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.
摘要:
越来越多的人关注远程认知干预的实施,它允许在日常环境中进行练习,有利于康复的连续性。本研究概述了患有先天性脑畸形或影响中枢神经系统的遗传综合征的儿童的远程认知训练计划,包括在2011-2021年期间发表的论文中。共发现并讨论了13条记录,包括疗效研究,可行性研究和研究协议。许多研究都集中在特定的诊断上,比如脑瘫,唐氏综合症,脆性X综合征,虽然没有或几乎没有证据表明更罕见的疾病或大脑畸形。发现干预措施对某些认知功能产生益处,但是强调了依从性的问题,特别是由于训练或临床合并症带来的过度认知负荷。由于训练中的异质性,结论仍是暂时的,研究和患者特征,和研究方法的局限性。