Assessment & Research

Psychometric analysis in children with mental retardation due to perinatal hypoxia treated with fibroblast growth factor (FGF) and showing improvement in mental development.

Aguilar et al. (1993) · Journal of intellectual disability research : JIDR 1993
★ The Verdict

Monthly muscle shots of FGF raised IQ in kids with hypoxic ID, but stronger 2024 tDCS work now leads the field.

✓ Read this if BCBAs curious about historical drug trials in ID and how far evidence standards have risen.
✗ Skip if Clinicians looking for ready-to-use pharmacological protocols—this 1993 pilot is obsolete.

01Research in Context

01

What this study did

Doctors gave kids with mental retardation from birth oxygen loss a shot in the muscle every month. The shot held fibroblast growth factor, a protein that may help brain cells grow.

They tracked the kids’ IQ and development for several months. The design was quasi-experimental: kids got the drug, but there was no random control group.

02

What they found

IQ scores rose by more than ten points after the shots. Developmental tests also showed clear gains.

All three small groups of children improved, so the effect was labeled statistically significant.

03

How this fits with other research

Feyzi Dehkharghani et al. (2024) now supersedes this 1993 work. Their 2024 RCT used random assignment and gave kids with ID ten sessions of tDCS brain stimulation instead of a drug shot. The newer study found faster thinking with tighter controls, showing how far ID research has moved.

Giagazoglou et al. (2013) is methodologically similar. Both studies used quasi designs and saw gains in kids with ID, but trampoline exercise improved motor skills while FGF targeted IQ.

Fox et al. (2001) tested another novel drug, clozapine, in severe ID. Both papers show large drug effects, yet R’s case series focused on cutting self-injury, not boosting development.

04

Why it matters

You will not use FGF today; it never became standard care. Still, the study reminds you that large developmental jumps are possible and measurable. When you see claims about new brain-boost pills or stim devices, ask for RCT data like Sadra et al. provide, not just open trials like this one.

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02At a glance

Intervention
other
Design
quasi experimental
Sample size
95
Population
intellectual disability
Finding
positive
Magnitude
medium

03Original abstract

Basic fibroblast growth factor (bFGF) has shown a neurotrophic effect in the neurons of several CNS areas. In vivo, it contributes to restore neurochemical and morphological deficits in different rodent models of brain damage, including rats with brain damage induced by hypoxia/ischemia when FGF was intramuscularly (i.m.) administered. Toxicological and immunological studies performed in rats, mice and volunteers showed no evidence of side-effects. Bovine FGF was i.m. administered in children with mental retardation caused by perinatal hypoxia, aged 1-15 years, at dosages of 0.4 or 0.28 microgram kg-1, once or twice a month, over 7-12 months. Group A [n = 12; 6 treated (T), 6 controls (Ct)], group B (n = 16; 8 T, 8 Ct) and group C (n = 67; 45 T, 22 Ct) were evaluated with the P. A. R. scale, the WISC-RM and the Gesell scale, respectively. Development increased significantly in treated children from groups A (P < 0.02) and C (P < 0.001), and IQ rose by more than 10 points (P < 0.001) in group B patients.

Journal of intellectual disability research : JIDR, 1993 · doi:10.1111/j.1365-2788.1993.tb00321.x