Deficits in perceptual noise exclusion in developmental dyslexia.

We evaluated signal-noise discrimination in children with and without dyslexia, using magnocellular and parvocellular visual stimuli presented either with or without high noise. Dyslexic children had elevated contrast thresholds when stimuli of either type were presented in high noise, but performed as well as non-dyslexic children when either type was displayed without noise. Our findings suggest that deficits in noise exclusion, not magnocellular processing, contribute to the etiology of dyslexia.

Deficits in achromatic phantom contour perception in poor readers.

In a previous study [Sperling, A. J., Lu, Z. L., Manis, F. R., & Seidenberg, M. S. (2003). Selective deficits in magnocellular processing: A "phantom contour" study. Neuropsychologia, 41, 1422-1429] we found that dyslexic children were relatively slower in processing achromatic phantom contours. The maximum temporal frequency at which they could identify achromatic phantom contours was correlated with reading ability and orthographic skill in particular. Here we investigated whether similar deficits could be identified in adults. Poor readers were chosen who scored below the 25th percentile on either a standardized test of word identification or nonword pronunciation. Good readers were chosen who scored above the 40th percentile on both reading tasks. We replicated the findings of the child study: poor readers had slower processing in the achromatic version of the task, but not in the chromatic version. Achromatic performance correlated with several measures of reading and reading-related skills, including exception word reading and phonological awareness. We discuss the possibility that the deficits may indicate impairment in noise exclusion that is more readily apparent at higher temporal frequencies.

Selective magnocellular deficits in dyslexia: a "phantom contour" study.

A technique by Rogers-Ramachandran and Ramachandran [Vis. Res. 38 (1998) 71-77] was adapted to evaluate magnocellular (M) and parvocellular (P) visual processing efficiency, with identical task structure, in normal and dyslexic children. A battery of phonological, orthographic and cognitive tasks was administered to assess reading ability and component reading skills in both groups. For the visual processing experiment, children identified shapes created by patterns of dots flickering in counter-phase. The dots were black and white in the M condition, versus isoluminant red and green in the P condition. A staircase procedure determined the children's threshold flicker rate for shape identification. Dyslexics displayed selectively slower visual processing in the M condition but not in the P condition. Across all subjects, performance in the M condition was correlated with measures of orthographic skill, consistent with previous findings linking M processing and orthographic skill. Within the dyslexic group, processing in the M condition was negatively correlated with level of phonological awareness. The results are not consistent with the argument that dyslexics with phonological impairments suffer from deficits across all sensory modalities, as those children with the poorest phonological awareness displayed magnocellular processing well within the normal range.

Slower implicit categorical learning in adult poor readers.

We investigated the relationship between reading and explicit and implicit categorical learning by comparing university students with poor reading to students with normal reading abilities on two categorical learning tasks. One categorical learning task involved sorting simple geometric shapes into two groups according to a unidimensional rule. The sorting rule was easily stated by the participants, consistent with explicit learning, and all participants attained criterion levels of performance. The second task involved the integration of features on different dimensions with a more complex rule that could not be described by participants, even though most could attain criterion levels of performance consistent with implicit learning. Poor readers performed as well as those without reading problems in explicit learning but not in implicit learning. Implicit learning was correlated with word reading, phonological decoding, and orthographic skill, independent of verbal ability. We consider the role of implicit learning in reading, and how a deficit could impair phonological and orthographic representation and processing.

Repetition priming in oral text reading: a therapeutic strategy for phonologic text alexia.

BACKGROUND: Phonologic text alexia (PhTA) is a reading disorder in which reading of pseudowords is impaired, but reading of real words is impaired only when reading text. Oral reading accuracy remains well preserved when words are presented individually, but when presented in text the part-of-speech effect that is often seen in phonologic alexia (PhA) emerges. AIMS: To determine whether repetition priming could strengthen and/or maintain the activation of words during text reading. METHODS #ENTITYSTARTX00026; PROCEDURES: We trained NYR, a patient with PhTA, to use a strategy, Sentence Building, designed to improve accuracy of reading words in text. The strategy required NYR to first read the initial word, and then build up the sentence by adding on sequential words, in a step-wise manner, utilizing the benefits of repetition priming to enhance accuracy. OUTCOMES #ENTITYSTARTX00026; RESULTS: When using the strategy, NYR displayed improved accuracy not only for sentences she practiced using the strategy, but unpracticed sentences as well. Additionally, NYR performed better on a test of comprehension when using the strategy, as compared to without the strategy. CONCLUSIONS: In light of research linking repetition priming to increased neural processing efficiency, our results suggest that use of this compensatory strategy improves reading accuracy and comprehension by temporarily boosting phonologic activation levels.

Neural Mechanisms Underlying Learning following Semantic Mediation Treatment in a case of Phonologic Alexia.

Patients with phonologic alexia can be trained to read semantically impoverished words (e.g., functors) by pairing them with phonologically-related semantically rich words (e.g, nouns). What mechanisms underlie success in this cognitive re-training approach? Does the mechanism change if the skill is "overlearned", i.e., practiced beyond criterion? We utilized fMRI pre- and post-treatment, and after overlearning, to assess treatment-related functional reorganization in a patient with phonologic alexia, two years post left temporoparietal stroke. Pre-treatment, there were no statistically significant differences in activation profiles across the sets of words. Post-treatment, accuracy on the two trained sets improved. Compared with untrained words, reading trained words recruited larger and more significant clusters of activation in the right hemisphere, including right inferior frontal and inferior parietal cortex. Post-overlearning, with near normal performance on overlearned words, predominant activation shifted to left hemisphere regions, including perilesional activation in superior parietal lobe, when reading overlearned vs. untrained words.

Auditory word identification in dyslexic and normally achieving readers.

The integrity of phonological representation/processing in dyslexic children was explored with a gating task in which children listened to successively longer segments (gates) of a word. At each gate, the task was to decide what the entire word was. Responses were scored for overall accuracy as well as the children's sensitivity to coarticulation from the final consonant. As a group, dyslexic children were less able than normally achieving readers to detect coarticulation present in the vowel portion of the word, particularly on the most difficult items, namely those ending in a nasal sound. Hierarchical regression and path analyses indicated that phonological awareness mediated the relation of gating and general language ability to word and pseudoword reading ability.

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

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