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阅读障碍者前期的神经同步及其干预。

Neural synchronization and intervention in pre-readers who later on develop dyslexia.

机构信息

Research Group ExpORL, Department of Neurosciences, KU Leuven, Leuven, Belgium.

Parenting and Special Education Research Unit, Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.

出版信息

Eur J Neurosci. 2023 Feb;57(3):547-567. doi: 10.1111/ejn.15894. Epub 2022 Dec 23.

Abstract

A growing number of studies has investigated temporal processing deficits in dyslexia. These studies largely focus on neural synchronization to speech. However, the importance of rise times for neural synchronization is often overlooked. Furthermore, targeted interventions, phonics-based and auditory, are being developed, but little is known about their impact. The current study investigated the impact of a 12-week tablet-based intervention. Children at risk for dyslexia received phonics-based training, either with (n = 31) or without (n = 31) auditory training, or engaged in active control training (n = 29). Additionally, neural synchronization and processing of rise times was longitudinally investigated in children with dyslexia (n = 26) and typical readers (n = 52) from pre-reading (5 years) to beginning reading age (7 years). The three time points in the longitudinal study correspond to intervention pre-test, post-test and consolidation, approximately 1 year after completing the intervention. At each time point neural synchronization was measured to sinusoidal stimuli and pulsatile stimuli with shortened rise times at syllable (4 Hz) and phoneme rates (20 Hz). Our results revealed no impact on neural synchronization at syllable and phoneme rate of the phonics-based and auditory training. However, we did reveal atypical hemispheric specialization at both syllable and phoneme rates in children with dyslexia. This was detected even before the onset of reading acquisition, pointing towards a possible causal rather than consequential mechanism in dyslexia. This study contributes to our understanding of the temporal processing deficits underlying the development of dyslexia, but also shows that the development of targeted interventions is still a work in progress.

摘要

越来越多的研究调查了阅读障碍中的时间处理缺陷。这些研究主要集中在语音的神经同步上。然而,上升时间对神经同步的重要性经常被忽视。此外,正在开发基于语音和听觉的靶向干预措施,但对其影响知之甚少。本研究调查了为期 12 周的基于平板电脑的干预的影响。有阅读障碍风险的儿童接受了基于语音的训练,要么接受(n=31),要么不接受(n=31)听觉训练,要么接受主动控制训练(n=29)。此外,还对阅读障碍儿童(n=26)和典型阅读者(n=52)从预阅读(5 岁)到开始阅读年龄(7 岁)进行了上升时间的神经同步和处理的纵向研究。纵向研究中的三个时间点对应于干预前测试、后测试和巩固测试,大约在完成干预后 1 年。在每个时间点,都对正弦刺激和缩短上升时间的脉冲刺激进行了神经同步测量,上升时间分别为音节(4Hz)和音素(20Hz)。我们的结果表明,基于语音和听觉的训练对音节和音素率的神经同步没有影响。然而,我们确实在阅读障碍儿童中发现了在音节和音素率上的非典型的半球专门化。这甚至在阅读习得之前就被发现了,指向了阅读障碍中的可能是因果关系而不是后果关系的机制。本研究有助于我们理解阅读障碍发展中时间处理缺陷的基础,但也表明靶向干预措施的发展仍在进行中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb81/10108076/1a05f8ef271b/EJN-57-547-g001.jpg

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