Scheveig Franck, Bucci Maria Pia
Clinique de Posturologie, 66100 Perpignan, France.
MoDyCo, UMR 7114 CNRS Université Paris Nanterre, 92000 Nanterre, France.
Vision (Basel). 2023 Apr 27;7(2):37. doi: 10.3390/vision7020037.
Several studies have reported motor deficiencies in children with dyslexia, in line with the cerebellar deficit theory. In the present study, we explored whether tests used by physiotherapists during clinical evaluation were able to report motor deficits in a group of fifty-six dyslexic children (mean age 10.9 ± 0.2 years old) compared to a group of thirty-eight non-dyslexic children (mean age 11.2 ± 0.4 years old). The occurrence of instability on an unstable support; spinal instability in the sagittal, frontal and horizontal plane; head-eye discoordination; and poor eye stability were clinically assessed in the two groups of children. All such measures were found to be significantly more frequent in dyslexic than in non-dyslexic children ( < 0.001, < 0.05, < 0.001 and < 0.001, respectively, for occurrence of instability on an unstable support, spinal instability, head-eye discoordination and poor eye stability). These results, firstly, confirmed the poor motor control of dyslexic children, suggesting deficient cerebellar integration. Secondly, for the first time, we reported that simple tests that can be done by pediatricians and/or during a clinical routine evaluation could be useful to discriminate children with reading difficulties. The tests used in this study could be a reference for a first exploration of motor deficiencies in children with dyslexia that can be easily assessed by clinicians and/or physiotherapists.
多项研究报告了诵读困难儿童存在运动缺陷,这与小脑缺陷理论相符。在本研究中,我们探讨了物理治疗师在临床评估时所使用的测试,能否报告一组56名诵读困难儿童(平均年龄10.9±0.2岁)与一组38名非诵读困难儿童(平均年龄11.2±0.4岁)相比的运动缺陷情况。对两组儿童进行了临床评估,包括在不稳定支撑物上的不稳定性、矢状面、额状面和水平面的脊柱不稳定性、头眼失调以及眼球稳定性差的情况。结果发现,所有这些指标在诵读困难儿童中出现的频率均显著高于非诵读困难儿童(不稳定支撑物上的不稳定性、脊柱不稳定性、头眼失调和眼球稳定性差的发生率分别为<0.001、<0.05、<0.001和<0.001)。这些结果,首先,证实了诵读困难儿童运动控制能力差,提示小脑整合功能不足。其次,我们首次报告,儿科医生和/或在临床常规评估中可以进行的简单测试,可能有助于鉴别有阅读困难的儿童。本研究中使用的测试可以作为对诵读困难儿童运动缺陷进行初步探索的参考,临床医生和/或物理治疗师可以轻松进行评估。