Although plasticity in the neural system underlies working memory, and working memory can be improved by training, there is thus far no evidence that children with developmental dyslexia can benefit from working-memor...Although plasticity in the neural system underlies working memory, and working memory can be improved by training, there is thus far no evidence that children with developmental dyslexia can benefit from working-memory training. In the present study, thirty dyslexic children aged 8-11 years were recruited from an elementary school in Wuhan, China. They received working-memory training including training in visuospatial memory, verbal memory, and central executive tasks. The difficulty of the tasks was adjusted based on the performance of each subject, and the training sessions lasted 40 minutes per day, for 5 weeks. The results showed that working-memory training significantly enhanced performance on the nontrained working memory tasks such as the visuospatial, the verbal domains, and central executive tasks in children with developmental dyslexia. More importantly, the visual rhyming task and reading fluency task were also significantly improved by training. Progress on working memory measures was related to changes in reading skills. These experimental findings indicate that working memory is a pivotal factor in reading development among children with developmental dyslexia, and interventions to improve working memory may help dyslexic children to become more proficient in reading.展开更多
Electroencephalographic studies using graph theoretic analysis have found aberrations in functional connectivity in children with developmental dyslexia.However,how the training with visual tasks can change the functi...Electroencephalographic studies using graph theoretic analysis have found aberrations in functional connectivity in children with developmental dyslexia.However,how the training with visual tasks can change the functional connectivity of the semantic network in developmental dyslexia is still unclear.We looked for differences in local and global topological properties of functional networks between 21 healthy controls and 22 dyslexic children(8–9 years old)before and after training with visual tasks in this prospective case-control study.The minimum spanning tree method was used to construct the subjects’brain networks in multiple electroencephalographic frequency ranges during a visual word/pseudoword discrimination task.We found group differences in the theta,alpha,beta and gamma bands for four graph measures suggesting a more integrated network topology in dyslexics before the training compared to controls.After training,the network topology of dyslexic children had become more segregated and similar to that of the controls.In theθ,αandβ1-frequency bands,compared to the controls,the pre-training dyslexics exhibited a reduced degree and betweenness centrality of the left anterior temporal and parietal regions.The simultaneous appearance in the left hemisphere of hubs in temporal and parietal(α,β1),temporal and superior frontal cortex(θ,α),parietal and occipitotemporal cortices(β1),identified in the networks of normally developing children was not present in the brain networks of dyslexics.After training,the hub distribution for dyslexics in the theta and beta1 bands had become similar to that of the controls.In summary,our findings point to a less efficient network configuration in dyslexics compared to a more optimal global organization in the controls.This is the first study to investigate the topological organization of functional brain networks of Bulgarian dyslexic children.Approval for the study was obtained from the Ethics Committee of the Institute of Neurobiology and the Institute for Population and Human Studies,Bulgarian Academy of Sciences(approval No.02-41/12.07.2019)on March 28,2017,and the State Logopedic Center and the Ministry of Education and Science(approval No.09-69/14.03.2017)on July 12,2019.展开更多
Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health even...Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health events and falls. Consequently, multi-task training paradigms that simultaneously address both mobility and cognition benefit healthy ageing are important to consider in rehabilitation as well as primary prevention. Objectives: An exploratory RCT is being conducted to: a) describe the feasibility and acceptability of the study design and process, procedures, resources and management in two game-based dual-task training programs delivered in the community;b) to explore the lived experiences of the study participants who completed their respective exercise programs. A secondary objective is to obtain preliminary data on the therapeutic effectiveness of the two dual-task training programs. Methods: Thirty healthy older community dwelling participants aged 70 - 85 with previous history of falls will be recruited and randomized to either dual- task treadmill walking (experimental group) or dual-task recumbent bicycle (control group). Data analysis: The qualitative data will be analyzed by two investigators using a content analysis approach. For the quantitative data, outcome measures will be collected pre and post intervention and included measures to assess core balance, spatial-temporal gait variables, visual tracking and cognitive function, as well as, balance and gait analysis under dual-task conditions. Discussion: This research will demonstrate the feasibility of the dual-task training programs in the community, and demonstrate the system’s ability to improve targeted and integrated (dual-task) aspects of balance, mobility, gaze, and cognitive performance. A blended analysis of balance, mobility gaze and cognition will also contribute to a better understanding of the functional consequences of decline in physical and mental skills with age. Trial registration: This pilot clinical trial has been registered at ClinicalTrials.gov Protocol Registration System: NCT01940055.展开更多
基金supported by grants from the National Natural Science Foundation of China, No. 30872132
文摘Although plasticity in the neural system underlies working memory, and working memory can be improved by training, there is thus far no evidence that children with developmental dyslexia can benefit from working-memory training. In the present study, thirty dyslexic children aged 8-11 years were recruited from an elementary school in Wuhan, China. They received working-memory training including training in visuospatial memory, verbal memory, and central executive tasks. The difficulty of the tasks was adjusted based on the performance of each subject, and the training sessions lasted 40 minutes per day, for 5 weeks. The results showed that working-memory training significantly enhanced performance on the nontrained working memory tasks such as the visuospatial, the verbal domains, and central executive tasks in children with developmental dyslexia. More importantly, the visual rhyming task and reading fluency task were also significantly improved by training. Progress on working memory measures was related to changes in reading skills. These experimental findings indicate that working memory is a pivotal factor in reading development among children with developmental dyslexia, and interventions to improve working memory may help dyslexic children to become more proficient in reading.
基金The study was supported by the National Science Fund of the Ministry of Education and Science(project DN05/14-2016,to JAD).
文摘Electroencephalographic studies using graph theoretic analysis have found aberrations in functional connectivity in children with developmental dyslexia.However,how the training with visual tasks can change the functional connectivity of the semantic network in developmental dyslexia is still unclear.We looked for differences in local and global topological properties of functional networks between 21 healthy controls and 22 dyslexic children(8–9 years old)before and after training with visual tasks in this prospective case-control study.The minimum spanning tree method was used to construct the subjects’brain networks in multiple electroencephalographic frequency ranges during a visual word/pseudoword discrimination task.We found group differences in the theta,alpha,beta and gamma bands for four graph measures suggesting a more integrated network topology in dyslexics before the training compared to controls.After training,the network topology of dyslexic children had become more segregated and similar to that of the controls.In theθ,αandβ1-frequency bands,compared to the controls,the pre-training dyslexics exhibited a reduced degree and betweenness centrality of the left anterior temporal and parietal regions.The simultaneous appearance in the left hemisphere of hubs in temporal and parietal(α,β1),temporal and superior frontal cortex(θ,α),parietal and occipitotemporal cortices(β1),identified in the networks of normally developing children was not present in the brain networks of dyslexics.After training,the hub distribution for dyslexics in the theta and beta1 bands had become similar to that of the controls.In summary,our findings point to a less efficient network configuration in dyslexics compared to a more optimal global organization in the controls.This is the first study to investigate the topological organization of functional brain networks of Bulgarian dyslexic children.Approval for the study was obtained from the Ethics Committee of the Institute of Neurobiology and the Institute for Population and Human Studies,Bulgarian Academy of Sciences(approval No.02-41/12.07.2019)on March 28,2017,and the State Logopedic Center and the Ministry of Education and Science(approval No.09-69/14.03.2017)on July 12,2019.
文摘Background: Mobility limitations and cognitive impairments which are common with ageing often coexist, causing a reduction in the levels of physical and mental activity and are prognostic of future adverse health events and falls. Consequently, multi-task training paradigms that simultaneously address both mobility and cognition benefit healthy ageing are important to consider in rehabilitation as well as primary prevention. Objectives: An exploratory RCT is being conducted to: a) describe the feasibility and acceptability of the study design and process, procedures, resources and management in two game-based dual-task training programs delivered in the community;b) to explore the lived experiences of the study participants who completed their respective exercise programs. A secondary objective is to obtain preliminary data on the therapeutic effectiveness of the two dual-task training programs. Methods: Thirty healthy older community dwelling participants aged 70 - 85 with previous history of falls will be recruited and randomized to either dual- task treadmill walking (experimental group) or dual-task recumbent bicycle (control group). Data analysis: The qualitative data will be analyzed by two investigators using a content analysis approach. For the quantitative data, outcome measures will be collected pre and post intervention and included measures to assess core balance, spatial-temporal gait variables, visual tracking and cognitive function, as well as, balance and gait analysis under dual-task conditions. Discussion: This research will demonstrate the feasibility of the dual-task training programs in the community, and demonstrate the system’s ability to improve targeted and integrated (dual-task) aspects of balance, mobility, gaze, and cognitive performance. A blended analysis of balance, mobility gaze and cognition will also contribute to a better understanding of the functional consequences of decline in physical and mental skills with age. Trial registration: This pilot clinical trial has been registered at ClinicalTrials.gov Protocol Registration System: NCT01940055.
