nctId: NCT06288971 id: IRCCS FSM briefTitle: Personalized Innovative Intervention Pathways to Promote EF in Children With CP overallStatus: NOT_YET_RECRUITING date: 2024-03-01 date: 2027-01-31 date: 2027-03-01 date: 2024-03-01 date: 2024-03-01 name: IRCCS Fondazione Stella Maris class: OTHER name: University of Pisa name: University of Florence name: Anastasis Società Cooperativa Sociale briefSummary: Cerebral palsy (CP) is an umbrella term, covering a group of disorders of movement and posture. It is now accepted that CP represents much more than a disorder of movements considering the frequent association with a broad range of impairments, including cognitive impairments. In general, multiple clinical characteristics that define and determine different functional profiles. Several studies on children with unilateral and bilateral CP have been shown that, despite the overall preserved intellectual functioning, there are specific neuropsychological impairments distinguishing the two forms, including deficits in different Executive Functions (EF) components. Executive Functions (EFs) represent a complex cognitive domain consisting of a set of top-down functions essential for adaptive goal-directed behaviour, allowing to formulate, plan, and organise ideas, cope with challenges and novelties, resist temptations and stay focused. EF represents general domain abilities transversal to several cognitive processes and underling different daily life activities and school learning skills. Empowering EF becomes therefore crucial in children with CP both to strengthen specific functional EF weaknesses and to achieve far transfer effects on other compromised domains, such as motor planning, academic skills,and/or visuospatial processing. To pursue this, the EF training needs to be integrated into the complex and multidisciplinary care context promoting innovative intervention methodologies based on scientific evidence. Recent researches and clinical practice, carried out in our Institute, supports the effectiveness of innovative interventions on EF using new technologies in typical and atypical development, such as Self-adapting web based softwares, Game-based tools or Educational Robotics. Literature suggests these technologies allow to promote timely intervention within a user-friendly context, while respecting the key criteria of evidence-based neuropsychological rehabilitation, both reducing hospitalisation times and supporting interest and motivation for participation. The primary aim of this study is to evaluate the applicability of technological intervention integrated with psychomotor activities to promote EF and then secondary to measure the effect on the functional profile of children with CP, including motor planning, visuo-spatial processing and learning skills, evaluating both short-term (T2) and long-term changes (T3). conditions: Executive Functions in Cerebral Palsy studyType: INTERVENTIONAL phases: NA allocation: NON_RANDOMIZED interventionModel: PARALLEL primaryPurpose: TREATMENT masking: SINGLE whoMasked: OUTCOMES_ASSESSOR count: 40 type: ESTIMATED name: Self-adaption web-based software for the rehabilitation of EF and visuo-spatial abilities name: Tele-rehabilitation of EF and specific cognitive processes underlying academic skills name: Game-based tools for the rehabilitation of EF and motor planning measure: changes in score of inhibition subtest at the NEPSY-II measure: changes in score of the sustained attention subtest at the Leiter-3 measure: changes in score of Developmental Test of Visual-Motor Integration (VMI) measure: changes in score of MOXO-continuous performance test measure: changes in score of Corsi block-tapping subtest at the BVS-corsi measure: changes in score of Behaviour Rating Inventory of Executive Function (BRIEF-P/2) for parents measure: changes in score of RAN (rapid automatized naming) subtest at the rapid automatized naming and visual search of colours, figures and numbers test. measure: changes in score of reading and text comprehension task at the ALCE measure: changes in score of reading and writing task at the DDE-2 measure: changes in score of digit span forwards and backwards subtest at the BVN 5-11 and BVN 12-18 measure: changes in score of Go/No-Go and N-back 1 subtest at the teleFE measure: changes in score of verbal fluency subtest at the NEPSY-II measure: changes in score of Test of Visual Perception and Visuo-motor Integration (TPV) measure: changes in score of Praxic and Motor Coordination Skills-2nd Edition (APCM-2) measure: changes in score of Movement Assessment Battery for Children - Second Edition (Movement ABC-2) measure: changes in score of Synthetic scale for the evaluation of writing in developmental age (BHK test) sex: ALL minimumAge: 5 Years maximumAge: 13 Years stdAges: CHILD facility: IRCCS Fondazione Stella Maris city: Pisa zip: 56128 country: Italy lat: 43.70853 lon: 10.4036 hasResults: False