Efficacy of Cognitive Retraining Techniques in Children with Learning Disability.
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Date
2009-04
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Abstract
Background :Cognitive Retraining(CR) is known to help in reattainment of cognitive abilities
following brain injury.Due to high cerebral plasticity in children,CR can perhaps also be used
to ameliorate known cognitive deficits in children with learning disability. Objectives: To study
the efficacy of cognitive retraining techniques for enhancing cognitive skills and scholastic
performance in children with learning disability. Sample & Methods: Pre and Post experimental
design study was carried out with thirty children(between eight to ten years of age), with
diagnosis of mixed disorder of scholastic skills(ICD-10). Each subject was given 36 hours of
manualized CR package over 18weeks, consisting of activities for sustained attention,visuospatial
skills,visual memory;and verbal learning and memory.Pre and post intervention assessment;
was done using NIMHANS Index for Specific Learning Disability,Grade Level Assessment
Device(GLAD) and Rey’s Auditory Verbal Learning Test(AVLT).SPSS version12.0 was used for
descriptive and analytical statistical analysis. Results:Highly significant improvement was noted
in total verbal learning, delayed verbal recall,visuo-spatial skills and mathematics(p>0.01).Also,
there was significant improvement in sustained attention(time taken and errors),visual memory
and immediate verbal recall(p>0.05). Conclusion:Manualized cognitive retraining over thirty
six hours can help to partially remediate cognitive deficits in children with learning disability
and improve their scholastic performance. The findings have implications for future educational
curricula aiming at improved academic performance stemming from an enhanced skill base
rather than from just educational based interventions.
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Keywords
Cognitive retraining, Learning disability
Citation
Malhotra Shahzadi, Rajender G, Sharma Vibha, Singh T B. Efficacy of Cognitive Retraining Techniques in Children with Learning Disability. Delhi Psychiatry journal. 2009 Apr; 12 (1): 100-106.