000131614 001__ 131614
000131614 005__ 20240731103337.0
000131614 0247_ $$2doi$$a10.2196/50492
000131614 0248_ $$2sideral$$a136982
000131614 037__ $$aART-2023-136982
000131614 041__ $$aeng
000131614 100__ $$aVidal, Elizabeth
000131614 245__ $$aSerious game for fine motor control rehabilitation for children with epileptic encephalopathy: development and usability study
000131614 260__ $$c2023
000131614 5060_ $$aAccess copy available to the general public$$fUnrestricted
000131614 5203_ $$aBackground: Epileptic encephalopathy (EE) is defined as the presence of frequent epileptiform activity that adversely impacts development, typically causing the slowing or regression of developmental skills, and is usually associated with frequent seizures. One of the main disturbances in EE is in the coordination of the upper extremities and hands. Traditional rehabilitation for this type of pathology focuses on the alleviation of gross or fine motor disability. In the last few years, the use of low-cost devices together with customized serious games has shown improvements in motor disorders and enrichments in activities of daily living. Objective: This study aims to explore the feasibility of a new serious game for improving fine motor control in children with EE. Methods: The participants were 4 children with EE (male: n=2, 50%; female: n=2, 50%) who were classified as belonging to level 1 in the Gross Motor Classification System. The children were tested over 10 sessions during the intervention period (before and after treatment). The clinical tests performed were the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition and Pittsburgh Rehabilitation Participation Scale. The subscales of the Bruininks-Oseretsky Test of Motor Proficiency, 2nd edition were fine motor precision, fine motor integration, manual dexterity, and upper-limb coordination. At the end of the first session, we used the User Satisfaction Evaluation Questionnaire to analyze user satisfaction. Results: The significance outcomes for a Student t test (1-tailed) were as follows: P=.009 for fine motor precision, P=.002 for fine motor integration, P=.56 for manual dexterity, and P=.99 for upper-limb coordination. The participation rate as measured using the Pittsburgh Rehabilitation Participation Scale was between good and very good, which means that, based on the therapist’s evaluation, interest, independence, and motivation were achieved by each participant. The mean User Satisfaction Evaluation Questionnaire score was close to 30, which is the maximum value. Conclusions: The results support the use of the proposed serious game as a complement in therapeutic sessions during the rehabilitation processes for children with EE. Significant improvements in fine motor control and activities of daily living revealed that the proposed serious game is beneficial for fine motor disorders of this pathology.
000131614 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000131614 592__ $$a0.637$$b2023
000131614 593__ $$aMedicine (miscellaneous)$$c2023$$dQ2
000131614 593__ $$aHealth Informatics$$c2023$$dQ3
000131614 594__ $$a2.7$$b2023
000131614 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000131614 700__ $$aCastro-Gutierrez, Eveling
000131614 700__ $$aArisaca, Robert
000131614 700__ $$aPaz-Valderrama, Alfredo
000131614 700__ $$0(orcid)0000-0002-6280-1474$$aAlbiol-Pérez, Sergio$$uUniversidad de Zaragoza
000131614 7102_ $$15007$$2035$$aUniversidad de Zaragoza$$bDpto. Informát.Ingenie.Sistms.$$cÁrea Arquit.Tecnología Comput.
000131614 773__ $$g7 (2023), e50492 [12 pp.]$$pJMIR form. res.$$tJMIR Formative Research$$x2561-326X
000131614 8564_ $$s956083$$uhttps://zaguan.unizar.es/record/131614/files/texto_completo.pdf$$yVersión publicada
000131614 8564_ $$s2290378$$uhttps://zaguan.unizar.es/record/131614/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000131614 909CO $$ooai:zaguan.unizar.es:131614$$particulos$$pdriver
000131614 951__ $$a2024-07-31-09:48:40
000131614 980__ $$aARTICLE