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Randomised controlled trial of a novel online cognitive rehabilitation programme for children with cerebral palsy: a

Jane Wotherspoon1, Koa Whittingham1, Roslyn N Boyd1

  • 1Queensland Cerebral Palsy and Rehabilitation Research Centre, The University of Queensland, Brisbane, Queensland, Australia.

BMJ Open
|June 7, 2019
PubMed

Insights

This study investigates a computerised cognitive training program, Strengthening Mental Abilities through Relational Training (SMART), for children with cerebral palsy (CP). The goal is to improve reasoning, executive function, and academic skills in children with CP.

Area of Science:

  • Pediatric neurology
  • Cognitive neuroscience
  • Rehabilitation science

Background:

  • Cerebral palsy (CP) is a leading cause of childhood physical disability, affecting motor skills and often cognitive functions.
  • Cognitive impairments in CP can hinder educational and vocational success.
  • There is a need for accessible interventions to support cognitive development in children with CP.

Purpose of the Study:

  • To evaluate the effectiveness of a computerised cognitive training program, Strengthening Mental Abilities through Relational Training (SMART), for children with CP.
  • To assess SMART's impact on fluid reasoning, executive function, and academic achievement.
  • To provide an accessible, home-based intervention for children with CP.

Main Methods:

  • A randomized controlled trial involving 60 children with mild to moderate CP (aged 8-12 years).
  • Participants are allocated to either the SMART cognitive training group or a waitlist control group.
  • Intervention delivered at home over 4 months, with assessments at baseline, 20 weeks, and 40 weeks.

Main Results:

  • Primary outcome: fluid intelligence.
  • Secondary outcomes: academic achievement, executive function, social-emotional well-being.
  • Data collection is ongoing, with preliminary results pending.

Conclusions:

  • If effective, SMART offers a potentially accessible and cost-effective intervention for children with CP.
  • Home-based cognitive training could significantly benefit children with CP by improving cognitive and academic outcomes.
  • This research protocol outlines a rigorous evaluation of a novel intervention for a vulnerable population.
Abstract

Keywords:
cognitive impairmentcognitive trainingdevelopmental psychology

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