Mantovani Silvana, Magro Rafael Ribeiro, Ribeiro Rita de Cassia Helu Mendonca, Marini Adriana Maira, Martins Marielza Regina Ismael
Programa de Pós-graduação em Enfermagem, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil.
Departamento de Enfermagem Geral, Faculdade de Medicina de São José do Rio Preto - FAMERP - São José do Rio Preto (SP), Brasil.
Codas. 2021 Jun 28;33(6):e20200209. doi: 10.1590/2317-1782/20202020209. eCollection 2021.
to evaluate and classify visual dyslexic students, considering that developmental dyslexia subtypes are not differentiated in most diagnoses and that they affect a generalized approach.
Cross-sectional, observational, analytical study composed of 80 students, divided into two groups, GA (dyslexics) and GB (without complaints of learning difficulties) using PROLEC (proof of assessment of reading processes), TVPS - 3 (Visual Test of Perceptual Skills) and TPMBO (Bruininks-Oseretsky Motor Proficiency Test) - subtests 7 and 8.
Comparing the groups, the students of GA presented inferior performance in all the PROLEC tests and in the TVPS3 tests. The TPMBO tests of visuomotor coordination and manual dexterity tests were inferior. In a second stage, screening the visual dyslexics, 12 (30%) schoolchildren were found, who presented better performance in reading frequent words, when compared to the performance in reading infrequent words and pseudowords. In the visual perceptual skills (TVPS-3), they obtained values below 50%, except for the subscale constancy of form. The occurrences of exchanges in reading aloud were in confusion of letters, syllables or words with little difference in the way of writing, but different in the direction, the same students did not present exchanges or confusions between letters, which have the same point and manner of articulation, and whose sounds are acoustically close.
Thus, characterizing the dyslexia subtype is fundamental, because the application of therapeutic techniques will depend on the correct focus of the observed changes. Therefore, an accurate and multidisciplinary diagnosis is required.
鉴于大多数诊断中未区分发育性阅读障碍的亚型,且这些亚型会影响通用的诊断方法,故对视觉阅读障碍学生进行评估和分类。
采用横断面观察性分析研究,研究对象为80名学生,分为两组,GA组(阅读障碍组)和GB组(无学习困难主诉组),使用PROLEC(阅读过程评估测试)、TVPS - 3(感知技能视觉测试)和TPMBO(布鲁宁克斯 - 奥塞雷茨基运动能力测试)——子测试7和8。
比较两组发现,GA组学生在所有PROLEC测试和TVPS3测试中的表现较差。TPMBO的视动协调和手部灵活性测试结果也较差。在第二阶段,对视觉阅读障碍学生进行筛查时,发现12名(30%)学童在阅读高频词时的表现优于阅读低频词和假词时的表现。在视觉感知技能(TVPS - 3)方面,除了形状恒常性子量表外,他们的得分均低于50%。大声朗读时的替换情况表现为字母、音节或单词混淆,这些混淆在书写方式上差异不大,但方向不同,同一批学生在发音相同且发音方式相同、声音在听觉上相近的字母之间未出现替换或混淆。
因此,明确阅读障碍的亚型至关重要,因为治疗技术的应用将取决于所观察到变化的正确关注点。所以,需要进行准确的多学科诊断。