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“大同小异”:发展性阅读障碍、发展性协调障碍及共病障碍中的最佳观察位置效应。

"Same, same but different": The optimal viewing position effect in developmental dyslexia, developmental coordination disorder and comorbid disorders.

机构信息

Laboratoire EPSYLON EA 4556, Univ Paul Valéry Montpellier 3, Montpellier, France.

Laboratoire Parole et Langage, Aix-Marseille University & CNRS, Aix-en-Provence, France.

出版信息

Dyslexia. 2021 Aug;27(3):294-311. doi: 10.1002/dys.1688. Epub 2021 Jun 2.

Abstract

The optimal viewing position (OVP) effect indicates that words are identified most quickly when the eyes fixate near the word centre in alphabetic languages. In two studies, we tested OVP in typically developing readers and children with developmental dyslexia (DD), developmental coordination disorder (DCD) and with both disorders (DD + DCD), using a variable-viewing-position technique. Study 1 showed that typically developing readers had developed highly automatized procedures of left-to-right attentional scanning resulting in an inverted J-shape VP curve comparable to what is observed in adult readers and that dyslexics showed non-prototypical one. In Study 2, we observed more typical procedures of left-to-right attentional scanning in children with DCD, isolated or comorbid, compared to DD. Moreover, given the absence of significant group differences between children with DD + DCD and children with isolated DD or DCD, our results reinforce the idea that the comorbid condition does not add to the severity of OVP anomalies. We then concluded that OVP atypicalities are specific to children with DD. Finally, we discussed the usefulness of the OVP effect as a clinical tool to identify possible OVP atypicalities that could be specific of some neurodevelopmental disorders (i.e., DD, DCD or DCD + DD).

摘要

最佳注视位置(OVP)效应表明,在以字母为文字的语言中,眼睛注视在单词中心附近时,单词的识别速度最快。在两项研究中,我们使用可变注视位置技术,测试了正常发展的读者以及患有发育性阅读障碍(DD)、发育性协调障碍(DCD)或两种障碍(DD+DCD)的儿童的 OVP。研究 1 表明,正常发展的读者已经发展出了高度自动化的从左到右的注意力扫描程序,导致了一个倒 J 形的 VP 曲线,类似于在成年读者中观察到的曲线,而阅读障碍者则表现出非典型的曲线。在研究 2 中,我们观察到孤立或共病的 DCD 儿童的从左到右的注意力扫描程序更典型,与 DD 相比。此外,鉴于 DD+DCD 儿童与孤立的 DD 或 DCD 儿童之间没有显著的组间差异,我们的结果进一步证实了这样的观点,即共病状况不会增加 OVP 异常的严重程度。因此,我们得出结论,OVP 的异常是特定于 DD 儿童的。最后,我们讨论了 OVP 效应作为一种临床工具的有用性,以识别可能是某些神经发育障碍(即 DD、DCD 或 DCD+DD)特异性的 OVP 异常。

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