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  • Title: Executive functions of children with developmental dyspraxia: assessment combining neuropsychological and ecological tests.
    Author: Toussaint-Thorin M, Marchal F, Benkhaled O, Pradat-Diehl P, Boyer FC, Chevignard M.
    Journal: Ann Phys Rehabil Med; 2013 May; 56(4):268-87. PubMed ID: 23582179.
    Abstract:
    OBJECTIVE: To assess executive function in children with developmental dyspraxia. INCLUSION CRITERIA: children aged 8 years to 12 years 5 months at the time of the study, diagnosed with developmental dyspraxia between January, 2008 and August, 2009 by a multidisciplinary team in one single center. ASSESSMENT TOOLS: (1) Paper-and-pencil neuropsychological and ecological tests to assess flexibility, planning, inhibition and prospective memory; (2) two questionnaires answered by parents; (3) the 'Children's Cooking Task' (CCT), an ecological task performed in a real environment (Chevignard et al., 2009 [15]). In this last test, children were compared to matched controls. Non-parametric statistical tests were used. RESULTS: Thirteen patients participated in the study (11 boys-2 girls; mean age 10.3 years [SD=1.3]). Neuropsychological tests highlighted planning and inhibition disorders, but no impaired flexibility. For more than half of the children, the questionnaires indicated impaired executive functions in daily life tasks. Finally, patients showed a significantly increased rate of errors during the CCT, compared with the control group (P<0.001). CONCLUSION: Overall results suggest that some children diagnosed with developmental dyspraxia also exhibit executive function disorders. Ecological tests seem more sensitive for identifying executive function disorders than conventional tests.
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