The brain basis of the phonological deficit in dyslexia is independent of IQ

Although the role of IQ in developmental dyslexia remains ambiguous, the dominant clinical and research approaches rely on a definition of dyslexia that requires reading skill to be significantly below the level expected given an individual's IQ. In the study reported here, we used functional MRI (fMRI) to examine whether differences in brain activation during phonological processing that are characteristic of dyslexia were similar or dissimilar in children with poor reading ability who had high IQ scores (discrepant readers) and in children with poor reading ability who had low IQ scores (nondiscrepant readers). In two independent samples including a total of 131 children, using univariate and multivariate pattern analyses, we found that discrepant and nondiscrepant poor readers exhibited similar patterns of reduced activation in brain areas such as left parietotemporal and occipitotemporal regions. These results converge with behavioral evidence indicating that, regardless of IQ, poor readers have similar kinds of reading difficulties in relation to phonological processing.     

Dorsal stream deficits suggest hidden dyslexia among deaf poor readers: correlated evidence from reduced perceptual speed and elevated coherent motion detection thresholds

Prelingual deafness and developmental dyslexia have confounding developmental effects on reading acquisition. Therefore, standard reading assessment methods for diagnosing dyslexia in hearing people are ineffective for use with deaf people. Recently, Samar, Parasnis, and Berent (2002) reported visual evoked potential evidence that deaf poor readers, compared to deaf good readers, have dorsal stream visual system deficits like those previously found for hearing dyslexics. Here, we report new psychometric and psychophysical evidence that deficits in dorsal stream function, likely involving extrastriate area MT, are associated with relatively poor reading comprehension in deaf adults. Poorer reading comprehension within a group of 23 prelingually deaf adults was associated with lower scores on the Symbol Digit Modality Test, a perceptual speed test commonly used to help identify dyslexia in hearing people. Furthermore, coherent dot motion detection thresholds, which reflect the functional status of area MT, correlated negatively with reading scores in each visual quadrant. Elevated motion thresholds for deaf poor readers were not due to general cognitive differences in IQ but were specifically correlated with poor perceptual speed. With IQ controlled, a highly reliable right visual field advantage for coherent motion detection was found. Additional analyses suggested that the functional status of dorsal stream motion detection mechanisms in deaf people is related to reading comprehension, but the direction and strength of lateralization of those mechanisms is independent of reading comprehension. Our results generally imply that dyslexia is a hidden contributor to relatively poor reading skill within the deaf population and that assessment of dorsal stream function may provide a diagnostic biological marker for dyslexia in deaf people.     

Visual rapid naming and phonological abilities: different subtypes in dyslexic children

One implication of the double-deficit hypothesis for dyslexia is that there should be subtypes of dyslexic readers that exhibit rapid naming deficits with or without concomitant phonological processing problems. In the current study, we investigated the validity of this hypothesis for Portuguese orthography, which is more consistent than English orthography, by exploring different cognitive profiles in a sample of dyslexic children. In particular, we were interested in identifying readers characterized by a pure rapid automatized naming deficit. We also examined whether rapid naming and phonological awareness independently account for individual differences in reading performance. We characterized the performance of dyslexic readers and a control group of normal readers matched for age on reading, visual rapid naming and phonological processing tasks. Our results suggest that there is a subgroup of dyslexic readers with intact phonological processing capacity (in terms of both accuracy and speed measures) but poor rapid naming skills. We also provide evidence for an independent association between rapid naming and reading competence in the dyslexic sample, when the effect of phonological skills was controlled. Altogether, the results are more consistent with the view that rapid naming problems in dyslexia represent a second core deficit rather than an exclusive phonological explanation for the rapid naming deficits. Furthermore, additional non-phonological processes, which subserve rapid naming performance, contribute independently to reading development.     

The roles of family history of dyslexia,language, speech production and phonological processing in predicting literacy progress

It is well established that speech, language and phonological skills are closely associated with literacy, and that children with a family risk of dyslexia (FRD) tend to show deficits in each of these areas in the preschool years. This paper examines what the relationships are between FRD and these skills, and whether deficits in speech, language and phonological processing fully account for the increased risk of dyslexia in children with FRD. One hundred and fifty‐three 4–6‐year‐old children, 44 of whom had FRD, completed a battery of speech, language, phonology and literacy tasks. Word reading and spelling were retested 6 months later, and text reading accuracy and reading comprehension were tested 3 years later. The children with FRD were at increased risk of developing difficulties in reading accuracy, but not reading comprehension. Four groups were compared: good and poor readers with and without FRD. In most cases good readers outperformed poor readers regardless of family history, but there was an effect of family history on naming and nonword repetition regardless of literacy outcome, suggesting a role for speech production skills as an endophenotype of dyslexia. Phonological processing predicted spelling, while language predicted text reading accuracy and comprehension. FRD was a significant additional predictor of reading and spelling after controlling for speech production, language and phonological processing, suggesting that children with FRD show additional difficulties in literacy that cannot be fully explained in terms of their language and phonological skills.     

Deaf poor readers' pattern reversal visual evoked potentials suggest magnocellular system deficits: implications for diagnostic neuroimaging of dyslexia in deaf individuals

Deafness and developmental dyslexia in the same individual may jointly limit the acquisition of reading skills for different underlying reasons. A diagnostic marker for dyslexia in deaf individuals must therefore detect the presence of a neurobiologically based dyslexia but be insensitive to the ordinary developmental influences of deafness on reading skill development. We propose that the functional status of the magnocellular visual system in deaf individuals is potentially such a marker. We present visual evoked potential (VEP) evidence that adult deaf poor readers as a group display magnocellular system deficits not observed in deaf good readers. We recorded pattern-reversal VEPs to high- and low-contrast checkerboard stimuli, which primarily activate the parvocellular and magnocellular pathways, respectively. Principal components analysis of these VEPs produced a time-ordered sequence of three early components that displayed interactions between reading skill and stimulus contrast across multiple scalp recording sites. Deaf poor readers displayed an abnormal absence of contrast-sensitive VEP responses at occipital sites during early visual processing (75 ms poststimulus), whereas deaf good readers showed the expected early contrast-sensitive occipital VEP responses. Over the subsequent 225 ms, the occipital VEP behavior of deaf poor readers closely approximated that of deaf good readers. The VEPs of deaf poor readers were apparently characterized by delayed responses to low-contrast stimuli compared with deaf good readers. Our results provide the first neurobiological evidence that developmental dyslexia exists within the deaf population and is associated with the same underlying magnocellular system deficit that has been observed in hearing dyslexics. Direct neural imaging of the status of the magnocellular visual system in deaf individuals may eventually provide differential diagnosis of developmental dyslexia in the deaf population.     

USING A DICTIONARY: ITS INFLUENCE ON CHILDREN'S READING,SPELLING, AND PHONOLOGY

The developing use of a dictionary has the potential to provide self-teaching opportunities to improve reading, spelling and general phonological skills. Children's dictionary use was examined in two studies to find out patterns of use, skill and frequency of use and the relationships between these and reading, spelling and phonological development. In the first study 39 poor readers were compared with two groups of average readers, one consisting of 39 younger average readers of the same reading age and the other group of 31 average readers matched by age. In the second study 241 children (7–11 years) were divided on the basis of being above or below 9 years in age to examine developmental change. In both studies levels of non-verbal IQ were controlled between groups. Tests of reading vocabulary, spelling, non-word reading and speed and accuracy in looking up words in a dictionary were given. Examining dictionary skills in poor readers showed that they were significantly slower and less accurate in looking up words in a dictionary than their age peers who were average readers. Patterns of dictionary use varied with age with younger readers being three times more likely to give first preference to using a dictionary to look up spellings, whereas older reader expressed a preference that was much more evenly divided between checking spelling and looking up for meaning. Poor readers were much closer to their age peers in pattern of use. Self-rated frequency of dictionary use correlated significantly with spelling skill only in the younger readers. Persuading younger children to use a dictionary more could develop their spelling skills, possibly by encouraging them to be more proactive.     

Specific disorders and broader phenotypes: the case of dyslexia

Two studies investigating the cognitive phenotype of dyslexia are described. Study 1 compared three groups of English and Italian children on speed of processing tasks: (a) children with dyslexia, (b) generally delayed poor readers and (c) CA-controls. In tests of simple and choice reaction time and two visual scanning tasks, children with dyslexia performed like controls and significantly faster than generally delayed poor readers. A second prospective longitudinal investigation of children at family risk of dyslexia showed that problems of literacy development were less circumscribed, with affected children showing phonological deficits in the context of more general oral language difficulties. An important finding was that the risk of dyslexia was continuous in this sample; among at-risk children with normal literacy development, mild impairments of phonological skills were apparent early in development, and subtle difficulties with reading fluency and spelling emerged in early adolescence. A case series extended these findings to show that phonological deficits alone are insufficient to explain literacy difficulties, and it is children with multiple deficits (including language problems) that are more likely to succumb to reading failure.     

Cortical locus of coherent motion deficits in deaf poor readers

Samar and Parasnis [Samar, V. J., & Parasnis, I. (2005). Dorsal stream deficits suggest hidden dyslexia among deaf poor readers: correlated evidence from reduced perceptual speed and elevated coherent motion detection thresholds. Brain and Cognition, 58, 300-311.] reported that correlated measures of coherent motion detection and perceptual speed predicted reading comprehension in deaf young adults. Because deficits in coherent motion detection have been associated with dyslexia in the hearing population, and because coherent motion detection is strongly dependent on extrastriate cortical area MT, these results are consistent with the claim that hidden dyslexia occurs within the deaf population and is associated with deficits in MT. However, coherent motion detection can also be influenced by subcortical deficits in both magnocellular and parvocellular pathways. To confirm the putative cortical locus of coherent motion perception deficits, we measured contrast thresholds for detecting the direction of movement of drifting sine wave gratings in the same participant group as [Samar, V. J., & Parasnis, I. (2005). Dorsal stream deficits suggest hidden dyslexia among deaf poor readers: correlated evidence from reduced perceptual speed and elevated coherent motion detection thresholds. Brain and Cognition, 58, 300-311.], under stimulus conditions that selectively biased for input from the subcortical magnocellular and parvocellular pathways, respectively. Contrast thresholds were not related to reading comprehension performance under either the magnocellular or parvocellular conditions. Furthermore, the previously reported correlations among reading comprehension, coherent motion thresholds, and perceptual speed remained significant even after contrast thresholds and non-verbal IQ were controlled in partial correlation analyses. In addition, coherent motion detection thresholds were found to correlate specifically with a reading-IQ discrepancy score, one commonly used indicator of dyslexia. These results provide direct psychophysical evidence that the previously reported deficit in coherent motion detection in deaf poor readers does not involve subcortical pathway deficits, but rather is associated with a cortical deficit likely involving area MT. They also strengthen the argument for the existence of hidden dyslexia in the deaf adult population.     

Speed of processing and reading disability: a cross-linguistic investigation of dyslexia and borderline intellectual functioning

English and Italian children with dyslexia were compared with children with reading difficulties associated with low-IQ on tests of simple and choice RT, and in number and symbol scanning tasks. On all four speed-of-processing tasks, children with low-IQ responded more slowly than children with dyslexia and age-controls. In the choice RT task, the performance of children with low-IQ was also less accurate than that of children of normal IQ, consistent with theories linking processing speed limitations with low-IQ. These findings support the hypothesis that dyslexia is a specific cognitive deficit that can arise in the context of normal IQ and normal speed of processing. The same cognitive phenotype was observed in readers of a deep (English) and a shallow (Italian) orthography.     

动作视频游戏对发展性阅读障碍者阅读技能的影响及其内在机制

发展性阅读障碍是一种在获得阅读技能方面的特殊困难, 这种障碍会严重影响个体的发展, 如何帮助发展性阅读障碍者改善其阅读技能是近年来研究的焦点。传统的干预方法主要针对发展性阅读障碍者的语音缺陷, 这类方法存在一些问题, 如费时费力、给阅读障碍者带来阅读压力等。近年来, 大部分研究表明通过趣味性的动作视频游戏训练可以显著地提高发展性阅读障碍者的阅读技能, 但是其背后的机制尚不明确。基于大细胞通路缺陷理论框架, 从视觉空间注意、注意跨通道转换、视觉运动加工等方面来梳理动作视频游戏与阅读之间的关系, 揭示了动作视频游戏训练对阅读效率影响的可能内在机制。未来的研究可以在大细胞通路缺陷理论的框架下, 深入分析动作视频游戏改善阅读的神经机制, 并尝试开发更适合发展性阅读障碍者的干预程序。     

Is a "Phoenician" reading style superior to a "Chinese" reading style? Evidence from fourth graders

This study compared normally achieving fourth-grade "Phoenician" readers, who identify nonwords significantly more accurately than they do exception words, with "Chinese" readers, who show the reverse pattern. Phoenician readers scored lower than Chinese readers on word identification, exception word reading, orthographic choice, spelling, reading comprehension, and verbal ability. When compared with normally achieving children who read nonwords and exception words equally well, Chinese readers scored as well as these children on word identification, regular word reading, orthographic choice, spelling, reading comprehension, phonological sensitivity, and verbal ability and scored better on exception word reading. Chinese readers also used rhyme-based analogies to read nonwords derived from high-frequency exception words just as often as did these children. As predicted, Phoenician and Chinese readers adopted somewhat different strategies in reading ambiguous nonwords constructed by analogy to high-frequency exception words. Phoenician readers were more likely than Chinese readers to read ambiguous monosyllabic nonwords via context-free grapheme-phoneme correspondences and were less likely to read disyllabic nonwords by analogy to high-frequency analogues. Although the Chinese reading style was more common than the Phoenician style in normally achieving fourth graders, there were similar numbers of poor readers with phonological dyslexia (identifying nonwords significantly more accurately than exception words) and surface dyslexia (showing the reverse pattern), although surface dyslexia was more common in the severely disabled readers. However, few of the poor readers showed pure patterns of phonological or surface dyslexia.     

Unexpected reading precocity in a normal preschooler: implications for hyperlexia

This is a case study of a left-handed, preschool boy of superior intelligence who read very early and at a level well beyond what his IQ would predict. He is developmentally normal with no signs of autism or related disorders. His reading age was 9.3 at age 2-11 and 11.2 at 4-2; these levels are considerably beyond what would be predicted by his IQ or language age. He was able to read nonwords and both regular and irregular words equally well, indicating his mechanisms of lexical access in reading are similar to those of normal readers. Unlike classical hyperlexics, his reading comprehension for both single words and sentences was well above age level. When his precocious reading first appeared, he was also advanced in reading-related linguistic skills, such as phoneme awareness, auditory verbal short-term memory, and word retrieval, but not in visuospatial skills. These results imply that neither pathological language and/or social development, nor pathological variation in the normal mechanisms of lexical access in reading are necessary causes for reading precocity in early childhood. A model for integrating subtypes of precocious readers with subtypes of normal and dyslexic readers is proposed.     

Motion-perception deficits and reading impairment: it's the noise, not the motion

We tested the hypothesis that deficits on sensory-processing tasks frequently associated with poor reading and dyslexia are the result of impairments in external-noise exclusion, rather than motion perception or magnocellular processing. We compared the motion-direction discrimination thresholds of adults and children with good or poor reading performance, using coherent-motion displays embedded in external noise. Both adults and children who were poor readers had higher thresholds than their respective peers in the presence of high external noise, but not in the presence of low external noise or when the signal was clearly demarcated. Adults' performance in high external noise correlated with their general reading ability, whereas children's performance correlated with their language and verbal abilities. The results support the hypothesis that noise-exclusion deficits impair reading and language development and suggest that the impact of such deficits on the development of reading skills changes with age.     

Brain activity patterns of phonemic representations are atypical in beginning readers with family risk for dyslexia

There is an ongoing debate whether phonological deficits in dyslexics should be attributed to (a) less specified representations of speech sounds, like suggested by studies in young children with a familial risk for dyslexia, or (b) to an impaired access to these phonemic representations, as suggested by studies in adults with dyslexia. These conflicting findings are rooted in between study differences in sample characteristics and/or testing techniques. The current study uses the same multivariate functional MRI (fMRI) approach as previously used in adults with dyslexia to investigate phonemic representations in 30 beginning readers with a familial risk and 24 beginning readers without a familial risk of dyslexia, of whom 20 were later retrospectively classified as dyslexic. Based on fMRI response patterns evoked by listening to different utterances of /bA/ and /dA/ sounds, multivoxel analyses indicate that the underlying activation patterns of the two phonemes were distinct in children with a low family risk but not in children with high family risk. However, no group differences were observed between children that were later classified as typical versus dyslexic readers, regardless of their family risk status, indicating that poor phonemic representations constitute a risk for dyslexia but are not sufficient to result in reading problems. We hypothesize that poor phonemic representations are trait (family risk) and not state (dyslexia) dependent, and that representational deficits only lead to reading difficulties when they are present in conjunction with other neuroanatomical or—functional deficits.     

Cerebellar tasks do not distinguish between children with developmental dyslexia and children with intellectual disability.

This paper explored the claim that only children with developmental dyslexia, whose reading ability is discrepant from their average general reasoning ability show specific deficits in motor tasks assessing cerebellar functioning (Fawcett et al., 2001, Cerebellar tests differentiate between groups of poor readers with and without IQ discrepancy. J. Learning Disabilities, 34, 119) and rapid serial naming (RAN, Wolf & Bowers, 1999, The double deficit hypothesis for the developmental dyslexias. J. Educ. Psychol., 91, 1). All available children between the ages of 11 and 14 were recruited from two special schools for children with either (a) formally-diagnosed intellectual disabilities (N = 18); or (b) formal diagnoses of developmental dyslexia (N = 25). These two groups of children did not differ on gender, age, pseudoword decoding abilities, or on 7 of 8 literacy measures, but did differ significantly, as expected on verbal and non-verbal reasoning tasks. Importantly, there were no deficits in bead threading ability or postural stability in the children with developmental dyslexia compared to the children with intellectual disabilities. There were also no between-group differences in rapid naming measures. The present results therefore provide no support for the claim that cerebellar deficits or RAN distinguish between children with dyslexia and children with intellectual disabilities that include reading.     

MISCONCEPTIONS ABOUT THE ASSESSMENT AND DIAGNOSIS OF READING DISABILITY

Even though reading instruction had been historically the most important academic responsibility of schools, recently, it has drawn much greater attention because language processing has become the backbone of the unprecedented advancement in information technology. In light of this background, specific reading disability (RD, hereafter) has become the focus of intense research efforts. As the most commonly encountered variety of Learning Disability, RD is almost always identified on the basis of a discrepancy seen between the IQ score of the at-risk reader and his or her reading achievement score. In general, poor readers who have a “significant” discrepancy between IQ and achievement are classified as having learning disability (LD, hereafter); poor readers whose reading score and IQ are on par with each other are identified as not having a learning disability. This procedure, in essence, classifies children who experience difficulty in learning to read into two categories: poor readers with reading disability and poor readers without reading disability. This approach is based on the assumption that poor readers identified as having reading disability are qualitatively different from poor readers who are not so identified. This paper examines the validity of this form of classification and offers a new approach for dealing with children with reading problems. The proposed approach utilizes a method of diagnosis which is based on the Componential Model of reading which, instead of categorizing poor readers into the two categories, focuses on the cause of the reading difficulty and targets remedial instruction at the source of the reading problem.     

Cerebral lateralization and reading dysfunction

The laterality preference patterns and types of oral reading errors were examined for 90 seventh-grade males. Specifically, scores on a self-report measure of lateral preference for 30 readers with adequate decoding skills but low comprehension and 30 readers who lacked decoding skills were compared with each other and with 30 good readers. As predicted, poor readers with grade appropriate word recognition scores were found to be generally more confused in their lateral preference than were good readers or poor readers who lacked decoding skills. Results of oral reading errors confirmed a visual integration problem for the more bilateral reader. Poor comprehenders with word recognition skills also reported significantly greater mixed lateral patterns for their fathers than did other readers. The results were interpreted as supporting the initial argument that difference-poor readers fail to comprehend because of problems in organizing visual input, which seems intimately tied to a bilateralization of functions.     

Poor readers but compelled to read: Stroop effects in developmental dyslexia.

We studied a group of 24 children with dyslexia in second to fifth primary school grades by using a discrete-trial computerized version of the Stroop Color-Word Test. Since the classic Stroop effect depends on the interference of reading with color naming, one would expect these children to show no interference or, at least, less interference than normal readers. Children with dyslexia showed, however, a Stroop effect larger than normal readers of the same age. This suggests that reading, although difficult and slow, is an inescapable step that precedes naming both in poor and in normal readers.     

Poor Readers but Compelled to Read: Stroop Effects in Developmental Dyslexia

We studied a group of 24 children with dyslexia in second to fifth primary school grades by using a discrete-trial computerized version of the Stroop Color-Word Test. Since the classic Stroop effect depends on the interference of reading with color naming, one would expect these children to show no interference or, at least, less interference than normal readers. Children with dyslexia showed, however, a Stroop effect larger than normal readers of the same age. This suggests that reading, although difficult and slow, is an inescapable step that precedes naming both in poor and in normal readers.     

Reading, spelling, and recognition of briefly exposed words and nonwords.

Four groups distinct in terms of English reading comprehension and spelling skills were identified among 141 Japanese college students: 5 good readers and spellers, 6 good readers but poor spellers, 3 poor readers but good spellers, and 4 poor readers and poor spellers. They were then tested on instantaneous recognition of words and nonwords. Analysis showed that the recognition performance was more strongly associated with spelling than with reading comprehension. Immediate memory and "sophisticated" guessing, which were associated with spelling, were considered to be critical for the recognition task, but the hypothesis that a common processing mechanism is involved in instantaneous word recognition and spelling was rejected.