Lazzaro Giulia, Bertoni Sara, Menghini Deny, Costanzo Floriana, Franceschini Sandro, Varuzza Cristiana, Ronconi Luca, Battisti Andrea, Gori Simone, Facoetti Andrea, Vicari Stefano
Child and Adolescent Psychiatry Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, 00146 Rome, Italy.
Department of Human Science, LUMSA University of Rome, 00193 Rome, Italy.
Brain Sci. 2021 Feb 19;11(2):263. doi: 10.3390/brainsci11020263.
Dyslexia is a neurodevelopmental disorder with an atypical activation of posterior left-hemisphere brain reading networks (i.e., temporo-occipital and temporo-parietal regions) and multiple neuropsychological deficits. Transcranial direct current stimulation (tDCS) is a tool for manipulating neural activity and, in turn, neurocognitive processes. While studies have demonstrated the significant effects of tDCS on reading, neurocognitive changes beyond reading modulation have been poorly investigated. The present study aimed at examining whether tDCS on temporo-parietal regions affected not only reading, but also phonological skills, visuo-spatial working memory, visuo-spatial attention, and motion perception in a polarity-dependent way. In a within-subjects design, ten children and adolescents with dyslexia performed reading and neuropsychological tasks after 20 min of exposure to Left Anodal/Right Cathodal (LA/RC) and Right Anodal/Left Cathodal (RA/LC) tDCS. LA/RC tDCS compared to RA/LC tDCS improved text accuracy, word recognition speed, motion perception, and modified attentional focusing in our group of children and adolescents with dyslexia. Changes in text reading accuracy and word recognition speed-after LA/RC tDCS compared to RA/LC-were related to changes in motion perception and in visuo-spatial working memory, respectively. Our findings demonstrated that reading and domain-general neurocognitive functions in a group of children and adolescents with dyslexia change following tDCS and that they are polarity-dependent.
阅读障碍是一种神经发育障碍,其左脑半球后部阅读网络(即颞枕叶和颞顶叶区域)存在非典型激活,并伴有多种神经心理缺陷。经颅直流电刺激(tDCS)是一种用于操纵神经活动进而操纵神经认知过程的工具。虽然研究已经证明tDCS对阅读有显著影响,但对阅读调节之外的神经认知变化的研究却很少。本研究旨在探讨对颞顶叶区域进行tDCS是否不仅会影响阅读,还会以极性依赖的方式影响语音技能、视觉空间工作记忆、视觉空间注意力和运动感知。在一项被试内设计中,10名患有阅读障碍的儿童和青少年在接受20分钟的左阳极/右阴极(LA/RC)和右阳极/左阴极(RA/LC)tDCS后,进行了阅读和神经心理任务。与RA/LC tDCS相比,LA/RC tDCS提高了我们这组患有阅读障碍的儿童和青少年的文本准确性、单词识别速度、运动感知,并改善了注意力集中。与RA/LC相比,LA/RC tDCS后文本阅读准确性和单词识别速度的变化分别与运动感知和视觉空间工作记忆的变化有关。我们的研究结果表明,一组患有阅读障碍的儿童和青少年在接受tDCS后,阅读和领域通用神经认知功能会发生变化,并且这些变化是极性依赖的。