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言语工作记忆-平衡程序训练改变阅读障碍儿童左侧梭状回静息态功能连接:一项随机临床试验研究。

Verbal Working Memory-Balance program training alters the left fusiform gyrus resting-state functional connectivity: A randomized clinical trial study on children with dyslexia.

机构信息

Nursing and Midwifery Care Research Center, Iran University of Medical Sciences, Tehran, Iran.

Department of Neuroscience, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Dyslexia. 2023 Aug;29(3):264-285. doi: 10.1002/dys.1747. Epub 2023 Jun 19.

Abstract

Sufficient activation of the left fusiform gyrus is important in reading ability acquisition due to its role in reading and naming, working memory (WM), and balance tasks. Recently, a newly-designed training program, Verbal Working Memory-Balance (VWM-B), has been evaluated on children with dyslexia, and its positive effects were shown on reading ability, WM capacity, and postural control. In the present study, we aimed to estimate the functional connectivity alterations of the left fusiform gyrus following training by the VWM-B. Before and after 15 sessions of training, the fMRI and other tools data were collected on a sample of children with dyslexia, who were allocated into two control and experiment groups. Data analyses showed the increased functional connectivity of the left fusiform gyrus between the left anterior temporal fusiform cortex, left and right Crus II regions of the cerebellum, and the left middle frontal gyrus. Moreover, VWM-B training significantly improved the reading and naming ability, WM capacity, and postural control of participants in the experiment group in comparison to the control. The current study findings emphasize the critical role of the left fusiform gyrus in reading ability. Moreover, it provides evidence to support the existence of cerebellar deficits in dyslexia.

摘要

左侧梭状回的充分激活对于阅读能力的获得很重要,因为它在阅读和命名、工作记忆 (WM) 和平衡任务中都发挥着作用。最近,一项新设计的训练计划——言语工作记忆-平衡(VWM-B)已在阅读障碍儿童中进行了评估,其对阅读能力、WM 容量和姿势控制均有积极影响。在本研究中,我们旨在估计 VWM-B 训练后左侧梭状回的功能连接变化。在 15 次训练前后,采集了一组阅读障碍儿童的 fMRI 和其他工具数据,并将其分配到对照组和实验组。数据分析显示,左侧梭状回与左侧颞前梭状回、小脑左右 Crus II 区以及左侧额中回之间的功能连接增加。此外,与对照组相比,VWM-B 训练显著提高了实验组参与者的阅读和命名能力、WM 容量和姿势控制。本研究结果强调了左侧梭状回在阅读能力中的关键作用。此外,它为阅读障碍中存在小脑缺陷提供了证据支持。

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