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RESEARCH PRODUCT

<p>Children with Dyslexia Have Altered Cross-Modal Processing Linked to Binocular Fusion. A Pilot Study</p>

Céline CappeAnne Laure GuillemantNicolas GueugneauThierry PozzoAlfredo MarinoPatrick Quercia

subject

medicine.medical_specialtyReading disabilitygenetic structuresbusiness.industrymedia_common.quotation_subjectDyslexiaMultisensory integrationAudiologymedicine.disease03 medical and health sciencesOphthalmology0302 clinical medicineReading (process)OphthalmologyWord recognition030221 ophthalmology & optometrymedicineLearning to readbusinessPhonological Disorder030217 neurology & neurosurgerymedia_commonBalance (ability)

description

Introduction The cause of dyslexia, a reading disability characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities, is unknown. A considerable body of evidence shows that dyslexics have phonological disorders. Other studies support a theory of altered cross-modal processing with the existence of a pan-sensory temporal processing deficit associated with dyslexia. Learning to read ultimately relies on the formation of automatic multisensory representations of sounds and their written representation while eyes fix a word or move along a text. We therefore studied the effect of brief sounds on vision with a modification of binocular fusion at the same time (using the Maddox Rod test). Methods To check if the effect of sound on vision is specific, we first tested with sounds and then replaced them with proprioceptive stimulation on 8 muscular sites. We tested two groups of children composed respectively of 14 dyslexic children and 10 controls. Results The results show transient visual scotoma (VS) produced by sensory stimulations associated with the manipulation of oculomotor balance, the effect being drastically higher in the dyslexic group. The spatial distribution of the VS is stochastic. The effect is not specific for sounds but exists also with proprioceptive stimulations. Discussion Although there was a very significant difference between the two groups, we were not able to correlate the (VS) occurrence with the dyslexic's reading performance. One possibility to confirm the link between VS and reading impairment would be to find a specific treatment reducing the occurrence of the VS and to check its effect on dyslexia.

https://doi.org/10.2147/opth.s226690