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Maturation of Auditory Processing in Children With Dyslexia Compared to Average-reading Children

Completed
Conditions
Dyslexia
Interventions
Other: no intervention
Registration Number
NCT02345876
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

The hypothesis of central auditory processing disorders has been advanced to explain the anomalies of the grapheme/phoneme combination in some dyslexia. These phonological disorders may be linked to abnormalities of the efferent (medial olivocochlear) system modulation and of cortical asymmetry. Indeed, the efferent system has an asymmetry in relation to handedness. Thus, in right-handed subject, it is predominant on the right side. In contrast, in the subject-handed dyslexic, the efferent system tends to be right-lateralized or non-lateralized. However, after an audio-visual training, normal lateralization can appear. This maturation of the efferent system lateralization during reading acquisition seems to have a particular profile in dyslexics with phonological disorder, especially if it is persistent. This finding allows to consider new prognostic evaluation and speech therapy rehabilitation in the dyslexic child.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
161
Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Normal reading childrenno interventionLongitudinal follow-up without intervention
Dyslexic childrenno interventionLongitudinal follow-up without intervention
Primary Outcome Measures
NameTimeMethod
Change of The Asymmetry Index of the efferent system at 2 years intervalDay 1 and then at least 2 years (± 4 weeks)

The change of the Asymmetry Index of the efferent system The Asymmetry Index is the difference between the equivalent attenuation measured on the right ear and the left ear. Evoked otoacoustic emissions were recorded monaurally at five stimulus intensities ranging from 57 to 69 dB SPL in 3 dB steps, in random presentation order, with and without contralateral acoustic stimulation consisting of 30 dBSPL continuous broadband noise (speech-like noise) produced by an audiometer

Secondary Outcome Measures
NameTimeMethod
Change in percentage of correctly repeated stimuli which have been heard in both ears (binaural integration with divided attention) or in one indicated ear (binaural separation with selective attention)Day 1 and then at least 2 years (± 4 weeks)

Presentation of different speech material to both ears simultaneously

Change in the percentage of correct answers obtained during a speech perception test in silence and noise.Day 1 and then at least 2 years (± 4 weeks)

Oral repetition of VCV

Change in the level of reading skillDay 1 and then at least 2 years (± 4 weeks)

Behavioral measure

Trial Locations

Locations (3)

Service ORL CHU Montpied

🇫🇷

Clermont-Ferrand, France

Service d'Audiologie et Explorations Orofaciales Centre de Référence des Troubles des Apprentissages

🇫🇷

Lyon, France

Centre Hospitzlier Le Vinatier

🇫🇷

Bron, France

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