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. 2020 Jan 7;20(1):9.
doi: 10.1186/s12887-019-1904-x.

Study protocol of a randomized controlled trial of home-based computerized executive function training for children with cerebral palsy

María García-Galant  1   2   3 , Montse Blasco  1   2   3 , Lee Reid  4 , Kerstin Pannek  4   5 , David Leiva  6 , Olga Laporta-Hoyos  1   2   3 , Júlia Ballester-Plané  1   2   3 , Júlia Miralbell  1   2   3 , Xavi Caldú  1   2   3 , Xènia Alonso  7 , Esther Toro-Tamargo  8 , Mar Meléndez-Plumed  8 , Francisca Gimeno  9 , Marc Coronas  10   11 , Emili Soro-Camats  10   11 , Roslyn Boyd  5 , Roser Pueyo  12   13   14
Affiliations

Study protocol of a randomized controlled trial of home-based computerized executive function training for children with cerebral palsy

María García-Galant et al. BMC Pediatr. .

Abstract

Background: Cerebral palsy (CP) is frequently associated with specific cognitive impairments, such as executive dysfunction which are related to participation and quality of life (QOL). The proposed study will examine whether a computerized executive function (EF) training programme could provide superior benefits for executive functioning, participation, QOL and brain plasticity, as compared to usual care.

Methods: A single-blind randomized controlled trial (RCT) design will be performed. Thirty children with CP aged 8 to 12 years will participate in a home-based computerized multi-modal executive training programme (12 weeks, 5 days a week, 30 min a day training, total dose = 30 h). Thirty children with CP matched by age, sex, motor and intelligence quotient (IQ) will compose the waitlist group. Cognitive, behavioural, emotional, participation and QOL measures will be obtained at three time points: before, immediately after and 9 months after completing the training. Additionally, structural and functional (resting state) magnetic resonance images (MRI) will be obtained in a subsample of 15 children from each group. Outcomes between groups will be compared following standard principles for RCTs.

Discussion: The study will test whether the cognitive training programme exerts a positive effect not only on neuropsychological and daily functioning of children with CP but also on other measures such as participation and QOL. We will also use brain MRI to test brain functional and structural changes after the intervention. If this on-line and home-based training programme proves effective, it could be a cost-effective intervention with short- and long-term effects on EF, participation or QOL in CP.

Trial registration: ClinicalTrials.gov: NCT04025749. Registered 19 July 2019. Retrospectively registered.

Keywords: Cerebral palsy; Cognitive training; Computerized therapy; Executive functions; Neuroimaging; Participation; Quality of life.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
D-KEFS: Delis-Kaplan Executive Function System; MRI: Magnetic Resonance Imaging; NEPSY-II: A Developmental NEuroPSYchological Assessment-II; TOMAL: Test of Memory and Learning; WISC-V: Wechsler Intelligence Scale for Children, Fifth Edition; WNV: Wechsler Nonverbal Scale of Ability
See this image and copyright information in PMC

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