## 1 Introduction  
As of September 2023, it was estimated that due to the conflict, 6.2 million Ukrainian citizens had become internally displaced persons and 4.2 million people had become refugees, leaving the territory of Ukraine [1]. Approximately 23% of these individuals were persons with disabilities; the available evidence indicates that the rights of refugee children with disabilities are often disregarded and overlooked [2]. These children face severe risks in their lives, including the inability to access treatment and educational services, isolation, discrimination, and exposure to violence as they are forced to flee their homeland [3]. For youths with disabilities who remain in the country, the impact of the war is even more traumatic. Many of these children indeed lack access to regular education and care, putting them at risk of having their fundamental rights violated and being forcibly separated from their families and institutions [4]. Furthermore, there have been reports of tragic cases where children have lost their lives--killed by the Russian army--due to starvation and exposure to cold conditions. With 20% of Ukrainian territory currently under Russian occupation, it is expected that more crimes will continue to be documented until the war comes to an end. While the primary conflict zones are concentrated in the eastern and southern regions of Ukraine, no part of the country can be considered safe due to the ongoing risk of rocket attacks and kamikaze drone missiles. Additionally, the impact of the war extends beyond those children directly in harm's way, affecting those indirectly through the pervasive anxiety generated by the conflict in families, schools, and the mass media [5]. Elita Rehabilitation Center (ERC) is a tertiary care facility for children with neurological disabilities in Lviv, a central city in western Ukraine. ERC is not limited to a specific region; it provides treatment to children from all over Ukraine. Before the full-scale Russian invasion, ERC could offer rehabilitation care to one thousand children annually, with a medical staff consisting of more than 60 professionals, including physicians, physical and occupational therapists, and medical nurses. In 2022, however, only 537 children could access rehabilitation services, and the number of specialists working at ERC has reduced to 46. There are multiple reasons for this phenomenon: the high rate of people fleeing Ukraine and coming to safer countries, the decreased financial well-being that forces healthcare professionals to switch occupations, and the compulsory mobilization of the men liable for military service, including medical staff [6]. As the conflict persists and related risks, such as a humanitarian crisis, financial instability, and the threat of missile attacks in various parts of Ukraine, including Lviv, continue to exist, there remains a shortage of clinical staff, making it challenging for many families to access rehabilitation facilities; meanwhile, it is of paramount importance to ensure the continuity of care to preserve the progress achieved during rehabilitation, thereby maximizing the functioning of patients and, consequently, improving their quality of life [7,8]. Games designed for more than just fun, known as serious games (SG), have proven to help improve rehabilitation outcomes in wealthier countries [9]. These games use a mix of therapeutic exercises and engaging gameplay to offer a new way of approaching rehabilitation, which could be beneficial in addressing the challenges faced by the shortage of rehabilitation specialists [10]. Research has indicated that computer games have the potential to reduce the recurrence of intrusive traumatic memories in individuals who have post-traumatic stress disorder [11]. Furthermore, the affordability of SG tailored for motor and cognitive training presents an opportunity to address the health disparities faced by children with disabilities in Ukraine and other regions with poor access to healthcare professionals [12].