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Eyes on CVI: Eye movements unveil distinct visual search patterns in Cerebral Visual Impairment compared to ADHD, dyslexia, and neurotypical children 关注 CVI:与多动症、阅读障碍和神经正常儿童相比,脑性视力障碍儿童的眼动揭示了独特的视觉搜索模式
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-06-10 DOI: 10.1016/j.ridd.2024.104767
Marinke J. Hokken , Niklas Stein , Rob Rodrigues Pereira , Ingrid G.I.J.G. Rours , Maarten A. Frens , Johannes van der Steen , Johan J.M. Pel , Marlou J.G. Kooiker

Visual search problems are often reported in children with Cerebral Visual Impairment (CVI). To tackle the clinical challenge of objectively differentiating CVI from other neurodevelopmental disorders, we developed a novel test battery. Visual search tasks were coupled with verbal and gaze-based measurements. Two search tasks were performed by children with CVI (n: 22; mean age (SD): 9.63 (.46) years) ADHD (n: 32; mean age (SD): 10.51 (.25) years), dyslexia (n: 28; mean age (SD): 10.29 (.20) years) and neurotypical development (n: 44; mean age (SD): 9.30 (.30) years). Children with CVI had more impaired search performance compared to all other groups, especially in crowded and unstructured displays and even when they had normal visual acuity. In-depth gaze-based analyses revealed that this group searched in overall larger areas and needed more time to recognize a target, particularly after their initial fixation on the target. Our gaze-based approach to visual search offers new insights into the distinct search patterns and behaviours of children with CVI. Their tendency to overlook targets whilst fixating on it, point towards higher-order visual function (HOVF) deficits. The novel method is feasible, valid, and promising for clinical differential-diagnostic evaluation between CVI, ADHD and dyslexia, and for informing individualized training.

脑性视力障碍(CVI)儿童经常会出现视觉搜索问题。为了解决客观区分 CVI 与其他神经发育障碍的临床难题,我们开发了一套新的测试组合。在完成视觉搜索任务的同时,我们还进行了言语和凝视测量。患有 CVI(22 人;平均年龄(SD):9.63(.46)岁)、ADHD(32 人;平均年龄(SD):10.51(.25)岁)、阅读障碍(28 人;平均年龄(SD):10.29(.20)岁)和神经发育异常(44 人;平均年龄(SD):9.30(.30)岁)的儿童分别完成了两项搜索任务。与所有其他组别相比,CVI 患儿的搜索能力更弱,尤其是在拥挤和无序的显示中,即使视力正常也是如此。基于注视的深入分析显示,该组儿童的搜索区域总体上更大,需要更多时间来识别目标,尤其是在他们最初固定在目标上之后。我们基于注视的视觉搜索方法为了解 CVI 儿童独特的搜索模式和行为提供了新的视角。他们在凝视目标时容易忽略目标,这表明他们存在高阶视觉功能(HOVF)缺陷。这种新方法可行、有效,有望用于CVI、多动症和阅读障碍之间的临床鉴别诊断评估,并为个性化训练提供依据。
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引用次数: 0
Quality of Life of deaf adolescents in high school: A systematic literature review 高中失聪青少年的生活质量:系统文献综述
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-06-08 DOI: 10.1016/j.ridd.2024.104764
Abdullah Madhesh

There are few studies that have explored the Quality of Life (QoL) for deaf adolescents in high school (13–18 years). Following the PRISMA guidelines, this systematic literature review examined peer-reviewed research that has explored QoL for deaf adolescents in high school by using databases such as Science Citation Index, Scopus and Social Science Citation Index in addition to some related journals such as American Annals of the Deaf, the Journal of Deaf Studies and Deaf Education, Ear and Hearing, and Deafness and Education International spanning 14 years (2010–2024). By analysing the titles, abstracts, and keywords and reading full manuscripts, only seven were deemed appropriate for inclusion in this systematic review. All seven studies used quantitative research. This systematic review found that there is a discrepancy between the studies included in the use of measures. The results of the studies are different and some are contradictory. The QoL concept also differed amongst the studies. This study concluded that there is a great need to conduct more research into the QoL of deaf adolescents in high school with diverse research methods and the use of qualitative or mixed research, as well as expanding the scope of studies to include more dimensions in the concept of QoL.

有关高中(13-18 岁)失聪青少年生活质量(QoL)的研究很少。本系统性文献综述遵循 PRISMA 准则,利用科学引文索引、Scopus 和社会科学引文索引等数据库,以及《美国聋人年鉴》、《聋人研究和聋人教育期刊》、《耳与听》和《国际聋人与教育》等相关期刊,对同行评审的、探讨高中聋人青少年生活质量的研究进行了审查,时间跨度长达 14 年(2010-2024 年)。通过分析标题、摘要和关键词并阅读完整稿件,只有七篇被认为适合纳入本系统综述。所有七项研究都采用了定量研究。本系统综述发现,所纳入的研究在使用措施方面存在差异。研究结果各不相同,有些甚至相互矛盾。各项研究的 QoL 概念也不尽相同。本研究的结论是,亟需对高中失聪青少年的 QoL 进行更多的研究,采用多样化的研究方法,使用定性或混合研究,并扩大研究范围,纳入 QoL 概念的更多维度。
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引用次数: 0
Positive behavior support (PBS) with children with fetal alcohol spectrum disorders: Characterizing caregivers’ use of PBS using follow-up clinical trial data 为患有胎儿酒精谱系障碍的儿童提供积极行为支持(PBS):利用后续临床试验数据了解照顾者使用 PBS 的特点
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-06-04 DOI: 10.1016/j.ridd.2024.104773
C. Kautz-Turnbull , E. Kaminsky , M. Kuhn , R. Wittlin , C.L.M. Petrenko , H.C. Olson

Background

Fetal alcohol spectrum disorders (FASD) are associated with neurodevelopmental challenges leading to difficulties with everyday life tasks. The Families Moving Forward (FMF) Program teaches caregivers to use positive behavior support (PBS), integrated with other techniques. However, it is unknown how caregivers retain and use these PBS strategies after the intervention.

Methods

About 4.5 months after completing the FMF Program, twenty-three caregivers of children with FASD aged 4–12 were interviewed about problem behaviors targeted during the FMF Program and their continued use of PBS strategies. Interviews were recorded and coded thematically by a five-coder team. Higher-level pattern codes were developed to facilitate themes across descriptive codes.

Results

Caregivers commonly targeted task incompletion and rule breaking, and problem behaviors were often complex or combined. Caregivers identified environmental and interpersonal triggers for problem behavior. They used many accommodations to prevent problem behaviors, most often related to task or environment simplification. Caregivers also used consequence-based strategies.

Conclusions

This study is the first to characterize caregivers’ use of PBS strategies for children with FASD using mixed methods. Problem behaviors such as rule breaking were more difficult to target. Caregivers found most success when using a combination of multiple different accommodations per problem behavior.

What this paper adds

This is the first study to use mixed methods to characterize how caregivers of children with fetal alcohol spectrum disorders (FASD) use positive behavior support (PBS) strategies to target problem behavior after completion of the empirically validated Families Moving Forward (FMF) Program. Among other techniques involved in the FMF Program, PBS strategies are taught to caregivers and are used to target two distinct, caregiver-identified problem behaviors. This data provides essential information about behaviors responsive to PBS supports, for children with FASD, to inform clinical intervention and research. Notably, multiple problem behaviors often occurred together, emphasizing complexity of behavior challenges in this population and the resulting need for individualized supports. This study is the first to describe commonly observed triggers (antecedents) and commonly used supports (accommodations) from the perspective of caregivers of children with FASD. Importantly, results indicate that use of a wide variety of accommodations, or antecedent-based strategies, are effective in supporting behavior in children with FASD. However, success was most common when caregivers used multiple accommodations for any given concerning behavior. Findings represent ‘real-world’ strategies caregivers use to support adaptive behavior in their children several months after completion o

背景胎儿酒精中毒谱系障碍(FASD)与神经发育障碍有关,导致在日常生活中遇到困难。家庭向前迈进(FMF)计划教授照顾者使用积极行为支持(PBS),并将其与其他技术相结合。方法在完成 FMF 计划约 4.5 个月后,对 23 名 4-12 岁 FASD 儿童的照顾者进行了访谈,了解他们在 FMF 计划期间的问题行为以及他们对 PBS 策略的持续使用情况。访谈由一个五人编码小组记录并按主题进行编码。结果照护者通常以未完成任务和违反规则为目标,问题行为通常比较复杂或综合。护理人员发现了问题行为的环境和人际诱因。他们使用了很多方法来防止问题行为的发生,其中最常见的是与简化任务或环境有关的方法。本研究首次使用混合方法描述了照顾者对 FASD 儿童使用 PBS 策略的情况。打破规则等问题行为较难针对。本研究首次使用混合方法来描述胎儿酒精谱系障碍(FASD)儿童的看护者在完成经验证的 "家庭向前迈进(FMF)计划 "后如何使用积极行为支持(PBS)策略来处理问题行为。在 FMF 计划涉及的其他技术中,PBS 策略被教授给照顾者,并被用于针对两种不同的、由照顾者识别的问题行为。这些数据为临床干预和研究提供了有关 FASD 儿童对 PBS 支持的反应行为的重要信息。值得注意的是,多种问题行为经常同时出现,这强调了该人群行为挑战的复杂性,以及由此产生的对个性化支持的需求。本研究首次从 FASD 儿童照顾者的角度出发,描述了常见的诱发因素(前因)和常用的支持措施(适应)。重要的是,研究结果表明,使用多种调适方法或基于前因的策略可以有效地支持 FASD 儿童的行为。然而,当照顾者对任何特定的相关行为使用多种调适方法时,成功的可能性最大。研究结果表明,在完成 FMF 计划几个月后,照顾者使用 "真实世界 "策略来支持儿童的适应行为,这表明这些策略适用于临床实践。
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引用次数: 0
A capacity-building intervention for parents of children with disabilities in rural South India 针对印度南部农村地区残疾儿童家长的能力建设干预措施。
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-30 DOI: 10.1016/j.ridd.2024.104766
Katie Proctor , Meera Patel , Dinesh Krishna , Navamani Venkatachalapathy , Marie Brien , Sylvia Langlois

Background

A disability service organization piloted a parent capacity-building intervention for parents of children with developmental disabilities in rural South India.

Aims

To examine the impact of this parent capacity-building group intervention on parent empowerment, peer support, social inclusion, advocacy skills, and the factors influencing these outcomes.

Methods and Procedures

A qualitative study recruited 37 participants from 17 parent groups through convenience sampling. Six focus groups occurred six months post the start of this intervention and explored these parents’ experiences with the groups and their perceived impacts.

Outcomes and Results

Qualitative analysis yielded four main themes and corresponding sub-themes: peer support (feeling peaceful and supported, building self-efficacy), social inclusion (space to share, acceptance and identity), knowledge sharing (increasing awareness, accepting advice), and advocacy (building confidence, making requests). Participation in parent groups provided participants with opportunities to find peer support, utilize knowledge sharing, feel socially included, and build advocacy skills.

Conclusions and Implications

This study provides a greater understanding of the impact and benefits of parent capacity-building interventions in low-resource settings. Results will improve this intervention and guide other organizations in creating similar programs.

What this paper adds

This paper adds perspectives of parents who are caregivers of children with developmental disabilities in rural South India. More specifically, this paper highlights the impact of a parent-focused intervention in group settings in both rural and urban areas. Parent support group interventions are not common in India and low- and middle-income countries and there is a paucity of literature describing these interventions and their impact. In this study, parents described a need for multifaceted interventions to support their child in the community. These parent groups provided space for caregivers of children with developmental disabilities to make connections, feel validated, and grow confidence to utilize new knowledge or advice shared by other parents to further enhance their lives. Further, parent-group settings provide opportunities to build advocacy skills through timely discussions. Parents reported an increase in feelings of acceptance within the group itself but not within the wider community. This highlights the need for involving the wider community in interventions to promote integration for families with children with disabilities.

背景:一个残疾人服务组织在印度南部农村地区为发育障碍儿童的家长试行了一项家长能力建设干预措施:目的:研究家长能力建设小组干预对家长赋权、同伴支持、社会包容、宣传技能的影响,以及影响这些结果的因素:定性研究通过便利抽样从 17 个家长小组中招募了 37 名参与者。在干预开始六个月后进行了六次焦点小组讨论,探讨了这些家长在小组中的经历及其认为的影响:定性分析得出了四个主要主题和相应的次主题:同伴支持(感到平和与支持、建立自我效能感)、社会包容(分享空间、接纳和认同)、知识共享(提高认识、接受建议)和宣传(建立信心、提出要求)。参加家长小组为参与者提供了寻找同伴支持、利用知识共享、感受社会包容和培养宣传技能的机会:这项研究使我们对家长能力建设干预措施在资源匮乏环境中的影响和益处有了更深入的了解。研究结果将改进这项干预措施,并指导其他组织制定类似计划:本文补充了南印度农村地区照顾发育障碍儿童的家长的观点。更具体地说,本文强调了以家长为中心的干预措施在农村和城市地区的小组环境中产生的影响。家长支持小组干预措施在印度和中低收入国家并不常见,描述这些干预措施及其影响的文献也很少。在这项研究中,家长们描述了在社区中支持孩子的多方面干预措施的需求。这些家长小组为发育障碍儿童的照顾者提供了空间,使他们能够建立联系,感受到认可,并增强信心,利用其他家长分享的新知识或建议来进一步改善他们的生活。此外,家长小组还提供了通过及时讨论培养宣传技能的机会。据家长们报告,他们在小组内的认同感有所增强,但在更广泛的社区内却没有。这突显出需要让更广泛的社区参与干预,以促进残疾儿童家庭的融合。
{"title":"A capacity-building intervention for parents of children with disabilities in rural South India","authors":"Katie Proctor ,&nbsp;Meera Patel ,&nbsp;Dinesh Krishna ,&nbsp;Navamani Venkatachalapathy ,&nbsp;Marie Brien ,&nbsp;Sylvia Langlois","doi":"10.1016/j.ridd.2024.104766","DOIUrl":"10.1016/j.ridd.2024.104766","url":null,"abstract":"<div><h3>Background</h3><p>A disability service organization piloted a parent capacity-building intervention for parents of children with developmental disabilities in rural South India.</p></div><div><h3>Aims</h3><p>To examine the impact of this parent capacity-building group intervention on parent empowerment, peer support, social inclusion, advocacy skills, and the factors influencing these outcomes.</p></div><div><h3>Methods and Procedures</h3><p>A qualitative study recruited 37 participants from 17 parent groups through convenience sampling. Six focus groups occurred six months post the start of this intervention and explored these parents’ experiences with the groups and their perceived impacts.</p></div><div><h3>Outcomes and Results</h3><p>Qualitative analysis yielded four main themes and corresponding sub-themes: peer support (feeling peaceful and supported, building self-efficacy), social inclusion (space to share, acceptance and identity), knowledge sharing (increasing awareness, accepting advice), and advocacy (building confidence, making requests). Participation in parent groups provided participants with opportunities to find peer support, utilize knowledge sharing, feel socially included, and build advocacy skills.</p></div><div><h3>Conclusions and Implications</h3><p>This study provides a greater understanding of the impact and benefits of parent capacity-building interventions in low-resource settings. Results will improve this intervention and guide other organizations in creating similar programs.</p></div><div><h3>What this paper adds</h3><p>This paper adds perspectives of parents who are caregivers of children with developmental disabilities in rural South India. More specifically, this paper highlights the impact of a parent-focused intervention in group settings in both rural and urban areas. Parent support group interventions are not common in India and low- and middle-income countries and there is a paucity of literature describing these interventions and their impact. In this study, parents described a need for multifaceted interventions to support their child in the community. These parent groups provided space for caregivers of children with developmental disabilities to make connections, feel validated, and grow confidence to utilize new knowledge or advice shared by other parents to further enhance their lives. Further, parent-group settings provide opportunities to build advocacy skills through timely discussions. Parents reported an increase in feelings of acceptance within the group itself but not within the wider community. This highlights the need for involving the wider community in interventions to promote integration for families with children with disabilities.</p></div>","PeriodicalId":51351,"journal":{"name":"Research in Developmental Disabilities","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0891422224000982/pdfft?md5=5382c7d51890e8ffebfaaf3fcf94f4b4&pid=1-s2.0-S0891422224000982-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141184864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From a concept to a theory: The six eras of quality of life research and application 从概念到理论:生活质量研究和应用的六个时代。
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-29 DOI: 10.1016/j.ridd.2024.104763
Miguel Ángel Verdugo , Robert L. Schalock

This article describes the evolution of the quality of life concept through the lens of six distinct eras. Each era reflects a shared process in which multiple stakeholders, including persons with intellectual and developmental disabilities and researchers, have played a significant role. Across these six eras, research on quality of life has evolved from operationalizing a concept to developing a theory. As described in the article, the first three eras resulted in formulating conceptualization, measurement, and application principles; developing quality of life conceptual and operational models; and constructing reliable and valid instruments to assess quality of life domains or domain-referenced indicators. The application era has focused on applying the concept of quality of life and its measurement, supports provision, conceptualization and theory, and systemic change. The final two eras have involved theory development and theory confirmation.

本文通过六个不同时代的视角,描述了生活质量概念的演变过程。每个时代都反映了一个共同的过程,在这个过程中,包括智力和发育障碍人士及研究人员在内的多个利益相关者都发挥了重要作用。在这六个时代中,有关生活质量的研究已经从概念的操作发展到理论的形成。如文章所述,前三个时代的成果是制定了概念化、测量和应用原则;开发了生活质量概念和操作模型;以及构建了可靠有效的工具来评估生活质量领域或领域参照指标。应用时代的重点是应用生活质量的概念及其测量方法、提供支持、概念化和理论以及系统变革。最后两个时代涉及理论发展和理论确认。
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引用次数: 0
Randomised controlled trial of an online cognitive training program in school-aged children with cerebral palsy 针对学龄脑瘫儿童的在线认知训练计划随机对照试验
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-25 DOI: 10.1016/j.ridd.2024.104752
J. Wotherspoon , K. Whittingham , J. Sheffield , R.N. Boyd

Background

Children with cerebral palsy (CP) experience deficits in nonverbal reasoning. The SMART online cognitive intervention has been associated with gains in IQ and nonverbal IQ in previous studies in typically developing school-aged children and children experiencing learning difficulties.

Aim

To assess the efficacy of an online cognitive intervention in school-aged children with CP.

Methods and Procedures

21 children with CP (male n = 17; 76.2%), mean age 9 y 8 m, SD 1 y 1 month (range 8 y 3 m to 12 y 6 m) were randomised into the intervention group (n = 9) or a waitlist control group. A mixed-methods approach with an explanatory sequential design was used, with a randomised controlled trial followed by qualitative interviews. Participants were assessed on measures of intelligence, academic ability, attention and executive functioning, and social-emotional functioning at baseline, then after completing the training, or the waitlist period. Analyses included ANCOVAs and paired samples t tests. Semi-structured interviews explored participants’ experiences with the training.

Results and Outcomes

Training completion was low with a mean of 16.9 modules completed out of 55 available. No significant effect of training was found for the primary outcome of intelligence, or for any secondary outcomes. Participants reported barriers and facilitators for accessing the program.

Implications

Cognitive training programs addressing relational framing ability may require significant modifications before they can be effectively tested with children with CP.

背景脑瘫儿童在非语言推理方面存在缺陷。在之前对发育正常的学龄儿童和有学习困难的儿童进行的研究中,SMART 在线认知干预与智商和非语言智商的提高有关。方法和程序21 名患有 CP 的儿童(男性 n = 17;76.2%),平均年龄为 9 岁 8 个月,SD 为 1 岁 1 个月(范围为 8 岁 3 个月至 12 岁 6 个月)被随机分配到干预组(n = 9)或候补对照组。该研究采用了解释性顺序设计的混合方法,先进行随机对照试验,然后再进行定性访谈。在基线期、完成培训后或等待期,对参与者的智力、学习能力、注意力和执行功能以及社会情感功能进行了评估。分析包括方差分析和配对样本 t 检验。结果和成果培训完成率较低,55 个可用模块中平均完成 16.9 个模块。培训对智力这一主要结果或任何次要结果都没有明显影响。影响针对关系构架能力的认知训练计划可能需要进行重大修改,才能在脊髓灰质炎儿童中进行有效测试。
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引用次数: 0
Enhanced EEG power density during painful stretching in individuals with cerebral palsy 脑瘫患者在疼痛拉伸时脑电图功率密度增强
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1016/j.ridd.2024.104760
Álvaro Sabater-Gárriz , Pedro Montoya , Inmaculada Riquelme

Background

Pain perception mechanisms in cerebral palsy remain largely unclear.

Aims

This study investigates brain activity in adults with cerebral palsy during painful and non-painful stretching to elucidate their pain processing characteristics.

Methods and procedures

Twenty adults with cerebral palsy and 20 controls underwent EEG in three conditions: rest, non-painful stretching, and painful stretching. Time-frequency power density of theta, alpha, and beta waves in somatosensory and frontal cortices was analyzed, alongside baseline pressure pain thresholds.

Outcomes and results

Cerebral palsy individuals exhibited higher theta, alpha, and beta power density in both cortices during painful stretching compared to rest, and lower during non-painful stretching. Controls showed higher power density during non-painful stretching but lower during painful stretching. Cerebral palsy individuals had higher pain sensitivity, with those more sensitive experiencing greater alpha power density.

Conclusions and implications

These findings confirm alterations in the cerebral processing of pain in individuals with cerebral palsy. This knowledge could enhance future approaches to the diagnosis and treatment of pain in this vulnerable population.

背景脑瘫患者的疼痛感知机制在很大程度上仍不清楚。目的本研究调查了成年脑瘫患者在疼痛和非疼痛拉伸过程中的大脑活动,以阐明他们的疼痛处理特征。方法和程序20名成年脑瘫患者和20名对照组患者在三种条件下接受了脑电图检查:静息、非疼痛拉伸和疼痛拉伸。结果脑瘫患者在疼痛性拉伸时,两个皮层的θ波、α波和β波的时频功率密度均高于静息状态,而在非疼痛性拉伸时则较低。对照组在非疼痛拉伸时显示出更高的功率密度,但在疼痛拉伸时则较低。脑瘫患者对疼痛的敏感度较高,敏感度较高者的阿尔法功率密度较大。这些研究结果证实了脑瘫患者大脑对疼痛的处理发生了改变,这些知识有助于今后对这一弱势群体的疼痛进行诊断和治疗。
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引用次数: 0
EEG connectivity patterns in response to gaming and learning-based cognitive stimulations in Rett syndrome 雷特综合征患者对游戏和学习型认知刺激的脑电连接模式
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1016/j.ridd.2024.104751
Ana Tost , Sergio Romero , Joan F. Alonso , Alejandro Bachiller , Leidy-Yanet Serna , Inés Medina-Rivera , Ángeles García-Cazorla , Miguel Ángel Mañanas

Background

Functional connectivity is scarcely studied in Rett syndrome (RTT). Explorations revealed associations between RTT's clinical, genetic profiles, and coherence measures, highlighting an unexplored frontier in understanding RTT's neural mechanisms and cognitive processes.

Aims

To evaluate the effects of diverse cognitive stimulations—learning-focused versus gaming-oriented—on electroencephalography brain connectivity in RTT. The comparison with resting states aimed to uncover potential biomarkers and insights into the neural processes associated with RTT.

Methods and procedures

The study included 15 girls diagnosed with RTT. Throughout sessions lasting about 25 min, participants alternated between active and passive tasks, using an eyetracker device while their brain activity was recorded with a 20-channel EEG. Results revealed significant alterations during cognitive tasks, notably in delta, alpha and beta bands. Both tasks induced spectral pattern changes and connectivity shifts, hinting at enhanced neural processing. Hemispheric asymmetry decreased during tasks, suggesting more balanced neural processing. Linear and nonlinear connectivity alterations were observed in active tasks compared to resting state, while passive tasks showed no significant changes.

Conclusions and implications

Results underscores the potential of cognitive stimulation for heightened cognitive abilities, promoting enhanced brain connectivity and information flow in Rett syndrome. These findings offer valuable markers for evaluating cognitive interventions and suggest gaming-related activities as effective tools for improving learning outcomes.

背景对雷特综合征(RTT)的功能连通性研究很少。研究揭示了 RTT 的临床、遗传特征和连通性测量之间的关联,凸显了在了解 RTT 的神经机制和认知过程方面一个尚未开发的前沿领域。 目的 评估各种认知刺激--以学习为中心和以游戏为中心--对 RTT 脑电图脑连通性的影响。与静息状态的比较旨在发现潜在的生物标志物,并深入了解与 RTT 相关的神经过程。方法和程序该研究包括 15 名被诊断为 RTT 的女孩。在持续约 25 分钟的整个过程中,参与者使用眼动仪交替执行主动和被动任务,同时用 20 通道脑电图记录她们的大脑活动。结果显示,在认知任务期间,大脑活动发生了明显的变化,尤其是在δ、α和β波段。这两项任务都引起了频谱模式的变化和连接性的转变,暗示着神经处理能力的增强。半球不对称现象在任务过程中有所减少,表明神经处理过程更加平衡。与静息状态相比,在主动任务中观察到线性和非线性连通性改变,而被动任务则无明显变化。这些研究结果为评估认知干预措施提供了有价值的指标,并建议将游戏相关活动作为改善学习效果的有效工具。
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引用次数: 0
Effects of aquatic exercise intervention on executive function and brain-derived neurotrophic factor of children with autism spectrum disorder 水上运动干预对自闭症谱系障碍儿童执行功能和脑源性神经营养因子的影响
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-24 DOI: 10.1016/j.ridd.2024.104759
Peiting Zhao, Kai Chen, Gaohui Zhu, Hansen Li, Sha Chen, Jinge Hu, Li Huang, Xin Liu, Liya Guo

Background

Limited knowledge exists regarding the effectiveness of aquatic exercise intervention for improving executive function (EF) in children with autism spectrum disorder (ASD). Additionally, the impact of aquatic exercise on brain-derived neurotrophic factor (BDNF) in children with ASD requires further investigation.

Aims

This study aimed to explore the effects of a 12-week aquatic exercise intervention on core EF and BDNF levels in children with ASD.

Methods and procedures

Thirty children with ASD were assigned to an experimental or control group. The experimental group underwent a 12-week aquatic exercise intervention, while the control group engaged in supervised free activities. Pre- and post-intervention assessments measured EF and BDNF levels.

Outcomes and results

The experimental group showed significant improvements (p < 0.05) in inhibition control, cognitive flexibility, and BDNF levels. However, working memory did not significantly improve. The control group exhibited no significant changes in EF or BDNF levels.

Conclusions and implications

Aquatic exercise appears to be a beneficial intervention for cognitive development in children with ASD, as it enhances inhibition control, cognitive flexibility, and BDNF levels in children with ASD. Furthermore, the observed improvements in EF following aquatic exercise intervention in children with ASD may be associated with increased BDNF levels.

背景有关水上运动干预对改善自闭症谱系障碍(ASD)儿童执行功能(EF)的有效性的知识有限。此外,水上运动对自闭症谱系障碍儿童脑源性神经营养因子(BDNF)的影响也需要进一步研究。本研究旨在探讨为期 12 周的水上运动干预对自闭症谱系障碍儿童核心 EF 和 BDNF 水平的影响。实验组接受为期 12 周的水中运动干预,而对照组则参加有监督的自由活动。干预前后的评估测量了EF和BDNF水平。结果实验组在抑制控制、认知灵活性和BDNF水平方面有显著改善(p < 0.05)。但是,工作记忆没有明显改善。结论和启示水上运动似乎是一种有益于 ASD 儿童认知发展的干预措施,因为它能增强 ASD 儿童的抑制控制能力、认知灵活性和 BDNF 水平。此外,在对自闭症儿童进行水中运动干预后观察到的EF改善可能与BDNF水平的提高有关。
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引用次数: 0
Physically active learning for children with learning disorders attending special-needs schools: A program evaluation 在特殊教育学校就读的学习障碍儿童的体育活动学习:项目评估
IF 3.1 2区 医学 Q2 Psychology Pub Date : 2024-05-14 DOI: 10.1016/j.ridd.2024.104749
Vivian Meijers , Anneke C. Timmermans , Chiara T.M. Verheij , Joanne Smith , Esther Hartman

Background

Physically active learning (PAL) is a potentially valuable method to stimulate academic performance and physical activity (PA) in children with learning disorders (LD) attending special-needs schools. It is yet unknown whether PAL can be successfully implemented in special-needs schools.

Aims

This study aimed to evaluate a PAL-program in special-needs schools by examining teacher’s dose delivered, children’s dose received, and associations of children’s characteristics with dose received.

Methods

Children (N = 37) from two special-needs schools participated in a six-week PAL-program. Dose delivered was evaluated based on PAL-lessons’ implementation rate and duration. Dose received was assessed through time-on-task observations (n = 23) and PA (n = 37). To assess the association between dose received and children’s characteristics (sex, behavioral disorders, motor skills, and physical fitness), Mann-Whitney U tests and Spearman’s rho correlations were used.

Results

For teacher’s dose delivered, the implementation rate exceeded 95%, and the PAL-lessons lasted the intended 12 minutes. For dose received, children’s on-task behavior was above 79%, and children spent 43% of the time in moderate-to-vigorous PA during PAL. Motor skills were positively related to on-task behavior related to the movements, and physical fitness was positively related to moderate-to-vigorous PA.

Conclusions

PAL was successfully implemented in terms of dose delivered and dose received for children with LD attending special-needs schools.

背景体能主动学习(PAL)是一种潜在的有价值的方法,可以激发特殊教育学校学习障碍儿童的学习成绩和体能活动(PA)。本研究旨在通过考察教师的授课剂量、儿童的接受剂量以及儿童特征与接受剂量之间的关联,对特殊学校中的 PAL 项目进行评估。方法来自两所特殊学校的儿童(N = 37)参加了为期六周的 PAL 项目。根据 PAL 课程的实施率和持续时间评估所提供的剂量。接受的剂量通过任务时间观察(23 人)和 PA(37 人)进行评估。为了评估接受的剂量与儿童特征(性别、行为障碍、运动技能和体能)之间的关系,采用了曼-惠特尼 U 检验和斯皮尔曼 rho 相关性检验。就接受的剂量而言,儿童在任务中的表现超过了 79%,儿童在 PAL 期间有 43% 的时间用于中度至剧烈的 PA。运动技能与与动作相关的任务行为呈正相关,体能与中度至剧烈运动呈正相关。
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引用次数: 0
期刊
Research in Developmental Disabilities
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