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阅读经验在阅读障碍患者非典型的语音及噪声中语音皮层追踪中的作用。

The role of reading experience in atypical cortical tracking of speech and speech-in-noise in dyslexia.

作者信息

Destoky Florian, Bertels Julie, Niesen Maxime, Wens Vincent, Vander Ghinst Marc, Rovai Antonin, Trotta Nicola, Lallier Marie, De Tiège Xavier, Bourguignon Mathieu

机构信息

Laboratoire de Neuroanatomie et Neuroimagerie translationnelles, UNI-ULB Neuroscience Institute, Université libre de Bruxelles (ULB), 808 Leenik Street, Brussels 1070, Belgium.

Laboratoire de Neuroanatomie et Neuroimagerie translationnelles, UNI-ULB Neuroscience Institute, Université libre de Bruxelles (ULB), 808 Leenik Street, Brussels 1070, Belgium; Consciousness, Cognition and Computation Group, UNI-ULB Neuroscience Institute, Université libre de Bruxelles (ULB), Brussels, Belgium.

出版信息

Neuroimage. 2022 Jun;253:119061. doi: 10.1016/j.neuroimage.2022.119061. Epub 2022 Mar 5.

Abstract

Dyslexia is a frequent developmental disorder in which reading acquisition is delayed and that is usually associated with difficulties understanding speech in noise. At the neuronal level, children with dyslexia were reported to display abnormal cortical tracking of speech (CTS) at phrasal rate. Here, we aimed to determine if abnormal tracking relates to reduced reading experience, and if it is modulated by the severity of dyslexia or the presence of acoustic noise. We included 26 school-age children with dyslexia, 26 age-matched controls and 26 reading-level matched controls. All were native French speakers. Children's brain activity was recorded with magnetoencephalography while they listened to continuous speech in noiseless and multiple noise conditions. CTS values were compared between groups, conditions and hemispheres, and also within groups, between children with mild and severe dyslexia. Syllabic CTS was significantly reduced in the right superior temporal gyrus in children with dyslexia compared with controls matched for age but not for reading level. Severe dyslexia was characterized by lower rapid automatized naming (RAN) abilities compared with mild dyslexia, and phrasal CTS lateralized to the right hemisphere in children with mild dyslexia and all control groups but not in children with severe dyslexia. Finally, an alteration in phrasal CTS was uncovered in children with dyslexia compared with age-matched controls in babble noise conditions but not in other less challenging listening conditions (non-speech noise or noiseless conditions); no such effect was seen in comparison with reading-level matched controls. Overall, our results confirmed the finding of altered neuronal basis of speech perception in noiseless and babble noise conditions in dyslexia compared with age-matched peers. However, the absence of alteration in comparison with reading-level matched controls demonstrates that such alterations are associated with reduced reading level, suggesting they are merely driven by reduced reading experience rather than a cause of dyslexia. Finally, our result of altered hemispheric lateralization of phrasal CTS in relation with altered RAN abilities in severe dyslexia is in line with a temporal sampling deficit of speech at phrasal rate in dyslexia.

摘要

阅读障碍是一种常见的发育障碍,其中阅读能力的获得延迟,并且通常与在噪声环境中理解言语的困难相关。在神经元水平上,据报道患有阅读障碍的儿童在短语速率下表现出异常的言语皮层追踪(CTS)。在这里,我们旨在确定异常追踪是否与阅读经验减少有关,以及它是否受阅读障碍的严重程度或声学噪声的存在调节。我们纳入了26名学龄期阅读障碍儿童、26名年龄匹配的对照组儿童和26名阅读水平匹配的对照组儿童。所有儿童均以法语为母语。在无噪声和多种噪声条件下,当儿童听连续言语时,用脑磁图记录他们的大脑活动。比较了各组、各条件和各半球之间的CTS值,以及轻度和重度阅读障碍儿童组内的CTS值。与年龄匹配但阅读水平不匹配的对照组相比,阅读障碍儿童右侧颞上回的音节CTS显著降低。与轻度阅读障碍相比,重度阅读障碍的特征是快速自动命名(RAN)能力较低,并且在轻度阅读障碍儿童和所有对照组中,短语CTS偏向右侧半球,但重度阅读障碍儿童中并非如此。最后,与年龄匹配的对照组相比,在咿呀声噪声条件下,阅读障碍儿童的短语CTS出现改变,但在其他难度较小的听力条件(非言语噪声或无噪声条件)下未发现这种改变;与阅读水平匹配的对照组相比未观察到这种效应。总体而言,我们的结果证实了与年龄匹配的同龄人相比,阅读障碍儿童在无噪声和咿呀声噪声条件下言语感知的神经元基础发生改变这一发现。然而,与阅读水平匹配的对照组相比未出现改变表明这种改变与阅读水平降低有关,这表明它们仅仅是由阅读经验减少驱动的,而不是阅读障碍的原因。最后,我们关于重度阅读障碍中短语CTS半球侧化改变与RAN能力改变相关的结果与阅读障碍中短语速率下言语的时间采样缺陷一致。

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