Assessment & Research

Training spatial-simultaneous working memory in individuals with Down syndrome.

Lanfranchi et al. (2017) · Research in developmental disabilities 2017
★ The Verdict

Spatial-simultaneous memory games give a quick boost to Down-syndrome learners, yet the gain fades and stays inside the game format.

✓ Read this if BCBAs running adult or teen programs for Down syndrome who want a short-term cognitive warm-up.
✗ Skip if Clinicians needing durable or life-skills transfer from memory training.

01Research in Context

01

What this study did

Lanfranchi et al. (2017) ran a small RCT with people who have Down syndrome. Half the group played computer games that trained spatial-simultaneous working memory. The other half kept their usual day program.

Training lasted a few weeks. The team tested memory right after, one month later, and looked for any change in daily living skills.

02

What they found

Right after training, the game group scored better on the same kind of memory puzzles. They also did a bit better on other working-memory tasks.

One month later the gains were gone. Parents saw no change in everyday independence skills like shopping or cooking.

03

How this fits with other research

Barrett et al. (2015) looked at Williams syndrome and found worse scores on simultaneous spatial tasks. Silvia’s Down-syndrome group improved on those same tasks after practice. The two papers seem opposite, but they test different genes, not different methods.

Vugs et al. (2013) meta-analysis shows kids with specific language impairment also have medium-sized visuospatial working-memory gaps. This places Down syndrome inside a bigger picture: many developmental disorders share weak spatial memory.

Josseron et al. (2025) scoping review on motor training in DCD found far-transfer rarely happens. Silvia’s team saw the same limit: short-term gains stayed inside the memory game world.

04

Why it matters

If you work with learners who have Down syndrome, brief memory games can give a quick bump on similar tasks. Use them to motivate success or as warm-ups, but do not expect wider or lasting effects. Pair the games with real-life rehearsal and reinforcement if you want practical skills to stick.

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→ Action — try this Monday

Open a free spatial memory game app, set a 5-minute timer, and use it as a pre-session warm-up while data-probing for maintenance weekly.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
61
Population
down syndrome
Finding
positive
Magnitude
medium

03Original abstract

Recent studies have suggested that the spatial-simultaneous component of working memory (WM), which is involved when stimuli are presented simultaneously, is selectively impaired in individuals with Down syndrome (DS). The main objective of the present study was to examine whether WM performance can be enhanced in individuals with DS by analyzing the immediate and maintenance effects of a training program. For this purpose, 61 individuals with DS were randomly assigned to three groups: one trained on simultaneous components of visuospatial WM; one serving as an active control group, that completed activities on vocabulary; and one serving as a passive control group, that only attended the pre- and post-test and follow-up assessments. The efficacy of the training was analyzed in terms of specific (spatial-simultaneous WM tasks), near transfer (spatial-sequential and verbal WM tasks), far transfer (spatial abilities, everyday competences), and maintenance effects (with a follow-up at 1 month). The results showed an overall significant effect on the WM on the group receiving the training. The benefit was generally specific, however, with some transfer to other WM tasks, but only in the immediate (post-test) assessment.

Research in developmental disabilities, 2017 · doi:10.1016/j.ridd.2017.03.012