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Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
Cognitive profile in Duchenne muscular dystrophy boys without intellectual disability: The role of executive
R Battini1, D Chieffo2, S Bulgheroni3
1Pediatric Neurology Unit, Fondazione Policlinico Gemelli, and Nemo Center, UCSC Rome, Italy; Department of Developmental Neuroscience, IRCCS Stella Maris, Calambrone (Pisa), Italy.
Insights
Cognitive function, particularly executive functions like problem-solving and working memory, can be impaired in boys with Duchenne muscular dystrophy, even without intellectual disability.
Area of Science:
- Neurology
- Pediatrics
- Cognitive Science
Background:
- Duchenne muscular dystrophy (DMD) is a genetic disorder primarily affecting muscle strength.
- Cognitive function, including executive functions, has been an understudied area in DMD, especially in individuals without intellectual disability.
Purpose of the Study:
- To assess cognitive function profiles in boys with Duchenne muscular dystrophy.
- To investigate potential impairments in executive functions within this cohort.
Main Methods:
- Prospective observational study involving 40 boys with Duchenne muscular dystrophy (age 6-11.5 years).
- Assessment using the Wechsler Intelligence Scale and a battery of tests for working memory and executive functions (inhibition, switching, problem-solving, planning).
Main Results:
- Impairments were frequently observed in specific cognitive functions.
- Affected areas included multitasking, problem-solving, inhibition, and working memory crucial for goal-directed behavior.
Conclusions:
- Cognitive function deficits can occur in boys with Duchenne muscular dystrophy, irrespective of intellectual disability.
- Executive functions appear to play a significant role in the cognitive impairments associated with Duchenne muscular dystrophy.
Abstract:
The aim of our prospective observational study was to assess profiles of cognitive function and a possible impairment of executive functions in a cohort of boys with Duchenne muscular dystrophy without intellectual and behavior disability. Forty Duchenne boys (range of age: 6 years to 11 years and 6 months) were assessed by Wechsler Intelligence scale and battery of tests including tasks assessing working memory and executive functions (inhibition and switching, problem solving and planning). In our cohort some aspects of cognitive function were often impaired. These included multitasking, problem solving, inhibition and working memory necessary to plan and direct goal oriented behavior. Our results support the suggestion that aspects of cognitive function could be impaired even in boys without intellectual disability and support the hypothesis that executive functions may play an important role in specific aspects of cognitive impairment in Duchenne muscular dystrophy.
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