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发育性阅读障碍是由视觉而非语音障碍引起的吗?

Is Developmental Dyslexia Due to a Visual and Not a Phonological Impairment?

作者信息

Werth Reinhard

机构信息

Institute for Social Pediatrics and Adolescent Medicine, University of Munich, Haydnstrasse 5, D-80336 Munich, Germany.

出版信息

Brain Sci. 2021 Oct 2;11(10):1313. doi: 10.3390/brainsci11101313.

DOI:10.3390/brainsci11101313
PMID:34679378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8534212/
Abstract

It is a widely held belief that developmental dyslexia (DD) is a phonological disorder in which readers have difficulty associating graphemes with their corresponding phonemes. In contrast, the magnocellular theory of dyslexia assumes that DD is a visual disorder caused by dysfunctional magnocellular neural pathways. The review explores arguments for and against these theories. Recent results have shown that DD is caused by (1) a reduced ability to simultaneously recognize sequences of letters that make up words, (2) longer fixation times required to simultaneously recognize strings of letters, and (3) amplitudes of saccades that do not match the number of simultaneously recognized letters. It was shown that pseudowords that could not be recognized simultaneously were recognized almost without errors when the fixation time was extended. However, there is an individual maximum number of letters that each reader with DD can recognize simultaneously. Findings on the neurobiological basis of temporal summation have shown that a necessary prolongation of fixation times is due to impaired processing mechanisms of the visual system, presumably involving magnocells and parvocells. An area in the mid-fusiform gyrus also appears to play a significant role in the ability to simultaneously recognize words and pseudowords. The results also contradict the assumption that DD is due to a lack of eye movement control. The present research does not support the assumption that DD is caused by a phonological disorder but shows that DD is due to a visual processing dysfunction.

摘要

人们普遍认为,发育性阅读障碍(DD)是一种语音障碍,读者在将字形与相应音素关联方面存在困难。相比之下,阅读障碍的大细胞理论认为,DD是由大细胞神经通路功能失调引起的视觉障碍。这篇综述探讨了支持和反对这些理论的论据。最近的研究结果表明,DD是由以下原因导致的:(1)同时识别构成单词的字母序列的能力下降;(2)同时识别字母串所需的注视时间延长;(3)扫视幅度与同时识别的字母数量不匹配。研究表明,当注视时间延长时,无法同时识别的假词几乎能被无误地识别出来。然而,每个患有DD的读者都有一个同时能识别的字母的个体最大值。关于时间总和神经生物学基础的研究结果表明,注视时间的必要延长是由于视觉系统处理机制受损,可能涉及大细胞和小细胞。梭状回中部的一个区域在同时识别单词和假词的能力方面似乎也起着重要作用。研究结果也与DD是由于缺乏眼球运动控制这一假设相矛盾。目前的研究不支持DD是由语音障碍引起的这一假设,而是表明DD是由于视觉处理功能障碍所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc1d/8534212/d2baa22fb858/brainsci-11-01313-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc1d/8534212/2a7be2692218/brainsci-11-01313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc1d/8534212/d2baa22fb858/brainsci-11-01313-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc1d/8534212/2a7be2692218/brainsci-11-01313-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc1d/8534212/d2baa22fb858/brainsci-11-01313-g002.jpg

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