The Effectiveness of HAMRAH Cognitive Rehabilitation Package on Improving Visual Perception in Students with Dysgraphia

Authors
Razi University
Abstract
children with dysgraphia have several visual perception. This research was conducted with the aim of investigating the effectiveness of HAMRAH cognitive rehabilitation package on improving visual perception in children with dysgraphia. A semi-experimental in the form of pretest-posttest control group design was used. 40 primary school students with dysgraphia who referred to counseling centers in Kermanshah city in the academic year 2022/2023 were selected. Among them, 40 who were willing to cooperate and were also available according to the entry criteria (having at least three components among the diagnostic criteria of dysgraphia, student and parent satisfaction) and withdrawal (being under other interventions) and after obtaining informed consent, they were randomly selected and and randomly divided into experimental and control groups. After performing the pre-test on both groups, a 12-session HAMRAH cognitive rehabilitation package was performed on the experimental group. Then both groups received the post-test. The data were analyzed using covariance. The results showed that the Hamrah cognitive rehabilitation package has an effect on improving visual perception and its components (spatial communication, spatial perception and shape stability) in children with dysgraphia (P<0.01). However, there was no significant effect on the components of shape-background recognition and motor-visual coordination. It can be concluded that the Hamrah cognitive rehabilitation package can be used as a single treatment or along in combination psychological therapies for students with dysgraphia.
Keywords

Aivazy (Eivazi), S., Yazdanbakhsh, K., & Moradi, A. (2019). The Effectiveness of cognitive rehabilitation on improvement of working memory in children with attention deficit/hyperactivity disorder. Neuropsychology, 5(16), 117-130.‌ https://clpsy.journals.pnu.ac.ir/article_5827_en.html
American psychological association (2022). APA Dictionary of psychology (online). https://dictionary.apa.org/selective-attention.
Anon. (2019). Enhance VR: A multisensory approach to cognitive assessment and training. Virtuleap, pp. 1-10. https://www.researchgate.net/profile/
Burgess, P. W., & Alderman, N. (2004). Executive dysfunction. Clinical neuropsychology: A practical guide to assessment and management for clinicians, 185-209.‌ https://onlinelibrary.wiley.com/doi/pdf/10.1002/0470013338#page=188
Cisneros, E., Beauséjour, V., De Guise, E., Belleville, S., & McKerral, M. (2021). The impact of multimodal cognitive rehabilitation on executive functions in older adults with traumatic brain injury. Annals of physical and rehabilitation medicine, 64(5), 101559.‌ https://www.sciencedirect.com/science/article/pii/S1877065721000774
Dockrell, J., & McShane, J. (1993). Children's learning difficulties: A cognitive approach. https://philpapers.org/rec/DOCCLD
Farnsworth, B. (2018). The future of therapy – VR and biometrics. Retrieved from IMOTIONS: https://imotions.com/blog/vr-therapy-future-biometrics/
Frostig, M., Lefever, Whittlesey, Jn. (2021). Frostig's advanced visual-perceptual test, diagnosis and treatment. Translated by Mustafa Tabrizi and Masoume Mousavi. Tehran: Faravan. http://www.fararavan.com/product/detail/id/278/
Ganji, M. (2017). Diagnostic and statistical manual of mental disorders : DSM-5/American Psychiatric Association. Tehran: Savalan. https://www.gisoom.com/book/11474504/D
Ghaffarian Shayestegi, M., & Alizad, H. (2013). Effectiveness of Visual -Perceptual Exercises in Improving Attention in Children with Attention Deficit Hyperactivity Disorder. Middle Eastern Journal of Disability Studies, 4 (9), 53-59. http://dorl.net/dor/20.1001.1.23222840.1393.4.3.9.2
Goodwin, H. L. (2008). Examining the effects of non-intensive therapy on word retrieval, speech intelligibility and quality of life following intensive therapy. Louisiana State University and Agricultural & Mechanical College.‌ https://search.proquest.com/openview/8492ae665c4b8d4ddef6e9b49816106d/1?pq-origsite=gscholar&cbl=18750&diss=
Hallahan, D. P., Lloyd, J. W., Kauffman, J. M., Weiss, M. P., & Martinez, E. A. (2005). Learning disabilities: Foundations, characteristics, and effective teaching. Boston, Person Education, 686, 195-221. https://www.amazon.com/Learning-Disabilities-Foundations-Characteristics-Effective/dp/0205388671
Heydari, A., Hafizi, F., & Dezfuli, M. (2010). Investigating the effect and comparison of Fernald's multisensory therapy and Kopart's perceptual-motor therapy in reducing students' dictation disorder. Journal of New Findings in Psychology, 8 (4), 7-65. https://www.sid.ir/fa/journal/ViewPaper.aspx?ID=124258
Karimi, H ., Sabori, Gh., ghasemi, A ., & nemati, Z. Effect of advanced visual- perception frastig test on reading skills in students with specific dyslexia learning disability: A single subject study. Journal of Exeotional Children, 19 (3), 115-128. http://dorl.net/dor/20.1001.1.16826612.1398.19.3.1.9
Kazemzadeh, N., Sepehrian Azar, F., & Soleiman, E. (2021). The effectiveness of cerebellar rehabilitation on motor development and written expression in students with dysgraphia. Journal of Learning Disabilities, 10 (4) 125-143. https://jld.uma.ac.ir/article_1222_b2065f34cecedc4d613d62091e71263c.pdf
Lametti, D. R., Nasir, S. M., & Ostry, D. J. (2012). Sensory preference in speech production revealed by simultaneous alteration of auditory and somatosensory feedback. Journal of Neuroscience, 32(27), 9351-9358.‌ https://www.jneurosci.org/content/32/27/9351.short
Maggio, M. G., Cuzzola, M. F., Calatozzo, P., Marchese, D., Andaloro, A., & Calabro, R. S. (2021). Improving cognitive functions in adolescents with learning difficulties: A feasibility study on the potential use of telerehabilitation during Covid-19 pandemic in Italy. Journal of Adolescence, 89, 194-202.‌ https://www.sciencedirect.com/science/article/pii/S014019712100066X
Nejati, V. (2021). Program for attention rehabilitation and strengthening (PARS) improves executive functions in children with attention deficit-hyperactivity disorder (ADHD). Research in developmental disabilities, 113, 103937.‌ https://www.sciencedirect.com/science/article/pii/S089142222100086X
O’Connel, R. G Bellgrove,, M. A., & Robertson, I. (2007). 20 Avenues for the Neuro-Remediation of ADHD: Lessons from Clinical Neurosciences. Handbook of Attention Deficit Hyperactivity Disorder, 441.‌ https://books.google.com/books
Peters, J. (2011). Transition skills of first-year college students with learning disabilities. Walden University.‌ https://search.proquest.com/openview/d5c6f247c456afbf5d1db1cf3a90919f/1?pq-origsite=gscholar&cbl=18750
Rosenkranz, K., & Rothwell, J. C. (2012). Modulation of proprioceptive integration in the motor cortex shapes human motor learning. Journal of Neuroscience, 32(26), 9000-9006.‌ https://www.jneurosci.org/content/32/26/9000.short
Sadock, B.J., Sadock, V.A.,and Ruiz, P. Sadock, B. J. Kaplan & Sadock's synopsis of psychiatry: behavioral sciences/clinical psychiatry (Vol. 2015, pp. 648-655). Philadelphia, PA: Wolters Kluwer.‌ https://www.amazon.com/Kaplan-Sadocks-Synopsis-Psychiatry-Behavioral/dp/1609139712
Seif Naraghi, M., & Naderi, E. (2005). Learning disorders. Tehran: Amir Kabir. https://amirkabirpub.ir/product/15462
Tabrizi, M., Tabrizi, A., & Tabrizi, N. (2013). Treatment of dysgraphia. 2nd edition, Tehran: Faravan publications. https://www.adinehbook.com/gp/product/9642842131
Yang, Y. T. C. (2012). Building virtual cities, inspiring intelligent citizens: Digital games for developing students’ problem solving and learning motivation. Computers & Education, 59(2), 365-377.‌