rate modulation, which may influence the survival of these patients, and rehabilitation can minimize this event. We tested the hypothesis that rehabilitation protocol with game console would influence the cardiac autonomic modulation of patients with Parkinson's Disease. Eight-seven volunteers were divided into two groups, control (n = 45) and Parkinson's (n = 42), they completed the study 40 volunteers in the control group (CG) and 31 patients in the Parkinson group (PG), and subjected to 24 sessions of game therapy physiotherapy, thrice a week. Analysis of autonomic HR modulation was conducted before and after the rehabilitation program using a Polar RS800CX HR sensor. For the analysis of heart rate variability the data were transferred to the Kubios HRV 2.2 program. Statistical analysis was performed in the Biostat 5.2 program, the comparison of the data by ANOVA followed by Tukey test, and the general characteristics by the chi-square test. The critical value for rejecting the null hypothesis was set at P < 0.05. HR variability in patients with PD exhibited higher influence on the sympathetic nervous system before protocol implementation and, following the protocol, patients did not attain the normality values of the control group, exhibiting a discreet improvement and maintenance of autonomic modulation of HR values. Subjects with PD exhibit less autonomic modulation of HR and the rehabilitation protocol with game therapy improved autonomic modulation of HR. Geriatr Gerontol Int 2018; 18: 20-25.