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[通过一项新的西班牙语双耳数字测试以及对诵读困难儿童和对照组儿童的身体偏侧性和空间定向来识别听觉偏侧性]

[Identification of auditory laterality by means of a new dichotic digit test in Spanish, and body laterality and spatial orientation in children with dyslexia and in controls].

作者信息

Olivares-García M R, Peñaloza-López Y R, García-Pedroza F, Jesús-Pérez S, Uribe-Escamilla R, Jiménez-de la Sancha S

机构信息

Instituto de la Comunicación Humana, Centro de Ciencias Aplicadas y Desarrollo Tecnológico, Universidad Nacional Autónoma de México, México DF, Mexico.

出版信息

Rev Neurol. 2005;41(4):198-205.

Abstract

INTRODUCTION

In this study, a new dichotic digit test in Spanish (NDDTS) was applied in order to identify auditory laterality. We also evaluated body laterality and spatial location using the Subirana test.

SUBJECTS AND METHODS

Both the dichotic test and the Subirana test for body laterality and spatial location were applied in a group of 40 children with dyslexia and in a control group made up of 40 children who were paired according to age and gender. The results of the three evaluations were analysed using the SPSS 10 software application, with Pearson's chi-squared test.

RESULTS

It was seen that 42.5% of the children in the group of dyslexics had mixed auditory laterality, compared to 7.5% in the control group (p < or = 0.05). Body laterality was mixed in 25% of dyslexic children and in 2.5% in the control group (p < or = 0.05) and there was 72.5% spatial disorientation in the group of dyslexics, whereas only 15% (p < or = 0.05) was found in the control group.

CONCLUSIONS

The NDDTS proved to be a useful tool for demonstrating that mixed auditory laterality and auditory predominance of the left ear are linked to dyslexia. The results of this test exceed those obtained for body laterality. Spatial orientation is indeed altered in children with dyslexia. The importance of this finding makes it necessary to study the central auditory processes in all cases in order to define better rehabilitation strategies in Spanish-speaking children.

摘要

引言

在本研究中,应用了一种新的西班牙语双耳数字测试(NDDTS)来确定听觉偏侧性。我们还使用苏比拉纳测试评估了身体偏侧性和空间定位。

受试者与方法

对一组40名诵读困难儿童以及由40名按年龄和性别配对的儿童组成的对照组,同时进行了双耳测试以及用于身体偏侧性和空间定位的苏比拉纳测试。使用SPSS 10软件应用程序,通过Pearson卡方检验分析这三项评估的结果。

结果

结果显示,诵读困难组中42.5%的儿童存在混合听觉偏侧性,而对照组中这一比例为7.5%(p≤0.05)。25%的诵读困难儿童存在身体偏侧性混合,而对照组中这一比例为2.5%(p≤0.05),并且诵读困难组中有72.5%存在空间定向障碍,而对照组中仅为15%(p≤0.05)。

结论

NDDTS被证明是一种有用的工具,可用于证明混合听觉偏侧性和左耳听觉优势与诵读困难有关。该测试的结果超过了身体偏侧性测试的结果。诵读困难儿童的空间定向确实发生了改变。这一发现的重要性使得有必要在所有病例中研究中枢听觉过程,以便为讲西班牙语的儿童制定更好的康复策略。

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