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发育性阅读障碍干预措施的有效性:韵律阅读训练与特定半球刺激及动作视频游戏的比较

The Effectiveness of Interventions for Developmental Dyslexia: Rhythmic Reading Training Compared With Hemisphere-Specific Stimulation and Action Video Games.

作者信息

Cancer Alice, Bonacina Silvia, Antonietti Alessandro, Salandi Antonio, Molteni Massimo, Lorusso Maria Luisa

机构信息

Department of Psychology, Catholic University of the Sacred Heart, Milan, Italy.

Auditory Neuroscience Laboratory, Northwestern University, Evanston, IL, United States.

出版信息

Front Psychol. 2020 Jun 3;11:1158. doi: 10.3389/fpsyg.2020.01158. eCollection 2020.

Abstract

Developmental dyslexia is a very common learning disorder causing an impairment in reading ability. Although the core deficit underlying dyslexia is still under debate, significant agreement is reached in the literature that dyslexia is related to a specific deficit in the phonological representation of speech sounds. Many studies also reported an association between reading skills and music. These findings suggest that interventions aimed at enhancing basic auditory skills of children with DD may impact reading abilities. However, music education alone failed to produce improvements in reading skills comparable to those resulting from traditional intervention methods for DD. Therefore, a computer-assisted intervention method, called Rhythmic Reading Training (RRT), which combines sublexical reading exercises with rhythm processing, was implemented. The purpose of the present study was to compare the effectiveness of RRT and that of an intervention resulting from the combination of two yet validated treatments for dyslexia, namely, Bakker's Visual Hemisphere-Specific Stimulation (VHSS) and the Action Video Game Training (AVG). Both interventions, administered for 13 h over 9 days, significantly improved reading speed and accuracy of a group of Italian students with dyslexia aged 8-14. However, each intervention program produced improvements that were more evident in specific reading parameters: RRT was more effective for improvement of pseudoword reading speed, whereas VHSS + AVG was more effective in increasing general reading accuracy. Such different effects were found to be associated with different cognitive mechanisms, namely, phonological awareness for RRT and rapid automatized naming for VHSS + AVG, thus explaining the specific contribution of each training approach. Clinical Trial registration: ClinicalTrials.gov NCT02791841.

摘要

发育性阅读障碍是一种非常常见的学习障碍,会导致阅读能力受损。尽管阅读障碍背后的核心缺陷仍在争论中,但文献中已达成显著共识,即阅读障碍与语音声音的语音表征中的特定缺陷有关。许多研究还报告了阅读技能与音乐之间的关联。这些发现表明,旨在提高阅读障碍儿童基本听觉技能的干预措施可能会影响阅读能力。然而,单独的音乐教育未能使阅读技能得到与传统阅读障碍干预方法相当的改善。因此,实施了一种名为节奏阅读训练(RRT)的计算机辅助干预方法,该方法将次词汇阅读练习与节奏处理相结合。本研究的目的是比较RRT与一种由两种尚未经验证的阅读障碍治疗方法组合而成的干预措施的有效性,这两种方法分别是巴克的视觉半球特异性刺激(VHSS)和动作视频游戏训练(AVG)。两种干预措施均在9天内进行了13小时,显著提高了一组8至14岁的意大利阅读障碍学生的阅读速度和准确性。然而,每个干预项目在特定阅读参数上产生的改善更为明显:RRT在提高假词阅读速度方面更有效,而VHSS + AVG在提高总体阅读准确性方面更有效。发现这些不同的效果与不同的认知机制相关,即RRT的语音意识和VHSS + AVG的快速自动命名,从而解释了每种训练方法的具体贡献。临床试验注册:ClinicalTrials.gov NCT02791841。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d64a/7283807/eeb660b3ed00/fpsyg-11-01158-g001.jpg

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