Abstract：
BACKGROUND: Social distancing measures due to the COVID-19 pandemic prevented many children with neurodevelopmental disorders from accessing face-to-face treatments. Telerehabilitation grew at this time as an alternative therapeutic tool. In this study we analysed remote cognitive rehabilitation in neurodevelopmental disorders.
METHODS: This was a prospective, quasi-experimental (before-after) study that included 22 patients (mean age 9.41 years) with neurodevelopmental disorders who had telerehabilitation for over six months.
RESULTS: After six months of telerehabilitation, a statistically significant improvement was found with a large effect size in these areas: attention (sustained, selective and divided), executive functions (verbal and visual working memory, categorisation, processing speed), visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia) and language (comprehensive and expressive). On the Weiss Functional Impairment Scale, all areas (family, learning and school, self-concept, activities of daily living, risk activities) improved with statistical significance. We found a positive correlation between the number of sessions and the improvement observed in executive functions (visual working memory, processing speed), attention (sustained attention, divided attention) and visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia). We did not find statistical significance between the family structure and the number of sessions carried out. A high degree of perception of improvement and satisfaction was observed in the parents.
CONCLUSIONS: Telerehabilitation is a safe alternative tool which, although it does not replace face-to-face therapy, can achieve significant cognitive and functional improvements in children with neurodevelopmental disorders.
METHODS: This was a prospective, quasi-experimental (before-after) study that included 22 patients (mean age 9.41 years) with neurodevelopmental disorders who had telerehabilitation for over six months.
RESULTS: After six months of telerehabilitation, a statistically significant improvement was found with a large effect size in these areas: attention (sustained, selective and divided), executive functions (verbal and visual working memory, categorisation, processing speed), visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia) and language (comprehensive and expressive). On the Weiss Functional Impairment Scale, all areas (family, learning and school, self-concept, activities of daily living, risk activities) improved with statistical significance. We found a positive correlation between the number of sessions and the improvement observed in executive functions (visual working memory, processing speed), attention (sustained attention, divided attention) and visuospatial skills (spatial orientation, perceptual integration, perception, simultanagnosia). We did not find statistical significance between the family structure and the number of sessions carried out. A high degree of perception of improvement and satisfaction was observed in the parents.
CONCLUSIONS: Telerehabilitation is a safe alternative tool which, although it does not replace face-to-face therapy, can achieve significant cognitive and functional improvements in children with neurodevelopmental disorders.
摘要：
背景：由于COVID-19大流行而导致的社交距离措施阻止了许多患有神经发育障碍的儿童获得面对面治疗。远程康复在这个时候发展成为一种替代治疗工具。在这项研究中，我们分析了神经发育障碍中的远程认知康复。
方法：这是一个前瞻性的，准实验（前后）研究，包括22名接受远程康复治疗超过6个月的神经发育障碍患者（平均年龄9.41岁）。
结果：经过六个月的远程康复治疗，在这些领域发现了统计学上显著的改善，效果大小很大：注意力(持续，选择性和分裂)，执行功能(言语和视觉工作记忆，分类，处理速度)，视觉空间技能(空间定向，感知整合，感知，同时性识别)和语言(全面和富有表现力)。在魏斯功能损害量表上，所有领域(家庭，学习和学校，自我概念,日常生活活动,风险活动)具有统计学意义的改进。我们发现会话数量与执行功能（视觉工作记忆，处理速度)，注意力(持续注意力，分散注意力)和视觉空间技能(空间定向，感知整合，感知，同时性失认症)。我们没有发现家庭结构和进行的会议次数之间的统计学意义。在父母中观察到高度的改善和满意度。
结论：远程康复是一种安全的替代工具，虽然它不能取代面对面治疗，能显著改善神经发育障碍患儿的认知功能。
方法：这是一个前瞻性的，准实验（前后）研究，包括22名接受远程康复治疗超过6个月的神经发育障碍患者（平均年龄9.41岁）。
结果：经过六个月的远程康复治疗，在这些领域发现了统计学上显著的改善，效果大小很大：注意力(持续，选择性和分裂)，执行功能(言语和视觉工作记忆，分类，处理速度)，视觉空间技能(空间定向，感知整合，感知，同时性识别)和语言(全面和富有表现力)。在魏斯功能损害量表上，所有领域(家庭，学习和学校，自我概念,日常生活活动,风险活动)具有统计学意义的改进。我们发现会话数量与执行功能（视觉工作记忆，处理速度)，注意力(持续注意力，分散注意力)和视觉空间技能(空间定向，感知整合，感知，同时性失认症)。我们没有发现家庭结构和进行的会议次数之间的统计学意义。在父母中观察到高度的改善和满意度。
结论：远程康复是一种安全的替代工具，虽然它不能取代面对面治疗，能显著改善神经发育障碍患儿的认知功能。
