Kerkhoff Georg, Kraft Antje
Department of Clinical Neuropsychology & Neuropsychological Outpatient Unit, Saarland University, P.O. Box 15 11 50, D-66041 Saarbrücken, Germany.
Zentrum für Ambulante Neuropsychologie und Verhaltenstherapie (ZANV), Schleiermacherstraße 24, D-10961 Berlin, Germany.
Brain Sci. 2024 Mar 6;14(3):259. doi: 10.3390/brainsci14030259.
Reading disorders are frequent in homonymous hemianopia and are termed hemianopic dyslexia (HD). The existing treatment methods have shown improvements in reading speed, accuracy, and eye movements during reading. Yet, little is known about the transfer effects of such treatments on functional, reading-related tasks of daily life, e.g., reading phone numbers, finding typing errors or text memory. In addition, little is known about the effects on symptom load and return to work. Here, we examined a new reading therapy entailing three different methods-floating text, rapid serial visual presentation (RSVP) of single words, and the moving window technique-and evaluated their efficacy. Twenty-seven chronic HD patients were treated in a baseline design with treatment-free intervals before and after a treatment period of several months. HD was assessed with a battery of reading tests and a questionnaire about subjective symptom load at four time-points. Patients received all three reading therapies over several weeks. The results show significant and stable improvements during treatment within all measures. Approximately 63% of treated patients returned to work after the therapy. We concluded that our novel HD treatment led to widespread and lasting improvements in reading performance, generalized to functional reading tasks and reduced symptom load, and the majority of patients were able to return to work.
阅读障碍在同侧偏盲中很常见，被称为偏盲性阅读障碍（HD）。现有的治疗方法已显示出在阅读速度、准确性以及阅读过程中的眼动方面有所改善。然而，对于此类治疗对日常生活中与阅读相关的功能性任务的转移效果知之甚少，例如读取电话号码、查找打字错误或文本记忆。此外，对于其对症状负荷和重返工作的影响也了解甚少。在此，我们研究了一种新的阅读疗法，该疗法包含三种不同方法——浮动文本、单个单词的快速序列视觉呈现（RSVP）以及移动窗口技术，并评估了它们的疗效。27名慢性HD患者采用基线设计，在几个月的治疗期前后设有无治疗间隔期。通过一系列阅读测试和一份关于主观症状负荷的问卷在四个时间点对HD进行评估。患者在数周内接受了所有三种阅读疗法。结果显示，在所有测量指标上治疗期间均有显著且稳定的改善。约63%的接受治疗患者在治疗后重返工作岗位。我们得出结论，我们新颖的HD治疗方法在阅读表现方面带来了广泛且持久的改善，推广至功能性阅读任务并减轻了症状负荷，并且大多数患者能够重返工作岗位。
