Estratégias lúdicas utilizadas na assistência à saúde de crianças com anomalias orofaciais: revisão de escopo

Mariana Martire Mori; Camila Moraes Garollo Piran; Alana Vitoria Escritori Cargnin; Fernanda Ribeiro Baptista Marques; Maria de Fátima Garcia Lopes Merino; Marcela Demitto Furtado

doi:10.36517/2175-6783.20262796081

Authors

Mariana Martire Mori State University of Maringá https://orcid.org/0000-0003-1744-3580
Camila Moraes Garollo Piran State University of Maringá https://orcid.org/0000-0002-9111-9992
Alana Vitoria Escritori Cargnin State University of Maringá https://orcid.org/0000-0002-7733-2420
Fernanda Ribeiro Baptista Marques State University of Maringá https://orcid.org/0000-0003-1024-6787
Maria de Fátima Garcia Lopes Merino State University of Maringá https://orcid.org/0000-0001-6483-7625
Marcela Demitto Furtado State University of Maringá https://orcid.org/0000-0003-1427-4478

DOI:

https://doi.org/10.36517/2175-6783.20262796081

Keywords:

Craniofacial Abnormalities; Delivery of Health Care; Play and Playthings; Child; Cleft Lip.

Abstract

Objective: to map the playful strategies used in the healthcare of children with orofacial anomalies. Methods: scope review guided by the question: What playful strategies exist in the healthcare of children with orofacial anomalies? Studies of all methodological designs were included, with no time frame or language restrictions. Searches were conducted between October and November 2024 in 14 databases. Data were extracted using an instrument adapted from the JBI. Results: 194 studies were found, five of which were included in the final sample. The studies varied according to the year of publication, between 1997 and 2024, primarily employed a quantitative approach, and were conducted by professionals in speech therapy, nursing, and psychology. The most described orofacial anomaly was cleft lip and palate. The playful strategies were diverse, ranging from games to puppets and drawings. Conclusion: playful strategies used with children with orofacial anomalies include games, dramatization with puppets, drawing, and the use of images, and were applicable in relieving anxiety, rehabilitation, or data collection in research. Contributions to practice: the study identifies playful strategies applicable in the care of children with orofacial anomalies, encouraging professionals to consider incorporating them into their care.

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References

1. Pan American Health Organization (PAHO). Born with congenital defects: stories of children, parents and health care professionals providing lifelong care [Internet]. 2020 [cited Aug 30, 2025]. Available from: http://www.paho.org/en/news/3-3-2020-born-congenital-defects-stories-children-parents-and-health-care-professionals

2. Ministério da Saúde (BR). Secretaria de Vigilância em Saúde e Ambiente. Boletim Epidemiológico. Análise da situação epidemiológica das anomalias congênitas no Brasil, 2010 a 2021 [Internet]. 2023 [cited Aug 30, 2025]. Available from: http://plataforma.saude.gov.br/anomalias-congenitas/boletim-epidemiologico-SVS-54-2023.pdf

3. Farhan TM, Al-Abdely BA, Abdullateef AN, Jubair AS. Craniofacial anomaly association with the internal malformations in the pediatric age group in Al-Fallujah City-Iraq. Biomed Res Int. 2020;2020:4725141. doi: http://dx.doi.org/10.1155/2020/4725141

4. Van Roey VL, Irvine WFE. All expert panel members of the facial dysostosis consensus statement. Optimal diagnostic and treatment practices for facial dysostosis syndromes: A Clinical Consensus Statement Among European Experts. J Craniofac Surg. 2024;35(5):1315-24. doi: http://doi.org/10.1097/SCS.0000000000010280

5. Arias-Urueña L, Chandler A, Harden J. Cleft lip and or palate: children’s experiences of stigma in Colombia. Cleft Palate Craniofac J. 2024;61(10):1713-20. doi: http://doi.org/10.1177/10556656231183386

6. Kennedy M, Howlin F. Preparation of children for elective surgery and hospitalisation: a parental perspective. J Child Health Care. 2022;26(4):568-80. doi: http://doi.org/10.1177/13674935211032804

7. Mandetta MA, Toso BRGO, Gaiva MAM, Maia EBS, Barber ROB, Ribeiro CA. Brincar e o brinquedo terapêutico: na assistência de enfermagem à criança e família. São Paulo: Sociedade Brasileira de Enfermeiros Pediatras; 2023.

8. Hartzell LD, Bady E. Multidisciplinary cleft care. Facial Plast Surg Clin North Am. 2025;33(4):477-85. doi: http://doi.org/10.1016/j.fsc.2025.06.004

9. Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scoping reviews. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editores. JBI Manual for Evidence Synthesis. JBI; 2024. doi: https://doi.org/10.46658/JBIMES-24-09

10. Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, editors. JBI Manual for Evidence Synthesis. JBI; 2024. doi: http://doi.org/10.46658/JBIMES-24-01

11. Neves LT, Carvalho IMM, Cobourne MT, Gomide MR. Dental anomalies in non-syndromic orofacial clefts: a clinical approach. Oral Dis. 2022(5):1351-68. doi: https://doi.org/10.1111/odi.14226

12. Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2018.

13. Scherer N, D’Antonio L. Language and play development in toddlers with cleft lip and/or palate. Am J Speech-Language Pathol. 1997;6(4):48-54. doi: https://doi.org/10.1044/1058-0360.0604.48

14. Snyder LE, Scherer N. The development of symbolic play and language in toddlers with cleft palate. AJSLP. 2004;13(1):66-80. doi: https://doi.org/10.1044/1058-0360(2004/008)

15. Shea I, Sharp C, West P, Thomas O. A group intervention for extreme anxiety prior to alveolar bone grafting. J Craniomaxillofac Surg. 2008;36(1):12-3. doi: https://doi.org/10.1016/S1010-5182(08)71172-7

16. Alighieri C, Bettens K, Verbeke J, Van Lierde K. ‘Sometimes I feel sad’: a qualitative study on children’s perceptions with cleft palate speech and language therapy. Int J Lang Commun Disord. 2023; 58:1526-38. doi: https://doi.org/10.1111/1460-6984.12879

17. Xavier L, Velmurugan S. Assess the effect of detract technique among post-operative toddlers with cleft lip and cleft palate. J Pharm Bioallied Sci. 2024;16(3):2913-5. doi: http://doi.org/10.4103/jpbs.jpbs_566_24

18. Suttora C, Guarini A, Zuccarini M, Aceti A, Corvaglia L, Sansavini A. Integrating gestures and words to communicate in full-term and low-risk preterm late talkers. Int J Environ Res Public Health. 2022;19(7):3918. doi: https://doi.org/10.3390/ijerph19073918

19. Manwaring SS, Swineford L, Mead DL, Yeh CC, Zhang Y, Thurm A. The gesture–language association over time in toddlers with and without language delays. Autism Dev Lang Impair. 2019;4. doi: https://doi.org/10.1177/2396941519845545

20. Queiroz NLN, Maciel DA, Branco AU. Brincadeira e desenvolvimento infantil: um olhar sociocultural construtivista. Paidéia (Ribeirão Preto). 2006; 16(34):169-79. doi: https://dx.doi.org/10.1590/S0103-863X2006000200005

21. Lauer G, Pradel W, Birdir C. Lippen-Kiefer-Gaumen-Spalte. HNO. 2023;71:276-84. doi: https://doi.org/10.1007/s00106-023-01291-0

22. O’Gara M, Alkureishi LA, Alkureishi L, Barhight L. Interdisciplinary team care for children with facial differences. Pediatr Ann. 2023;52(1):e18-e22. doi: http://doi.org/10.3928/19382359-20221114-04

23. Vitorino AM, Piran CMG, Mori MM, Uema RTB, Merino MFGL, Furtado MD. Therapeutic itinerary of children with cleft lip and palate. Esc Anna Nery. 2024;28:e20230090. doi: https://doi.org/10.1590/2177-9465-EAN-2023-0090en

24. Díaz-Rodríguez M, Alcántara-Rubio L, Aguilar-García D, Pérez-Muñoz C, Carretero-Bravo J, Puertas-Cristóbal E. The effect of play on pain and anxiety in children in the field of nursing: a systematic review. J Pediatr Nurs. 2021;61:15-22. doi: https://doi.org/10.1016/j.pedn.2021.02.022

25. Ministério da Saúde (BR). HumanizaSUS: Política Nacional de Humanização. A humanização como eixo norteador das práticas de atenção e gestão em todas as instâncias do SUS [Internet]. 2004 [cited Aug 30, 2025]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/humanizasus_2004.pdf

26. Celik B, Canbulat Sahiner N. The effects of preoperative therapeutic play on anxiety and fear levels in preschool children. J Pediatr Nurs. 2024; 78:e244-e249. doi: https://dx.doi.org/10.1016/j.pedn.2024.07.012

27. Menezes LF, Amador DD, Marchetti MA, Soldera AGS, Mandetta MA, Marques FRB. Coping strategies used by children with cancer in chemotherapy treatment. Ciênc Cuid Saúde. 2023;22:e66116. doi: https://dx.doi.org/10.4025/ciencuidsaude.v22i0.66116

28. Conselho Federal de Enfermagem (BR). Resolução COFEN nº 546/2017, dispõe da utilização de técnica de brinquedo terapêutico pela Enfermagem [Internet]. 2017 [cited Aug 30, 2025]. Available from: https://www.cofen.gov.br/resolucao-cofen-no-05462017/