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探究阅读表现的白质相关因素:来自阅读困难中国儿童的证据。

Investigating the white matter correlates of reading performance: Evidence from Chinese children with reading difficulties.

机构信息

Department of Audiology and Speech-Language Pathology, Asia University, Taichung, Taiwan.

Department of Special Education, National Taiwan Normal University, Taipei, Taiwan.

出版信息

PLoS One. 2021 Mar 11;16(3):e0248434. doi: 10.1371/journal.pone.0248434. eCollection 2021.

Abstract

PURPOSE

Reading comprehension is closely associated with word recognition, particularly at the early stage of reading development. This association is reflected in children with reading difficulties (RD) who demonstrate poor reading comprehension along with delayed word recognition or reduced recognition accuracy. Although the neural mechanisms underlying reading comprehension and word recognition are well studied, few has investigated the white matter (WM) structures that the two processes potentially share.

METHODS

To explore the issue, behavioral scores (word recognition & reading comprehension) and diffusion spectrum imaging (DSI) were acquired from Chinese-speaking children with RD and their age-matched typically developing children. WM structures were measured with generalized fractional anisotropy and normalized quantitative anisotropy to optimize fiber tracking precision.

RESULTS

The children with RD performed significantly poorer than the typically developing children in both behavioral tasks. Between group differences of WM structure were found in the right superior temporal gyrus, the left medial frontal gyrus, the left medial frontal gyrus, and the left caudate body. A significant association between reading comprehension and Chinese character recognition and the DSI indices were found in the corpus callosum. The findings demonstrated the microstructural difference between children with and without reading difficulties go beyond the well-established reading network. Further, the association between the WM integrity of the corpus callosum and the behavioral scores reveals the involvement of the WM structure in both tasks.

CONCLUSION

It suggests the two reading-related skills have partially overlapped neural mechanism. Associating the corpus callosum with the reading skills leads to the reconsideration of the right hemisphere role in the typical reading process and, potentially, how it compensates for children with reading difficulties.

摘要

目的

阅读理解与字词识别密切相关,尤其是在阅读发展的早期阶段。这种关联反映在阅读困难(RD)儿童身上,他们的阅读理解能力较差,同时字词识别延迟或识别准确性降低。尽管阅读理解和字词识别的神经机制已经得到了很好的研究,但很少有研究探讨这两个过程可能共享的白质(WM)结构。

方法

为了探讨这个问题,我们从有 RD 的中国儿童和他们年龄匹配的正常发育儿童那里获得了行为评分(字词识别和阅读理解)和弥散张量成像(DSI)。WM 结构采用广义各向异性分数和归一化定量各向异性来测量,以优化纤维跟踪精度。

结果

RD 儿童在两个行为任务中的表现都明显差于正常发育儿童。在右侧颞上回、左侧额内侧回、左侧额内侧回和左侧尾状核体中发现了 WM 结构的组间差异。在胼胝体中发现了阅读理解和汉字识别与 DSI 指标之间的显著关联。研究结果表明,有阅读困难和无阅读困难儿童之间的 WM 结构差异超出了既定的阅读网络。此外,胼胝体 WM 完整性与行为评分之间的关联揭示了 WM 结构在这两个任务中的参与。

结论

这表明这两个与阅读相关的技能有部分重叠的神经机制。将胼胝体与阅读技能联系起来,导致重新考虑右半球在典型阅读过程中的作用,以及它如何补偿阅读困难的儿童。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/107a/7951916/e25387454982/pone.0248434.g001.jpg

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