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运动检测阈值揭示了发展性阅读障碍者的本体感觉障碍。

Movement detection thresholds reveal proprioceptive impairments in developmental dyslexia.

机构信息

INSERM UMR1093-CAPS, Université Bourgogne Franche-Comté, UFR des Sciences du Sport, Dijon, France.

Centre de Formation Universitaire en Orthophonie, Université de Franche-Comté, UFR Sciences de La Santé, Besançon, France.

出版信息

Sci Rep. 2021 Jan 11;11(1):299. doi: 10.1038/s41598-020-79612-4.

DOI:10.1038/s41598-020-79612-4
PMID:33431949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7801726/
Abstract

Developmental dyslexia is associated with vision and hearing impairments. Whether these impairments are causes or comorbidities is controversial. Because both senses are heavily involved in reading, cognitive theories argue that sensory impairments are comorbidities that result from a lack of reading practice. Sensory theories instead argue that this is sensory impairments that cause reading disabilities. Here we test a discriminant prediction: whether sensory impairments in developmental dyslexia are restrained to reading-related senses or encompass other senses. Sensory theories predict that all senses are affected, whereas, according to the lack of reading practice argument, cognitive theories predict that only reading-related senses are affected. Using a robotic ergometer and fully automatized analyses, we tested proprioceptive acuity in seventeen dyslexic children and seventeen age-matched controls on a movement detection task. Compared to controls, dyslexics had higher and more variable detection thresholds. For the weakest proprioceptive stimuli, dyslexics were twice as long and twice as variable as controls. More, proprioceptive acuity strongly correlated with reading abilities, as measured by blind cognitive evaluations. These results unravel a new sensory impairment that cannot be attributed to a lack of reading practice, providing clear support to sensory theories of developmental dyslexia. Protocol registration: This protocol is part of the following registration, ClinicalTrials.gov Identifier: NCT03364010; December 6, 2017.

摘要

发展性阅读障碍与视觉和听觉障碍有关。这些障碍是原因还是共病仍存在争议。由于这两种感觉都与阅读密切相关,认知理论认为,感觉障碍是由于缺乏阅读实践而导致的共病。而感觉理论则认为,阅读障碍是由感觉障碍引起的。在这里,我们测试了一个有区别的预测:发展性阅读障碍中的感觉障碍是否仅限于与阅读相关的感觉,还是包含其他感觉。感觉理论预测所有感觉都会受到影响,而根据缺乏阅读实践的观点,认知理论预测只有与阅读相关的感觉会受到影响。我们使用机器人测力计和完全自动化的分析,在一项运动检测任务中,对 17 名阅读障碍儿童和 17 名年龄匹配的对照组进行了本体感觉敏锐度测试。与对照组相比,阅读障碍者的检测阈值更高且更可变。对于最微弱的本体感觉刺激,阅读障碍者的检测时间是对照组的两倍,且变异性是对照组的两倍。此外,本体感觉敏锐度与盲认知评估所测量的阅读能力强烈相关。这些结果揭示了一种新的感觉障碍,不能归因于缺乏阅读实践,为发展性阅读障碍的感觉理论提供了明确的支持。方案注册:本方案是以下注册的一部分,临床试验.gov 标识符:NCT03364010;2017 年 12 月 6 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/2b8f1d62541b/41598_2020_79612_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/46896176432f/41598_2020_79612_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/4fdcf551f2cd/41598_2020_79612_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/2b8f1d62541b/41598_2020_79612_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/46896176432f/41598_2020_79612_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/4fdcf551f2cd/41598_2020_79612_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b864/7801726/2b8f1d62541b/41598_2020_79612_Fig3_HTML.jpg

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