Unlocking cognitive potential: a comprehensive review of neurocognitive interventions in Down Syndrome

Saksham Sharma, Swarnava Sengupta, Mazain Siddique, Sanjana B Patil, Sabira Morbiwala, Venkata Akhil Makarla
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Abstract

Background: Down Syndrome (DS) poses unique challenges in cognitive functioning, characterized by deficits in language, memory, and executive functions. This review synthesizes current research across educational, behavioral, pharmacological, and physical interventions to enhance cognitive capabilities in individuals with DS. Methods: A comprehensive literature review was conducted, incorporating studies that explored diverse interventions for cognitive enhancement in DS. Educational interventions, behavioral strategies, pharmacological approaches, and physical modalities were systematically analyzed to provide a holistic overview of the current landscape. Objectives: This review aims to consolidate findings from various intervention studies, offering insights into the efficacy of educational, behavioral, pharmacological, and physical approaches in ameliorating cognitive deficits in DS. The diverse range of interventions and their respective outcomes were critically examined to guide future research and intervention strategies. Discussions: Educational interventions, such as language and speech therapy, technology-assisted learning, and working memory training, displayed promising outcomes. Behavioral approaches, including responsive teaching and motor skill-focused interventions, added valuable insights to cognitive enhancement. Pharmacological interventions exhibited varying degrees of success, emphasizing the need for tailored approaches. Physical interventions, particularly regular physical activity and assisted cycle therapy, emerged as potential catalysts for cognitive improvement. This review highlights the multifaceted nature of cognitive deficits in DS and underscores the importance of personalized perspectives in intervention strategies. The discussions provide a comprehensive understanding of the current interventions' effectiveness, contributing to the ongoing discourse on cognitive enhancement in DS. Future research should focus on personalized approaches, considering the heterogeneity in DS phenotypes, to optimize cognitive outcomes for individuals with DS.
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释放认知潜能:唐氏综合症神经认知干预综合评述
背景:唐氏综合症(DS)给认知功能带来了独特的挑战,其特点是在语言、记忆和执行功能方面存在缺陷。本综述综合了目前在教育、行为、药物和物理干预方面的研究,以提高唐氏综合症患者的认知能力。研究方法我们进行了一次全面的文献综述,纳入了探讨提高 DS 认知能力的各种干预措施的研究。对教育干预、行为策略、药物方法和物理方式进行了系统分析,以全面了解当前的研究状况。目的:本综述旨在整合各种干预研究的结果,深入探讨教育、行为、药物和物理方法在改善 DS 认知缺陷方面的功效。我们对各种干预措施及其各自的结果进行了严格审查,以指导未来的研究和干预策略。讨论:教育干预措施,如语言和言语治疗、技术辅助学习和工作记忆训练,显示出良好的效果。行为方法,包括反应式教学和以运动技能为重点的干预,为认知能力的提高提供了宝贵的见解。药物干预取得了不同程度的成功,强调了量身定制方法的必要性。物理干预,尤其是定期体育锻炼和辅助循环疗法,成为改善认知能力的潜在催化剂。本综述强调了 DS 认知缺陷的多面性,并强调了干预策略中个性化视角的重要性。这些讨论提供了对当前干预措施有效性的全面理解,为当前有关 DS 认知能力增强的讨论做出了贡献。考虑到 DS 表型的异质性,未来的研究应侧重于个性化方法,以优化 DS 患者的认知结果。
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