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阅读干预的充分和不充分反应者的小脑假说测试。

A test of the cerebellar hypothesis of dyslexia in adequate and inadequate responders to reading intervention.

机构信息

Department of Psychology, Texas Institute of Measurement, Evaluation, and Statistics, Texas Center for Learning Disabilities, University of Houston, Houston, Texas 77204-5053, USA.

出版信息

J Int Neuropsychol Soc. 2010 May;16(3):526-36. doi: 10.1017/S1355617710000135. Epub 2010 Mar 19.

Abstract

The cerebellar hypothesis of dyslexia posits that cerebellar deficits are associated with reading disabilities and may explain why some individuals with reading disabilities fail to respond to reading interventions. We tested these hypotheses in a sample of children who participated in a grade 1 reading intervention study (n = 174) and a group of typically achieving children (n = 62). At posttest, children were classified as adequately responding to the intervention (n = 82), inadequately responding with decoding and fluency deficits (n = 36), or inadequately responding with only fluency deficits (n = 56). Based on the Bead Threading and Postural Stability subtests from the Dyslexia Screening Test-Junior, we found little evidence that assessments of cerebellar functions were associated with academic performance or responder status. In addition, we did not find evidence supporting the hypothesis that cerebellar deficits are more prominent for poor readers with "specific" reading disabilities (i.e., with discrepancies relative to IQ) than for poor readers with reading scores consistent with IQ. In contrast, measures of phonological awareness, rapid naming, and vocabulary were strongly associated with responder status and academic outcomes. These results add to accumulating evidence that fails to associate cerebellar functions with reading difficulties.

摘要

阅读障碍的小脑假说认为,小脑缺陷与阅读障碍有关,可能解释了为什么一些阅读障碍患者对阅读干预措施没有反应。我们在一个参加一年级阅读干预研究的儿童样本(n = 174)和一组表现正常的儿童(n = 62)中测试了这些假设。在测试后,儿童被分类为对干预有足够反应(n = 82)、解码和流畅性缺陷不足反应(n = 36)或仅流畅性缺陷不足反应(n = 56)。基于诵读测试少年的珠串和姿势稳定性子测试,我们几乎没有发现证据表明小脑功能评估与学业成绩或反应者状态有关。此外,我们没有发现证据支持小脑缺陷在“特定”阅读障碍(即与智商相关的差异)的阅读困难者中比阅读成绩与智商一致的阅读困难者中更为突出的假设。相比之下,语音意识、快速命名和词汇的测量与反应者状态和学业成绩密切相关。这些结果增加了越来越多的证据,这些证据表明小脑功能与阅读困难无关。

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