Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia
Pre-term spastic diplegia (pSD) due to periventricular leukomalacia is a form of cerebral palsy in which weaknesses in executive functions are reported beyond the core visuo-spatial deficits. The study aimed at improving executive functioning and visuo-spatial skills with an evidence-based training...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2021-01-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.601148/full |
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| author | Maria Chiara Di Lieto Chiara Pecini Paola Brovedani Giuseppina Sgandurra Giuseppina Sgandurra Marta Dell'Omo Anna Maria Chilosi Andrea Guzzetta Andrea Guzzetta Silvia Perazza Elisa Sicola Giovanni Cioni Giovanni Cioni |
| author_facet | Maria Chiara Di Lieto Chiara Pecini Paola Brovedani Giuseppina Sgandurra Giuseppina Sgandurra Marta Dell'Omo Anna Maria Chilosi Andrea Guzzetta Andrea Guzzetta Silvia Perazza Elisa Sicola Giovanni Cioni Giovanni Cioni |
| author_sort | Maria Chiara Di Lieto |
| collection | DOAJ |
| description | Pre-term spastic diplegia (pSD) due to periventricular leukomalacia is a form of cerebral palsy in which weaknesses in executive functions are reported beyond the core visuo-spatial deficits. The study aimed at improving executive functioning and visuo-spatial skills with an evidence-based training focused on working memory in children with pSD. The intervention study followed a stepped wedge design. 19 children with pSD (11 female and 8 male; age range: 4;1–13;1 years), mild to moderate upper limb impairment and Verbal Intelligence Quotient (VIQ) >80 participated to the study. The children were trained with a home-based adaptive working memory training (CogMed®) over a 5-week period. The primary outcome measure was the CogMed Improvement index; pre- and post-test explorative neuropsychological assessment was conducted with a subset of tests from the NEPSY-II battery. Working memory training in children with pSD significantly improved trained working memory abilities (CogMed indices) as well as non-trained skills, such as visuo-spatial skills, inhibition of automatic responses and phonological processing. The results suggest that standard rehabilitation schedules for children with pSD should be integrated with trainings on executive functions. |
| first_indexed | 2024-12-13T15:26:56Z |
| format | Article |
| id | doaj.art-20bcf44a225941d3a408dc86bc67347c |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-13T15:26:56Z |
| publishDate | 2021-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-20bcf44a225941d3a408dc86bc67347c2022-12-21T23:40:19ZengFrontiers Media S.A.Frontiers in Neurology1664-22952021-01-011110.3389/fneur.2020.601148601148Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic DiplegiaMaria Chiara Di Lieto0Chiara Pecini1Paola Brovedani2Giuseppina Sgandurra3Giuseppina Sgandurra4Marta Dell'Omo5Anna Maria Chilosi6Andrea Guzzetta7Andrea Guzzetta8Silvia Perazza9Elisa Sicola10Giovanni Cioni11Giovanni Cioni12Department of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Education, Language, Interculture and Psychology, University of Florence, Florence, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Developmental Neuroscience, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Fondazione Stella Maris, Pisa, ItalyDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, ItalyPre-term spastic diplegia (pSD) due to periventricular leukomalacia is a form of cerebral palsy in which weaknesses in executive functions are reported beyond the core visuo-spatial deficits. The study aimed at improving executive functioning and visuo-spatial skills with an evidence-based training focused on working memory in children with pSD. The intervention study followed a stepped wedge design. 19 children with pSD (11 female and 8 male; age range: 4;1–13;1 years), mild to moderate upper limb impairment and Verbal Intelligence Quotient (VIQ) >80 participated to the study. The children were trained with a home-based adaptive working memory training (CogMed®) over a 5-week period. The primary outcome measure was the CogMed Improvement index; pre- and post-test explorative neuropsychological assessment was conducted with a subset of tests from the NEPSY-II battery. Working memory training in children with pSD significantly improved trained working memory abilities (CogMed indices) as well as non-trained skills, such as visuo-spatial skills, inhibition of automatic responses and phonological processing. The results suggest that standard rehabilitation schedules for children with pSD should be integrated with trainings on executive functions.https://www.frontiersin.org/articles/10.3389/fneur.2020.601148/fullpre-term spastic diplegiaexecutive functionvisuo-spatial functionneuropsychological trainingcogmed working memory training |
| spellingShingle | Maria Chiara Di Lieto Chiara Pecini Paola Brovedani Giuseppina Sgandurra Giuseppina Sgandurra Marta Dell'Omo Anna Maria Chilosi Andrea Guzzetta Andrea Guzzetta Silvia Perazza Elisa Sicola Giovanni Cioni Giovanni Cioni Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia Frontiers in Neurology pre-term spastic diplegia executive function visuo-spatial function neuropsychological training cogmed working memory training |
| title | Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia |
| title_full | Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia |
| title_fullStr | Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia |
| title_full_unstemmed | Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia |
| title_short | Adaptive Working Memory Training Can Improve Executive Functioning and Visuo-Spatial Skills in Children With Pre-term Spastic Diplegia |
| title_sort | adaptive working memory training can improve executive functioning and visuo spatial skills in children with pre term spastic diplegia |
| topic | pre-term spastic diplegia executive function visuo-spatial function neuropsychological training cogmed working memory training |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2020.601148/full |
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