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认知与运动联合训练改善诵读困难儿童的阅读、书写及运动协调能力。

Combined Cognitive and Motor Training Improves Reading, Writing and Motor Coordination in Dyslexic Children.

作者信息

Ben Dhia Amal, Bucci Maria-Pia, Naffeti Chokri, Ben Saad Helmi, Hammouda Omar, Driss Tarak

机构信息

Interdisciplinary Laboratory in Neurosciences, Physiology and Psychology: Physical Activity, Health and Learning (LINP2), UFR STAPS (Faculty of Sport Sciences), Paris Nanterre University, 92000 Nanterre, France.

ICAR UMR 5191 CNRS, ENS de Lyon, Université Lyon 2, 15, Parvis René Descartes, 69342 Lyon, France.

出版信息

Pediatr Rep. 2025 Apr 10;17(2):46. doi: 10.3390/pediatric17020046.

Abstract

BACKGROUND/OBJECTIVES: Different strategies were proposed to enhance dyslexic children's performance. This study aimed to investigate the effect of combined cognitive and motor training on reading, writing, and motor coordination in dyslexic children.

METHODS

Twenty-four children with dyslexia (9.33 ± 0.48 years) were randomly allocated to either a Control (CG, 9.25 ± 0.45 years, n = 12) or a Trained Group (TG, 9.42 ± 0.51 years, n = 12). The intervention lasted eight weeks with a pre/post measurement (Δ) design in each group. It consisted of a combined cognitive and motor program composed of two 45 min sessions per week in TG. Reading and writing capabilities were measured using the word reading task based on the French battery (BALE) and the word dictation task, inspired by the ODÉDYS-2 French battery, respectively. The visuospatial orientation and the upper limb coordination parameters were evaluated using the Judgment of Line Orientation Test and Bruininks-Oseretsky test of motor proficiency, second edition, short form test, respectively.

RESULTS

Two-way ANOVA for repeated measures showed no significant difference between CG and TG in pre-intervention in all tests. Reading ( < 0.001, d = 1.19, Δ% = 15.07) and writing ( < 0.001, d = 1.13, Δ% = 19.69) scores increased significantly at post-compared to preintervention in the TG group. Comparable results were obtained in the visuospatial orientation ( < 0.001, d = 0.97, Δ% = 63.50) and the upper limb coordination ( < 0.001, d = 0.69, Δ% = 110.42) scores. No significant change was observed in CG comparing pre/post-intervention.

CONCLUSIONS

A combined cognitive and motor training program could allow better cerebellar integration, leading to the improvement in reading, writing, and motor abilities in children with dyslexia. Further studies on a larger number of dyslexic children will be necessary to explore such issues.

摘要

背景/目的:人们提出了不同的策略来提高诵读困难儿童的表现。本研究旨在调查认知与运动联合训练对诵读困难儿童阅读、写作和运动协调能力的影响。

方法

24名诵读困难儿童(9.33±0.48岁)被随机分配到对照组(CG,9.25±0.45岁,n = 12)或训练组(TG,9.42±0.51岁,n = 12)。干预持续八周,每组采用前测/后测(Δ)设计。TG组的干预包括一个认知与运动联合项目,每周进行两次,每次45分钟。阅读和写作能力分别通过基于法国测试组合(BALE)的单词阅读任务和受ODÉDYS - 2法国测试组合启发的单词听写任务进行测量。视觉空间定向和上肢协调参数分别使用直线定向判断测试和布吕宁克斯 - 奥塞雷茨基运动熟练度测试第二版简式测试进行评估。

结果

重复测量的双向方差分析显示,在所有测试的干预前,CG组和TG组之间无显著差异。与干预前相比,TG组干预后的阅读(<0.001,d = 1.19,Δ% = 15.07)和写作(<0.001,d = 1.13,Δ% = 19.69)分数显著提高。在视觉空间定向(<0.001,d = 0.97,Δ% = 63.50)和上肢协调(<0.001,d = 0.69,Δ% = 110.42)分数方面也获得了类似结果。比较CG组干预前/后未观察到显著变化。

结论

认知与运动联合训练项目可使小脑更好地整合,从而改善诵读困难儿童的阅读、写作和运动能力。有必要对更多诵读困难儿童进行进一步研究以探讨此类问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a954/12030611/af0a4087e252/pediatrrep-17-00046-g001.jpg

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