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颞顶叶脑区活动作为中学阅读困难学生接受教育干预后反应的纵向预测指标。

Temporo-parietal brain activity as a longitudinal predictor of response to educational interventions among middle school struggling readers.

机构信息

Department of Pediatrics, Children's Learning Institute, University of Texas Health Science Center at Houston, Houston, Texas 77030 USA.

出版信息

J Int Neuropsychol Soc. 2011 Sep;17(5):875-85. doi: 10.1017/S1355617711000890. Epub 2011 Jul 11.

Abstract

Spatiotemporal brain activation profiles were obtained from 27 middle school students experiencing difficulties in reading comprehension as well as word-level skills (RD) and 23 age- and IQ-matched non-reading impaired students during performance of an oral pseudoword reading task using Magnetoencephalography (MEG). Based on their scores on standardized reading fluency tests 1 year later, students with RD who showed significant improvement were classified as Adequate Responders (AR) whereas those not demonstrating such gains were classified as Inadequate Responders (IR). At baseline, activation profiles of the AR group featured increased activity in the left supramarginal and angular gyri, as well as in the superior and middle temporal gyri, bilaterally compared to IR. The degree of activity in these regions was a significant predictor of the amount of subsequent gains in reading fluency. These results extend previous functional brain imaging findings of beginning readers, suggesting that recruitment of brain areas that typically serve as key components of the brain circuit for reading is an important factor in determining response to intervention in older struggling readers.

摘要

采用脑磁图(MEG)对 27 名阅读困难(RD)和 23 名年龄和智商匹配的非阅读障碍学生进行口头假词阅读任务时,获得了他们的时空大脑激活图谱。根据他们在 1 年后标准化阅读流畅性测试中的得分,表现出显著改善的 RD 学生被归类为适当反应者(AR),而没有表现出这种改善的学生被归类为不适当反应者(IR)。在基线时,与 IR 相比,AR 组的激活图谱在左侧缘上回和角回以及双侧颞上回和中回表现出增加的活动。这些区域的活动程度是随后阅读流畅性提高量的重要预测因子。这些结果扩展了之前对初读者的功能脑成像发现,表明大脑区域的招募,这些区域通常是阅读大脑回路的关键组成部分,是决定干预对大龄挣扎阅读者反应的重要因素。

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