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发育性阅读障碍儿童的双耳时间精细结构敏感性

Binaural Temporal Fine Structure Sensitivity for Children With Developmental Dyslexia.

作者信息

Flanagan Sheila A, Moore Brian C J, Wilson Angela M, Gabrielczyk Fiona C, MacFarlane Annabel, Mandke Kanad, Goswami Usha

机构信息

Centre for Neuroscience in Education, Department of Psychology, University of Cambridge, United Kingdom.

Cambridge Hearing Group, Department of Psychology, University of Cambridge, United Kingdom.

出版信息

J Speech Lang Hear Res. 2025 May 8;68(5):2569-2583. doi: 10.1044/2025_JSLHR-24-00543. Epub 2025 Apr 24.

Abstract

PURPOSE

Atypical temporal processing is thought to be involved in the phonological difficulties that characterize children with developmental dyslexia (DYS). The temporal sampling (TS) theory of dyslexia posits that the processing of low-frequency envelope modulations is impaired, but the processing of binaural temporal fine structure (TFS) is preserved in children with DYS.

METHOD

Binaural TFS sensitivity was assessed for children with DYS utilizing the methods developed by Flanagan et al. for typically developing (TD) children. New results for 58 children with DYS (ages 7-9.6 years) were compared with those for 30 age-matched controls (chronological age-matched [CA]) reported in Flanagan et al. Threshold frequency, that is, the highest frequency at which an interaural phase difference (IPD) of 30° or 180° could be distinguished from an IPD of 0° was determined using a two-interval forced-choice task in which the frequency was adaptively varied, with stimuli presented via headphones.

RESULTS

For those who were able to perform the task above chance, the median TFS thresholds were: DYS = 886 Hz; CA = 999Hz. For TFS thresholds: DYS = 388 Hz; CA = 442 Hz. A linear mixed-effects model with dependent variable threshold frequency and fixed effects of group (CA and DYS) and phase (180° and 30°) showed no significant difference between groups ( > .05) and no significant interaction between group and phase. Both groups performed more poorly than young typically hearing adults ( < .001) for both phases.

CONCLUSIONS

Binaural TFS sensitivity does not differ significantly for children with DYS and TD children. For both groups, the development of binaural TFS sensitivity is protracted. The results are consistent with TS theory.

摘要

目的

非典型的时间加工被认为与发育性阅读障碍(DYS)儿童所具有的语音困难有关。阅读障碍的时间采样(TS)理论假定,低频包络调制的加工受损,但双耳时间精细结构(TFS)的加工在DYS儿童中得以保留。

方法

利用弗拉纳根等人针对发育正常(TD)儿童开发的方法,对DYS儿童的双耳TFS敏感性进行评估。将58名DYS儿童(年龄7 - 9.6岁)的新结果与弗拉纳根等人报告的30名年龄匹配的对照组(实足年龄匹配[CA])的结果进行比较。阈值频率,即30°或180°的耳间相位差(IPD)能够与0°的IPD区分开的最高频率,通过两间隔强迫选择任务来确定,其中频率是自适应变化的,刺激通过耳机呈现。

结果

对于那些能够在高于机遇水平上完成任务的人,TFS阈值中位数为:DYS = 886赫兹;CA = 999赫兹。对于TFS阈值:DYS = 388赫兹;CA = 442赫兹。一个以阈值频率为因变量、组(CA和DYS)和相位(180°和30°)为固定效应的线性混合效应模型显示,组间无显著差异(>0.05),组与相位之间也无显著交互作用。对于两个相位,两组的表现均比年轻的听力正常成年人差(<0.001)。

结论

DYS儿童和TD儿童的双耳TFS敏感性无显著差异。对于两组而言,双耳TFS敏感性的发展都很缓慢。结果与TS理论一致。

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