Dyslexia. Talk of two theories

How Does Visual Temporal Processing Affect Chinese Character Reading in Children With Dyslexia? From the Perspective of Inhibition

Given that inhibition interacts with visual temporal processing (VTP), the past evidence regarding the influence of VTP on the Chinese character reading of children with dyslexia may not disclose the whole picture without considering inhibition. Thus, the present study is among the first to investigate VTP and cognitive inhibition as well as their relationships to Chinese character reading. We compared the performances of 62 Chinese-speaking children with dyslexia in primary school (n = 62, Mage = 11.36 years) on VTP and inhibition tasks to those in a chronological-age-matched group (CA; n = 62, Mage = 11.57 years) and reading-level-matched group (RL; n = 62, Mage = 8.98 years). The results revealed that children with dyslexia performed worse than both the CA-matched and RL-matched groups in VTP and inhibition after controlling for age, nonverbal intelligence, and attention. Moreover, the relationship between VTP and Chinese character reading was moderated by inhibition in children with dyslexia. VTP is positively related to Chinese character reading, but this relationship is observed only at higher levels of inhibition. Our results suggest that inhibition plays a potential role in VTP and Chinese character reading, especially for those with dyslexia whose proficiency in inhibition is not as intact as that of typically developing children.

Phonological awareness and reading outcomes in children with a history of otitis media: a review

OBJECTIVE

A review was conducted to investigate the current evidence for effects of otitis media (OM) on phonological awareness and reading skills in children under 12 years old.

DESIGN

A review conducted in 2024 to identify articles between 1978 and 2024 related to OM and its impact on (pre-)reading skills.

STUDY SAMPLE

An initial search across six databases provided 6808 research outputs. After screening, 27 articles were retained. Screening of the references on the selected articles provided an additional 6, giving 33 articles in the final review.

RESULTS

The selected research papers did not all evaluate the same phonological awareness or reading skills. Of the studies, 20 identified that a history of OM impacted reading outcomes. Twelve studies found no significant impact while one study showed an impact which resolved with time.

CONCLUSION

The findings do not show a consistent association between a history of OM and phonological processing or reading skills. This is likely due to the wide range of methodologies employed and variability in the focus of the respective studies. Future research, including longitudinal studies, would be beneficial to infer the potential impacts of OM on phonological processing or reading skills.

A genome-wide association study identifies a new variant associated with word reading fluency in Chinese children

Reading disability exhibited defects in different cognitive domains, including word reading fluency, word reading accuracy, phonological awareness, rapid automatized naming and morphological awareness. To identify the genetic basis of Chinese reading disability, we conducted a genome-wide association study (GWAS) of the cognitive traits related to Chinese reading disability in 2284 unrelated Chinese children. Among the traits analyzed in the present GWAS, we detected one genome-wide significant association (p < 5 × 10-8 ) on word reading fluency for one SNP on 4p16.2, within EVC genes (rs6446395, p = 7.33 × 10-10 ). Rs6446395 also showed significant association with Chinese character reading accuracy (p = 2.95 × 10-4 ), phonological awareness (p = 7.11 × 10-3 ) and rapid automatized naming (p = 4.71 × 10-3 ), implying multiple effects of this variant. The eQTL data showed that rs6446395 affected EVC expression in the cerebellum. Gene-based analyses identified a gene (PRDM10) to be associated with word reading fluency at the genome-wide level. Our study discovered a new candidate susceptibility variant for reading ability and provided new insights into the genetics of developmental dyslexia in Chinese children.

[Genetic background of dyslexia and dysgraphy in children]

The review is devoted to one of the current problems of pediatric neurology - reading and writing disorders in children as part of a partial developmental disorder. With the development of neuroscience, the paradigm of «brain damage» in the understanding of a number of pathological conditions was replaced by the concept of «evolutionary neurology». The dominance of the ontogenetic approach caused the appearance of a new section in ICD-11 - «Neurodevelopmental disorders». Twenty-one genes associated with the acquisition of reading and writing skills have been identified. Modern studies demonstrate the connection of neuropsychological prerequisites for reading and writing, and clinical phenotypes of dyslexia with changes in specific loci. It is assumed that there are different molecular genetic bases for dyslexia and dysgraphia depending on ethnicity, orthographic features of language, including logographic features. Pleiotropy of genes is a cause of comorbidity of reading and writing disorders with attention deficit and hyperactivity disorder, specific speech articulation disorders, and dyscalculia. A key function of many of the identified genes is their involvement in the processes of neurogenesis. Their dysfunctions cause atypical neuronal migration, ectopic formation, inadequate axonal growth, and dendrite branching at the early stage of brain development. Morphological changes can distort the correct distribution and/or integration of linguistic stimuli in critical brain areas, leading to abnormalities in phonology, semantics, spelling, and general reading comprehension. The knowledge gained can form the basis for the development of risk models for dysgraphia and dyslexia formation and be used as a diagnostic and/or screening tool, which is important for evidence-based correction, optimization of academic performance, and mitigation of psychosocial consequences.

Multiple Case Studies in German Children with Dyslexia: Characterization of Phonological, Auditory, Visual, and Cerebellar Processing on the Group and Individual Levels

BACKGROUND

The underlying mechanisms of dyslexia are still debated. The question remains as to whether there is evidence of a predominant type of deficit or whether it is a multideficit disorder with individual profiles. The assumptions of which mechanism causes the disorder influences the selection of the training approach.

METHODS

A sample of German neurotypical reading children (NT) and children with dyslexia (DYSL) was investigated with a comprehensive behavioral test battery assessing phonological, auditory, visual, and cerebellar performance, thus addressing performance described in three major theories in dyslexia.

RESULTS

In the present sample using the test battery of the present study, DYSL had the strongest impairment in phonological and auditory processing, accompanied by individual processing deficits in cerebellar performance, but only a few in the investigated visual domains. Phonological awareness and auditory performance were the only significant predictors for reading ability.

CONCLUSION

These findings point out that those reading difficulties were associated with phonological as well as auditory processing deficits in the present sample. Future research should investigate individual deficit profiles longitudinally, with studies starting before literacy acquisition at as many processing domains as possible. These individual deficit profiles should then be used to select appropriate interventions to promote reading and spelling.

Neuromagnetic speech discrimination responses are associated with reading-related skills in dyslexic and typical readers

Poor neural speech discrimination has been connected to dyslexia, and may represent phonological processing deficits that are hypothesized to be the main cause for reading impairments. Thus far, neural speech discrimination impairments have rarely been investigated in adult dyslexics, and even less by examining sources of neuromagnetic responses. We compared neuromagnetic speech discrimination in dyslexic and typical readers with mismatch fields (MMF) and determined the associations between MMFs and reading-related skills. We expected weak and atypically lateralized MMFs in dyslexic readers, and positive associations between reading-related skills and MMF strength. MMFs were recorded to a repeating pseudoword /ta-ta/ with occasional changes in vowel identity, duration, or syllable frequency from 43 adults, 21 with confirmed dyslexia. Phonetic (vowel and duration) changes elicited left-lateralized MMFs in the auditory cortices. Contrary to our hypothesis, MMF source strengths or lateralization did not differ between groups. However, better verbal working memory was associated with stronger left-hemispheric MMFs to duration changes across groups, and better reading was associated with stronger right-hemispheric late MMFs across speech-sound changes in dyslexic readers. This suggests a link between neural speech processing and reading-related skills, in line with previous work. Furthermore, our findings suggest a right-hemispheric compensatory mechanism for language processing in dyslexia. The results obtained promote the use of MMFs in investigating reading-related brain processes.

ERP mismatch response to phonological and temporal regularities in speech

Predictions of our sensory environment facilitate perception across domains. During speech perception, formal and temporal predictions may be made for phonotactic probability and syllable stress patterns, respectively, contributing to the efficient processing of speech input. The current experiment employed a passive EEG oddball paradigm to probe the neurophysiological processes underlying temporal and formal predictions simultaneously. The component of interest, the mismatch negativity (MMN), is considered a marker for experience-dependent change detection, where its timing and amplitude are indicative of the perceptual system’s sensitivity to presented stimuli. We hypothesized that more predictable stimuli (i.e. high phonotactic probability and first syllable stress) would facilitate change detection, indexed by shorter peak latencies or greater peak amplitudes of the MMN. This hypothesis was confirmed for phonotactic probability: high phonotactic probability deviants elicited an earlier MMN than low phonotactic probability deviants. We do not observe a significant modulation of the MMN to variations in syllable stress. Our findings confirm that speech perception is shaped by formal and temporal predictability. This paradigm may be useful to investigate the contribution of implicit processing of statistical regularities during (a)typical language development.

Temporal representation impairment in developmental dyslexia for unisensory and multisensory stimuli

Dyslexia has been associated with a problem in visual-audio integration mechanisms. Here, we investigate for the first time the contribution of unisensory cues on multisensory audio and visual integration in 32 dyslexic children by modelling results using the Bayesian approach. Non-linguistic stimuli were used. Children performed a temporal task: they had to report whether the middle of three stimuli was closer in time to the first one or to the last one presented. Children with dyslexia, compared with typical children, exhibited poorer unimodal thresholds, requiring greater temporal distance between items for correct judgements, while multisensory thresholds were well predicted by the Bayesian model. This result suggests that the multisensory deficit in dyslexia is due to impaired audio and visual inputs rather than impaired multisensory processing per se. We also observed that poorer temporal skills correlated with lower reading skills in dyslexic children, suggesting that this temporal capability can be linked to reading abilities.

Comorbidity of Auditory Processing, Attention, and Memory in Children With Word Reading Difficulties

OBJECTIVES

To document the auditory processing, visual attention, digit memory, phonological processing, and receptive language abilities of individual children with identified word reading difficulties.

DESIGN

Twenty-five children with word reading difficulties and 28 control children with good word reading skills participated. All children were aged between 8 and 11 years, with normal hearing sensitivity and typical non-verbal intelligence. Both groups of children completed a test battery designed to assess their auditory processing, visual attention, digit memory, phonological processing, and receptive language.

RESULTS

When compared to children who were good readers, children with word reading difficulties obtained significantly lower average scores on tests of auditory processing, including the frequency pattern test, gaps in noise, frequency discrimination, Dichotic Digit difference Test, and Listening in Spatialized Noise. The two groups did not differ on the discrimination measures of sinusoidal amplitude modulation or iterated rippled noise. The results from children with word reading difficulties showed that 5 children (20%) had comorbid deficits in auditory processing, visual attention, and backward digit memory; whereas 12 children (48%) had comorbid auditory processing and visual attention deficits only, and 2 children (8%) had comorbid deficits in auditory processing and digit memory; the remaining children had only auditory processing, visual attention, or digit memory deficits.

CONCLUSION

The current study highlights the general co-existence of auditory processing, memory, and visual attention deficits in children with word reading difficulties. It is also noteworthy, however, that only one fifth of the current cohort had deficits across all measured tasks. Hence, our results also show the significant individual variability inherent in children with word reading difficulties.

Distinct effects of visual and auditory temporal processing training on reading and reading-related abilities in Chinese children with dyslexia

This study aimed to examine the effects of temporal processing training on the reading abilities of Chinese children with dyslexia. In total, 69 Chinese children with dyslexia in grades three through six were recruited in Taiwan. The children were divided into the following three equal groups: (1) auditory temporal processing training group, (2) visual temporal processing training group, and (3) control group with no specific training. The participants in both training groups received instruction with identical durations (30-40 min), intensities (12 times in total), and frequencies (three to four times per week). The participants in the control group were asked to independently surf some specified websites using devices similar to those used by the two experimental groups for an identical duration, intensity, and frequency. Our results indicated that the two groups who received temporal processing training exhibited significant correlations among Chinese character reading, rapid naming, and corresponding reading-related abilities, while visual temporal processing served as a significant predictor of Chinese character reading ability even if all background data, reading-related abilities, and auditory temporal processing were introduced first. Additionally, significant interactions were found between the Groups and Tested sessions in all the measures, except for phonological awareness, confirming the distinct effects of different temporal processing on most measures involved in this study. Further simple main effects revealed that only those who received the visual temporal processing training gained benefits in the corresponding reading-related ability (i.e., orthographic knowledge) and far-transfer to Chinese character reading.

Structural and functional abnormality of the putamen in children with developmental dyslexia

There is currently debate with regards to the role of phonological deficit in Chinese reading difficulty, even though some researchers have suggested that the deficit of phonological processing is also a signature of developmental dyslexia in Chinese, as has been found in alphabetic languages. In this study, we examined the brain mechanisms of phonological deficit in Chinese children with developmental dyslexia (DD) during an auditory rhyming judgment task. First, we examined structural differences in Chinese dyslexia by comparing gray and white matter volume in Chinese children with DD, age-matched controls (AC), and reading-matched controls (RC). Next, we examined whether the regions with an abnormal volume in DD showed deficient functional connectivity with the rest of the brain during a phonological task (i.e. auditory rhyming judgment). We found that both AC and RC had greater gray matter volume (GMV) at the left putamen and right dorsal lateral frontal cortex than DD, suggesting possible neural signatures of developmental dyslexia. Functional connectivity analysis revealed that the left putamen was more connected with the right inferior occipital gyrus (IOG) in AC and RC than in DD, suggesting that automatic orthographic involvement during spoken language processing is more salient in controls, while the left putamen was more connected with the left transverse temporal gyrus (TTG) and left insula in DD than in AC and RC, suggesting the phonological articulation -auditory feedback loop is more involved in DD. These findings suggest that the reduced left putamen might contribute to phonological deficits experienced in DD, since it showed deficient connectivity with the rest of the brain during phonological processing.

Tablet computer games to measure dorsal stream performance in good and poor readers

Evidence suggests a link between deficits in visuo-spatial attention, and subsequent reading ability. However, all the research in the area thus far has been conducted using traditional, lab-based psychophysics, with very tightly controlled visual parameters. In order to take this research further, such as using visuo-spatial tasks for remediation purposes, it must be established that such tasks can be taken out of the laboratory, 'gamified', and still predict reading ability. This study aimed to determine if subtle visual deficits in poor readers could be detected outside a traditional laboratory, in relatively uncontrolled settings using portable game-like technology. Classic visual search and change detection programs, thought to rely on the visual dorsal stream, were modified to a game-like format. They were administered on a portable computer tablet within the participants' school setting. Whilst IQ predicted reading rate, visuo-spatial tasks such as visual search speed, and change detection, each accounted for unique variance in reading rate over and above IQ, age and phonological ability. These results are consistent with the visuo-spatial attention deficit hypothesis, and provide support for the development of portable computerised games that may assess and potentially target this deficit in poor readers.

Temporal Processing Development in Chinese Primary School-Aged Children With Dyslexia

This study aimed to investigate the development of visual and auditory temporal processing among children with and without dyslexia and to examine the roles of temporal processing in reading and reading-related abilities. A total of 362 Chinese children in Grades 1-6 were recruited from Taiwan. Half of the children had dyslexia, and the other half were typically developing children who matched the dyslexic group on age, intelligence, and gender. Our results indicate that for typically developing children, the visual and auditory modalities follow the same developmental trend: The children in first and second grades performed significantly worse than the older children. Among the children with dyslexia, however, significant improvements in the visual modality were observed with increasing age. Furthermore, although both modalities were important for all reading-related abilities and for Chinese character reading in first and second grades, the visual modality significantly predicted only orthographic knowledge and Chinese character reading in third and fourth grades. In contrast, the auditory modality affected only phonological awareness. In fifth and sixth grades, only visual temporal processing slightly contributed to the orthographic knowledge and Chinese character reading of the dyslexic group. Also, the relationship between temporal processing and Chinese character reading is strongly influenced by age.

Reading difficulties in Spanish adults with dyslexia

Recent studies show that dyslexia persists into adulthood, even in highly educated and well-read people. The main characteristic that adults with dyslexia present is a low speed when reading. In Spanish, a shallow orthographic system, no studies about adults with dyslexia are available; and it is possible that the consistency of the orthographic system favours the reading fluency. The aim of this study was to get an insight of the reading characteristics of Spanish adults with dyslexia and also to infer the reading strategies that they are using. For that purpose, a group of 30 dyslexics (M age = 32 years old) and an age-matched group of 30 adults without reading disabilities completed several phonological and reading tasks: phonological awareness tasks, rapid automatic naming, lexical decision, word and pseudoword reading, letter detection and text reading. The results showed that highly educated Spanish dyslexics performed significantly worse than the control group in the majority of the tasks. Specifically, they showed difficulties reading long pseudowords, indicating problems in automating the grapheme-phoneme rules, but they also seem to present difficulties reading words, which indicate problems with the lexical route. It seems that the Spanish dyslexic adults, as in deep orthographies, continue having difficulties in phonological awareness tasks, rapid naming and reading.

Effective learning and retention of braille letter tactile discrimination skills in children with developmental dyslexia

Children with developmental dyslexia (DD) may differ from typical readers in aspects other than reading. The notion of a general deficit in the ability to acquire and retain procedural ('how to') knowledge as long-term procedural memory has been proposed. Here, we compared the ability of elementary school children, with and without reading difficulties (DD, typical readers), to improve their tactile discrimination with practice and tested the children's ability to retain the gains. Forty 10-11-year-olds practiced the tactile discrimination of four braille letters, presented as pairs, while blindfolded. In a trial, participants were asked to report whether the target stimuli were identical or different from each other. The structured training session consisted of six blocks of 16 trials each. Performance was re-tested at 24 hours and two weeks post-training. Both groups improved in speed and in accuracy. In session 1, children with DD started as significantly less accurate and were slower than the typical readers but showed rapid learning and successfully closed the gap. Only two children with DD failed to benefit from training and were not included in subsequent data analyses. At 24 hours post-training both groups showed effective retention of the gains in speed and accuracy. Importantly, children with DD were able to retain the gains in speed and accuracy, over a two-week interval as effectively as typical readers. Thus, children with DD were as effective in the acquisition and retention of tactile discrimination of braille letters as typical readers of the same age. The results do not support the notion of a general procedural learning disability in DD.

Beyond phonological processing deficits in adult dyslexics: atypical FMRI activation patterns for spatial problem solving

It is unclear the extent to which neurodevelopmental differences observed in reading disabled individuals are limited to traditional language processing areas. Some have suggested atypical processing of complex spatial problems in these individuals. Hitherto, research on this question has been limited to behavioral studies, yielding mixed results. Absence of related imaging studies is in stark contrast to the plethora examining functional neurology for verbal tasks. This study uses functional magnetic resonance imaging (fMRI) to examine how adult dyslexics perform when analyzing complex spatial material unrelated to the reading of text. We observed atypical functional neurology during spatial problem solving, which was not observed behaviorally.

Reading strategies in Spanish developmental dyslexics

Cross-linguistic studies suggest that the orthographic system determines the reading performance of dyslexic children. In opaque orthographies, the fundamental feature of developmental dyslexia is difficulty in reading accuracy, whereas slower reading speed is more common in transparent orthographies. The aim of the current study was to examine the extent to which different variables of words affect reaction times and articulation times in developmental dyslexics. A group of 19 developmental dyslexics of different ages and an age-matched group of 19 children without reading disabilities completed a word naming task. The children were asked to read 100 nouns that differed in length, frequency, age of acquisition, imageability, and orthographic neighborhood. The stimuli were presented on a laptop computer, and the responses were recorded using DMDX software. We conducted analyses of mixed-effects models to determine which variables influenced reading times in dyslexic children. We found that word naming skills in dyslexic children are affected predominantly by length, while in non-dyslexics children the principal variable is the age of acquisition, a lexical variable. These findings suggest that Spanish-speaking developmental dyslexics use a sublexical procedure for reading words, which is reflected in slower speed when reading long words. In contrast, normal children use a lexical strategy, which is frequently observed in readers of opaque languages.

A qualitative and quantitative review of diffusion tensor imaging studies in reading and dyslexia

In this review paper we address whether deficits in reading (i.e. developmental dyslexia) are rooted in neurobiological anomalies in white matter tracts. Diffusion tensor imaging (DTI) offers an index of the connections between brain regions (via tractography) and of the white matter properties of these connections (via fractional anisotropy, FA). The reported studies generally show that lower FA values in left temporoparietal and frontal areas are indicative of poorer reading ability or dyslexia. Second, most studies have indicated that these regions coincide with the left arcuate fasciculus and corona radiata, with fewer studies suggesting a role for the posterior part of the corpus callosum or for more ventral tracts such as the inferior longitudinal fasciculus or the inferior fronto-occipital fasciculus. Finally, a quantitative activation likelihood estimation (ALE) meta-analysis on all reported studies that used a voxel-based approach reveals a cluster located close to the left temporoparietal region (x=-29, y=-17, z=26). Fibertracking through this cluster demonstrates that this region hosts both the left arcuate fasciculus and the left corona radiata.

Speech-in-noise perception deficit in adults with dyslexia: effects of background type and listening configuration

Developmental dyslexia is associated with impaired speech-in-noise perception. The goal of the present research was to further characterize this deficit in dyslexic adults. In order to specify the mechanisms and processing strategies used by adults with dyslexia during speech-in-noise perception, we explored the influence of background type, presenting single target-words against backgrounds made of cocktail party sounds, modulated speech-derived noise or stationary noise. We also evaluated the effect of three listening configurations differing in terms of the amount of spatial processing required. In a monaural condition, signal and noise were presented to the same ear while in a dichotic situation, target and concurrent sound were presented to two different ears, finally in a spatialised configuration, target and competing signals were presented as if they originated from slightly differing positions in the auditory scene. Our results confirm the presence of a speech-in-noise perception deficit in dyslexic adults, in particular when the competing signal is also speech, and when both signals are presented to the same ear, an observation potentially relating to phonological accounts of dyslexia. However, adult dyslexics demonstrated better levels of spatial release of masking than normal reading controls when the background was speech, suggesting that they are well able to rely on denoising strategies based on spatial auditory scene analysis strategies.

Neurokognitive Korrelate der Dyslexie

Die Überblicksarbeit widmet sich kognitiven und neuronalen Grundlagen der Dyslexie. Ausgehend von einer Darstellung der wichtigsten kognitiven und neurobiologischen Theorien der Entstehung von Dyslexie werden Ergebnisse zu spezifischen Störungen des neuronalen Lesenetzwerks bei Menschen mit Dyslexie aus Postmortem-Untersuchungen und strukturellen sowie funktionellen Bildgebungsstudien berichtet. Die Befunde legen nahe, dass Dyslexie ein multidimensionales Problem darstellt, das mit verschiedenen kognitiven, sensorischen und motorischen Defiziten und spezifischen Störungen auf neuronaler Ebene einhergeht. Zukünftige Forschung sollte sich daher verstärkt individuellen Profilen der Störung auf kognitiver wie neuronaler Ebene widmen.

The nature of auditory discrimination problems in children with specific language impairment: an MMN study

Many children with specific language impairment (SLI) show impairments in discriminating auditorily presented stimuli. The present study investigates whether these discrimination problems are speech specific or of a general auditory nature. This was studied using a linguistic and nonlinguistic contrast that were matched for acoustic complexity in an active behavioral task and a passive ERP paradigm, known to elicit the mismatch negativity (MMN). In addition, attention skills and a variety of language skills were measured. Participants were 25 five-year-old Dutch children with SLI having receptive as well as productive language problems and 25 control children with typical speech- and language development. At the behavioral level, the SLI group was impaired in discriminating the linguistic contrast as compared to the control group, while both groups were unable to distinguish the non-linguistic contrast. Moreover, the SLI group tended to have impaired attention skills which correlated with performance on most of the language tests. At the neural level, the SLI group, in contrast to the control group, did not show an MMN in response to either the linguistic or nonlinguistic contrast. The MMN data are consistent with an account that relates the symptoms in children with SLI to non-speech processing difficulties.

Context-dependent encoding in the human auditory brainstem relates to hearing speech in noise: implications for developmental dyslexia

We examined context-dependent encoding of speech in children with and without developmental dyslexia by measuring auditory brainstem responses to a speech syllable presented in a repetitive or variable context. Typically developing children showed enhanced brainstem representation of features related to voice pitch in the repetitive context, relative to the variable context. In contrast, children with developmental dyslexia exhibited impairment in their ability to modify representation in predictable contexts. From a functional perspective, we found that the extent of context-dependent encoding in the auditory brainstem correlated positively with behavioral indices of speech perception in noise. The ability to sharpen representation of repeating elements is crucial to speech perception in noise, since it allows superior "tagging" of voice pitch, an important cue for segregating sound streams in background noise. The disruption of this mechanism contributes to a critical deficit in noise-exclusion, a hallmark symptom in developmental dyslexia.

Brain mapping and detection of functional patterns in fMRI using wavelet transform; application in detection of dyslexia

BACKGROUND

Functional Magnetic Resonance Imaging (fMRI) has been proven to be useful for studying brain functions. However, due to the existence of noise and distortion, mapping between the fMRI signal and the actual neural activity is difficult. Because of the difficulty, differential pattern analysis of fMRI brain images for healthy and diseased cases is regarded as an important research topic. From fMRI scans, increased blood ows can be identified as activated brain regions. Also, based on the multi-sliced images of the volume data, fMRI provides the functional information for detecting and analyzing different parts of the brain.

METHODS

In this paper, the capability of a hierarchical method that performed an optimization algorithm based on modified maximum model (MCM) in our previous study is evaluated. The optimization algorithm is designed by adopting modified maximum correlation model (MCM) to detect active regions that contain significant responses. Specifically, in the study, the optimization algorithm is examined based on two groups of datasets, dyslexia and healthy subjects to verify the ability of the algorithm that enhances the quality of signal activities in the interested regions of the brain. After verifying the algorithm, discrete wavelet transform (DWT) is applied to identify the difference between healthy and dyslexia subjects.

RESULTS

We successfully showed that our optimization algorithm improves the fMRI signal activity for both healthy and dyslexia subjects. In addition, we found that DWT based features can identify the difference between healthy and dyslexia subjects.

CONCLUSION

The results of this study provide insights of associations of functional abnormalities in dyslexic subjects that may be helpful for neurobiological identification from healthy subject.

Computer-based training with ortho-phonological units in dyslexic children: new investigations

This study aims to show that training using a computer game incorporating an audio-visual phoneme discrimination task with phonological units, presented simultaneously with orthographic units, might improve literacy skills. Two experiments were conducted, one in secondary schools with dyslexic children (Experiment 1) and the other in a speech-therapy clinic with individual case studies (Experiment 2). A classical pre-test, training, post-test design was used. The main findings indicated an improvement in reading scores after short intensive training (10 h) in Experiment 1 and progress in the reading and spelling scores obtained by the dyslexic children (training for 8 h) in Experiment 2. These results are discussed within the frameworks of both the speech-specific deficit theory of dyslexia and the connectionist models of reading development.

Abnormal cortical processing of the syllable rate of speech in poor readers

Children with reading impairments have long been associated with impaired perception for rapidly presented acoustic stimuli and recently have shown deficits for slower features. It is not known whether impairments for low-frequency acoustic features negatively impact processing of speech in reading-impaired individuals. Here we provide neurophysiological evidence that poor readers have impaired representation of the speech envelope, the acoustical cue that provides syllable pattern information in speech. We measured cortical-evoked potentials in response to sentence stimuli and found that good readers indicated consistent right-hemisphere dominance in auditory cortex for all measures of speech envelope representation, including the precision, timing, and magnitude of cortical responses. Poor readers showed abnormal patterns of cerebral asymmetry for all measures of speech envelope representation. Moreover, cortical measures of speech envelope representation predicted up to 41% of the variability in standardized reading scores and 50% in measures of phonological processing across a wide range of abilities. Our findings strongly support a relationship between acoustic-level processing and higher-level language abilities, and are the first to link reading ability with cortical processing of low-frequency acoustic features in the speech signal. Our results also support the hypothesis that asymmetric routing between cerebral hemispheres represents an important mechanism for temporal encoding in the human auditory system, and the need for an expansion of the temporal processing hypothesis for reading disabilities to encompass impairments for a wider range of speech features than previously acknowledged.

Towards neurophysiological assessment of phonemic discrimination: context effects of the mismatch negativity

OBJECTIVE

This study focusses on the optimal paradigm for simultaneous assessment of auditory and phonemic discrimination in clinical populations. We investigated (a) whether pitch and phonemic deviants presented together in one sequence are able to elicit mismatch negativities (MMNs) in healthy adults and (b) whether MMN elicited by a change in pitch is modulated by the presence of the phonemic deviants.

METHODS

Standard stimuli [i] were intermixed with small, medium or large pitch deviants or with pitch deviants of the same magnitude together with small and large phonemic deviants, [y] and [u], respectively.

RESULTS

When pitch and phonemic deviants were presented together, only the large pitch and phonemic contrasts elicited significant MMNs. When only pitch deviants were presented, the medium and large pitch contrasts elicited significant MMNs. The MMNs, in response to the medium and large pitch contrasts, were of similar magnitude across the two contexts.

CONCLUSIONS

Pitch and phonemic deviants can be tested together provided the pitch contrast is relatively large.

SIGNIFICANCE

A combined neurophysiological test of phonemic and pitch discrimination, as measured by the MMN, is a time-effective tool that may provide valuable information about the underlying cause of poorly specified phonemic representations in clinical populations.

What Phonological Deficit?

We review a series of experiments aimed at understanding the nature of the phonological deficit in developmental dyslexia. These experiments investigate input and output phonological representations, phonological grammar, foreign speech perception and production, and unconscious speech processing and lexical access. Our results converge on the observation that the phonological representations of people with dyslexia may be intact, and that the phonological deficit surfaces only as a function of certain task requirements, notably short-term memory, conscious awareness, and time constraints. In an attempt to reformulate those task requirements more economically, we propose that individuals with dyslexia have a deficit in access to phonological representations. We discuss the explanatory power of this concept and we speculate that a similar notion might also adequately describe the nature of other associated cognitive deficits when present.

A few remarks on relating reaction time to magnocellular activity

Studies have found dyslexic readers to have longer reaction times than nondyslexic readers. These results have been discussed relative to the hypothesis that dyslexia is caused by a magnocellular deficit. We here point out that attempts to link reaction times in dyslexic readers to magnocellular sensitivity face at least two serious problems: (a) The reaction time differences between dyslexics and controls appear too large to be attributable to deficits in the magnocellular system; (b) there is evidence to suggest that in the case of stimuli with contrast above about 10% behavioral reaction times may reflect parvocellular rather than magnocellular activity.

Non-word repetition: an investigation of phonological complexity in children with Grammatical SLI

We investigate whether children with Grammatical Specific Language Impairment (G-SLI) are also phonologically impaired and, if so, what the nature of that impairment is. We focus on the prosodic complexity of words, based on their syllabic and metrical (stress) structure, and investigate this using a novel non-word repetition procedure, the Test of Phonological Structure (TOPhS). Participants with G-SLI (aged 12-20 years) were compared to language-matched, typically developing children (aged 4-8 years). The results reveal that, in contrast to the controls, the accuracy with which the G-SLI group repeated non-words decreased as prosodic complexity increased, even in non-words with only one- and two-syllables. The study indicates that, in G-SLI, complexity deficits in morphology and syntax can extend to prosodic phonology. The study highlights the importance of taking into account prosodic complexity in phonological assessment and the design of non-word repetition procedures.

Yellow filters, magnocellular responses, and reading

It has been suggested that yellow filters may increase magnocellular responsivity. This suggestion was, in large part, based on the assumption that the S-cones inhibit the magnocellular system. However, the evidence invoked to justify this assumption is only indirect. A previously reported direct electrophysiological investigation of this issue has found that S-cone input to the magnocellular system actually sum with L-and M-cone inputs. Therefore, the notion that yellow filters enhance magnocellular responses by reducing inhibition from S-cones cannot be maintained.

Attention, reading and dyslexia

It has been proposed that magnocellular deficits cause dyslexia through reduced attention. According to one model (Vidyasagar, Clinical and Experimental Optometry 2004; 87: 4-10), attention is shifted from letter to letter during fixations and magnocellular deficits are hypothesised to cause reading problems by interfering with the ability to control the attention. The present report points out several problems in this model. 1. It requires dissociation of eye movements and attention, which may be problematic within the framework of reading. 2. There is direct evidence to indicate that reading is not carried out in a letter-to-letter manner during fixations. 3. There are aspects of the visual performance of dyslexic readers, which are difficult to attribute to inattention. 4. There are indications that attentional deficiencies of dyslexic readers are not associated with magnocellular deficits. 5. The evidence for linking magnocellular deficits to dyslexia in general is weak.

Altered temporal profile of visual-auditory multisensory interactions in dyslexia

Recent studies have demonstrated that dyslexia is associated with deficits in the temporal encoding of sensory information. While most previous studies have focused on information processing within a single sensory modality, it is clear that the deficits seen in dyslexia span multiple sensory systems. Surprisingly, although the development of linguistic proficiency involves the rapid and accurate integration of auditory and visual cues, the capacity of dyslexic individuals to integrate information between the different senses has not been systematically examined. To test this, we studied the effects of task-irrelevant auditory information on the performance of a visual temporal-order-judgment (TOJ) task. Dyslexic subjects' performance differed significantly from that of control subjects, specifically in that they integrated the auditory and visual information over longer temporal intervals. Such a result suggests an extended temporal "window" for binding visual and auditory cues in dyslexic individuals. The potential deleterious effects of this finding for rapid multisensory processes such as reading are discussed.

Magnocellular reading and dyslexia

It is pointed out that the question of the potential role of magnocellular neurons in reading is distinctly separate from the question of whether or not a magnocellular deficit is the cause of dyslexia. These two issues should not be confused. With regard to the second, the data do not at present favor the hypothesis that dyslexia is the result of a magnocellular deficit.

Visual and language processing deficits in compensated and uncompensated college students with dyslexia

In seven experiments, we investigated whether compensated and uncompensated adults with dyslexia show different patterns of deficits in magnocellular visual processing and in language processing tasks. In four visual tasks, we failed to find evidence of magnocellular deficits in either group. However, both groups of adults with dyslexia showed deficits in component language skills, and the degree of reading impairment predicted the nature and extent of these deficits. Uncompensated readers showed deficits in orthographic and especially phonological coding and awareness and were slower on rapid naming. Compensated readers showed word and nonword performance below controls but better than the uncompensated readers. The compensated group was not significantly less accurate than controls on phonological awareness, nor significantly worse overall on rapid naming.

Phonemic manipulation in Japanese: an fMRI study

Phonological awareness is the ability to manipulate abstract phonological representations of language and is crucial to the process of learning to read. The neural substrates underlying this appear to be modality-independent at least in alphabetic languages. Japanese language has different orthographic "kana" system, in which each "kana" character strictly corresponds to a syllable. To investigate the neural substrates underlying phonological manipulation of the Japanese language, functional magnetic resonance imaging (fMRI) was used. Neuroimaging data were obtained from adult healthy volunteers during auditory and visual vowel exchange tasks, identical except for the modality of stimuli presentation: a voice and Japanese "kana" characters. Cerebellar vermis was activated by vowel exchange tasks of both modalities. The posterior parts of the superior temporal sulcus (STS) were active during the auditory tasks, suggesting that phonological representations of auditory stimuli are manipulated in this area. These findings are consistent with the previous studies with alphabetic languages. In contrast, the intraparietal sulci, which has been implicated for visuospatial tasks, was active during the visual tasks. This modality-dependent activation may indicate that the simple orthographic rule of the Japanese allows an alternate visual strategy to conduct the phonological awareness task, bypassing manipulation of phonological representation.

Language and phonological skills in children at high risk of reading difficulties

BACKGROUND

Dyslexia is now generally acknowledged to involve difficulties in phonological processing. However, the links between reading difficulties and speech difficulties remain unclear.

METHOD

In the present study, 17 children with speech difficulties between the ages of four and six were compared to children with a family history of dyslexia and normally developing controls on phonological processing, phonological learning, phonological awareness and literacy tasks.

RESULTS

The two groups of children at risk of reading difficulties showed very similar patterns of impairment, with average vocabulary but poor input and output speech processing, phonological learning, phonological awareness and reading development.

CONCLUSIONS

It is concluded that the antecedents of reading difficulty are similar in these two groups of children, with both groups showing deficits in the development of phonological representations.