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2022, CANCERS, Pages 3879- (volume: 14)

Computer-Based Cognitive Training in Children with Primary Brain Tumours: A Systematic Review (01a Articolo in rivista)

Sciancalepore Francesco, Tariciotti Leonardo, Remoli Giulia, Menegatti Danilo, Carai Andrea, Petruzzellis Giuseppe, Miller Kiersten, DELLI PRISCOLI Francesco, Giuseppi Alessandro, Premuselli Roberto, Eugenio Tozzi Alberto, Mastronuzzi Angela, Vanacore Nicola, Lacorte Eleonora, Study Group Allena-Mente

Late neurocognitive sequelae are common among long-term brain tumour survivors, resulting in significantly worse quality of life. Cognitive rehabilitation through specific APP/software for PC/tablets represents an innovative intervention spreading in recent years. In this study, we aim to review the current evidence and trends regarding these innovative approaches. Methods: A systematic literature review was performed. Inclusion criteria were: (i) Studies recruiting patients diagnosed with any brain tumour before 21 years of age; (ii) studies assessing the role of digital interventions on cognitive outcomes. Case reports, case series, reviews, letters, conference proceedings, abstracts, and editorials were excluded. Results: Overall, nine studies were included; 152 patients (67.8% males) with brain tumours underwent a digital intervention. The mean age at diagnosis and the intervention enrolment ranged from 4.9 to 9.4 years and 11.1 to 13.3 years, respectively. The computer-based software interventions employed were: Cogmed, Captain’s Log, Fast ForWord, and Nintendo Wii. Most of these studies assessed the effects of cognitive training on working memory, attention, and performance in daily living activities. Conclusions: The studies suggest that this type of intervention improves cognitive functions, such as working memory, attention, and processing speed. However, some studies revealed only transient positive effects with a significant number of dropouts during follow-up. Trials with greater sample sizes are warranted. Motivating families and children to complete cognitive interventions could significantly improve cognitive outcomes and quality of life
Gruppo di ricerca: Networked Systems
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