Neuropsychological rehabilitation for executive functions in a patient with dyslexia

a single-case experimental design study

Authors

  • Ricardo Franco de Lima Universidade São Francisco (USF)
  • Rauni Jandé Roama Alves Universidade Federal do Mato Grosso (UFMT)
  • Fernanda Caroline Pinto da Silva Universidade Estadual de Campinas (UNICAMP)
  • Cíntia Alves Salgado Azoni Universidade Federal do Rio Grande do Norte (UFRN)
  • Sylvia Maria Ciasca Universidade Estadual de Campinas (UNICAMP)

DOI:

https://doi.org/10.51207/2179-4057.20240040

Keywords:

Neuropsychology, Rehabilitation, Executive Function, Dyslexia, Adolescent

Abstract

Dyslexia is a developmental disorder that impairs different cognitive functions and requires interdisciplinary treatment. Until now, the literature describing neuropsychological rehabilitation programs for young people with dyslexia is scarce. This single-case experimental study aimed to investigate the effects of a neuropsychological rehabilitation program for executive functions in a patient with developmental dyslexia. The patient was a 13-year-old boy attending the 7th grade of elementary school who was assessed by executive functions and reading comprehension instruments. The intervention consisted of 28 sessions of 60 minutes per week and the patient was reassessed post-intervention by the same instruments. Patient’s scores were compared to a control sample of six students without learning disabilities. All statistical analyses were performed using a program specifically developed for single-case experimental design studies in neuropsychology. The intervention positively affected inhibitory control, working memory, planning, use of learning and comprehension strategies, and reading comprehension. This study shows the efficacy of a neuropsychological rehabilitation program and indicates that this type of intervention can help reduce executive functions deficits in patient with developmental dyslexia.

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References

Lima, R. F., Salgado Azoni, C. A., & Ciasca, S. M. (2013). Attentional and executive deficits in Brazilian children with developmental dyslexia. Psychology, 4(10), 1-6. https://doi.org/10.4236/psych.2013.410A001

Lima, R. F., Salgado Azoni, C. A., & Ciasca, S. M. (2017). Development of a neuropsychological rehabilitation program for executive functions in students with developmental dyslexia. Psychology, 8(8), 1110-1128. https://doi.org/10.4236/psych.2017.88072

Lorusso, M. L., Facoetti, A., & Bakker, D. J. (2011). Neuropsychological treatment of dyslexia: does type of treatment matter? Journal of Learning Disabilities, 44(2), 136-149. https://doi.org/10.1177/0022219410391186

Loschiavo-Alvares, F., Sediyama, C., Neves, F., Corrêa, H., Malloy-Diniz, L. F., & Bateman, A. (2013). Neuropsychological rehabilitation for bipolar disorder - A single case design. Translational Neuroscience, 4(1), 96-103. https://doi.org/10.2478/s13380-013-0105-6

Malloy-Diniz, L. F., Leite, W. B., Moraes, P. H. P. D., Correa, H., Bechara, A., & Fuentes, D. (2008). Brazilian Portuguese version of the Iowa Gambling Task: transcultural adaptation and discriminant validity. Brazilian Journal of Psychiatry, 30(2), 144-148. https://doi.org/10.1590/S1516-44462008005000009

Manolov, R., Gast, D. L., Perdices, M. & Evans, J. J. (2014). Single-case experimental designs: Reflections on conduct and analysis. Neuropsychological Rehabilitation, 24(3-4), 634-660. https://doi.org/10.1080/09602011.2014.903199

Martins, R. A., Ribeiro, M. G., Pastura, G. M. C., & Monteiro, M. C. (2020). Phonological remediation in schoolchildren with ADHD and dyslexia. CoDAS, 32(5), e20190086. https://doi.org/10.1590/2317-1782/20192019086

Nouwens, S., Groen, M. A., Kleemans, T., & Verhoeven, L. (2021). How executive functions contribute to reading comprehension. British Journal of Educational Psychology, 91(1), 169-192. https://doi.org/10.1111/bjep.12355

Nukari, J. M., Poutiainen, E. T., Arkkila, E. P., Haapanen, M. L., Lipsanen, J. O., & Laasonen, M. R. (2020). Both individual and group-based neuropsychological interventions of dyslexia improve processing speed in young adults: A randomized controlled study. Journal of Learning Disabilities, 53(3), 213-227. https://doi.org/10.1177/0022219419895261

Oliveira, K. L., Santos, A. A., Boruchovitch, E., & Rueda, F. J. M. (2012). Compreensão da leitura: análise do funcionamento diferencial dos itens de um Teste de Cloze. Psicologia: Reflexão e Crítica, 25(2), 221-229. https://doi.org/10.1590/S0102-79722012000200003

Pasqualotto, A., & Venuti, P. (2020). A multifactorial model of dyslexia: Evidence from executive functions and phonological-based treatments. Learning Disabilities Research & Practice, 35(3), 150-164. https://doi.org/10.1111/ldrp.12228

Robertson, J. (2000). Neuropsychological intervention in dyslexia: Two studies on British pupils. Journal of Learning Disabilities, 33(2), 137-148. https://doi.org/10.1177/002221940003300202

Rueda, F. J. M., Noronha, A. P. P., Sisto, F. F., Santos, A. A. A., & Castro, N. R. (2013). Escala de Inteligência Wechsler para Crianças - 4ª Edição (WISC-IV). Casa do Psicólogo.

Ruffini, C., Osmani, F., Martini, C., Giera, W. K., & Pecini, C. (2024). The relationship between executive functions and writing in children: a systematic review. Child Neuropsychology, 30(1), 105-163. https://doi.org/10.1080/09297049.2023.2170998

Starrfelt, R., Olafsdóttir, R. R., & Arendt, I. M. (2013). Rehabilitation of pure alexia: a review. Neuropsychological Rehabilitation, 23(5), 755-779. https://doi.org/10.1080/09602011.2013.809661

Spiegel, J. A., Goodrich, J. M., Morris, B. M., Osborne, C. M., & Lonigan, C. J. (2021). Relations between executive functions and academic outcomes in elementary school children: A meta-analysis. Psychological Bulletin, 147(4), 329-351. https://doi.org/10.1037/bul0000322

Swanson, H. L., & Sachse-Lee, C. (2000). A meta-analysis of single-subject-design intervention research for students with LD. Journal of Learning Disabilities, 33(2), 114-136. https://doi.org/10.1177/002221940003300201

Taran, N., Farah, R., Gashri, C., Gitman, E., Rosch, K., Schlaggar, B. L., & Horowitz-Kraus, T. (2023). Executive functions-based reading training engages the cingulo-opercular and dorsal attention networks. Network Neuroscience, 7(4), 1452-1482. https://doi.org/10.1162/netn_a_00335

Tressoldi, P. E., Lorusso, M. L., Brenbati, F., & Donini, R. (2008). Fluency remediation in dyslexic children: does age make a difference? Dyslexia, 14(2), 142-152. https://doi.org/10.1002/dys.359

Wilson, B. A. (2009). Neuropsychological rehabilitation: Theory, models, therapy and outcome. Cambridge University Press. https://doi.org/10.1017/CBO9780511581083

Zoubrinetzky, R., Bielle, F., & Valdois, S. (2014). New insights on developmental dyslexia subtypes: Heterogeneity of mixed reading profiles. PloS One, 9(6), e99337. https://doi.org/10.1371/journal.pone.0099337

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Published

2024-12-01

How to Cite

Lima, R. F. de, Alves, R. J. R., Silva, F. C. P. da, Azoni, C. A. S., & Ciasca, S. M. (2024). Neuropsychological rehabilitation for executive functions in a patient with dyslexia: a single-case experimental design study. Psychopedagogy Journal, 41(126), 624–634. https://doi.org/10.51207/2179-4057.20240040

Issue

Vol. 41 No. 126 (2024)

Section

Experience Report

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Copyright (c) 2024 Ricardo Franco de Lima, Rauni Jandé Roama Alves, Fernanda Caroline Pinto da Silva, Cíntia Alves Salgado Azoni, Sylvia Maria Ciasca

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.