Pilot Project to Ascertain the Utility of Tower of London Test to Assess Outcomes of Neurofeedback in Clients with Asperger's Syndrome

Introduction.Behavioral and cognitive improvements in clients with Asperger's Syndrome (AS), employing continuous performance tests (CPTs), intelligence and academic measures, and electroencephalographic data, have been reported following 40 sessions of neurofeedback (NFB) training combined with coaching in metacognitive strategies.However, measures of executive functions (EFs) in this population have not been commonly employed and NFB is still not commonly used as a treatment for AS.Therefore, this pilot project used Tower of London -Drexel University (ToL DX ), an individually administered test of EFs, in addition to the previously mentioned measures.The goal of the current study was to investigate the utility of ToL DX as an assessment tool for clients with AS as well as further study the effects of NFB and training in metacognitive strategies on executive functioning in clients with AS. Method.Nineteen consecutive clients at the ADD Centre, Toronto, Canada (M age ¼ 12 years 0 months) recruited over a 2½-year period all had full clinical assessment, completed age appropriate questionnaires, and were tested pre-and post-40 NFB sessions.