Reading, writing, and mathematics disorders in cerebral palsy have specific clinical characteristics.
Their underlying mechanisms differ from those described in specific learning disorders.
Working memory impairment can be considered a hallmark of learning disorders in children with cerebral palsy.
Reading, writing and arithmetic disorders are very common in children with cerebral palsy, with GMFSC levels I-III, MACS levels I and II and with normal VIQ. The clinical characteristics of learning disorders in children with cerebral palsy appears to be different from that of children with specific learning disorders. Low performance IQ scores, difficulties with working memory, and normal phonological awareness characterize children with cerebral palsy and learning disorders. Assessing working memory performance helps to disentangle the presence of learning disorders in children with cerebral palsy.
The CO-OP approach may be effective for children and young people with executive function deficits following severe acquired brain injury. The results show significant improvements in achievement of personal goals and perceived occupational performance and satisfaction and these results were maintained at follow-up, up to 6 months post-intervention. The involvement of caregivers seems to be an important element for success. Further studies are required to confirm these findings and recommendations due to the complexity of executive function deficits and their expression.
This original article is commented on by Froude on pages 412–413 of this issue.
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