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July 27, 2026Neuropsychology ReviewOpen Access

Meta-Analysis of Executive Function in Children With Cerebral Palsy: an Investigation of Challenges to Measurement Validity

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Authors

YZYueting ZhanIHIngrid HonanPKPetra Karlsson

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Overview

Randomized trial examines executive function assessment challenges in children with cerebral palsy, suggesting improved evaluation methods are needed.

Key Points

  • This meta-analysis aims to estimate the magnitude of executive function impairment in children with cerebral palsy and evaluate the validity of assessment tools.
  • Conducted a meta-analysis of 43 studies comparing children with cerebral palsy and neurotypical controls.
  • Utilized Cattell-Horn-Carroll cognitive ability taxonomy to categorize executive function assessments.
  • Analyzed 448 effect sizes based on cognitive performance of 1240 children with cerebral palsy and 1554 neurotypical children.
  • Found a large effect size for reduced executive function performance in children with cerebral palsy (Hedges’ g = -.85).
  • Identified greater effect sizes in processing speed, long-term memory, and visual-spatial skills.
  • Noted that timed measures resulted in larger effect sizes and that measures accommodating motor difficulties yielded smaller effects.

Cite This Study

Zhan et al. (2026) studied this question.

synapsesocial.com/papers/6a6700c740bca442e0d4ad0dhttps://doi.org/10.1007/s11065-026-09705-w
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cognition in adults with cerebral palsy: A systematic review2026 · 1 citations
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  3. 3Autism spectrum disorders: a meta-analysis of executive function2017 · 847 citations
  4. 4Executive Functions at the Core: Rethinking Neurodevelopmental Diagnoses2025
  5. 5Executive Functioning Profiles in Children with Neurodevelopmental Disorders2025 · 5 citations