Review Article

Effects of Interventions with Manipulatives on Immediate Learning, Maintenance, and Transfer in Children with Mathematics Learning Disabilities: A Systematic Review

Table 1

Summary of participant information and outcome measures: immediate learning, maintenance, and transfer.

Authors (date)Participants: number, math level, gradeImmediate learningMaintenanceTransfer

Bouck et al. [31]3 children with disabilities, grades 6-7-8: one with LD, one with Di George syndrome, and one with mild intellectual disabilityImprovementMaintenance of improvement for 2 children 2 weeks after intervention/
Bouck, Chamberlain, and Park [45]3 children with disabilities, grades 6-7-8: one with LD and two with intellectual disabilityImprovement/Improvement with no manipulatives
Shin and Bryant [46]3 children with MLD, grades 6-7-8Improvement for one child//
No improvement for two children
Satsangi et al. [47]3 children with MLD, grades 11–12Improvement/Improvement with no manipulatives
Bouck et al. [48]11 children, grade 7–8: 10 with LD and 1 with emotional disabilityImprovement//
Satsangi and Bouck [49]3 children with MLD, grades 9 and 11ImprovementMaintenance of improvement in perimeter 2 weeks after intervention; maintenance of improvement in area for 2 childrenImprovement in area and perimeter word problem solving (with no accompanying visual illustration of the shape described)
Flores et al. [50]3 children with MD, grade 3ImprovementMaintenance of improvement between 2 and 4 weeks after intervention for 3 children in subtraction and for 1 child in multiplication/
Fuchs et al. [50]243 children at risk (with MLD), 254 children with low-risk of MLD, grade 4Improvement//
Yang et al. [51]57 children, grade 1 : 33 without difficulties, 14 low-SES and low-math children, 10 low-SES children without math difficultiesImprovement/Improvement in interest and confidence in math
Fuchs et al. [52]259 children at risk of MLD, 282 children with low-risk of MLD, grade 4Improvement//
Effect size of intervention: 1.82 for comparing fractions, 1.09 for fraction number line, 0.92 for NAEP-Total, 0.29 for NAEP-Part-whole, 1.07 for NAEP-Measurement, and 2.50 for fraction calculations
Watt [53]32 children with MD, grade 6Improvement in problem solvingMaintenance of improvement 2 weeks after intervention/
Effect size of intervention: 1.71 between intervention students and no intervention studentsEffect size of intervention: 0.74 between intervention students and no intervention students
No improvement in basic skills
Mancl et al. [54]5 children with LD, grade 3–5Improvement//
Sealander et al. [55]8 children, grade 1–2: 3 with LD, 2 with LD and language impairment, 3 with emotional disabilityImprovementMaintenance of improvement 4 weeks after interventionImprovement in word problems
Strickland and Maccini [56]3 children, with LDImprovementMaintenance of improvement for 2 children 3–6 weeks after interventionImprovement for 1 child in word problems and equations on volume
Miller and Kaffar [57]24 children, grade 2 : 6 with LD and 18 without math difficultiesImprovement in addition/Improvement in problem solving
Flores [58]6 children with math difficulties, grade 3ImprovementMaintenance of improvement 6 weeks after intervention/
Powell and Fuchs [59]80 children with math difficulties, grade 3Improvement/Improvement in nonstandard open equations
Effect size of intervention: 2.35 for Equal-sign tasks between combined tutoring students and word problem students (both with manipulatives), 2.34 for Equal-sign tasks between combined tutoring students and control students. No difference in standard open equations. 0.22 for Story problem between combined tutoring students and word problem students (both with manipulatives), 0.63 for Story problem between combined tutoring students and control students.Effect size of intervention: 0.67 for nonstandard open equations between combined tutoring students and word problem students (both with manipulatives), 1.06 for nonstandard open equations between combined tutoring students and control students.
Flores [60]4 children with math difficulties, grade 3ImprovementMaintenance of improvement 4 weeks after intervention/
Scheuermann et al. [61]14 children with MLD, grades 6–8ImprovementMaintenance of improvement 11 weeks after interventionImprovement in noninstructed word problems and in more complex problems
Smith and Montani [62]12 children with math difficulties (special education), grades 3–4Improvement//
Tournaki et al. [63]45 children with LD, grade 1Improvement//
Witzel [64]231 children, grades 6–7: including 49 children MLDImprovementMaintenance of improvement 3 weeks after intervention/
Effect size of intervention: 0.56 between intervention students and no intervention studentsNo effect size
Butler et al. [65]50 children with MLD, grades 6-7-8Improvement//
Effect size of intervention: 0.265 between CRA students and RA students for the 5 fraction measures
Cass et al. [66]3 children with LD, grades 7-9-10ImprovementMaintenance of improvement 2 weeks after interventionImprovement in problem solving
Witzel et al. [67]68 children with LD or at-risk, grades 6–7ImprovementMaintenance of improvement 3 weeks after intervention/
Effect size of intervention: 0.245 between CRA students and classroom studentsNo effect size
Wisniewski and Smith [68]4 children with special education in math, grades 3-4Improvement//
Maccini and Hughes [69]6 children with LD, grades 9-10-12ImprovementMaintenance of improvement 10 weeks after interventionImprovement in problem solving
Maccini and Ruhl [70]3 children with LD, grade 8ImprovementMaintenance of improvement 3 weeks after interventionImprovement in problem solving
Jordan et al. [71]125 children, grade 4 : 5 with LD, 2 with emotional handicap, 1 with visual impairment, 4 with speech/hearing impairment, 18 gifted children, and 97 without difficultiesImprovementMaintenance of improvement 3 weeks after intervention/
Miller et al. [72]123 children, grade 2 : 12 children with LD, 1 with an emotional disability, 11 low achievers, and 99 normally achieversImprovement//
Marshe and Cooke [73]3 children with LD, grade 3Improvement//
Harris et al. [74]123 children, grade 2 : 12 children with LD, 1 with an emotional disability, and 99 normally achieversImprovement//
Miller and Mercer [75]9 children: 8 children with LD, 1 with an emotional disability, grade 1-2-3–5Improvement//
Mercer and Miller [76]109 children, unknown grade: 102 with LD, 5 with emotional handicap, and 2 at-riskImprovementMaintenance of improvement 1 week after intervention/
Miller et al. [77]15 children, grades 1–5: 10 with LD, 3 at risk for LD, 1 with mental handicap, and 1 with emotional disabilityImprovementMaintenance of improvement 3–5 days after intervention/
Peterson et al. [78]3 children with MLD, grades 1, 2, and 4Improvement//
Hudson et al. [79]3 children with MLD, 8 and 11 years oldImprovementMaintenance of improvement 1 week after intervention/
Peterson et al. [80]24 children with LD, 8–13 years oldImprovementMaintenance of improvement 1 week after intervention/

Note. Studies are inversely chronologically ordered.