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经颅直流电刺激对阅读过程的调节作用:对典型阅读者和阅读障碍个体的研究综述。

tDCS Modulatory Effect on Reading Processes: A Review of Studies on Typical Readers and Individuals With Dyslexia.

作者信息

Cancer Alice, Antonietti Alessandro

机构信息

Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy.

出版信息

Front Behav Neurosci. 2018 Jul 31;12:162. doi: 10.3389/fnbeh.2018.00162. eCollection 2018.

Abstract

The possibility to use non-invasive brain stimulation to modulate reading performance in individuals with developmental dyslexia (DD) has been recently explored by few empirical investigations. The present systematic review includes nine studies which have employed transcranial direct current stimulation (tDCS) aiming at improving reading abilities in both typical readers and individuals with DD. Anodal tDCS over the left temporo-parietal cortex-a region which is typically involved in phonological and orthographic processing during reading tasks and underactive in individuals with DD-was the most frequently used montage. The majority of studies employing such stimulation protocol showed significant improvement in differential reading subprocesses. More precisely, word decoding was improved in adult readers, whereas non-word and low-frequency word reading in younger individuals. Furthermore, tDCS was found to be specifically effective in poor readers and individuals with DD rather than typical readers, in spite of the specific brain region targeted by the stimulation; Left frontal, left temporo-parietal, and right cerebellar tDCS failed to modulate reading in already proficient readers. Overall, tDCS appears to be a promising remedial tool for reading difficulties, even when applied to younger populations with reading problems. Further empirical evidence is needed to confirm the potential of neuromodulation as a successful intervention method for DD.

摘要

最近,一些实证研究探讨了使用非侵入性脑刺激来调节发育性阅读障碍(DD)个体阅读能力的可能性。本系统综述纳入了9项采用经颅直流电刺激(tDCS)的研究,旨在提高普通读者和DD个体的阅读能力。左侧颞顶叶皮质进行阳极tDCS——该区域在阅读任务中通常参与语音和正字法处理,而在DD个体中活动不足——是最常用的刺激方式。大多数采用这种刺激方案的研究表明,在不同的阅读子过程中有显著改善。更确切地说,成人读者的单词解码能力得到了提高,而年幼儿童的非单词和低频单词阅读能力得到了提高。此外,尽管刺激针对特定脑区,但发现tDCS对阅读能力差的读者和DD个体特别有效,而对普通读者无效;左侧额叶、左侧颞顶叶和右侧小脑的tDCS未能调节已熟练读者的阅读。总体而言,tDCS似乎是一种有前景的治疗阅读困难的工具,即使应用于有阅读问题的年轻人群。需要进一步的实证证据来证实神经调节作为DD成功干预方法的潜力。

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