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Tablet computer-based cognitive training for visuomotor integration in children with developmental delay: a pilot

Jee Hyun Suh1, Soo Jeong Han2, Sun Ah Choi3

  • 1Department of Rehabilitation Medicine, College of Medicine, Ewha Womans University, Seoul, Republic of Korea. jeehyun.suh1@gmail.com.

BMC Pediatrics
|October 28, 2024
PubMed
Summary

Tablet computer cognitive training significantly improved visuomotor integration (VMI) and fine motor skills in children with developmental delay (DD). The training did not increase digital media addiction, suggesting a safe, home-based intervention for children with DD.

Keywords:
Cognitive trainingDevelopmental delayVisuomotor integration

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Area of Science:

  • Developmental Pediatrics
  • Cognitive Rehabilitation
  • Digital Therapeutics

Background:

  • Impaired visuomotor integration (VMI) is a common challenge for children with developmental delay (DD).
  • Existing interventions for VMI in DD populations require evaluation for efficacy and safety.
  • Tablet-based cognitive training presents a novel approach for VMI enhancement in children with DD.

Purpose of the Study:

  • To assess the impact of a 12-week tablet computer-based cognitive training program on VMI in children with DD.
  • To evaluate the effects of this training on fine motor skills, daily living activities, and digital media addiction.
  • To determine the feasibility and safety of home-based tablet cognitive training for children with DD.

Main Methods:

  • A pilot study involving children aged 4 to under 18 years diagnosed with DD.
  • Participants completed a 12-week daily 30-minute tablet-based cognitive training program (Mind Rx Kids).
  • Visuomotor integration was assessed using the Beery-Buktenica Developmental Test of Visual-Motor Integration (VMI-6); secondary outcomes included QUEST, WeeFIM, CARS, ARS, and smartphone addiction scales.

Main Results:

  • Significant improvements were observed in VMI-6 raw scores, standard scores, percentile scores, and equivalent age.
  • The training program led to significant enhancements in upper extremity skills (QUEST) and functional independence (WeeFIM).
  • While trends suggested improvements in autism, ADHD, and smartphone addiction scores, these did not reach statistical significance.

Conclusions:

  • Tablet computer-based cognitive training effectively improves VMI, fine motor skills, and daily living activities in children with DD.
  • The intervention demonstrated no increase in digital media addiction, supporting its safety for home use.
  • This approach offers a promising, accessible, and safe therapeutic option for children with developmental delays.