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Computer-Based Cognitive Training in Children with Primary Brain Tumours: A Systematic Review.

Francesco Sciancalepore1, Leonardo Tariciotti2,3, Giulia Remoli4,5

  • 1National Center for Disease Prevention and Health Promotion, Italian National Institute of Health, 00161 Rome, Italy.

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Digital cognitive rehabilitation shows promise for improving cognitive functions like working memory and attention in brain tumor survivors. However, effects can be transient, and patient motivation is key for long-term benefits.

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Area of Science:

  • Neuroscience
  • Rehabilitation Medicine
  • Pediatric Oncology

Background:

  • Late neurocognitive sequelae significantly impact the quality of life for brain tumor survivors.
  • Digital interventions, including apps and software, are emerging as innovative tools for cognitive rehabilitation.

Purpose of the Study:

  • To systematically review current evidence on digital interventions for cognitive rehabilitation in pediatric brain tumor survivors.
  • To identify trends and evaluate the effectiveness of these innovative approaches.

Main Methods:

  • A systematic literature review was conducted.
  • Included studies focused on patients diagnosed with brain tumors before age 21 and assessed digital interventions' impact on cognitive outcomes.
  • Excluded were case reports, reviews, and other non-original research formats.

Main Results:

  • Nine studies involving 152 pediatric brain tumor patients were analyzed.
  • Interventions included software like Cogmed, Captain's Log, Fast ForWord, and Nintendo Wii.
  • Improvements were noted in working memory, attention, and daily living activities.

Conclusions:

  • Digital cognitive interventions appear to enhance cognitive functions such as working memory, attention, and processing speed.
  • Some studies indicated transient effects and significant dropout rates, highlighting the need for better patient engagement.
  • Larger trials are recommended to confirm efficacy and explore strategies to improve adherence and long-term outcomes.