## 4 Discussion
### Feasibility of Use of Serious Games for Children with Disabilities in Ukraine
For example, some children may be adjusting to entirely new environments as displaced individuals or immigrants, while others face the daily trauma and disruption caused by frequent airstrikes. Additionally, many children with disabilities in Ukraine now struggle with access to essential goods and services, including adequate housing, food, and medical care. In this context, having reliable access to personal computers and the internet, which are prerequisites for engaging in telerehabilitation, remains a substantial challenge for many families. The effectiveness of telerehabilitation relies on the accessibility and dependability of technology, and the potential obstacles or interruptions in internet connectivity, particularly in conflict-affected regions, have not been thoroughly investigated [22; 23]. Furthermore, the study lacks a comparison group, which limits the ability to determine if the observed advantages--such as improved engagement, accessibility, and perceived therapeutic benefits--are inherent to telerehabilitation with serious games or if they might be similarly achievable in conventional, face-to-face rehabilitation settings. Without a control group of children receiving in-person rehabilitation under comparable conditions, it is challenging to isolate the specific impacts of the telerehabilitation platform. The recognition of a scarcity of clinical personnel as a result of the conflict creates apprehensions regarding the caliber of telerehabilitation services and the capacity to deliver comprehensive treatment to children with impairments. The study lacks an in-depth analysis of possible remedies or tactics to alleviate the repercussions of this personnel deficit on service provision. Moreover, the dependence on self-reporting via surveys and interviews adds the potential for response bias. Families and children may tend to give socially acceptable answers, and the positive views expressed may not capture the full spectrum of experiences. Finally, the study briefly acknowledges the psychological consequences of the conflict on children with impairments [24]. However, it does not delve into the precise psychological symptoms or potential psychological advantages of incorporating serious games into telerehabilitation [25]. It is essential to overcome these constraints in order to improve the strength and relevance of the study's results for the broader group of disabled children in Ukraine who are impacted by the current conflict. In the future, other aspects, such as sexual and gender-based violence, should also be investigated, given the high prevalence in conflict areas [26]. In addition, we plan to explore more the specific psychological symptoms that tend to arise in children with disabilities during the war in Ukraine, as well as the role of technologies to overcome these effects [27,28]. Presently, Ukraine grapples with the profound impact of an all-encompassing war, the largest of its kind in Europe since World War II [29]. Simultaneously, it provides a unique repository of practical knowledge regarding managing colossal rehabilitation challenges during extraordinary times, insights that are inevitably relevant to other cultures facing similar circumstances.