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Remote cognitive training for children with congenital brain malformation or genetic syndrome: a scoping review
Claudia Corti1, Viola Oldrati1, Fabio Storm1
1Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy.
Insights
Remote cognitive training shows benefits for children with brain conditions but faces adherence challenges. More research is needed for rare diseases and to overcome limitations.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Pediatric Neurology
Background:
- Remote cognitive interventions offer continuous rehabilitation in daily settings.
- Growing interest in digital health solutions for pediatric neurological conditions.
Purpose of the Study:
- To review remote cognitive training programs for children with congenital brain malformations or genetic syndromes (2011-2021).
- To assess the efficacy, feasibility, and protocols of these interventions.
Main Methods:
- Systematic literature search for studies published between 2011 and 2021.
- Analysis of 13 selected records, including efficacy, feasibility, and protocol studies.
Main Results:
- Interventions demonstrated positive effects on certain cognitive functions.
- Significant focus on common diagnoses like cerebral palsy and Down Syndrome; limited data on rare conditions.
- Adherence issues were noted, often linked to high cognitive load or comorbidities.
Conclusions:
- Remote cognitive training holds promise but requires further investigation.
- Heterogeneity in study designs, patient characteristics, and methodological limitations necessitate cautious interpretation.
- Future research should address adherence barriers and expand evidence for rare neurological conditions.
Abstract:
Increased attention is arising on the delivery of remote cognitive interventions, which allow performing exercises in everyday settings, favouring rehabilitation continuity. The present study offers an overview of remote cognitive training programs for children with congenital brain malformation or genetic syndrome affecting the central nervous system, included in papers published in the time period 2011-2021. A total of 13 records was found and discussed including efficacy studies, feasibility studies and study protocols. Many studies have focused on a specific diagnosis, such as cerebral palsy, Down Syndrome, Fragile X Syndrome, while no or little evidence has been gathered on more rare diseases or brain malformations. Interventions were found to generate benefits on some cognitive functions, but problems with adherence were highlighted, especially due to excessive cognitive load from the training or clinical comorbidities. Conclusions remain tentative due to heterogeneity in training, study and patients characteristics, and methodological limitations of studies.
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