This is a pilot study examining the feasibility and efficacy of using Apple iPad applications ("apps") during therapy interventions that target visual motor, visual attention, and visual-spatial reasoning skills in school age children who were previously treated surgically for hydrocephalus. Each subject will participate in an initial assessment and baseline MRI, followed by 6-weeks of iPad app-based interventions, and finally a follow-up assessment and a follow-up MRI.
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General intellectual functioning, including visual-spatial reasoning
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Basic visual perception, visual-motor integration, and graphomotor skills
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Visual-spatial processing
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Visual-spatial processing and mental rotation
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Selective visual attention
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Visual-spatial decision making and visual-motor speed
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Fine motor dexterity
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Visual-motor control
Timeframe: Initial assessment and Follow-up assessment (6-8 weeks after Initial assessment)
Neuroanatomical alterations in brain tissue structure
Timeframe: Baseline MRI and Follow-up MRI (6-8 weeks after Baseline MRI)