Visual-sequential and visuo-spatial skills in dyslexia: variations according to language comprehension and mathematics skills.

This study focused on visual-sequential and visuo-spatial functions in a group of 39 heavily dyslexic children, compared to a Control group. Mean age was 12.72 (SD 1.71). The dyslexia group was divided into three subgroups by language comprehension and mathematics skills. Only on a visual-sequential task was no difference seen between the groups. The main differences occurred between the two dyslexic subgroups with no language comprehension impairment, but with varying mathematics skills. Whereas the subgroup with good mathematics skills scored within the upper ranges, the mathematics-impaired subgroup showed significantly lower scores. The third dyslexic subgroup, with both language comprehension and mathematics impairments, performed within the norm. The study indicates a dissociation between language comprehension and visuo-spatial skills in dyslexia, which has implications for how variations in dyslexia should be understood. The results also show that the visuo-spatial impairments seen in one of the dyslexia subgroups lead to two ways of understanding mathematics impairment when it co-occurs with dyslexia: (1) as a visuo-spatial problem; (2) as a linguistic problem. These distinctions should imply different intervention strategies in dyslexia.     

Visual-Sequential and Visuo-Spatial Skills in Dyslexia: Variations According to Language Comprehension and Mathematics Skills

This study focused on visual-sequential and visuo-spatial functions in a group of 39 heavily dyslexic children, compared to a Control group. Mean age was 12.72 (SD 1.71). The dyslexia group was divided into three subgroups by language comprehension and mathematics skills. Only on a visual-sequential task was no difference seen between the groups. The main differences occurred between the two dyslexic subgroups with no language comprehension impairment, but with varying mathematics skills. Whereas the subgroup with good mathematics skills scored within the upper ranges, the mathematics-impaired subgroup showed significantly lower scores. The third dyslexic subgroup, with both language comprehension and mathematics impairments, performed within the norm. The study indicates a dissociation between language comprehension and visuo-spatial skills in dyslexia, which has implications for how variations in dyslexia should be understood. The results also show that the visuo-spatial impairments seen in one of the dyslexia subgroups lead to two ways of understanding mathematics impairment when it co-occurs with dyslexia: (1) as a visuo-spatial problem; (2) as a linguistic problem. These distinctions should imply different intervention strategies in dyslexia.     

Visual and name coding in dyslexic children

Summary Four experiments are reported which were designed to test for differences between dyslexic and non-dyslexic subjects at a number of visual information processing functions. It is argued that the older dyslexic child's reading problems cannot be ascribed to slowness of visual code production, to the limited capacity of the system, or to an extra rapid rate of decay. The results are compatible with the theory that, as a group, the dyslexic children tested show a slowness or inadequacy at a non-visual, name or linguistic coding level. It is suggested that this deficiency does not lie in the area of articulatory encoding but at an earlier stage where phonological or lexical codes are produced from visual stimuli.     

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There is long-standing evidence for verbal working memory impairments in both children and adults with dyslexia. By contrast, spatial memory appears largely to be unimpaired. In an attempt to distinguish between phonological and central executive accounts of the impairments in working memory, a set of phonological and spatial working memory tasks was designed to investigate the key issues in working memory, task type, task demands (static, dynamic, and updating), and task complexity. Significant differences emerged between the dyslexic and nondyslexic participants on the verbal working memory tasks employed in Experiment 1, thereby providing further evidence for continuing dyslexic impairments of working memory into adulthood. The nature of the deficits suggested a problem with the phonological loop, with there being little evidence to implicate an impairment of the central executive. Due to the difficulties associated with separating verbal working memory and phonological processing, however, performance was investigated in Experiment 2 using visuospatial measures of working memory. The results of the visuospatial tasks indicated no between-group differences in static spatial memory, which requires the short-term storage of simultaneously presented information. In almost all conditions there were no between-group differences in dynamic spatial memory that demands the recall of both location and order of stimuli presented sequentially. However, a significant impairment occurred on the dynamic task under high memory updating load, on which dyslexic adults showed nonphonological working memory deficits. In the absence of an explanation involving verbal recoding, this finding is interpreted in terms of a central executive or automaticity impairment in dyslexia.     

汉语发展性阅读障碍儿童视觉注意广度的发展及其对阅读流畅性的作用

以85名小学2~6年级儿童为研究对象,采用方差分析、分层回归探讨小学高、低年龄阶段发展性阅读障碍儿童视觉注意广度的发展变化,并以同年龄正常阅读者作为对照组;同时在不同年龄阶段探究视觉注意广度对阅读流畅性发展的预测作用。结果显示：（1）发展性阅读障碍儿童存在视觉注意广度缺陷,并呈现出在小学高年龄阶段更严重的趋势;（2）在阅读障碍儿童中,视觉注意广度对汉语流畅阅读的显著预测作用随发展增强;而对于正常阅读者,视觉注意广度仅显著预测低年龄段学生的句子朗读流畅阅读能力。以上结果表明视觉注意广度与汉语流畅阅读能力关系密切,今后汉语阅读障碍的相关干预研究可以尝试从视觉注意广度训练方面切入。     

Automaticity: a new framework for dyslexia research?

The performance of a group of 23 13-year-old dyslexic children was compared with that of same-age controls on a battery of tests of motor balance. A dual-task paradigm was used--subjects performed each test twice, once as a single task, and once as a dual task concurrently with a secondary task. Two alternative secondary tasks were used, the classic counting-backwards task and an auditory choice reaction task. Both secondary tasks were calibrated for each subject to ensure that their performance on the secondary task alone fell between pre-specified performance criteria. In all single-task conditions there was no difference between the performance of the two groups. By contrast, in 19 out of the 20 tests performed under dual-task conditions, the dyslexic group were significantly impaired, whereas the controls showed no impairment, thus resulting in significantly better performance by the control group than the dyslexic group. The sole exception was that the dyslexic children were not impaired on the easiest balance condition with the choice reaction task. Under the dual-task conditions the dyslexic children also performed worse than the controls on the secondary task. It is very hard to accommodate the findings within the traditional framework of a deficit specific to lexical skills. One plausible explanation of the results is that, unlike the controls, the dyslexic children need to invest significant conscious resources for monitoring balance, and thus their performance is adversely affected by any secondary task which serves to distract attention from the primary task. This need for "conscious compensation" suggests that for dyslexic children the skill of motor balance is poorly automatized. It is possible, therefore, that many of the reading deficits of dyslexic children are merely symptoms of a more general learning deficit--the failure to fully automatize skills.     

Visual versus phonological abilities in Spanish dyslexic boys and girls

Phonological and visual theories propose different primary deficits as part of the explanation for dyslexia. Both theories were put to test in a sample of Spanish dyslexic readers. Twenty-one dyslexic and 22 typically-developing children matched on chronological age were administered phonological discrimination and awareness tasks and coherent motion perception tasks. No differences were found between groups on the coherent motion tasks, whereas dyslexic readers were impaired relative to controls on phonological discrimination tasks. Gender differences followed the opposite pattern, with no differences on phonological tasks, and dyslexic girls performing significantly worse than dyslexic boys in coherent motion perception. These results point to the importance of phonological deficits related to speech perception in Spanish, and to possible gender differences in the neurobiological bases for dyslexia.     

Naming of object-drawings by dyslexic and other learning disabled children

On the Oldfield-Wingfield Picture-Naming Test, sensitive to subtle chronic dysphasia in adults, dyslexic children name fewer pictures correctly. Even when correct on words with less than 30 per million frequency of occurrence, they perform more slowly than do nondyslexic subjects suffering from minimal brain dysfunction (MBD) or normal controls. However, there is no evidence for “perceptual impairment” underlying dyslexic subjects' low scores and prolonged latencies, as the distribution of their errors is similar to that of normal children. Rather it is the nondyslexic MBD group which produces a high percentage of wrong names, suggestive of mistaking the pictured stimuli for other, visually similar, objects.     

The cognitive profile and multiple-deficit hypothesis in Chinese developmental dyslexia

The present study was conducted to examine the cognitive profile and multiple-deficit hypothesis in Chinese developmental dyslexia. Thirty Chinese dyslexic children in Hong Kong were compared with 30 average readers of the same chronological age (CA controls) and 30 average readers of the same reading level (RL controls) in a number of rapid naming, visual, phonological, and orthographic tasks. Chinese dyslexic children performed significantly worse than the CA controls but similarly to the RL controls on most of the cognitive tasks. The rapid naming deficit was found to be the most dominant type of cognitive deficit in Chinese dyslexic children. Over half of the dyslexic children exhibited deficits in 3 or more cognitive areas, and there was a significant association between the number of cognitive deficits and the degree of reading and spelling impairment. The present findings support the multiple-deficit hypothesis in Chinese developmental dyslexia.     

发展性阅读障碍书写加工缺陷及其神经机制

发展性阅读障碍是学习障碍的主要类型之一, 严重影响个体认知、情感与社会适应性的发展。书写与阅读关系密切, 阅读障碍者常常表现出书写加工缺陷。在行为层面, 阅读障碍者书写缺陷表现在书写质量差、速度慢和停顿多等多个方面。在脑机制层面, 脑成像研究发现, 阅读障碍者书写加工缺陷与字形加工脑区活动, 以及字形与运动区脑功能与结构连接异常有关。总体而言, 阅读障碍者书写过程中的字形通达缺陷的证据比较充分, 但字形与运动编码的衔接以及运动执行是否存在困难, 尚缺乏研究证据。相对于字母语言, 书写与阅读的关系在汉语中更为紧密, 汉语阅读障碍的书写研究将为开发汉语特色的诊治方案提供重要指导。     

Long-term learning in dyslexic children

There is now extensive evidence that the learning processes of dyslexic children show some abnormalities, generally consistent with failure to completely automatise skills. Two studies are reported in which a group of adolescent dyslexic children and a group of normal children matched for age and IQ undertook long-term training on a keyboard spatial task and a choice reaction task respectively. It was concluded that, following extended training, the dyslexic children had normal “strength” of automatisation (as assessed by resistance to unlearning, by ease of relearning after one year, and by dual task performance) but that their initial and their final performance (as assessed by speed and accuracy) were impaired. The results are consistent with the hypothesis that dyslexic children suffer from cerebellar deficit.     

Crossmodal temporal order and processing acuity in developmentally dyslexic young adults

We investigated crossmodal temporal performance in processing rapid sequential nonlinguistic events in developmentally dyslexic young adults (ages 20-36 years) and an age- and IQ-matched control group in audiotactile, visuotactile, and audiovisual combinations. Two methods were used for estimating 84% correct temporal acuity thresholds: temporal order judgment (TOJ) and temporal processing acuity (TPA). TPA requires phase difference detection: the judgment of simultaneity/nonsimultaneity of brief stimuli in two parallel, spatially separate triplets. The dyslexic readers' average temporal performance was somewhat poorer in all six comparisons; in audiovisual comparisons the group differences were not statistically significant, however. A principal component analysis indicated that temporal acuity and phonological awareness are related in dyslexic readers. The impairment of temporal input processing seems to be a general correlative feature of dyslexia in children and adults, but the overlap in performance between dyslexic and normal readers suggests that it is not a sufficient reason for developmental reading difficulties.     

Interhemispheric communication involving multiple tasks: A study of children with dyslexia

The study investigated whether inefficient interhemispheric communication is involved in developmental dyslexia using multiple tasks. A finger localization task, rhyming judgment task, primed lexical decision task, and a visual half-field presentation paradigm were used. Nineteen dyslexic children (mean age = 13.1 years) were compared with 26 chronological age-matched normal children. Although the dyslexic group demonstrated significantly slower and less accurate performance in all three tasks, there was no significant group difference in term of interhemispheric communication. However, priming effects demonstrated by the dyslexic group (p < .05) further indicate that their reading problems may stem from the word retrieval process from the long term memory.     

Specific conditions for a selective deficit in memory for order in children with dyslexia

Short-term memory (STM) models distinguish between item and order memorization. The present study aims to explore how item and order STM are affected by the nature of the stimuli, the sequential versus simultaneous mode of presentation, the visual versus auditory presentation modality, the possibility of verbal recoding. A total of 20 children with dyslexia were matched one-by-one with 20 typically reading children on sex, age (8–14 years), and grade. Computerized STM tasks were administered while manipulating type (item vs. order), stimuli (letters vs. colors), sequentiality, input and output modality, as well as the presence/absence of articulatory suppression and distractors. General Linear Model analyses were conducted on accuracy scores for item and order STM. Both item and order recall scores were lower for children with dyslexia. Although order STM in the visual input condition turned out to be more impaired than item STM in the dyslexic group, both item and order memory impairments become evident when verbal recoding is prevented through articulatory suppression. Moreover, dyslexic children, unlike typical readers, were not facilitated by the linguistic nature of the stimuli to be remembered. The present findings suggest that the often-reported selective impairment of serial memory in dyslexia is restricted to stimuli that are verbal in nature or can be verbally recoded, whereas both item and order memory impairments become evident when verbal recoding is prevented through articulatory suppression. The presence of distractors is particularly detrimental to STM in the dyslexic group. The sensitivity to distractors, suppression, and stimuli in STM is predictive of reading performance.     

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.     

Speed of lower-level auditory and visual processing as a basic factor in dyslexia: electrophysiological evidence

This study investigated speed of processing (SOP) among college-level adult dyslexic and normal readers in nonlinguistic and sublexical linguistic auditory and visual oddball tasks, and a nonlinguistic cross-modal choice reaction task. Behavioral and electrophysiological (ERP) measures were obtained. The results revealed that between both groups, reaction times (RT) were longer and the latencies of P2 and P3 components occurred later in the visual as compared to auditory oddball tasks. RT and ERP latencies were longest in the cross-modal task. RT and ERP latencies were delayed among dyslexic as compared to normal readers across tasks. On the oddball tasks, group differences in brain activity were observed only when responding to low-probability targets. These differences were largest for the P3 component, and most pronounced in the case of phonemes. The gap between ERP latencies in the visual versus the auditory modalities for each component was larger among dyslexic as compared to normal readers, and was particularly evident at the linguistic level. A hypothesis is proposed that suggests an amodal, basic SOP deficit among dyslexic readers. The slower cross-modal SOP is attributed to slower information processing in general and to disproportionate "asynchrony" between SOP in the visual versus the auditory system. It is suggested that excessive asynchrony in the SOP of the two systems may be one of the underlying causes of dyslexics' impaired reading skills.     

空格减少汉语发展性阅读障碍儿童的视觉拥挤效应：来自眼动的证据

使用眼动仪记录汉语发展性阅读障碍儿童、正常年龄匹配和能力匹配儿童阅读插入空格文本时的眼动,考察在字、词以及非词间插入空格呈现文本对汉语发展性阅读障碍儿童阅读加工过程的影响。结果发现,阅读障碍儿童在字间空格条件下平均注视时间减少的程度大于正常儿童,注视次数在字间和词间空格条件下未见显著增加,能力匹配儿童的注视次数在这两种空格条件下却显著增加。结果说明,在字间和词间插入空格能够减少儿童的平均阅读时间,且字间空格文本呈现显著地提高了其阅读效率,说明空格对汉语阅读障碍儿童具有促进作用,这种促进主要是由于空格减少了其视觉拥挤效应所致。     

Residual differences in language processing in compensated dyslexics revealed in simple word reading tasks

Using regional cerebral blood flow as an index of cerebral activity we studied dyslexic and control subjects during simple word reading tasks. The groups were pre-tested for reading skill and the dyslexic group had a lower reading performance but could read and comprehend standard texts. The aim was to elucidate differences in the cerebral activation pattern during reading. The tasks were simple enough that performance differences between the groups could be excluded. We found specific differences between the two groups that were dependent on the language task. When the visual route for language information was used, minor qualitative differences were found between the groups pertaining to the dominant hemisphere. Increasing the complexity of the task by using pseudowords activated the left frontal region more in the dyslexic group than in the control group. A similar effect was seen in a minor region in extrastriate lateral occipital cortex (BA 19). This finding indicates that the dyslexics used areas in these regions that the controls did not. On the other hand, the dyslexics activated less in the right angular gyrus, right dorsolateral prefrontal cortex, and in the right pallidum. Reading skill correlated with the level of activity in the right frontal cortex. We conclude, that cerebral activation pattern elicited by reading is different in dyslexics compared to controls in spite of an almost complete functional compensation.     

Multi- and unisensory decoding of words and nonwords result in differential brain responses in dyslexic and nondyslexic adults

The present functional magnetic resonance imaging (fMRI) study was designed, in order to investigate the neural substrates involved in the audiovisual processing of disyllabic German words and pseudowords. Twelve dyslexic and 13 nondyslexic adults performed a lexical decision task while stimuli were presented unimodally (either aurally or visually) or bimodally (audiovisually simultaneously).The behavioral data collected during the experiment evidenced more accurate processing for bimodally than for unimodally presented stimuli irrespective of group. Words were processed faster than pseudowords. Notably, no group differences have been found for either accuracy or for reaction times. With respect to brain responses, nondyslexic compared to dyslexic adults elicited stronger hemodynamic responses in the leftward supramarginal gyrus (SMG), as well as in the right hemispheric superior temporal sulcus (STS). Furthermore, dyslexic compared to nondyslexic adults showed reduced responses to only aurally presented signals and enhanced hemodynamic responses to audiovisual, as well as visual stimulation in the right anterior insula.Our behavioral results evidence that the two groups easily identified the two-syllabic proper nouns that we provided them with. Our fMRI results indicate that dyslexics show less neuronal involvement of heteromodal and extrasylvian regions, namely, the STS, SMG, and insula when decoding phonological information. We posit that dyslexic adults evidence deficient functioning of word processing, which could possibly be attributed to deficits in phoneme to grapheme mapping. This problem may be caused by impaired audiovisual processing in multimodal areas.     

The effect of varying stimulus context on word-finding ability: Dyslexia further differentiated from other learning disabilities

All learning-disabled children, dyslexic and nondyslexic, were found to be impaired relative to controls on a variety of naming tests: (1) naming pictured objects (visual name), (2) responding with an object name to a definition (auditory definition), (3) completing a sentence with an object name (auditory sentence), or (4) naming palpated objects (tactual). Only on the sentence completion task (auditory sentence), which has been found to be the simplest response mode, were the dyslexic subjects selectively less accurate than the nondyslexic learning disabled, relative to the control group. Although dyslexic subjects tend to circumlocute when naming objects, they did not find it easier, relative to other groups, to give the function rather than the name of objects. Time scores were not in the same direction. The nondyslexic learning-disabled group responded more rapidly than either the dyselxic subjects or controls and made more perceptual errors, findings that may be related to some other factor, possibly the hyperactivity of many of the children in the nondyslexic learning-disabled group. The finding, also, that most of their naming error scores correlate highly with each other as well as with standardized language measures (WISC-R Vocabulary and PPVT), whereas those of the dyslexic and control groups do not, further suggests some underlying pathology to which their language disability is related. Language impairment, then, may be a common factor in all learning disability, dyslexic and nondyslexic, possibly for different reasons.