Comparison of the Effectiveness of Computer-Assisted Cognitive Rehabilitation, Sensory Integration, and the Combination of These Two Methods on Improving the Cognitive Flexibility of Students with a Specific Learning Disorder

Document Type : Original Article

Authors

1 PhD Student in Educational Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

2 Associate Professor of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran.

3 Associate Professor, Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran.

4 Assistant Professor of clinical Psychology, Arak University, Arak, Iran.

Abstract

The purpose of this study is to compare the effectiveness of computer-assisted cognitive rehabilitation, sensory integration, and the combination of these two methods on improving the cognitive flexibility of students with specific learning disorder. The research method was quasi-experimental with a pretest/posttest design with unequal groups and one month follow-up. The statistical population consists of students with specific learning disorders referred to Pendar and Atieh clinics in Tehran during the academic year 2019-2020. Of them, 58 students (32 boys and 26 girls) with specific learning disorders were selected through available sampling, and 14 subjects were randomly replaced in the first experimental group, 15 subjects in the second experimental group, 16 subjects in the third experimental group, and 13 subjects in the control group. The Wisconsin Card Storing Test (WCST) was used to measure cognitive flexibility. Data were analyzed by analysis of variance with repeated measures using SPSS-24 software. The results showed that computerized cognitive rehabilitation and combination with sensory integration significantly improved cognitive flexibility in students with specific learning disorders (P<0.01). In addition, sensory integration also significantly improves cognitive flexibility in students with specific learning disorders (P<0.05). However, there is no difference between these three methods in improving cognitive flexibility. Therefore, computer-assisted cognitive rehabilitation, sensory integration, and the combination of these two methods can be used to improve cognitive flexibility in students with specific learning disorder.

Keywords


 
Azizi, A., Mir Drikvand, F., & Sepahvani, M. A. (2020). Comparison of the Effect of Cognitive Rehabilitation and Neurofeedback on Sustained Attention Among Elementary School Students With Specific Learning Disorder: A Preliminary Randomized Controlled Clinical Trial. Basic and Clinical Neuroscience, 11(4), 465-472.
Badre, D., & Wagner, A. D. (2006). Computational and neurobiological mechanisms underlying cognitive flexibility. Proceedings of the National Academy of Sciences, 103(18), 7186-7191.
Barlett, C. P., Vowels, C. L., Shanteau, J., Crow, J., & Miller, T. (2009). The effect of violent and non-violent computer games on cognitive performance. Computers in Human Behavior, 25(1), 96-102.
Bernardo, A. B., & Presbitero, A. (2018). Cognitive flexibility and cultural intelligence: Exploring the cognitive aspects of effective functioning in culturally diverse contexts. International Journal of Intercultural Relations, 66, 12-21.
Bundy, A. (2002). Sensory integration: A. Jean Ayres' theory revisited. Sensory integration: Theory and practice.
Cortiella, C., & Horowitz, S. H. (2014). The state of learning disabilities: Facts, trends and emerging issues. New York: National center for learning disabilities.
Darby, K. P., Castro, L., Wasserman, E. A., & Sloutsky, V. M. (2018). Cognitive flexibility and memory in pigeons, human children, and adults. Cognition, 177, 30-40.
Diagnostic, A. P. A. (2013). Statistical Manual of mental disorders–Fifth edition (DSM-5). Edisi ke-5. Washington DC: American Psychiatric Association.
Diamond, A. (2013). Executive functions. Annual Review of Psychology, 64, 135-168.
Fadaei, E., Tavakoli, M., Tahmasebi, A., Narimani, M., Shiri, V., & Shiri, E. (2017). The relationship between executive functions with reading difficulties in children with specific learning disorder. Archives of Neuroscience, 4(4), e13989.
Ferguson, G. D., Jelsma, D., Jelsma, J., & Smits-Engelsman, B. C. M. (2013). The efficacy of two task-orientated interventions for children with developmental coordination disorder: Neuromotor task training and nintendo wii fit training. Research in developmental disabilities, 34(9), 2449-2461.
Hill, E. L. (2004). Evaluating the theory of executive dysfunction in autism. Developmental Review, 24(2), 189-233.
Hotting, K., & Roder, B. (2013). Beneficial effects of physical exercise on neuroplasticity and cognition. Neuroscience & Biobehavioral Reviews, 37(9), 2243-2257.
Kieffer, M. J., Vukovic, R. K., & Berry, D. (2013). Roles of attention shifting and inhibitory control in fourth‐grade reading comprehension. Reading Research Quarterly, 48(4), 333-348.
Kolb, B., & Gibb, R. (2014). Searching for the principles of brain plasticity and behavior. Cortex, 58, 251-260.
Mihandoost, Z. (2011). The survey of correlate causes of learning disabilities prevalence among elementary students. Asian Social Science, 7(7), 194-198.
O’connell, R. G., Bellgrove, M. A., & Robertson, I. (2007). 20 Avenues for the Neuro-Remediation of ADHD: Lessons from Clinical Neurosciences. Handbook of Attention Deficit Hyperactivity Disorder, 441.
Rahmani, M., Boogar, I. R., Talepasand, S., & Nokani, M. (2020). Comparing the effectiveness of computer-based, manual-based, and combined cognitive rehabilitation on cognitive functions in relapsing-remitting multiple sclerosis patients. Basic and Clinical Neuroscience, 11(1), 99.
Sadock, B. J., & Sadock, V. A. (Eds.). (2010). Kaplan and Sadock's pocket handbook of clinical psychiatry. Lippincott Williams & Wilkins.
Sale, P., & Gentile, G. (2018). Cognitive Rehabilitation Therapy for Neurologic Diseases. In Rehabilitation Medicine for Elderly Patients (pp. 341-347). Springer, Cham.
Strauss, E., Sherman, E. M., & Spreen, O. (2006). A Compendium of Neuropsychological Tests: Administration, Norms, and Commentary. American Chemical Society.
Thorell, L. B., Lindqvist, S., Bergman Nutley, S., Bohlin, G., & Klingberg, T. (2009). Training and transfer effects of executive functions in preschool children. Developmental Science, 12(1), 106-113.
Westendorp, M., Hartman, E., Houwen, S., Huijgen, B. C., Smith, J., & Visscher, C. (2014). A longitudinal study on gross motor development in children with learning disorders. Research in Developmental Disabilities, 35(2), 357-363.