发展性阅读障碍儿童双耳颞精细结构敏感性研究。

IF 2.2 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Sheila A Flanagan, Brian C J Moore, Angela M Wilson, Fiona C Gabrielczyk, Annabel MacFarlane, Kanad Mandke, Usha Goswami
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引用次数: 0

摘要

目的:非典型时间加工被认为与发育性阅读障碍(DYS)儿童的语音困难有关。阅读障碍的时间采样(TS)理论认为,DYS儿童对低频包络调制的处理受到损害,但双耳颞精细结构(TFS)的处理得到保留。方法:采用Flanagan等人为典型发育(TD)儿童开发的方法,评估双耳TFS对DYS儿童的敏感性。58名DYS儿童(7-9.6岁)的新结果与Flanagan等人报道的30名年龄匹配对照(实足年龄匹配[CA])的结果进行了比较。阈值频率,即区分30°或180°的耳间相位差(IPD)与0°的耳间相位差的最高频率,使用频率自适应变化的两间隔强迫选择任务确定,并通过耳机呈现刺激。结果:对于那些能够执行上述任务的人,TFS180阈值的中位数为:DYS = 886 Hz;CA = 999Hz。对于TFS30阈值:DYS = 388 Hz;CA = 442 Hz。采用因变量阈值频率和组(CA和DYS)和相位(180°和30°)固定效应的线性混合效应模型,组间无显著差异(p >.05),组与相位间无显著交互作用。两组在这两个阶段的表现都比正常听力的年轻人差(p < 0.001)。结论:双耳TFS对DYS患儿和TD患儿的敏感性无显著差异。对于两组,双耳TFS敏感性的发展是旷日持久的。结果与TS理论一致。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Binaural Temporal Fine Structure Sensitivity for Children With Developmental Dyslexia.

Purpose: Atypical temporal processing is thought to be involved in the phonological difficulties that characterize children with developmental dyslexia (DYS). The temporal sampling (TS) theory of dyslexia posits that the processing of low-frequency envelope modulations is impaired, but the processing of binaural temporal fine structure (TFS) is preserved in children with DYS.

Method: Binaural TFS sensitivity was assessed for children with DYS utilizing the methods developed by Flanagan et al. for typically developing (TD) children. New results for 58 children with DYS (ages 7-9.6 years) were compared with those for 30 age-matched controls (chronological age-matched [CA]) reported in Flanagan et al. Threshold frequency, that is, the highest frequency at which an interaural phase difference (IPD) of 30° or 180° could be distinguished from an IPD of 0° was determined using a two-interval forced-choice task in which the frequency was adaptively varied, with stimuli presented via headphones.

Results: For those who were able to perform the task above chance, the median TFS180 thresholds were: DYS = 886 Hz; CA = 999Hz. For TFS30 thresholds: DYS = 388 Hz; CA = 442 Hz. A linear mixed-effects model with dependent variable threshold frequency and fixed effects of group (CA and DYS) and phase (180° and 30°) showed no significant difference between groups (p > .05) and no significant interaction between group and phase. Both groups performed more poorly than young typically hearing adults (p < .001) for both phases.

Conclusions: Binaural TFS sensitivity does not differ significantly for children with DYS and TD children. For both groups, the development of binaural TFS sensitivity is protracted. The results are consistent with TS theory.

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来源期刊
Journal of Speech Language and Hearing Research
Journal of Speech Language and Hearing Research AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
4.10
自引率
19.20%
发文量
538
审稿时长
4-8 weeks
期刊介绍: Mission: JSLHR publishes peer-reviewed research and other scholarly articles on the normal and disordered processes in speech, language, hearing, and related areas such as cognition, oral-motor function, and swallowing. The journal is an international outlet for both basic research on communication processes and clinical research pertaining to screening, diagnosis, and management of communication disorders as well as the etiologies and characteristics of these disorders. JSLHR seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of communication sciences and disorders, including speech production and perception; anatomy and physiology of speech and voice; genetics, biomechanics, and other basic sciences pertaining to human communication; mastication and swallowing; speech disorders; voice disorders; development of speech, language, or hearing in children; normal language processes; language disorders; disorders of hearing and balance; psychoacoustics; and anatomy and physiology of hearing.
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