Dyslexia

阅读障碍
  • 文章类型: Journal Article
    背景:阅读障碍是一种神经发育障碍,会导致学习困难的模式,其特征是单词阅读准确性不足,速度或流畅性,阅读理解。由于所有这些损坏,在文献中已经描述了情感困难,主要是针对童年和青春期。在这种情感成分中,个性可以包括在内。在巴西,在进行这项研究的时候,没有研究发现对阅读障碍成年人的人格进行调查。因此,本研究旨在调查巴西成人阅读障碍患者的人格特征。
    方法:进行了半结构化访谈,基于五大人格特质。样本由两组组成:一组患有阅读障碍,另一组为对照。第一个是由九名参与者组成的,年龄在18至47岁之间(M=31.7;标准偏差(SD)=11.8),其中六个是女性。对照组由60名参与者组成,年龄在18至45岁之间(M=26.4;SD=8.8),其中38人是妇女。
    结果:数据显示,在大多数分析因素和亚因素中,组间没有显着差异。在阅读障碍组中,“被动/缺乏能量”的比率增加,“对新思想的开放性”的比率降低。
    结论:这些结果可能有助于描述阅读障碍成年人的人格特征,这些描述可能为诊断和干预程序提供临床支持。
    BACKGROUND: Dyslexia is a neurodevelopmental disorder that causes a pattern of learning difficulties that can be characterized by deficits in word reading accuracy, speed or fluency, and reading comprehension. Due to all this damage, emotional difficulties have been described in the literature mainly for childhood and adolescence. Within this emotional component, personality can be included. In Brazil, at the time of carrying out this research, no research had been found that investigated the personality of dyslexic adults. Thus, the present study aimed to investigate the personality of Brazilian adults with dyslexia.
    METHODS: A semi-structured interview was administered and the Factorial Personality Battery, based on the Big Five personality traits. The sample was composed of two groups: one with dyslexia and another control. The first was formed by nine participants, aged between 18 and 47 (M = 31.7; standard deviation (SD) = 11.8), six of whom were women. The control group was formed by 60 participants, aged between 18 and 45 years (M = 26.4; SD = 8.8), 38 of whom were women.
    RESULTS: The data did not show significant differences between the groups in most of the analyzed factors and subfactors. Increased rates of \"passivity/lack of energy\" and lowered rates of \"openness to new ideas\" were identified in the group with dyslexia.
    CONCLUSIONS: These results could be useful for describing personality profiles in dyslexic adults, with these descriptions possibly providing clinical support for diagnoses and intervention procedures.
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  • 文章类型: Journal Article
    图形学语义灵活性是阅读中的认知灵活性,使个人能够同时管理文本的多个语音和语义方面。这项研究调查了阅读障碍儿童的语言语义灵活性及其对阅读理解的贡献,将它们与年龄匹配的比较,通常是发展中的同行。30名8-11岁的儿童使用特定阅读分类任务进行了评估,他们在2x2矩阵中按初始音素和含义对单词卡进行分类。排序后,参与者解释了他们的安排,和它们的分拣速度,准确度,并对综合评分进行评价。此外,阅读理解能力是通过段落和问题进行评估的。结果显示,阅读障碍儿童与同龄人在分类准确性和综合得分方面存在显着差异。患有阅读障碍的儿童表现出更差的准确性和更长的分类时间,导致较低的综合得分,表明字词语义灵活性降低。年龄与排序精度和综合得分呈正相关。此外,排序准确性和综合分数是阅读理解的强预测因子。这些发现表明,阅读障碍儿童在同时管理文本的语音和语义方面面临挑战,强调字词语义灵活性在阅读发展中的重要性。
    Graphophonological-semantic flexibility is the cognitive flexibility in reading that enables individuals to manage multiple phonological and semantic aspects of text simultaneously. This study investigated graphophonological-semantic flexibility and its contribution to reading comprehension in children with dyslexia, comparing them to age-matched, typically developing peers. Thirty children aged 8-11 were assessed using a reading-specific sorting task, where they categorized word cards by initial phoneme and meaning within a 2x2 matrix. After sorting, participants explained their arrangements, and their sorting speed, accuracy, and composite scores were evaluated. Additionally, reading comprehension was assessed through passages followed by questions. Results revealed significant differences between children with dyslexia and their peers in sorting accuracy and composite scores. Children with dyslexia exhibited poorer accuracy and longer sorting times, leading to lower composite scores indicative of reduced graphophonological-semantic flexibility. Age showed a positive correlation with sorting accuracy and composite scores. Moreover, sorting accuracy and composite scores were strong predictors of reading comprehension. These findings suggest that children with dyslexia face challenges in managing both phonological and semantic aspects of text concurrently, highlighting the importance of graphophonological-semantic flexibility in reading development.
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  • 文章类型: Journal Article
    背景:特定学习障碍(SLD)是一种神经发育疾病,尽管智力正常和受过足够的教育,但其特征是严重的学术困难。阅读的困难,写作,和算术可以在不同年龄独立或同时出现。早期症状可能出现在学龄前,包括社交技能的延迟,运动技能,和语言发展。这项研究旨在评估有SLD和相关精神疾病风险的学龄前儿童的患病率。
    方法:数据来自埃迪尔内市的515名学龄前儿童,土耳其,使用SLD早期症状筛查量表。获得了社会人口统计信息,并邀请有风险的儿童进行精神病评估。
    结果:参与者的平均年龄为72.5±5.6个月。根据筛查量表评分确定参加问卷的学龄前儿童中5.7%存在SLD风险。诸如父亲受教育程度低等因素,母亲在怀孕期间吸烟,在新生儿重症监护室呆的时间更长,更长的屏幕时间,父母之间的血缘关系与SLD风险增加相关。
    结论:本研究强调了早期识别和干预SLD的重要性,以及考虑相关精神病合并症的必要性。识别学龄前儿童的危险因素可能有助于及时干预,并防止以后的学业和社会困难。
    BACKGROUND: Specific learning disorder (SLD) is a neurodevelopmental condition characterised by significant academic difficulties despite normal intelligence and adequate education. The difficulties with reading, writing, and arithmetic may manifest independently or concurrently at different ages. Early symptoms may appear in preschool, including delays in social skills, motor skills, and language development. This study aimed to assess the prevalence of preschool children at risk for SLD and related psychiatric disorders.
    METHODS: Data were collected from 515 preschool children in Edirne City, Turkey, using a screening scale for early symptoms of SLD. Socio-demographic information was obtained, and children at risk were invited for a psychiatric evaluation.
    RESULTS: The mean age of the participants was 72.5 ± 5.6 months. It was determined that 5.7% of the preschool children who participated in the questionnaire were at risk of SLD according to the screening scale scores. Factors such as a father\'s low education, the mother smoking during pregnancy, a longer stay in the neonatal intensive care unit, longer screen time, and consanguinity between parents were associated with an increased risk of SLD.
    CONCLUSIONS: This study emphasises the importance of early identification and intervention for SLD and the need to consider associated psychiatric comorbidities. Identifying the risk factors in preschool children may facilitate timely intervention and prevent academic and social difficulties in later years.
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  • 文章类型: Journal Article
    阅读障碍是一种特殊的学习障碍,起源于神经生物学,其特征是阅读和/或拼写问题会影响语言相关技能的发展。这项研究的目的是通过检查静息状态和阅读任务中大脑区域的功能来揭示基于阅读障碍的功能标记,并分析在阅读障碍治疗过程中给予特殊教育的效果。一共有43个孩子,7至12岁,母语是土耳其语,参加了三组的研究,包括那些首次诊断为阅读障碍的人,那些接受阅读障碍特殊教育的人,和健康的孩子。采用独立成分分析方法分析休息和连续阅读任务期间三组之间的功能连通性变化。在任务完成和静息状态下进行的全脑扫描显示,包括横向视觉在内的区域存在显着差异,默认模式,左额顶,腹侧注意力,眶额和侧向运动网。我们的结果揭示了在阅读障碍参与者的训练中增加运动协调练习的必要性,并表明训练导致了与健康组相似的某些大脑区域的功能连接。此外,我们的发现证实了冲动与运动协调和视觉有关,阅读障碍组的大脑连通性与这些疾病有关。根据我们的初步结果,阅读困难儿童之间的差异,有特殊教育和健康儿童的阅读障碍组揭示了教育对大脑功能的影响,以及使阅读障碍的全面检查。
    Dyslexia is a specific learning disability that is neurobiological in origin and is characterized by reading and/or spelling problems affecting the development of language-related skills. The aim of this study is to reveal functional markers based on dyslexia by examining the functions of brain regions in resting state and reading tasks and to analyze the effects of special education given during the treatment process of dyslexia. A total of 43 children, aged between 7 and 12, whose native language was Turkish, participated in the study in three groups including those diagnosed with dyslexia for the first time, those receiving special education for dyslexia, and healthy children. Independent component analysis method was employed to analyze functional connectivity variations among three groups both at rest and during the continuous reading task. A whole-brain scanning during task fulfillment and resting states revealed that there were significant differences in the regions including lateral visual, default mode, left frontoparietal, ventral attention, orbitofrontal and lateral motor network. Our results revealed the necessity of adding motor coordination exercises to the training of dyslexic participants and showed that training led to functional connectivity in some brain regions similar to the healthy group. Additionally, our findings confirmed that impulsivity is associated with motor coordination and visuality, and that the dyslexic group has weaknesses in brain connectivity related to these conditions. According to our preliminary results, the differences obtained between children with dyslexia, group of dyslexia with special education and healthy children has revealed the effect of education on brain functions as well as enabling a comprehensive examination of dyslexia.
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  • 文章类型: Journal Article
    背景:幼儿神经发育障碍(NDD)和产后抑郁症(PND)的诊断延迟是一个主要的公共卫生问题。在这两种情况下,早期干预至关重要,但在实践中很少实施。
    目标:我们的目标是确定专用的移动应用程序是否可以改善5个NDD(自闭症谱系障碍[ASD],语言延迟,消化不良,诵读困难,和注意力缺陷/多动障碍[ADHD])并降低PND发生率。
    方法:我们进行了观察,横截面,在法国的年轻父母中进行的基于数据的研究,在纳入时至少有1名年龄<10岁的儿童,并定期使用Malo,用于智能手机的“多合一”多领域数字健康记录电子患者报告结果(PRO)应用程序。我们纳入了符合标准并同意在2022年5月1日至2024年2月8日期间参与的前50,000名用户。父母通过该应用程序定期收到评估神经发育领域技能的问卷。母亲访问了一项预防PND的支持计划,并被要求回答常规的PND问卷。当任何PRO符合预定义的标准时,我们向家庭医生或儿科医生发送了应用程序内推荐,以预约预约.主要结果是通知可能的NDD时婴儿的中位年龄以及分娩后PND检测的发生率。一个次要结果是由卫生专业人员评估的NDD咨询通知的相关性。
    结果:在55,618名中位年龄4个月的儿童中(IQR9),439(0.8%)患有至少1种急需咨询的疾病。可能的ASD的通知年龄中位数,语言延迟,消化不良,诵读困难,ADHD为32.5(IQR12.8),16(IQR13),36(IQR22.5),80(IQR5),和61(IQR15.5)个月,分别。多动症的可能性,ASD,诵读困难,语言延迟,并且在每个警报的检测限之间包括的该年龄段的儿童中的运动障碍为1.48%,0.21%,1.52%,0.91%,和0.37%,分别。医生评估的可疑NDD警报通知的敏感性为78.6%,特异性为98.2%。在完成PND问卷的8243名母亲中,在938例(11.4%)中检测到高度可能的PND,与我们之前没有支持计划的研究相比,减少了-31%。在分娩后的中位96天(IQR86)检测到疑似PND。在填写满意度调查的130名用户中,99.2%(129/130)发现该应用程序易于使用,70%(91/130)报告该应用程序改善了孩子的随访。该应用程序在Apple\的AppStore上的评分为4.8/5。
    结论:基于算法的早期警报表明,根据现实生活中的从业者评估,NDD具有高度特异性和良好的敏感性。早期检测5个NDD和PND是有效的,并导致PND发生率可能降低31%。
    背景:ClinicalTrials.govNCT06301087;https://www.临床试验.gov/研究/NCT06301087。
    BACKGROUND: Delay in the diagnosis of neurodevelopmental disorders (NDDs) in toddlers and postnatal depression (PND) is a major public health issue. In both cases, early intervention is crucial but too rarely implemented in practice.
    OBJECTIVE: Our goal was to determine if a dedicated mobile app can improve screening of 5 NDDs (autism spectrum disorder [ASD], language delay, dyspraxia, dyslexia, and attention-deficit/hyperactivity disorder [ADHD]) and reduce PND incidence.
    METHODS: We performed an observational, cross-sectional, data-based study in a population of young parents in France with at least 1 child aged <10 years at the time of inclusion and regularly using Malo, an \"all-in-one\" multidomain digital health record electronic patient-reported outcome (PRO) app for smartphones. We included the first 50,000 users matching the criteria and agreeing to participate between May 1, 2022, and February 8, 2024. Parents received periodic questionnaires assessing skills in neurodevelopment domains via the app. Mothers accessed a support program to prevent PND and were requested to answer regular PND questionnaires. When any PROs matched predefined criteria, an in-app recommendation was sent to book an appointment with a family physician or pediatrician. The main outcomes were the median age of the infant at the time of notification for possible NDD and the incidence of PND detection after childbirth. One secondary outcome was the relevance of the NDD notification by consultation as assessed by health professionals.
    RESULTS: Among 55,618 children median age 4 months (IQR 9), 439 (0.8%) had at least 1 disorder for which consultation was critically necessary. The median ages of notification for probable ASD, language delay, dyspraxia, dyslexia, and ADHD were 32.5 (IQR 12.8), 16 (IQR 13), 36 (IQR 22.5), 80 (IQR 5), and 61 (IQR 15.5) months, respectively. The rate of probable ADHD, ASD, dyslexia, language delay, and dyspraxia in the population of children of the age included between the detection limits of each alert was 1.48%, 0.21%, 1.52%, 0.91%, and 0.37%, respectively. Sensitivity of alert notifications for suspected NDDs as assessed by the physicians was 78.6% and specificity was 98.2%. Among 8243 mothers who completed a PND questionnaire, highly probable PND was detected in 938 (11.4%), corresponding to a reduction of -31% versus our previous study without a support program. Suspected PND was detected a median 96 days (IQR 86) after childbirth. Among 130 users who filled in the satisfaction survey, 99.2% (129/130) found the app easy to use and 70% (91/130) reported that the app improved follow-up of their child. The app was rated 4.8/5 on Apple\'s App Store.
    CONCLUSIONS: Algorithm-based early alerts suggesting NDDs were highly specific with good sensitivity as assessed by real-life practitioners. Early detection of 5 NDDs and PNDs was efficient and led to a possible 31% reduction in PND incidence.
    BACKGROUND: ClinicalTrials.gov NCT06301087; https://www.clinicaltrials.gov/study/NCT06301087.
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  • 文章类型: Journal Article
    这项研究旨在研究基于视觉实践的职业治疗(VPOT)计划对发育性阅读障碍(DD)儿童的阅读和运动技能的影响。42名儿童被纳入研究。此外,在VPOT之前,对参与者应用了朗读和阅读理解测试2(ORSRC-2)和Bruininininks-Oseretsky运动能力测试2-简短表格(BOT2-BF)。根据研究设计,VPOT被应用于每周两个疗程,为期8周。在此期间,B组为对照组。在这八周结束时,对两组进行评估测试.然后,A组为对照组,B组为干预组,并将VPOT应用于B组。在另外8周结束时,对两组进行了第三次评估测试.当检查最终的ORSRC-2结果时,VPOT被认为是提高阅读技能的有效计划。此外,当检查最终的BOT2-BF结果时,确定VPOT可有效改善运动技能(p<0.05)。我们认为,重要的是进行全面的研究,例如VPOT计划,以解决DD儿童的身体和学习活动中的问题。
    This study aimed to examine the effects of a visual praxis-based occupational therapy (VPOT) program on reading and motor skills for children with developmental dyslexia (DD). Forty-two children were included in the study. Additionally, before VPOT, the Reading-Aloud and Reading-Comprehension Test 2 (ORSRC-2) and the Bruininks-Oseretsky Motor-Proficiency-Test-2-Brief Form (BOT2-BF) were applied to the participants. According to the study design, VPOT was applied to two sessions per week for 8 weeks to group A. During this period, group B was accepted as the control group. At the end of these 8 weeks, evaluation tests were applied to both groups. Then, group A was defined as the control group and Group B as the intervention group, and VPOT was applied to Group B. At the end of another 8 weeks, evaluation tests were applied to both groups for the third time. When the final ORSRC-2 results were examined, VPOT was found to be an effective program for improving reading skills. Additionally, when the final BOT2-BF results were examined, VPOT was determined to be effective in improving motor skills (p < 0.05). We believe that it is important to carry out comprehensive studies such as the VPOT program to solve problems in the physical and learning activities of children with DD.
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  • 文章类型: Journal Article
    该研究旨在调查浅层(透明)语言拼写法中阅读障碍(PD)的成年人的公开阅读和命名过程。将成人PD的结果与成人健康对照HC进行比较。在三个阶段进行比较:预词汇(150-260ms),词汇(280-700ms),和处理的后词法阶段(750-1000ms)时间窗口。十二个PD和HC在EEG记录下执行了公开的读取和命名任务。单词阅读和命名任务由稀疏的邻域组成,这些邻域具有封闭的音素开始(单词/对象共享相同的开始)。为了分析词汇前的平均ERP振幅,词汇,和后词汇时间窗口,对右侧(F4、FC2、FC6、C4、T8、CP2、CP6、P4)和左侧(F3、FC5、FC1、T7、C3、CP5、CP1、P7、P3)电极位点进行混合设计方差分析。受试者内因素和群体(PD与HC)作为主体之间的因素。行为反应潜伏期结果显示,HC和PD之间的阅读潜伏期明显延长,而在命名响应延迟中未检测到差异。在右半球的词前时间窗口(160-200ms)中,在PD和HC之间发现了ERP差异,以大声朗读单词。对于视觉对象的大声命名,在右半球的词汇后时间窗口(900-1000ms)中,PD和HC之间存在ERP差异。本研究表明,在单词阅读和视觉对象大声命名中,右半球两组之间的特定时间窗口中头皮电场的分布不同,建议成人PD的替代加工策略。这些结果间接支持以下观点:浅层语言拼字法中的成人PD可能在公开单词阅读过程中依赖于图形语音路线,并且在成年后的公开视觉对象命名过程中难以进行音素和单词检索。
    The study aimed to investigate overt reading and naming processes in adult people with dyslexia (PDs) in shallow (transparent) language orthography. The results of adult PDs are compared with adult healthy controls HCs. Comparisons are made in three phases: pre-lexical (150-260 ms), lexical (280-700 ms), and post-lexical stage of processing (750-1000 ms) time window. Twelve PDs and HCs performed overt reading and naming tasks under EEG recording. The word reading and naming task consisted of sparse neighborhoods with closed phonemic onset (words/objects sharing the same onset). For the analysis of the mean ERP amplitude for pre-lexical, lexical, and post-lexical time window, a mixed design ANOVA was performed with the right (F4, FC2, FC6, C4, T8, CP2, CP6, P4) and left (F3, FC5, FC1, T7, C3, CP5, CP1, P7, P3) electrode sites, within-subject factors and group (PD vs. HC) as between-subject factor. Behavioral response latency results revealed significantly prolonged reading latency between HCs and PDs, while no difference was detected in naming response latency. ERP differences were found between PDs and HCs in the right hemisphere\'s pre-lexical time window (160-200 ms) for word reading aloud. For visual object naming aloud, ERP differences were found between PDs and HCs in the right hemisphere\'s post-lexical time window (900-1000 ms). The present study demonstrated different distributions of the electric field at the scalp in specific time windows between two groups in the right hemisphere in both word reading and visual object naming aloud, suggesting alternative processing strategies in adult PDs. These results indirectly support the view that adult PDs in shallow language orthography probably rely on the grapho-phonological route during overt word reading and have difficulties with phoneme and word retrieval during overt visual object naming in adulthood.
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  • 文章类型: Journal Article
    研究报告说,语音到文本应用程序(STT)可以支持在文本制作中写作困难的学生。然而,现有的研究是稀疏的,显示混合结果,并且缺乏有关STT干预措施及其在学校中适用性的信息。因此,这项研究旨在调查针对STT的系统和密集的辅助技术干预是否可以改善文本生成。使用了修改后的多基线跨主题设计,涉及八名中学生,四个挪威人和四个瑞典人。他们的STT制作的叙述性文本是在干预和生产力期间和之后收集的,准确度,并对文本质量进行了分析。键盘输入是基线对照条件。结果表明,八名学生中有七名提高了文本生产率,单词级准确性的比例得到了保持或提高。标点符号的使用在基线技能较差的参与者中取得了进展。大多数学生的STT产生的文本至少具有与键盘输入相似的意义和文本质量比率。然而,变化的幅度和发展模式各不相同,三个学生表现出最显著的影响。总之,这项研究的干预似乎有利于最初指导STT,和进展监测指导单独调整未来的干预措施,如平衡生产力和正式语言方面。使用STT消除拼写障碍为学生提供了提高其高阶技能的机会,如词汇多样性和整体文本质量。此外,可见的进步,比如产生更长文本的能力,可能会激励继续使用STT。然而,这种发展可能并不总是立竿见影的。
    语音到文本(STT)可能是开发具有严重阅读和写作困难的学生的文本生成的有效工具。例如,增强的文本长度可以为教师提供更多的反馈材料,引导学生改进文本制作。文本到语音可以通过收听产生的句子和文本来促进修订过程,从而进一步提高STT在文本产生中的有用性。通过持续监控学生的STT使用情况和文本制作,教师可以调整内容以进行进一步的干预,以满足个人需求,例如句子构造和文本规划。早期STT干预似乎有益,绕过拼写时,允许更多的时间在文本制作中练习高级技能。
    Studies report that speech-to-text applications (STT) may support students with writing difficulties in text production. However, existing research is sparse, shows mixed results, and lacks information on STT interventions and their applicability in schools. Therefore, this study aimed to investigate whether a systematic and intensive assistive technology intervention focusing on STT can improve text production. A modified multiple-baseline across-subject design was used involving eight middle school students, four Norwegian and four Swedish. Their STT-produced narrative texts were collected during and after the intervention and the productivity, accuracy, and text quality were analysed. Keyboarding was the baseline control condition. The results demonstrated that seven of the eight students increased text productivity and that the proportion of word-level accuracy was maintained or improved. The use of punctuation progressed in participants with poor baseline skills. Most students\' STT-produced texts had at least a similar ratio of meaningfulness and text quality as keyboarding. However, the magnitude of the changes and development patterns varied, with three students showing the most notable impacts. In conclusion, this study\'s intervention seemed beneficial in initially instructing STT, and the progress monitoring guided individually adapted future interventions such as balancing productivity and formal language aspects. Removing the spelling barrier with STT provided an opportunity for students to improve their higher-order skills, such as vocabulary diversity and overall text quality. Furthermore, visible progress, such as the ability to produce longer texts, might motivate continued STT usage. However, such development may not always be immediate.
    Speech-to-text (STT) may be an effective tool for developing text production in students with severe reading and writing difficulties. For example, enhanced text length can provide teachers with more material for feedback, guiding students towards improved text production.Text-to-speech may further enhance the usefulness of STT in text production by facilitating the revision process through listening to produced sentences and texts.By continuously monitoring students’ STT usage and text production, teachers can tailor the content for further interventions to address individual needs such as sentence construction and text planning.Early STT intervention seems beneficial, allowing more time to practise advanced skills in text production when bypassing spelling.
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  • 文章类型: Journal Article
    本研究旨在确定对阅读(RD)或数学障碍(MD)儿童的治疗方案的有效性。制定了结构化的治疗计划,以提高RD或MD儿童和青少年的语音意识和数字感,分别,并评估了学习障碍治疗计划的有效性。
    我们使用标准化,客观诊断,和评估工具不仅可以招募具有RD的参与者,MD,或同时患有注意力缺陷和多动障碍,同时评估治疗对RD或MD核心神经认知缺陷和学业成绩的改善的有效性。40名RD或MD儿童接受了治疗师的一对一治疗。
    在RD组中,在所有子试验中观察到治疗效果。在单词和段落阅读测试中,准确率和流畅性提高。语音工作记忆测试的结果,单词-声音对应测试,和快速自动命名测试也得到了改进。在MD组中,提高了算术测试的准确率和流畅性。还观察到尺寸和距离比较测试中的准确率提高,以及估计测试中的错误率降低。然而,在这些子测试中,反应时间没有改善。
    学习障碍治疗计划,重点是提高RD或MD儿童的语音意识或数字感,语音意识,和数字感。
    UNASSIGNED: This study aimed to identify the effectiveness of treatment programs for children with reading (RD) or mathematics disorders (MD). Structured treatment programs were developed to improve phonological awareness and number sense among children and adolescents with RD or MD, respectively, and the effectiveness of the learning disorder treatment programs were evaluated.
    UNASSIGNED: We used standardized, objective diagnostic, and evaluation tools not only to recruit participants with RD, MD, or comorbid attention deficit and hyperactivity disorder, but also to assess the effectiveness of the treatments regarding both improved core neurocognitive deficits of RD or MD and academic achievement. Forty children with RD or MD received one-on-one treatments from therapists.
    UNASSIGNED: In the RD group, treatment effects were observed in all subtests. In the word and paragraph reading tests, the accuracy rates and fluency improved. The results of the phonological working memory test, word-sound correspondence test, and rapid automatic naming tests also improved. In the MD group, the accuracy rate and fluency on the arithmetic test improved. An increase in the accuracy rate in the size and distance comparison tests and a decrease in the error rate in the estimation test were also observed. However, there were no improvements in reaction time in these subtests.
    UNASSIGNED: Learning disorder treatment programs that focus on improving phonological awareness or number sense in children with RD or MD improved achievement, phonological awareness, and number sense.
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  • 文章类型: Randomized Controlled Trial
    尽管治疗激烈而昂贵,发展性阅读障碍(DD)通常持续到成年期。与语音处理无关的几种大脑技能(即,语音学),包括视觉注意力的空间分布,DD异常,可能代表可能的治疗目标。本研究探讨了向右棱镜适应(rPA)在DD中的功效,一种视觉运动适应技术,可通过棱镜护目镜引起的视野变化来实现视觉注意的重新校准。在10周内,每周对DD(13-17岁)的青少年进行rPA加认知训练的数字干预,分配给治疗组(N=35)或等待组(N=35)。通过重复测量MANOVA评估工作记忆指数(WMI)的变化来评估疗效,处理速度指数(PSI),文本阅读速度,和单词/伪词阅读准确性。rPA治疗显着优于等待名单(p≤0.001;ηp2=0.815)。WMI,PSI,仅干预组的阅读速度增加(分别为p≤0.001,ηp2=0.67;p≤0.001,ηp2=0.58;p≤0.001,ηp2=0.29)。尽管仅在等待列表组中检测到单词和伪词准确性的适度变化(单词:p≤0.001,d=0.17,伪词:p=0.028;d=0.27),组间差异无显著性.rPA耦合认知训练可增强DD青少年的认知和阅读能力。这种创新方法可能对早期补救治疗产生影响。
    Despite intense and costly treatments, developmental dyslexia (DD) often persists into adulthood. Several brain skills unrelated to speech sound processing (i.e., phonology), including the spatial distribution of visual attention, are abnormal in DD and may represent possible treatment targets. This study explores the efficacy in DD of rightward prismatic adaptation (rPA), a visuomotor adaptation technique that enables visuo-attentive recalibration through shifts in the visual field induced by prismatic goggles. A digital intervention of rPA plus cognitive training was delivered weekly over 10 weeks to adolescents with DD (aged 13-17) assigned either to treatment (N = 35) or waitlist (N = 35) group. Efficacy was evaluated by repeated measures MANOVA assessing changes in working memory index (WMI), processing speed index (PSI), text reading speed, and words/pseudowords reading accuracy. rPA treatment was significantly more effective than waitlist (p ≤ 0.001; ηp2 = 0.815). WMI, PSI, and reading speed increased in the intervention group only (p ≤ 0.001, ηp2 = 0.67; p ≤ 0.001, ηp2 = 0.58; p ≤ 0.001, ηp2 = 0.29, respectively). Although modest change was detected for words and pseudowords accuracy in the waitlist group only (words: p ≤ 0.001, d = 0.17, pseudowords: p = 0.028; d = 0.27), between-group differences were non-significant. rPA-coupled cognitive training enhances cognitive and reading abilities in adolescents with DD. This innovative approach could have implications for early remedial treatment.
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