Assessment & Research

Raven's Coloured Progressive Matrices as a measure of cognitive functioning in Cerebral Palsy.

Pueyo et al. (2008) · Journal of intellectual disability research : JIDR 2008
★ The Verdict

Raven’s Coloured Progressive Matrices offers a quick, speech-free way to gauge cognition in clients with severe CP.

✓ Read this if BCBAs doing assessments with non-speaking clients who have severe motor impairment.
✗ Skip if Practitioners working only with verbal or mild motor-delay clients.

01Research in Context

01

What this study did

The team gave Raven's Coloured Progressive Matrices to clients with severe cerebral palsy. No talking is needed for this test; clients just point to the missing piece.

They checked whether the scores matched other brain skills like visuoperceptual tasks, language tests, and memory games.

02

What they found

Scores on the Raven did link up with visuoperceptual, language, and memory scores. The test gave a quick, speech-free snapshot of cognitive level.

That means you can screen thinking skills even when speech or motor problems make normal IQ tests impossible.

03

How this fits with other research

Laposa et al. (2017) and Perez et al. (2015) did the same kind of work for movement tests. They showed that tweaking the GMFM-88 for kids who also have visual impairment gives higher, more accurate gross-motor scores. Together these papers tell a simple story: when you adapt a standard tool for the client’s real limits, you get data you can trust.

Hattier et al. (2011) did something similar with the Berg Balance Scale for clients who have both severe intellectual disability and visual problems. They got excellent reliability after small wording and setup changes. The Raven study joins this family by proving the same principle works for cognition.

None of these papers clash; they just apply the “modify for reality” rule to different domains—balance, gait, or thinking.

04

Why it matters

If you work with non-speaking clients who have severe CP, you can swap in Raven’s Coloured Progressive Matrices for a fast cognitive screen. It takes ten minutes, needs no verbal answer, and the score still tells you about language, memory, and visuoperceptual skills. Use the result to set realistic goals, choose AAC devices, or show insurance why more services make sense.

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→ Action — try this Monday

Place the Raven booklet in your kit and trial it during the next severe-CP intake to see if the score matches what you observe.

02At a glance

Intervention
not applicable
Design
other
Sample size
30
Population
other
Finding
positive

03Original abstract

BACKGROUND: Cognitive dysfunction is frequent in Cerebral Palsy (CP). CP motor impairment and associated speech deficits often hinder cognitive assessment, with the result being that not all CP studies consider cognitive dysfunction. Raven's Coloured Progressive Matrices is a simple, rapid test which can be used in persons with severe motor impairment and speech limitations. We studied whether this test can offer a reliable measure of cognitive functioning in CP. METHOD: Visuoperceptual, language, memory and frontal lobe functions were evaluated in 30 participants with severe motor impaired CP and a variety of speech difficulties. The relationship between Raven's Coloured Progressive Matrices and a variety of tests was analysed. RESULTS: Raven's Coloured Progressive Matrices performance was associated with visuoperceptual, language, visual and verbal memory but not with frontal functions. Receptive vocabulary and visuospatial measures were the best predictors of Raven's Coloured Progressive Matrices raw scores. CONCLUSIONS: Raven's Coloured Progressive Matrices is a fast, easy-to-administer test able to obtain a measure related with linguistic, visuoperceptual, and memory cognitive functioning in persons with CP despite their motor and speech disorders.

Journal of intellectual disability research : JIDR, 2008 · doi:10.1111/j.1365-2788.2008.01045.x