Unveiling a Comprehensive Game Classification System to Promote Physical and Psychosocial Health in Children with Neurodevelopmental Disabilities: A Scoping Review

Children with neurodevelopmental disorders (NDDs) often face challenges in engaging in physical activities, necessitating tailored interventions. Existing game classification systems lack inclusivity as a whole, emphasizing the need for a comprehensive framework that integrates motor, cognitive, and social aspects. To synthesise the existing evidence on game classification systems and to identify the key health areas of concern for children with NDD. This scoping review followed the guidelines of the PRISMA-ScR and the framework of the Arksey and O'Malley Framework for the Assessment of Classification Systems for Games for Children with Neurodevelopmental Disabilities. A systematic search of PubMed and the Web of Science (from inception to January 2025) was carried out using the PCC. Data extraction was performed by two reviewers with expert consultations for a comprehensive analysis. This review analysed 14 game classification frameworks and found gaps in accessibility and therapeutic relevance for children with NDD's. The thematic analysis highlighted the lack of adaptive features, while the expert consultation highlighted key health determinants. The comprehensive review of game classification systems presented in this paper underscores the importance of developing a unique game classification system that addresses specific health needs of children with neurodevelopmental disabilities.