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通过高清经颅直流电刺激(tDCS)检测发育性阅读障碍儿童和青少年中V5/MT区在阅读、阅读相关任务、眼动和脑电图振荡方面的作用:一项方案研究

Detecting the contribution of V5/MT in reading, reading-related tasks, eye-movements and EEG-oscillations in children and adolescents with developmental dyslexia via high-definition tDCS: a protocol study.

作者信息

Somma Federica, Lazzaro Giulia, Rima Samy, Rainich Kristina, Müller-Axt Christa, Schmid Michael Christoph, Vicari Stefano, von Kriegstein Katharina, Menghini Deny

机构信息

Child and Adolescent Neuropsychiatry Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Department of Neuro- and Movement Sciences, Faculty of Science and Medicine, University of Fribourg, Fribourg, Switzerland.

出版信息

BMC Psychol. 2025 Jul 7;13(1):744. doi: 10.1186/s40359-025-03036-w.

Abstract

BACKGROUND

Neuroscientific theories of Developmental Dyslexia (DD) primarily focus on language-related dysfunctions and their associated brain networks. However, DD is also associated with alterations in sensory pathways. For example, there is reduced connectivity in DD, in comparison to controls, between the left lateral geniculate nucleus (LGN) and V5/MT, a motion-sensitive visual area implicated in reading. Most neurostimulation studies in children with DD target language-related brain regions to improve reading, often overlooking motion-sensitive visual areas. Our study aims to target left V5/MT activity using high-definition transcranial Direct Current Stimulation (hd-tDCS) to modulate reading, related processes and physiological mechanisms in children with DD.

METHODS

Using a triple-blind, within-subjects design, 36 children and adolescents (aged 8-13 years) will undergo three conditions: (i) active hd-tDCS over left V5/MT; (ii) active hd-tDCS over V1 (control-site condition); (iii) sham hd-tDCS over left V5/MT or V1 (sham condition). Participants will read a text during each hd-tDCS condition. We will collect data on reading (text, lists of words and nonwords), reading-related processes (visual motion perception, rapid automatized naming of letters and numbers, phoneme blending), and physiological measures (eye movements, EEG-oscillations).

DISCUSSION

The results of the study could elucidate the role of V5/MT in reading and reading-related processes and demonstrate the neurophysiological effects of V5/MT stimulation. This study may enhance our understanding of how hd-tDCS can induce reading improvement and guide neurobiological-based interventions for children and adolescents with DD.

TRIAL REGISTRATION

The study was registered at ClinicalTrials.gov (ID: NCT05972200) on 8 April 2023.

摘要

背景

发育性阅读障碍(DD)的神经科学理论主要关注与语言相关的功能障碍及其相关的脑网络。然而,DD也与感觉通路的改变有关。例如,与对照组相比,DD患者左侧外侧膝状体(LGN)和V5/MT(一个与阅读有关的运动敏感视觉区域)之间的连接性降低。大多数针对DD儿童的神经刺激研究都针对与语言相关的脑区来改善阅读,往往忽略了运动敏感视觉区域。我们的研究旨在使用高清经颅直流电刺激(hd-tDCS)靶向左侧V5/MT活动,以调节DD儿童的阅读、相关过程和生理机制。

方法

采用三盲、受试者内设计,36名儿童和青少年(8 - 13岁)将接受三种情况:(i)对左侧V5/MT进行主动hd-tDCS;(ii)对V1进行主动hd-tDCS(对照部位情况);(iii)对左侧V5/MT或V1进行假hd-tDCS(假刺激情况)。在每种hd-tDCS情况下,参与者都将阅读一篇文本。我们将收集关于阅读(文本、单词列表和非单词)、阅读相关过程(视觉运动感知、字母和数字的快速自动命名、音素混合)以及生理测量(眼动、脑电图振荡)的数据。

讨论

该研究结果可能阐明V5/MT在阅读及阅读相关过程中的作用,并证明V5/MT刺激的神经生理效应。本研究可能会增进我们对hd-tDCS如何诱导阅读改善的理解,并指导针对DD儿童和青少年的基于神经生物学的干预措施。

试验注册

该研究于2023年4月8日在ClinicalTrials.gov(标识符:NCT05972200)注册。

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