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针对患有诵读困难症的儿童和青少年,经颅直流电刺激(tDCS)治疗后阅读能力改善的证据。

Evidence for reading improvement following tDCS treatment in children and adolescents with Dyslexia.

作者信息

Costanzo Floriana, Varuzza Cristiana, Rossi Serena, Sdoia Stefano, Varvara Pamela, Oliveri Massimiliano, Giacomo Koch, Vicari Stefano, Menghini Deny

机构信息

Child Neuropsychiatric Unit, Bambino Gesù Children Hospital, Department of Neuroscience, Piazza Sant'Onofrio 4, Rome, Italy.

Clinical and Behavioral Neurology, Santa Lucia Foundation, Rome, Italy.

出版信息

Restor Neurol Neurosci. 2016;34(2):215-26. doi: 10.3233/RNN-150561.

Abstract

PURPOSE

There is evidence that non-invasive brain stimulation transitorily modulates reading by facilitating the neural pathways underactive in individuals with dyslexia. The study aimed at investigating whether multiple sessions of transcranial direct current stimulation (tDCS) would enhance reading abilities of children and adolescents with dyslexia and whether the effect is long-lasting.

METHODS

Eighteen children and adolescents with dyslexia received three 20-minute sessions a week for 6 weeks (18 sessions) of left anodal/right cathodal tDCS set at 1 mA over parieto-temporal regions combined with a cognitive training. The participants were randomly assigned to the active or the sham treatment; reading tasks (text, high and low frequency words, non-words) were used as outcome measures and collected before treatment, after treatment and one month after the end of treatment. The tolerability of tDCS was evaluated.

RESULTS

The active group showed reduced low frequency word reading errors and non-word reading times. These positive effects were stable even one month after the end of treatment. None reported adverse effects.

CONCLUSIONS

The study shows preliminary evidence of tDCS feasibility and efficacy in improving non-words and low frequency words reading of children and adolescents with dyslexia and it opens new rehabilitative perspectives for the remediation of dyslexia.

摘要

目的

有证据表明,非侵入性脑刺激通过促进诵读困难个体中不活跃的神经通路,短暂地调节阅读。本研究旨在调查多次经颅直流电刺激(tDCS)是否会提高诵读困难儿童和青少年的阅读能力,以及这种效果是否持久。

方法

18名诵读困难儿童和青少年接受为期6周(共18次)的治疗,每周进行3次,每次20分钟,在顶颞区域施加1 mA的左阳极/右阴极tDCS,并结合认知训练。参与者被随机分配到主动治疗组或假治疗组;阅读任务(文本、高频和低频单词、非单词)作为结局指标,在治疗前、治疗后和治疗结束后1个月收集。评估了tDCS的耐受性。

结果

主动治疗组低频单词阅读错误和非单词阅读时间减少。即使在治疗结束后1个月,这些积极效果仍然稳定。没有人报告有不良反应。

结论

该研究显示了tDCS在改善诵读困难儿童和青少年非单词和低频单词阅读方面的可行性和有效性的初步证据,并为诵读困难的治疗开辟了新的康复前景。

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