Frequency acuity and binaural masking release in dyslexic listeners

Auditory frequency discrimination in developmental dyslexia: A meta-analysis

Auditory frequency discrimination has been used as an index of sensory processing in developmental language disorders such as dyslexia, where group differences have often been interpreted as evidence for a basic deficit in auditory processing that underpins and constrains individual variability in the development of phonological skills. Here, we conducted a meta-analysis to evaluate the cumulative evidence for group differences in frequency discrimination and to explore the impact of some potential moderator variables that could contribute to variability in effect-size estimations across studies. Our analyses revealed mean effect sizes for group differences on frequency discrimination tasks on the order of three-quarters of a standard deviation, but in the presence of substantial inter-study variability in their magnitude. Moderator variable analyses indicated that factors related both to participant variability on behavioural and cognitive variables associated with the dyslexia phenotype, and to variability in the task design, contributed to differences in the magnitude of effect size across studies. The apparently complex pattern of results was compounded by the lack of concurrent, standardised metrics of cognitive and reading component skills across the constituent studies. Differences on sensory processing tasks are often reported in studies of developmental disorders, but these need to be more carefully interpreted in the context of non-sensory factors, which may explain significant inter- and intra-group variance in the dependent measure of interest.

Pure-Tone Frequency Discrimination in Preschoolers, Young School-Age Children, and Adults

PURPOSE

Published data indicate nearly adultlike frequency discrimination in infants but large child-adult differences for school-age children. This study evaluated the role that differences in measurement procedures and stimuli may have played in the apparent nonmonotonicity. Frequency discrimination was assessed in preschoolers, young school-age children, and adults using stimuli and procedures that have previously been used to test infants.

METHOD

Listeners were preschoolers (3-4 years), young school-age children (5-6 years), and adults (19-38 years). Performance was assessed using a single-interval, observer-based method and a continuous train of stimuli, similar to that previously used to evaluate infants. Testing was completed using 500- and 5000-Hz standard tones, fixed within a set of trials. Thresholds for frequency discrimination were obtained using an adaptive, two-down one-up procedure. Adults and most school-age children responded by raising their hands. An observer-based, conditioned-play response was used to test preschoolers and those school-age children for whom the hand-raise procedure was not effective for conditioning.

RESULTS

Results suggest an effect of age and frequency on thresholds but no interaction between these 2 factors. A lower proportion of preschoolers completed training compared with young school-age children. For those children who completed training, however, thresholds did not improve significantly with age; both groups of children performed more poorly than adults. Performance was better for the 500-Hz standard frequency compared with the 5000-Hz standard frequency.

CONCLUSIONS

Thresholds for school-age children were broadly similar to those previously observed using a forced-choice procedure. Although there was a trend for improved performance with increasing age, no significant age effect was observed between preschoolers and school-age children. The practice of excluding participants based on failure to meet conditioning criteria in an observer-based task could contribute to the relatively good performance observed for preschoolers in this study and the adultlike performance previously observed in infants.

The Tale is in the Tail: An Alternative Hypothesis for Psychophysical Performance Variability in Dyslexia

Dyslexic groups have been reported to display poorer mean performance than groups of normal readers on a variety of psychophysical tasks. However, inspection of the distribution of individual scores for each group typically reveals that the majority of dyslexic observers actually perform within the normal range. Differences between group means often reflect the influence of a small number of dyslexic individuals who perform very poorly. While such findings are typically interpreted as evidence for specific perceptual deficiencies in dyslexia, caution in this approach is necessary. In this study we examined how general difficulties with task completion might manifest themselves in group psychophysical studies. Simulations of the effect of errant or inattentive trials on performance produced patterns of variability similar to those seen in dyslexic groups. Additionally, predicted relationships between the relative variability in dyslexic and control groups, and the magnitude of group differences bore close resemblance to the outcomes of a meta-analysis of empirical studies. These results suggest that general, nonsensory difficulties may underlie the poor performance of dyslexic groups on many psychophysical tasks. Implications and recommendations for future research are discussed.

Evidence for a general auditory processing deficit in developmental dyslexia from a discrimination paradigm using speech versus nonspeech sounds matched in complexity

PURPOSE

It is unknown whether phonological deficits are the primary cause of developmental dyslexia or whether they represent a secondary symptom resulting from impairments in processing basic acoustic parameters of speech. This might be due, in part, to methodological difficulties. Our aim was to overcome two of these difficulties: the comparability of stimulus material and task in speech versus nonspeech conditions.

METHOD

In this study, the authors (a) assessed auditory processing of German vowel center stimuli, spectrally rotated versions of these stimuli, and bands of formants; (b) used the same task for linguistic and nonlinguistic conditions; and (c) varied systematically temporal and spectral parameters inherent in the German vowel system. Forty-two adolescents and adults with and without reading disabilities participated.

RESULTS

Group differences were found for all linguistic and nonlinguistic conditions for both temporal and spectral parameters. Auditory deficits were identified in most but not all participants with dyslexia. These deficits were not restricted to speech stimuli-they were also found for nonspeech stimuli with equal and lower complexity compared with the vowel stimuli. Temporal deficits were not observed in isolation.

CONCLUSION

These results support the existence of a general auditory processing impairment in developmental dyslexia.

Strategy choice mediates the link between auditory processing and spelling

Relations among linguistic auditory processing, nonlinguistic auditory processing, spelling ability, and spelling strategy choice were examined. Sixty-three undergraduate students completed measures of auditory processing (one involving distinguishing similar tones, one involving distinguishing similar phonemes, and one involving selecting appropriate spellings for individual phonemes). Participants also completed a modified version of a standardized spelling test, and a secondary spelling test with retrospective strategy reports. Once testing was completed, participants were divided into phonological versus nonphonological spellers on the basis of the number of words they spelled using phonological strategies only. Results indicated a) moderate to strong positive correlations among the different auditory processing tasks in terms of reaction time, but not accuracy levels, and b) weak to moderate positive correlations between measures of linguistic auditory processing (phoneme distinction and phoneme spelling choice in the presence of foils) and spelling ability for phonological spellers, but not for nonphonological spellers. These results suggest a possible explanation for past contradictory research on auditory processing and spelling, which has been divided in terms of whether or not disabled spellers seemed to have poorer auditory processing than did typically developing spellers, and suggest implications for teaching spelling to children with good versus poor auditory processing abilities.

Temporal sampling in vision and the implications for dyslexia

It has recently been suggested that dyslexia may manifest as a deficit in the neural synchrony underlying language-based codes (Goswami, 2011), such that the phonological deficits apparent in dyslexia occur as a consequence of poor synchronisation of oscillatory brain signals to the sounds of language. There is compelling evidence to support this suggestion, and it provides an intriguing new development in understanding the aetiology of dyslexia. It is undeniable that dyslexia is associated with poor phonological coding, however, reading is also a visual task, and dyslexia has also been associated with poor visual coding, particularly visuo-spatial sensitivity. It has been hypothesized for some time that specific frequency oscillations underlie visual perception. Although little research has been done looking specifically at dyslexia and cortical frequency oscillations, it is possible to draw on converging evidence from visual tasks to speculate that similar deficits could occur in temporal frequency oscillations in the visual domain in dyslexia. Thus, here the plausibility of a visual correlate of the Temporal Sampling Framework is considered, leading to specific hypotheses and predictions for future research. A common underlying neural mechanism in dyslexia, may subsume qualitatively different manifestations of reading difficulty, which is consistent with the heterogeneity of the disorder, and may open the door for a new generation of exciting research.

Exploring the role of auditory analysis in atypical compared to typical language development

The relationship between auditory processing and language skills has been debated for decades. Previous findings have been inconsistent, both in typically developing and impaired subjects, including those with dyslexia or specific language impairment. Whether correlations between auditory and language skills are consistent between different populations has hardly been addressed at all. The present work presents an exploratory approach of testing for patterns of correlations in a range of measures of auditory processing. In a recent study, we reported findings from a large cohort of eleven-year olds on a range of auditory measures and the data supported a specific role for the processing of short sequences in pitch and time in typical language development. Here we tested whether a group of individuals with dyslexic traits (DT group; n = 28) from the same year group would show the same pattern of correlations between auditory and language skills as the typically developing group (TD group; n = 173). Regarding the raw scores, the DT group showed a significantly poorer performance on the language but not the auditory measures, including measures of pitch, time and rhythm, and timbre (modulation). In terms of correlations, there was a tendency to decrease in correlations between short-sequence processing and language skills, contrasted by a significant increase in correlation for basic, single-sound processing, in particular in the domain of modulation. The data support the notion that the fundamental relationship between auditory and language skills might differ in atypical compared to typical language development, with the implication that merging data or drawing inference between populations might be problematic. Further examination of the relationship between both basic sound feature analysis and music-like sound analysis and language skills in impaired populations might allow the development of appropriate training strategies. These might include types of musical training to augment language skills via their common bases in sound sequence analysis.

Psychophysical estimates of frequency discrimination: more than just limitations of auditory processing

Efficient auditory processing is hypothesized to support language and literacy development. However, behavioral tasks used to assess this hypothesis need to be robust to non-auditory specific individual differences. This study compared frequency discrimination abilities in a heterogeneous sample of adults using two different psychoacoustic task designs, referred to here as: 2I_6A_X and 3I_2AFC designs. The role of individual differences in nonverbal IQ (NVIQ), socioeconomic status (SES) and musical experience in predicting frequency discrimination thresholds on each task were assessed using multiple regression analyses. The 2I_6A_X task was more cognitively demanding and hence more susceptible to differences specifically in SES and musical training. Performance on this task did not, however, relate to nonword repetition ability (a measure of language learning capacity). The 3I_2AFC task, by contrast, was only susceptible to musical training. Moreover, thresholds measured using it predicted some variance in nonword repetition performance. This design thus seems suitable for use in studies addressing questions regarding the role of auditory processing in supporting language and literacy development.

Probing the neurocognitive trajectories of children's reading skills

Emerging evidence of the high variability in the cognitive skills and deficits associated with reading achievement and dysfunction promotes both a more dimensional view of the risk factors involved, and the importance of discriminating between trajectories of impairment. Here we examined reading and component orthographic and phonological skills alongside measures of cognitive ability and auditory and visual sensory processing in a large group of primary school children between the ages of 7 and 12 years. We identified clusters of children with pseudoword or exception word reading scores at the 10th percentile or below relative to their age group, and a group with poor skills on both tasks. Compared to age-matched and reading-level controls, groups of children with more impaired exception word reading were best described by a trajectory of developmental delay, whereas readers with more impaired pseudoword reading or combined deficits corresponded more with a pattern of atypical development. Sensory processing deficits clustered within both of the groups with putative atypical development: auditory discrimination deficits with poor phonological awareness skills; impairments of visual motion processing in readers with broader and more severe patterns of reading and cognitive impairments. Sensory deficits have been variably associated with developmental impairments of literacy and language; these results suggest that such deficits are also likely to cluster in children with particular patterns of reading difficulty.

Cortical basis for dichotic pitch perception in developmental dyslexia

The current study examined auditory processing deficits in dyslexia using a dichotic pitch stimulus and functional MRI. Cortical activation by the dichotic pitch task occurred in bilateral Heschl's gyri, right planum temporale, and right superior temporal sulcus. Adolescents with dyslexia, relative to age-matched controls, illustrated greater activity in left Heschl's gyrus for random noise, less activity in right Heschl's gyrus for all auditory conditions, and less activity in right superior temporal sulcus for a dichotic melody. Subsequent analyses showed that these group differences were attributable to dyslexic readers who performed poorly on the psychophysical task. Furthermore, behavioral performance on phonological reading was correlated to activity from dichotic conditions in right Heschl's gyrus and right superior temporal sulcus. It is postulated that these differences between reader groups is primarily due to a noise exclusion deficit shown previously in dyslexia.

Psychophysical indices of perceptual functioning in dyslexia: A psychometric analysis

An influential causal theory attributes dyslexia to visual and/or auditory perceptual deficits. This theory derives from group differences between individuals with dyslexia and controls on a range of psychophysical tasks, but there is substantial variation, both between individuals within a group and from task to task. We addressed two questions. First, do psychophysical measures have sufficient reliability to assess perceptual deficits in individuals? Second, do different psychophysical tasks measure a common underlying construct? We studied 104 adults with a wide range of reading ability and two comparison groups of 49 dyslexic adults and 41 adults with normal reading, measuring performance on four auditory and two visual tasks. We observed moderate to high test–retest reliability for most tasks. While people with dyslexia were more likely to display poor task performance, we were unable to demonstrate either construct validity for any of the current theories of perceptual deficits or predictive validity for reading ability. We suggest that deficient perceptual task performance in dyslexia may be an associated (and inconsistent) marker of underlying neurological abnormality, rather than being causally implicated in reading difficulties.

Auditory frequency discrimination in adults with dyslexia: a test of the anchoring hypothesis

PURPOSE

A recent hypothesis ascribes dyslexia to a perceptual anchoring deficit. Supporting results have so far been obtained only in children with dyslexia and additional learning difficulties, but the hypothesis has been argued to apply to all individuals with dyslexia.

METHOD

The authors measured auditory frequency discrimination thresholds in 54 young adults (native speakers of Dutch; 25 individuals with dyslexia; 29 age- and education-matched controls), with a 2-alternative forced-choice staircase paradigm. There were 2 conditions: 1 in which 1 tone in each pair had a fixed frequency across trials (standard), and 1 in which both tones varied in frequency (no standard). Presence of a standard stimulus allows the creation of a stimulus-specific representation in short-term-memory (perceptual anchor).

RESULTS

The standard condition yielded significantly lower discrimination thresholds in both controls and individuals with dyslexia; both groups benefited equally from the presence of an invariant stimulus.

CONCLUSION

There is no difference between this group of adults with dyslexia and controls in their capacity to form a perceptual anchor. The implication is that an anchoring deficit cannot be generalized to all cases of dyslexia.

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.

Reduced sensitivity to slow-rate dynamic auditory information in children with dyslexia

The etiology of developmental dyslexia remains widely debated. An appealing theory postulates that the reading and spelling problems in individuals with dyslexia originate from reduced sensitivity to slow-rate dynamic auditory cues. This low-level auditory deficit is thought to provoke a cascade of effects, including inaccurate speech perception and eventually unspecified phoneme representations. The present study investigated sensitivity to frequency modulation and amplitude rise time, speech-in-noise perception and phonological awareness in 11-year-old children with dyslexia and a matched normal-reading control children. Group comparisons demonstrated that children with dyslexia were less sensitive than normal-reading children to slow-rate dynamic auditory processing, speech-in-noise perception, phonological awareness and literacy abilities. Correlations were found between slow-rate dynamic auditory processing and phonological awareness, and speech-in-noise perception and reading. Yet, no significant correlation between slow-rate dynamic auditory processing and speech-in-noise perception was obtained. Together, these results indicate that children with dyslexia have difficulties with slow-rate dynamic auditory processing and speech-in-noise perception and that these problems persist until sixth grade.

Binaural masking level difference in skilled reading children and children with dyslexia

BACKGROUND

Combining stimuli arriving at both ears makes it possible to locate sounds in the environment and to better detect signals or understand speech in noise when the sound sources are separated spatially. The sensitivity of the binaural system to interaural differences in time and amplitude can be investigated by means of the binaural masking level difference (BMLD). The age at which the BMLD reaches adult levels appears to depend partly upon masker bandwidth. Less is known about the effect of masker's level on the development of BMLD in children. In the present study we assessed the effect of masker level on the BMLD of 3rd and 5th grade skilled reading children. In view of possible binaural hearing effects in dyslexia, the BMLD of a group of 5th grade children with reading difficulties was measured.

METHODS

Detection thresholds of 500 Hz pure tone were measured at noise levels of 40 dBHL, 50 dBHL and 60 dBHL.

RESULTS

All subjects presented increased MLD values with the rise of noise intensity between 40 dBHL and 60 dBHL. Among the skilled readers the results showed that younger children had smaller BMLDs than older children at all masker levels. However, a significant group-by-intensity interaction indicated that although the reading disabled group had reduced BMLD values than older skilled readers at noise levels of 50 dBHL and 60 dBHL, no difference was found between their BMLD values and those of the young skilled readers at noise levels of 50 dBHL and 60 dBHL. Moreover, their BMLD values at noise level of 40 dBHL were higher than those of the 3rd grade typically reading students while no difference was found between them and 5th grade efficient readers.

CONCLUSIONS

These results support the existence of both quantitative and qualitative differences in binaural hearing of children with developmental dyslexia.

Is developmental dyslexia modality specific? A visual-auditory comparison of Italian dyslexics

Although developmental dyslexia is often referred to as a cross-modal disturbance, tests of different modalities using the same stimuli are lacking. We compared the performance of 23 children with dyslexia and 42 chronologically matched control readers on reading versus repetition tasks and visual versus auditory lexical decision using the same stimuli. With respect to control readers, children with dyslexia were impaired only on stimuli in the visual modality; they had no deficit on the repetition and auditory lexical decision tasks. By applying the rate-amount model (Faust et al., 1999), we showed that performance of children with dyslexia on visual (but not auditory) tasks was associated with that of control readers by a linear relationship (with a 1.78 slope), suggesting that a global factor accounts for visual (but not auditory) task performance. We conclude that the processing of linguistic stimuli in the visual and auditory modalities is carried out by independent processes and that dyslexic children have a selective deficit in the visual modality.

Detection and identification of monaural and binaural pitch contours in dyslexic listeners

The use of binaural pitch stimuli to test for the presence of binaural auditory impairment in reading-disabled subjects has so far led to contradictory outcomes. While some studies found that a majority of dyslexic subjects was unable to perceive binaural pitch, others obtained a clear response of dyslexic listeners to Huggins' pitch (HP). The present study clarified whether impaired binaural pitch perception is found in dyslexia. Results from a pitch contour identification test, performed in 31 dyslexic listeners and 31 matched controls, clearly showed that dyslexics perceived HP as well as the controls. Both groups also showed comparable results with a similar-sounding, but monaurally detectable, pitch-evoking stimulus. However, nine of the dyslexic subjects were found to have difficulty identifying pitch contours both in the binaural and the monaural conditions. The ability of subjects to correctly identify pitch contours was found to be significantly correlated to measures of frequency discrimination. This correlation may be attributed to the similarity of the experimental tasks and probably reflects impaired cognitive mechanisms related to auditory memory or auditory attention rather than impaired low-level auditory processing per se.

Auditory and visual processing in children with dyslexia

This study investigated the temporal stability and longitudinal replicability of visual and auditory sensory processes found to be poor in children with dyslexia. Seventy children with dyslexia and 52 normal readers were tested twice, 9 months apart, on measures of visual and auditory sensory processing and on phonological and orthographic skills. About 30% of children with dyslexia were found to have sensory deficits. Associations were found between sensory and cognitive skills. Based on analyses of agreement, the temporal stability of the sensory tasks was poor. Future research should develop sensory measures with high temporal stability that can control for maturation.

Adults with dyslexia demonstrate attentional orienting deficits

Alerting, orienting and executive control of attention are investigated in five adult cases of dyslexia. In comparison with a control group, alerting and executive control were found to be generally intact for each case. Two spatial cueing tasks were employed. For the task requiring target detection, orienting difficulties were evident only in peripheral locations. While orienting attention to parafoveal stimuli was intact for this detection task, it was found to be impaired for the discrimination task. These results are discussed with respect to the methodological differences of the two tasks. It is suggested that the observed orienting deficit may be specific to adjusting the size of attentional focus in individuals with dyslexia, and that this could contribute to the reading difficulties observed.

Wide and Diffuse Perceptual Modes Characterize Dyslexics in Vision and Audition

We examined the performance of dyslexic and typically reading children on two analogous recognition tasks: one visual and the other auditory. Both tasks required recognition of centrally and peripherally presented stimuli. Dyslexics recognized letters visually farther in the periphery and more diffuse near the center than typical readers did. Both groups performed comparably in recognizing centrally spoken stimuli presented without peripheral interference, but in the presence of a surrounding speech mask (the ‘cocktail-party effect’) dyslexics recognized the central stimuli significantly less well than typical readers. However, dyslexics had a higher ratio of the number of words recognized from the surrounding speech mask, relative to the ones from the center, than typical readers did. We suggest that the evidence of wide visual and auditory perceptual modes in dyslexics indicates wider multi-dimensional neural tuning of sensory processing interacting with wider spatial attention.

Does the auditory saltation stimulus distinguish dyslexic from competently reading adults?

PURPOSE

Where the auditory saltation illusion has been used as a measure of auditory temporal processing (ATP) in dyslexia, conflicting results have been apparent (cf. R. Hari & P. Kiesilä, 1996; M. Kronbichler, F. Hutzler, & H. Wimmer, 2002). This study sought to re-examine these findings by investigating whether dyslexia is characterized by poor saltation task performance and whether saltation thresholds are related to reading and phonological processing within groups of either dyslexic or competent readers.

METHOD

Nineteen dyslexic and 20 competently reading adults (18-64 years of age) participated. Participants completed 2 runs of a 2-alternative forced-choice saltation task, along with standard measures of reading and phonological processing.

RESULTS

Although overall poorer saltation thresholds were apparent in the dyslexic group, the threshold distributions overlapped considerably, with thresholds alone unable to predict group membership at a level significantly greater than chance. Neither strong nor significant correlations were observed among saltation thresholds, reading, and phonological processing skills within either group.

CONCLUSION

The results of this study do not support suggestions of impaired ATP in dyslexia or associations among ATP, reading, and phonological processing. However, it is proposed that increased within- and between-subject variability in auditory thresholds might be a more valuable marker of dyslexia than the thresholds themselves. Implications of this observation for dyslexia research are discussed.

Delayed detection of tonal targets in background noise in dyslexia

Individuals with developmental dyslexia are often impaired in their ability to process certain linguistic and even basic non-linguistic auditory signals. Recent investigations report conflicting findings regarding impaired low-level binaural detection mechanisms associated with dyslexia. Binaural impairment has been hypothesized to stem from a general low-level processing disorder for temporally fine sensory stimuli. Here we use a new behavioral paradigm to address this issue. We compared the response times of dyslexic listeners and their matched controls in a tone-in-noise detection task. The tonal signals were either Huggins Pitch (HP), a stimulus requiring binaural processing to elicit a pitch percept, or a pure tone-perceptually similar but physically very different signals. The results showed no difference between the two groups specific to the processing of HP and thus no evidence for a binaural impairment in dyslexia. However, dyslexic subjects exhibited a general difficulty in extracting tonal objects from background noise, manifested by a globally delayed detection speed.

Attentional blink deficits observed in dyslexia depend on task demands

The attentional blink (AB) refers to a deficit in the ability to identify a second target following a first target when both appear randomly within a rapid sequence of distractor items. The AB of five adults with dyslexia (ADys) was compared with that of a group of normal adult readers. Two tasks were completed which differed in the conceptual category of the target items (a red digit or letter) relative to the distractor items (all black digits). In the digit condition, all ADys cases showed a longer AB compared to the control group. In the letter condition, all participants showed improvement in accuracy compared to the digit condition, but three ADys cases continued to have a longer AB. The results suggest that (a) AB performance depends on task requirements, and (b) the attentional system is compromised in dyslexia. However, examination of individual case performance suggests that prolonged attentional dwell time is not a core deficit in dyslexia. The results also illustrate the limitations of group comparisons in small sample studies.

The role of sensorimotor impairments in dyslexia: a multiple case study of dyslexic children

This study attempts to investigate the role of sensorimotor impairments in the reading disability that characterizes dyslexia. Twenty-three children with dyslexia were compared to 22 control children, matched for age and non-verbal intelligence, on tasks assessing literacy as well as phonological, visual, auditory and motor abilities. The dyslexic group as a whole were significantly impaired on phonological, but not sensorimotor, tasks. Analysis of individual data suggests that the most common impairments were on phonological and visual stress tasks and the vast majority of dyslexics had one of these two impairments. Furthermore, phonological skill was able to account for variation in literacy skill, to the exclusion of all sensorimotor factors, while neither auditory nor motor skill predicted any variance in phonological skill. Visual stress seems to account for a small proportion of dyslexics, independently of the commonly reported phonological deficit. However, there is little evidence for a causal role of auditory, motor or other visual impairments.

Auditory temporal information processing in preschool children at family risk for dyslexia: relations with phonological abilities and developing literacy skills

In this project, the hypothesis of an auditory temporal processing deficit in dyslexia was tested by examining auditory processing in relation to phonological skills in two contrasting groups of five-year-old preschool children, a familial high risk and a familial low risk group. Participants were individually matched for gender, age, non-verbal IQ, school environment, and parental educational level. Psychophysical thresholds were estimated for gap-detection, frequency modulation detection, and tone-in-noise detection using a three-interval forced-choice adaptive staircase paradigm embedded within a computer game. Phonological skills were measured by tasks assessing phonological awareness, rapid serial naming, and verbal short-term memory. Significant group differences were found for phonological awareness and letter knowledge. In contrast, none of the auditory tasks differentiated significantly between both groups. However, both frequency modulation and tone-in-noise detection were significantly related to phonological awareness. This relation with phonological skills was not present for gap-detection.

Development of auditory saltation and its relationship to reading and phonological processing

PURPOSE

The temporal offset of auditory saltation is thought to be reflective of the limits of temporal resolution, and has recently been used to compare dyslexic and control adults and children, with mixed results (R. Hari & P. Kiesilä, 1996; M. Kronbichler, F. Hutzler, & H. Wimmer, 2002). This study sought to document and understand normative changes in saltation thresholds as a function of age, and examine the relationship of saltation thresholds to reading and phonological processing across development.

METHOD

This study used a cross-sectional developmental design. Groups of 7-8-, 9-10-, and 11-13-year-old children, and adults, undertook a 2-alternative forced-choice saltation task, along with standard tests of reading and phonological processing.

RESULTS

Significantly higher and more variable saltation thresholds were evident in the 7-8-year-old group. Group distributions were skewed: Only a few young children obtained poor thresholds while most showed adult-like performance. Saltation thresholds were not related to reading or phonological processing skills at any stage of development.

CONCLUSIONS

The temporal offset of saltation is unlikely to reflect the true limits of temporal resolution in young children, but rather the conflation of perceptual and nonperceptual factors (such as poor short-term memory, inattention, and confusion) to task performance. Effort should be made to minimize such nonperceptual factors, particularly when using saltation as a measure of temporal resolution in participants with dyslexia.

Psychophysical design influences frequency discrimination performance in young children

We investigated how different psychophysical procedures affect frequency discrimination performance in children. Four studies used a design in which listeners heard two tone pairs and had to identify whether the first or second pair contained a higher frequency target tone. Thresholds for 6- and 7-year-olds were higher than those for 8- and 9-year-olds and adults. Two manipulations led to lower (better) thresholds in young children: (a) moving the standard comparison tone before the target tone and (b) using three target comparison tone pairs. It is suggested that young children benefit from designs that help cue them to when they need to attend to a target tone. The two-interval, forced-choice procedure that is widely used in studies of developmental disorders led to variable performance even in adults and did not give a realistic picture of the perceptual capabilities of children under 8 years of age.

Frequency discrimination and literacy skills in children with mild to moderate sensorineural hearing loss

It has been suggested that specific reading disability (SRD) may be attributable to an impaired ability to perceive spectral differences between sounds that leads to a deficit in frequency discrimination and subsequent problems with language and literacy. The objective of the present study was three-fold. We aimed to (a) determine whether children with mild to moderate sensorineural hearing loss were impaired in their ability to discriminate frequency, (b) assess the extent to which any such deficits may be due to an inability to use information derived from phase locking, and (c) examine whether frequency discrimination abilities were predictive of measures of word and nonword reading and nonword repetition. Difference limens for frequency (DLFs) were obtained for 22 children with mild to moderate hearing loss (SNH group) and 22 age-matched controls (CA group) at central frequencies of 1 kHz, where phase-locking information is available, and 6 kHz, where it is not. A battery of standardized tests of language and literacy was also administered. The SNH group exhibited significantly elevated DLFs at both 1 and 6 kHz relative to controls, despite considerable variability of thresholds in both groups. Although no group differences were found for receptive and expressive vocabulary, receptive grammar, and nonword reading, the SNH group performed worse than controls on word reading and nonword repetition, even though word reading scores were age-appropriate. Frequency discrimination abilities were associated with reading and nonword repetition across groups, but these correlations largely disappeared when the two groups were analyzed separately. Together, these results provide evidence for a dissociation between impaired frequency discrimination and relatively "spared" language and literacy in children with mild to moderate sensorineural hearing loss. These results cast doubt on the assertion that a deficit in frequency discrimination necessarily leads to marked deficits in the development of language and literacy.

Poor frequency discrimination is related to oral language disorder in children: a psychoacoustic study

Some children have difficulty in perceiving differences between sounds, even though they have normal hearing sensitivity, and it has been suggested that such problems could lead to difficulties in language and literacy development. Poor ability to distinguish sounds on the basis of frequency (perceived as pitch) has been described in poor readers on a variety of auditory processing tasks. The aim of the present study was three-fold: to determine whether children with specific language impairment (SLI) have difficulty discriminating frequency, whether this deficit is specific to the frequency domain, or part of a more general auditory impairment, and whether it is linked to reading or oral language ability. The performance of a SLI group (N = 15) and a control group with normally developing oral language matched for age and intelligence (N = 18) was compared on a frequency discrimination task and a control task testing intensity discrimination. The children with SLI consistently demonstrated significantly poorer performance on the frequency discrimination task, but not on the intensity discrimination task. Frequency discrimination thresholds were not related to reading ability in either group. This study provides evidence for a basic auditory deficit in children with SLI, regardless of their reading ability.

Individual differences in auditory processing in specific language impairment: a follow-up study using event-related potentials and behavioural thresholds

It has frequently been claimed that children with specific language impairment (SLI) have impaired auditory perception, but there is much controversy about the role of such deficits in causing their language problems, and it has been difficult to establish solid, replicable findings in this area. Discrepancies in this field may arise because (a) a focus on mean results obscures the heterogeneity in the population and (b) insufficient attention has been paid to maturational aspects of auditory processing. We conducted a study of 16 young people with specific language impairment (SLI) and 16 control participants, 24 of whom had had auditory event-related potentials (ERPs) and frequency discrimination thresholds assessed 18 months previously. When originally assessed, around one third of the listeners with SLI had poor behavioural frequency discrimination thresholds, and these tended to be the younger participants. However, most of the SLI group had age-inappropriate late components of the auditory ERP, regardless of their frequency discrimination. At follow-up, the behavioural thresholds of those with poor frequency discrimination improved, though some remained outside the control range. At follow-up, ERPs for many of the individuals in the SLI group were still not age-appropriate. In several cases, waveforms of individuals in the SLI group resembled those of younger typically-developing children, though in other cases the waveform was unlike that of control cases at any age. Electrophysiological methods may reveal underlying immaturity or other abnormality of auditory processing even when behavioural thresholds look normal. This study emphasises the variability seen in SLI, and the importance of studying individual cases rather than focusing on group means.

Diagnostic subgroups of developmental dyslexia have different deficits in neural processing of tones and phonemes

The present study addressed auditory processing in 8-11-year-old children with developmental dyslexia by means of event-related brain potentials (ERP). Cortical sound reception was evaluated by recording N250 responses to syllables and tones and cortical sound discrimination by analyzing the mismatch negativity (MMN) to syllable and tone changes. We found that both cortical sound reception and sound discrimination were impaired in dyslexic children. The analysis of the data obtained from two dyslexic subgroups, Dyslexics-1 being impaired in non-word reading (or both non-word and frequent word reading) and Dyslexics-2 in frequent word reading but not in non-word reading, revealed that the MMN was specifically diminished in the latter group whereas it was normal-like in Dyslexics-1. However, no differences were found between these subgroups in sound reception as indicated by the responses elicited by the standard stimuli. These results show that different diagnostic subgroups of dyslexics have different patterns of auditory processing deficits as suggested by similarly impaired sound reception in both dyslexic groups and the sound-discrimination impairment specific to one of the groups.

Auditory Evoked Potential Patterns to Voiced and Voiceless Speech Sounds in Adult Developmental Dyslexics with Persistent Deficits

Auditory evoked potentials (AEPs) were recorded from eight developmental dyslexic adults with persistent reading, spelling and phonological deficits, and 10 non-dyslexic controls to voiced (/ba/) and voiceless (/pa/) consonant-vowel syllables. Consistent with previous data, non-dyslexics coded these stimuli differentially according to the temporal cues that form the basis of the voiced/voiceless contrast: AEPs had time-locked components with latencies that were determined by the temporal structure of the stimuli. Dyslexics were characterized by one of two electrophysiological patterns: AEP pattern I dyslexics demonstrated a differential coding of stimuli on the basis of some temporal cues, but with an atypically large number of components and a considerable delay in AEP termination time; AEP pattern II dyslexics demonstrated no clear differential coding of stimuli on the basis of temporal cues. These data reveal the presence of anomalies in cortical auditory processing which could underlie persistent perceptual and linguistic impairments in some developmental dyslexics. Furthermore, scalp AEP distribution maps showing the difference observed between /ba/ and /pa/ activity over time suggest that the regions implicated in the processing of crucial time-related acoustic cues were not systematically lateralized to the left hemisphere like they were for non-dyslexics. These findings may be conducive to a better understanding and treatment of perceptual dysfunctions in developmental language disorders.

Frequency discrimination deficits in people with specific language impairment: reliability, validity, and linguistic correlates

The reliability and validity of a frequency discrimination (FD) task were tested in 16 people with specific language impairment (SLI) and 16 people with normal spoken language (controls). The FD thresholds of the 2 groups indicated that FD thresholds for 25-ms and 250-ms tones were remarkably stable across 18 months. The FD thresholds were lower for control listeners than for listeners with SLI for both duration conditions, and the FD thresholds for both groups of listeners were lower for 250-ms tones than for 25-ms tones. Moreover, the FD thresholds were influenced little by nonperceptual, task-related abilities (e.g., paired-associative learning, memory for temporal order, sustained attention, and control of attention) of the listener groups. The significant group difference between the mean FD thresholds of the SLI and control groups was explained by a subgroup of people with SLI who had particularly poor thresholds compared with those of controls and the majority of the SLI group. This subgroup did not differ from the remainder of the SLI sample in terms of age or nonverbal ability but was characterized by very poor reading that was associated with poor phonemic awareness.

Psychophysical Indexes of Temporal Processing Abnormalities in Children With Developmental Dyslexia

Children with dyslexia and children progressing normally in reading performed several perceptual tasks to determine (a) the psychophysical measures that best differentiate children with dyslexia from children with average reading abilities; (b) the extent of temporal processing deficits in a single, well-defined group of children with dyslexia; and (c) the co-occurrence of visual and auditory temporal processing deficits in children with dyslexia. 4 of our 12 psychophysical tasks indicated differences in temporal processing ability between children with dyslexia and children with good reading skills. These included 2 auditory tasks (dichotic pitch perception and FM tone discrimination) and 2 visual tasks (global motion perception and contrast sensitivity). The battery of 12 tasks successfully classified 80% of the children into their respective reading-level groups. Within the group of children with dyslexia who had temporal processing deficits, most were affected in either audition or vision; few children were affected in both modalities. The observed deficits suggest that impaired temporal processing in dyslexia is most evident on tasks that require the ability to synthesize local, temporally modulated inputs into a global percept and the ability to extract the resultant global percept from a noisy environment.

Patterns of deficit in auditory temporal processing among dyslexic adults

We characterized temporal psychoacoustic performance in a group of adult dyslexics with excellent cognitive abilities. These individuals performed adequately on a two-tone frequency discrimination task when inter-stimulus intervals were long ( > or =1 s or more). However, their performance gradually deteriorated as interval duration was shortened (0.7- 0.1 s). Dyslexics with similar reading abilities, but with average cognitive abilities, performed poorly at all intervals. These findings show that, though both groups suffer from non-phonological deficits in auditory discrimination, the nature of their deficits differs. Dyslexics with excellent cognitive abilities seem to have slow, yet adequate, stimulus identification and comparison mechanisms. The fundamental impairment of the other dyslexic group is difficult to determine because their performance was poor across all intervals.

Die Bedeutung auditiver Wahrnehmungsschwächen für die Pathogenese der Lese-Rechtschreibstörung

Zusammenfassung: Fragestellung: Als mögliche Ursache einer Lese-Rechtschreibstörung werden auditive Verarbeitungs- und Wahrnehmungsstörungen (AVWS) angenommen und Trainingsverfahren zur Verbesserung auditiver Fähigkeiten finden in der Therapie zunehmende Verbreitung. In der vorliegenden Studie wird der Frage nachgegangen, ob sich ein Zusammenhang zwischen auditiver Wahrnehmungsfähigkeit und LRS empirisch belegen lässt. Methodik: Untersucht wurden 27 durchschnittlich intelligente und normal hörende LRS- und 31 Vergleichskinder. Die auditive Wahrnehmungsfähigkeit wurde mit nonverbalen (Tonhöhen-, Tondauer-, Geräuschdifferenzierung) und verbalen (Spracherkennen im Störgeräusch, zeitkomprimierte Sprache) Tests beurteilt. Außerdem wurden auditive Merkfähigkeit, nonverbaler IQ, Rechtschreib- und Sprachleistungen sowie anamnestische Angaben zum Verhalten erfasst. Ergebnisse: Die Gruppen unterschieden sich im Mittelwert in der Tondifferenzierungs- und auditiven Merkfähigkeit, nicht jedoch beim Erkennen von Geräuschen und in verbalen auditiven Tests. Bei Betrachtung der Einzelwerte zeigte sich jedoch, dass trotz signifikanter Mittelwertsunterschiede die Leistungen der LRS-Kinder überwiegend im Bereich der Streubreite der Vergleichskinder lagen. Eine Korrelation zwischen auditiver und Rechtschreibfähigkeit war nicht nachweisbar. Schlussfolgerungen: In verbalen auditiven Tests zeigen LRS-Kinder keine auffälligen Befunde. Basale auditive Defizite lassen sich lediglich bei einer kleineren Subgruppe von LRS-Kindern beobachten. Für eine kausale Beziehung zwischen LRS und AVWS fanden sich keine Hinweise und somit keine empirischen Belege für die Grundannahmen, auf denen ein Training auditiver Fähigkeiten im Rahmen einer LRS-Behandlung beruht.

Auditory temporal order discrimination and backward recognition masking in adults with dyslexia

The ability of 20 adult dyslexic readers to extract frequency information from successive tone pairs was compared with that of IQ-matched controls using temporal order discrimination and auditory backward recognition masking (ABRM) tasks. In both paradigms, the interstimulus interval (ISI) between tones in a pair was either short (20 ms) or long (200 ms). Temporal order discrimination was better for both groups of listeners at long than at short ISIs, but no group differences in performance were observed at either ISI. Performance on the ABRM task was also better at long than at short ISIs and was influenced by variability in masker frequency and by the spectral proximity of target and masker. The only significant group difference was found in one condition of the ABRM task when the target-masker interval was 200 ms, but this difference was not reliable when the measure was of optimal performance. Moderate correlations were observed between auditory thresholds and phonological skill for the sample as a whole and within the dyslexic and control groups. However, although a small subgroup of dyslexic listeners with poor phonology was characterized by elevated thresholds across the auditory tasks, evidence for an association between auditory and phonological processing skills was weakened by the finding of a subgroup of control listeners with poor auditory processing and normal phonological processing skills.

Impaired sensitivity to dynamic stimuli in poor readers of a regular orthography

The mappings from grapheme to phoneme are much less consistent in English than they are for most other languages. Therefore, the differences found between English-speaking dyslexics and controls on sensory measures of temporal processing might be related more to the irregularities of English orthography than to a general deficit affecting reading ability in all languages. However, here we show that poor readers of Norwegian, a language with a relatively regular orthography, are less sensitive than controls to dynamic visual and auditory stimuli. Consistent with results from previous studies of English-readers, detection thresholds for visual motion and auditory frequency modulation (FM) were significantly higher in 19 poor readers of Norwegian compared to 22 control readers of the same age. Over two-thirds (68.4%) of the children identified as poor readers were less sensitive than controls to either or both of the visual coherent motion or auditory 2Hz FM stimuli.

Auditory temporal processing in children with specific reading disability with and without attention deficit/hyperactivity disorder

The auditory temporal deficit hypothesis predicts that children with specific reading disability (RD) will exhibit a deficit in the perception of auditory temporal cues in nonspeech stimuli. Tasks assessing perception of auditory temporal and nontemporal cues were administered to children with (a) RD without attention-deficit/hyperactivity disorder (RD/no-ADHD, n = 40), (b) ADHD alone (ADHD/no-RD, n = 33), (c) RD and ADHD (RD/ADHD, n = 36), and (d) no impairment (NI, n = 41). The presence of RD was associated with a specific deficit in detection of a tone onset time asynchrony, but no reduction in performance on other tasks assessing perception of temporal or nontemporal acoustic cues. The presence of ADHD was associated with a general reduction in performance across tasks. The pattern of results did not indicate a pervasive deficit in auditory temporal function in children with RD, but did suggest a possible sensitivity to backward masking in this group. Results also indicated that the comorbid presence of ADHD is a significant factor in the performance of children with RD on psychoacoustic tasks.

On the relationship between dynamic visual and auditory processing and literacy skills; results from a large primary-school study

Three hundred and fifty randomly selected primary school children completed a psychometric and psychophysical test battery to ascertain relationships between reading ability and sensitivity to dynamic visual and auditory stimuli. The first analysis examined whether sensitivity to visual coherent motion and auditory frequency resolution differed between groups of children with different literacy and cognitive skills. For both tasks, a main effect of literacy group was found in the absence of a main effect for intelligence or an interaction between these factors. To assess the potential confounding effects of attention, a second analysis of the frequency discrimination data was conducted with performance on catch trials entered as a covariate. Significant effects for both the covariate and literacy skill was found, but again there was no main effect of intelligence, nor was there an interaction between intelligence and literacy skill. Regression analyses were conducted to determine the magnitude of the relationship between sensory and literacy skills in the entire sample. Both visual motion sensitivity and auditory sensitivity to frequency differences were robust predictors of children's literacy skills and their orthographic and phonological skills.

The sensory basis of reading problems

Learning to read is much more difficult than learning to speak. Most children teach themselves to speak with little or no difficulty. Yet a few years later when they come to learn to read they have to be taught how to do it; they do not pick up reading by themselves. This is because we speak in words and syllables, but we write in phonemes. Syllables do not naturally break down into the sounds of letters and letter units (i.e., phonemes) because these do not correspond to physiologically distinct articulatory gestures (Liberman, Shankweiler, & Studdert-Kennedy, 1967). Alphabetic writing was only invented when people realized that syllables could be artificially divided into smaller acoustically distinguishable phonemes that could be represented by a small number of letters. But these distinctions are arbitrary cultural artifacts, and their mastery was originally confined to a select social class. And until about 100 years ago it did not matter much if the majority of people could not read; the acquisition of reading probably had no serious disadvantages. Reading requires the integration of at least two kinds of analysis (Castles & Coltheart, 1993; Ellis, 1984; Manis, Seidenberg, Doi, McBride-Chang, & Petersen, 1996; Morton, 1969; Seidenburg, 1993). First, the visual form of words, the shape of letters, their order in words, and common spelling patterns, which is termed their orthography, has to be processed visually. Their orthography yields the meaning of familiar words very rapidly without needing to sound them out. But for unfamiliar words, and all words are fairly unfamiliar to the beginning reader, the letters have to be translated into the speech sounds (i.e., phonemes) that they stand for, and then those sounds have to be melded together in inner speech to yield the word and its meaning. Reading exclusively by the phonological route is more time consuming than if words can be accessed directly without requiring phonological mediation.

Separate influences of acoustic AM and FM sensitivity on the phonological decoding skills of impaired and normal readers

Developmental dyslexia is associated with deficits in the processing of basic auditory stimuli. Yet it is unclear how these sensory impairments might contribute to poor reading skills. This study better characterizes the relationship between phonological decoding skills, the lack of which is generally accepted to comprise the core deficit in reading disabilities, and auditory sensitivity to amplitude modulation (AM) and frequency modulation (FM). Thirty-eight adult subjects, 17 of whom had a history of developmental dyslexia, completed a battery of psychophysical measures of sensitivity to FM and AM at different modulation rates, along with a measure of pseudoword reading accuracy and standardized assessments of literacy and cognitive skills. The subjects with a history of dyslexia were significantly less sensitive than controls to 2-Hz FM and 20-Hz AM only. The absence of a significant group difference for 2-Hz AM shows that the dyslexics do not have a general deficit in detecting all slow modulations. Thresholds for detecting 2-Hz and 240-Hz FM and 20-Hz AM correlated significantly with pseudoword reading accuracy. After accounting for various cognitive skills, however, multiple regression analyses showed that detection thresholds for both 2-Hz FM and 20-Hz AM were significant and independent predictors of pseudoword reading ability in the entire sample. Thresholds for 2-Hz AM and 240-Hz FM did not explain significant additional variance in pseudoword reading skill. It is therefore possible that certain components of auditory processing of modulations are related to phonological decoding skills, whereas others are not.

Auditory frequency discrimination in adult developmental dyslexics

Developmental dyslexics reportedly discriminate auditory frequency poorly. A recent study found no such deficit. Unlike its predecessors, however, it employed multiple exposures per trial to the standard stimulus. To investigate whether this affects frequency discrimination in dyslexics, a traditional two-interval same-different paradigm (2I_1A_X) and a variant with six A-stimuli per trial (2I_6A_X) were used here. Frequency varied around 500 Hz; interstimulus interval (ISI) ranged between 0 and 1,000 msec. Under 2I_1A_X, dyslexics always had larger just noticeable differences (JNDs) than did controls. Dyslexic and control JNDs were equal at shorter ISIs under 2I_6A_X, but dyslexics became worse than controls at longer ISIs. Signal detection analysis suggests that both sensory variance and trace variance are larger in dyslexics than in controls.

Auditory processing and the development of language and literacy

This paper considers evidence for basic auditory processing impairments associated with dyslexia and specific language impairment, against a back-drop of findings from studies of the normal development of auditory and phonological processing. A broad range of auditory impairments have been implicated in the aetiology of these language-learning disorders, including deficits in discriminating the temporal order of rapid sequences of auditory signals, elevated thresholds for frequency discrimination and for detection of amplitude and frequency modulation, impaired binaural processing and increased susceptibility to backward masking. Current evidence is inconsistent, but suggests that not all children with language difficulties have non-verbal auditory processing impairments, and for those that do, the impact on language development is poorly understood. Some implications for clinical practice are discussed.