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Clinical Trials/NCT02622360
NCT02622360UnknownNot Applicable

Speech and Short-term Memory Functions in Dyslexia: a Combined MEG and EEG Study

University of Helsinki1 site in 1 country50 target enrollmentStarted: July 2015Last updated:
Conditions

Trial Snapshot

Phase
Not Applicable
Enrollment
50
Locations
1
Primary Endpoint
Magnetic mismatch negativity brain responses to speech sound changes

Study Overview

Brief Summary

Developmental dyslexia is a highly heritable disorder in which reading skills are compromised despite normal intelligence and appropriate reading instruction. Reading problems in dyslexia are thought to primarily originate from weak speech sound representations or poor phonological skills. Dyslexia has also been associated with short-term or working memory dysfunctions. The current study will address the presence of these problems in dyslexic adults by the means of recording auditory and audio-visual mismatch negativity (MMN) and its magnetic counterpart (MMNm) to determine neural speech sound discrimination, representations and integration of seen and heard language. In addition to analyzing neural processing of syllables or (pseudo-)words, a new approach to MEG acquisition and analysis to characterize the neural responses during comprehension of complex real-life speech will be used. Furthermore, reading, phonological and cognitive skills of these participants will be determined with a neuropsychological test battery. The associations between the neural, neuropsychological and genetic measures will be studied. This project will illuminate the nature of neurocognitive dysfunctions in dyslexia and their relationship with genes.

Detailed Description

  1. Background

Developmental dyslexia is the most prevalent learning disorder impairing reading skill even in individuals having normal intelligence and full availability of education (Lyon et al., 2003). It is highly heritable, and several candidate genes contributing to dyslexia have been identified (Scerri & Schulte-Körne, 2010). A wide range of deficits have been associated with dyslexia, but according to the most prevalent theory its major cause is impaired phonological processing (Ramus, 2001). The MMN, the generators of which overlap with brain areas reported to have anatomical abnormalities in dyslexia, has supported this notion. Diminished MMN amplitudes have systematically been reported in dyslexics for certain speech and non-speech sound features (for a review Kujala & Näätänen, 2001). These effects were even found in children and infants having an inherited risk for dyslexia (Leppänen et al., 2002; Lovio et al., 2010). Furthermore, a recent study in our group has shown that dyslexic children have problems in forming memory traces for words (Kimppa et al., in prep.), whereas both the auditory system of normal-reading adults (Shtyrov et al., 2010) and children (Kimppa et al., in prep.) was shown to rapidly form representations for novel words.

It was recently suggested that phonological deficits in dyslexia can occur due to impairments in different steps of sound processing. According to this theory, dyslexic individuals can be divided into different subgroups. Ramus and colleagues (2013) suggested that dyslexic individuals show an impairment in phonological representations or at later processing stages as an impairment in phonological skills.

The current project will utilize combined electroencephalographic (EEG) and magnetoencephalographic (MEG) recordings and neuropsychological and perceptual testing in order to determine how impaired phonological neural representations vs. phonological skills contribute to dyslexia. Defined as time-locked changes to external stimuli in EEG and magnetoencephalogram MEG, event-related potentials (ERPs) and event-related fields (ERFs), respectively, could provide an objective index of information processing in the human brain. Both EEG and MEG methods offer a high temporal resolution. The benefit of MEG is offered by a more exact localization of the activated neural sources due to a diminished effect of distortions caused by the skull and tissue than in the process of EEG source localization. It will complement and add more specific information to dyslexia ERP research additional to the previous studies that were mostly conducted with EEG. For a summary of dyslexia studies conducted with MEG, see the review from Salmelin (2007).

Neural responses recorded with EEG and MEG have widely been used both in the service of basic research and clinically-oriented research. During the recent years, a cortical response called the mismatch negativity (MMN) has been in intensive use in investigating auditory perception and its deficits. MMN is an ERP component elicited by any change in some repetitive aspect of auditory stimulation, peaking at 100-200 ms from change onset and detectable both electrically (MMN) and magnetically (MMNm). It was suggested that MMN provides an index of the auditory sensory ("echoic") memory and automatic (involuntary) change-detection. It also reflects native-language specific speech-sound memory traces (Näätänen et al., 1997). MMN is elicited even when the subject is not attending the auditory stimuli. Therefore, it has been popular in investigating a variety of patient groups during the recent years (for reviews, see Näätänen et al., 2007; Kujala et al., 2007).

Study Design

Study Type
Observational
Observational Model
Case Control
Time Perspective
Retrospective

Eligibility Criteria

Ages
18 Years to 45 Years (Adult)
Sex
All
Accepts Healthy Volunteers
Yes

Inclusion Criteria

  • 18-45 year old
  • Finnish-speaking
  • right-handed
  • normal hearing and normal or corrected-to-normal vision
  • dyslexic (if not, it is possible to participate as a control participant)

Exclusion Criteria

  • known neurological or psychiatric diseases
  • history of alcohol or drug abuse
  • metal in the body

Outcomes

Primary Outcomes

Magnetic mismatch negativity brain responses to speech sound changes

Time Frame: 2 hours

Secondary Outcomes

  • Magnetoencephalographic amplitude envelope inter-subject correlation during listening to complex real-life speech(2 hours)
  • Source localization of audio-visual integration processes(2 hours)
  • Correlation of event-related brain responses to susceptibility genes for dyslexia(1 year)
  • Event-related brain responses to pseudowords(first 25% and last 25% of the measurement time (total 2 hours))

Investigators

Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Teija Kujala

Prof.

University of Helsinki

Study Sites (1)

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