Dyslexia

阅读障碍
  • 文章类型: Journal Article
    大脑是人体最复杂的器官,因此,它的研究带来了巨大的挑战(方法论,理论,等。).尽管如此,关于病理状况对其发展和功能的影响的研究非常多。这篇书目综述旨在涵盖与神经元及其连接的物理分布变化有关的主要发现-连接组-结构和功能,以及他们的建模方法。它并不打算对影响大脑的所有情况进行广泛的描述;相反,它提出了最常见的。因此,在这里,我们强调需要精确的大脑建模,然后可以用来了解大脑功能,并应用于诊断,轨道,并模拟影响大脑的最普遍病理的治疗方法。
    The brain is the most complex organ in the human body and, as such, its study entails great challenges (methodological, theoretical, etc.). Nonetheless, there is a remarkable amount of studies about the consequences of pathological conditions on its development and functioning. This bibliographic review aims to cover mostly findings related to changes in the physical distribution of neurons and their connections-the connectome-both structural and functional, as well as their modelling approaches. It does not intend to offer an extensive description of all conditions affecting the brain; rather, it presents the most common ones. Thus, here, we highlight the need for accurate brain modelling that can subsequently be used to understand brain function and be applied to diagnose, track, and simulate treatments for the most prevalent pathologies affecting the brain.
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  • 文章类型: Journal Article
    阅读障碍是一种神经发育障碍,在阅读或拼写时存在准确性和/或流畅性的缺陷,鉴于认知功能的水平,这是预期不到的。研究表明大脑结构变化主要在左半球,包括弓形束状(AF)和日冕辐射(CR)。本系统综述的目的是更好地了解分析扩散张量成像(DTI)数据的可能方法,同时考虑文献最后十年中阅读障碍的特征。在PubMed和Scopus筛选的124篇文章中,49符合纳入标准,专注于没有神经或精神合并症的阅读障碍。文章选择涉及配对评估,由第三位审稿人解决差异。使用两个主题对选定的文章进行分析:(1)样本的人口统计学和认知评估,以及(2)DTI获取和分析。主要是,研究集中在英语阅读困难的儿童,保留了非语言智力,注意,和记忆,和阅读测试的缺陷,快速自动命名,和语音意识。对于读者,儿童和成人,主要在所有年龄段的左侧AF和双侧上纵束中发现了结构差异。更好地了解阅读障碍和神经适应的结构性大脑变化可以为未来的干预提供指导。
    Dyslexia is a neurodevelopmental disorder that presents a deficit in accuracy and/or fluency while reading or spelling that is not expected given the level of cognitive functioning. Research indicates brain structural changes mainly in the left hemisphere, comprising arcuate fasciculus (AF) and corona radiata (CR). The purpose of this systematic review is to better understand the possible methods for analyzing Diffusion Tensor Imaging (DTI) data while accounting for the characteristics of dyslexia in the last decade of the literature. Among 124 articles screened from PubMed and Scopus, 49 met inclusion criteria, focusing on dyslexia without neurological or psychiatric comorbidities. Article selection involved paired evaluation, with a third reviewer resolving discrepancies. The selected articles were analyzed using two topics: (1) a demographic and cognitive assessment of the sample and (2) DTI acquisition and analysis. Predominantly, studies centered on English-speaking children with reading difficulties, with preserved non-verbal intelligence, attention, and memory, and deficits in reading tests, rapid automatic naming, and phonological awareness. Structural differences were found mainly in the left AF in all ages and in the bilateral superior longitudinal fasciculus for readers-children and adults. A better understanding of structural brain changes of dyslexia and neuroadaptations can be a guide for future interventions.
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  • 文章类型: Journal Article
    患有发育性语言障碍(DLD)的儿童同时出现阅读困难的比率很高。当前的研究旨在(i)检查哪些因素在积极的阅读观(AVR;Duke&Cartwright,2021)适用于DLD患者,(ii)调查与DLD患者阅读理解能力相关的其他可能因素,在AVR中的组件之外。电子数据库搜索和期刊手工搜索在2022年3月之前发表了5058项与DLD儿童阅读理解有关的研究。4802篇文章在摘要筛选过程中被排除,产生256项符合全文审查条件的研究。在全文审查之后,包括44项研究,并进一步编码人口统计学,评估语言,对报告的残疾的描述,行为评估,和阅读理解评估。虽然结果与AVR模型一致,另外三个因素被确定为与DLD儿童的阅读理解能力显着相关:表达语言(口头和书面),阅读评估的问题类型,和语言障碍史。具体来说,表达性语言与阅读理解能力呈正相关,而解决的DLD显示出比持续性DLD更高的阅读理解能力。此外,患有DLD的儿童在理解基于推理的问题时可能面临额外的困难。这项研究为研究人员提供了因素,教育工作者,和临床专业人员在评估DLD患者的阅读理解时需要考虑。未来的研究应进一步探讨AVR因素对整个发展过程中阅读理解结果的相对重要性。
    Children with developmental language disorder (DLD) have a high rate of co-occurring reading difficulties. The current study aims to (i) examine which factors within the Active View of Reading (AVR; Duke & Cartwright, 2021) apply to individuals with DLD and (ii) investigate other possible factors that relate to reading comprehension ability in individuals with DLD, outside the components in the AVR. Electronic database search and journal hand-search yielded 5058 studies published before March 2022 related to reading comprehension in children with DLD. 4802 articles were excluded during abstract screening, yielding 256 studies eligible for full-text review. Following full-text review, 44 studies were included and further coded for demographics, language of assessment, description of reported disabilities, behavioral assessment, and reading comprehension assessment. While the results aligned with the AVR model, three additional factors were identified as significantly relating to reading comprehension abilities in children with DLD: expressive language (oral and written), question types of reading assessment, and language disorder history. Specifically, expressive language was positively associated with reading comprehension ability, while resolved DLD showed higher reading comprehension abilities than persistent DLD. Furthermore, children with DLD may face additional difficulties in comprehending inference-based questions. This study provides factors for researchers, educators, and clinical professionals to consider when evaluating the reading comprehension of individuals with DLD. Future research should further explore the relative importance of factors of the AVR to reading comprehension outcomes throughout development.
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  • 文章类型: Journal Article
    近几十年来,学术技能之间的联系,比如阅读,写作,和计算,和运动技能/能力受到越来越多的关注。许多研究为患有阅读障碍的儿童和青少年的运动困难提供了证据,提示需要进行荟萃分析以结合这些多个发现。因此,我们使用PsycINFO进行了荟萃分析,Pubmed,和SportDiscus作为科学数据库。根据几个严格的纳入标准,共分析了572项研究。结果在最终分析中纳入了23项同行评审的研究。我们的结果表明,患有阅读障碍的儿童和青少年在多种运动任务中表现出明显不同的表现,并且当运动任务的类型在分析中被视为主持人时,这些差异也仍然存在。目前的发现与支持阅读障碍与运动技能/能力困难之间紧密联系的文献一致。
    In recent decades, the connections between academic skills, such as reading, writing, and calculation, and motor skills/capacities have received increasing attention. Many studies provided evidence for motor difficulties in children and adolescents with dyslexia, prompting the need for a meta-analysis to combine these multiple findings. Therefore, we conducted a meta-analysis using PsycINFO, Pubmed, and SportDiscus as scientific databases. A total of 572 studies were analyzed following several stringent inclusion criteria, resulting in the inclusion of 23 peer-reviewed studies in the final analysis. Our results showed that children and adolescents with dyslexia displayed significant different performances in multiple motor tasks and these differences persisted also when the type of motor task was considered as moderator in the analysis. The present findings are in accordance with the literature that supports a close connection between reading disabilities and difficulties in motor skills/capacities.
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  • 文章类型: Systematic Review
    这篇系统的综述旨在研究视觉感知的可能含义,1型神经纤维瘤病(NF1)儿童经常经历的阅读缺陷中的视觉注意和动眼处理,如以前的阅读障碍所示。使用PRISMA方法指南,我们检查了49项研究;这些研究中的大多数报告了该人群的视觉处理缺陷,提高了直接研究NF1中学习阅读过程中涉及的视觉感知和视觉注意过程以及眼动控制的重要性。讨论反映了更好地理解视觉处理技能如何与NF1中的阅读缺陷相互作用,以及他们的筛选和护理的新途径。
    This systematic review aimed to examine the possible implication of visual-perceptual, visuo-attentional and oculomotor processing in the reading deficits frequently experienced by children with Neurofibromatosis type 1 (NF1), as previously shown in dyslexia. Using PRISMA methodological guidelines, we examined 49 studies; most of these reported visual-processing deficits in this population, raising the importance of directly studying the visuo-perceptual and visuo-attentional processes and eye-movement control involved in the learning-to-read process in NF1. The discussion provides a reflection for a better understanding of how visual-processing skills interact with reading deficits in NF1, as well as new avenues for their screening and care.
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  • 文章类型: Journal Article
    传统上,神经发育障碍的特征是一系列相关的认知障碍,例如,感官加工,面部识别,视觉图像,注意,和协调。在这次重要的审查中,我们提出了一个重大的重组,强调具有神经发育差异的人可以表现出的各种独特的认知优势。这些包括增强的视觉感知,强大的空间,听觉,和语义记忆,卓越的移情和心理理论,以及更高层次的发散思维。虽然我们承认神经发育状况中认知特征的异质性,我们对这些群体提出了更令人鼓舞和肯定的观点,与占主导地位的,在认知和神经心理学研究中普遍存在的基于赤字的地位。此外,我们为这些认知优势提供了理论基础和理论基础,争论可遗传性的关键作用,行为适应,神经元再循环,我们利用心理药理学和社会解释。我们提供了一张不同条件下的潜在优势表,并邀请研究人员在未来的工作中系统地研究这些优势。这应该有助于减少围绕神经多样性的污名,相反,促进更大的社会包容和显著的社会效益。
    Neurodevelopmental disorders are traditionally characterised by a range of associated cognitive impairments in, for example, sensory processing, facial recognition, visual imagery, attention, and coordination. In this critical review, we propose a major reframing, highlighting the variety of unique cognitive strengths that people with neurodevelopmental differences can exhibit. These include enhanced visual perception, strong spatial, auditory, and semantic memory, superior empathy and theory of mind, along with higher levels of divergent thinking. Whilst we acknowledge the heterogeneity of cognitive profiles in neurodevelopmental conditions, we present a more encouraging and affirmative perspective of these groups, contrasting with the predominant, deficit-based position prevalent throughout both cognitive and neuropsychological research. In addition, we provide a theoretical basis and rationale for these cognitive strengths, arguing for the critical role of hereditability, behavioural adaptation, neuronal-recycling, and we draw on psychopharmacological and social explanations. We present a table of potential strengths across conditions and invite researchers to systematically investigate these in their future work. This should help reduce the stigma around neurodiversity, instead promoting greater social inclusion and significant societal benefits.
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  • 文章类型: Systematic Review
    本文已迁移。这篇文章被标记为推荐。
    背景:阅读障碍是一种常见病。据估计,它影响了大约10%的全球人口,1.7%的英国医学生。这篇综述旨在探索有关阅读障碍医学生考试表现的现有文献。
    方法:Medline的评论,ERIC,PsychInfo,科克伦图书馆,谷歌学者是按照PRISMA清单进行的。如果涉及患有阅读障碍的医学生的考试成绩,则可以接受论文。
    结果:选择了三篇论文进行综述。这些都是横断面研究,比较了有阅读障碍和没有阅读障碍的学生的考试成绩,以及考试中额外时间的影响。偏倚风险评估确定这三者都适合纳入本综述。计划进行荟萃分析,但无法进行,因为研究数量少,研究之间的异质性太高。人们一致认为多项选择题考试对阅读障碍学生来说是公平的,当额外的时间被允许。对于阅读障碍的学生来说,论文类型考试特别具有挑战性。患有阅读障碍的学生在第一年也处于不利地位。
    结论:总体而言,证据表明,患有阅读障碍的医学生适应医学院的速度较慢,并且在课程早期表现不佳。然而,在适当的支持下,随着他们在课程中的进步,他们的表现似乎与非诵读困难的同龄人相当。我们的评论强调了对医学生群体进行更多研究的必要性。
    This article was migrated. The article was marked as recommended.
    BACKGROUND: Dyslexia is a common condition. Estimates suggest it effects approximately 10% of the worldwide population, and 1.7% of UK medical students. This review aimed to explore the existing literature concerning the exam performance of medical students with dyslexia.
    METHODS: A Review of Medline, ERIC, PsychInfo, The Cochrane Library, and Google Scholar was conducted in accordance with the PRISMA checklist. Papers were accepted if they concerned the exam performance of medical students with dyslexia.
    RESULTS: Three papers were selected for review. These were all cross-sectional studies comparing exam results in students with dyslexia and without dyslexia - and the impacts of extra time in exams. A risk of bias assessment determined that all three were appropriate to include in this review. A meta-analysis was planned but could not be performed because the number of studies was low and heterogeneity between the studies too high. There was consensus that Multiple Choice Question exams were fair for students with dyslexia, when extra time was allowed. Essay type exams were found to be particularly challenging for students with dyslexia. Students with dyslexia were also found to be at a disadvantage in their first year.
    CONCLUSIONS: Overall, the evidence suggests that medical students with dyslexia are slower to adapt to medical school and under-perform early in the course. However, with appropriate supports, they appear to perform on a par with their non-dyslexic peers as they progress through their course. Our review highlights the need for more research in the medical student population.
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  • 文章类型: Journal Article
    本文对公开的在线阅读障碍学习模块进行了全面的回顾,特别关注模块在多大程度上解决了阅读障碍是由“向后阅读”引起的普遍神话。“作者进行了系统的互联网搜索,以识别公开的在线阅读障碍学习模块,并对整个教育内容进行编码,神经认知,和政策纪律领域。我们在少量(N=14)公开可用的模块中确定了18个主题,这些模块专注于阅读障碍,只有两个模块直接解决这个阅读障碍的神话。虽然两人都认为这个神话是假的,两者都没有提供关于阅读障碍的神经认知基础的信息来解释为什么这个神话是错误的。这篇评论将有助于指导在线阅读障碍学习模块的进一步发展,由于持续存在有关这种障碍的错误信息,这些模块是迫切需要的。每个模块的编码内容评论也将有助于将注意力引导到阅读障碍专业发展的现有资源。
    This paper presents a comprehensive review of publicly available online dyslexia learning modules with a particular focus on the extent to which modules address the prevalent myth that dyslexia is caused by \"backwards reading.\" The authors conducted a systematic internet search to identify publicly available online dyslexia learning modules and coded the content across education, neurocognition, and policy disciplinary domains. We identified 18 topics across a small number (N = 14) of publicly available modules that focused on dyslexia, with only two modules directly addressing this dyslexia myth. While both identified this myth as false, neither provided information about the neurocognitive underpinnings of dyslexia to explain why this myth is false. This review will be useful for guiding further development of online dyslexia learning modules which are urgently needed due to persisting misinformation about this disorder. The coded content reviews of each module will also be beneficial for directing attention to existing resources for professional development on dyslexia.
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  • 文章类型: Journal Article
    在这篇系统的叙事综述中,我们综合了现有的关于有天赋和阅读障碍(G-D)的儿童的小型研究机构,以调查G-D学生具有独特特征的说法,以掩盖单词级阅读和拼写困难为特征。我们的重点是这个两次例外(2e)儿童亚组的认知和学术概况,以及用于识别他们的评估方案。研究结果表明,尽管存在与阅读障碍相关的处理缺陷,G-D学生有天赋的优势,尤其是那些与口头语言有关的,可能使他们能够弥补他们的阅读困难,至少在一定程度上不符合标准诊断标准。然而,G-D学生在单词级阅读方面也表现不佳,与两个对照组及其天赋相比,阅读流利度和拼写任务,非诵读困难的同龄人,提供成就受损的明确证据。这项审查的结果强调了(a)一种更细致入微的方法来评估表现出高度不一致的学生,以及(b)未来对认知和学术概况以及这种高度能干但理解不足的学生群体的教学需求的研究。他们的潜力可能被掩盖,从而在学校环境中被低估。
    In this systematic narrative review, we synthesised the small existing body of research on children who are gifted and dyslexic (G-D) in order to investigate the claim that G-D students have a unique profile, characterised by well-masked word-level reading and spelling difficulties. Our focus was on both the cognitive and academic profiles of this subgroup of twice-exceptional (2e) children and the assessment protocols used to identify them. Findings suggest that despite having processing deficits associated with dyslexia, G-D students\' gifted strengths, especially those relating to oral language, may enable them to compensate for their reading difficulties, at least to an extent that they fail to meet standard diagnostic criteria. However, G-D students also perform poorly on word-level reading, reading fluency and spelling tasks when compared with both control groups and their gifted, non-dyslexic peers, providing clear evidence of impaired achievement. Findings from this review highlight the need for (a) a more nuanced approach to the assessment of students presenting with highly discrepant profiles and (b) future research into both the cognitive and academic profiles and the instructional needs of this highly able yet poorly understood group of students, whose potential may be masked and thus underestimated in the school setting.
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  • 文章类型: Journal Article
    这篇综述的目的是对当前研究父母和照顾者的特定学习障碍(SLD)诊断观点的文献的数量和方法特征进行范围研究。综合关键发现并突出当前文献中的差距。在2013年1月至2023年3月期间进行了系统搜索。二十三条文章,代表了七个国家的1796名父母和照顾者,进行数据提取。审查强调了每项纳入研究的主要目标和范围的很大差异,并且大多数研究使用定性或混合方法方法。确定了诊断经验的三个中心部分:评估途径,评估过程,并倡导和协调诊断后的支持。最后一个主题,更广泛的社会和政治问题,也被确认了。研究结果强调,患有SLD的儿童的父母经历了与其他神经发育障碍儿童的父母类似的获得诊断和获得诊断后支持的斗争。这提供了一些证据,国际上,在SLD诊断评估未得到满足的时间内的父母需求,对及时评估和诊断后支持不足有重大障碍。探索了未来的研究和对实践的启示。
    The purpose of this review was to scope the quantity and methodological characteristics of the current literature examining parent and caregivers\' perspectives of specific learning disorder (SLD) diagnosis, synthesise key findings and highlight gaps in the current literature. A systematic search was conducted for the period January 2013 to March 2023. Twenty-three articles, representing 1796 parents and caregivers across seven countries, underwent data extraction. The review highlighted considerable variability regarding the main aim and scope of each included study and that most studies used qualitative or mixed method methodology. Three central parts of the diagnostic experience were identified: pathway to assessment, assessment process, and advocating and coordinating support post-diagnosis. A final theme, broader social and political issues, was also identified. The findings highlight that parents of children with SLDs experienced a similar battle to obtain a diagnosis and access post-diagnostic support as parents of children with other neurodevelopmental disorders. This provides some evidence that, internationally, parent needs in the time surrounding SLD diagnostic assessment are not being met, with substantial barriers to timely assessment and inadequate post-diagnosis support. Future research and implications for practice are explored.
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