About Dyslexia

 

What is dyslexia? 

Can treatment help dyslexic children?

How do I know that my child has dyslexia?

Common signs of dyslexia

 

What is dyslexia?

pic of girl

        Dyslexia is the inability to read despite normal (or above normal) intelligence.  It is thought that as many as one in ten people have this condition which is why it is the subject of much biological and cognitive research.  The specific cause of dyslexia still remains unclear, although many different theories exist. 

    In the past ten years, functional MRI studies have been done on dyslexic people to see which part(s) of their brains light up compared to people who are not dyslexic. 

      In a German study (reference: PubMed-  PMID: 11786212), the fMRI revealed that during a silent reading task, there was a significant distinction between the dyslexic group and non-dyslexic group; Picture of Dyslexic Brain and a Non-Dyslexic Brainhere they saw an increased in activity in the left inferior frontal gyrus in the dyslexic group during phonological processing.  Phonological processing is the process in which words are identified by identifying individual sounds (called phonemes) that make up the words.  It is the inferior cortex of the left frontal lobe that is critically involved in language function.

     In another study (reference: pnas.240461697), the fMRI was used to determine the brain activity when people with and without dyslexia were exposed to rapid acoustic information.  The non-dyslexic group showed a difference in their left prefrontal activity in their brains in response to the rapidly changing acoustic stimuli relative to non-rapid acoustic stimuli.  The dyslexic group showed no difference.  This research showed that those with dyslexia were not able to process sensory input that entered the nervous system rapidly in the same way as a non-dyslexic person.  Interestingly, two of the dyslexic people did show increased activity in their left prefrontal cortexes after they received a remediation program.

    In the cases just cited, it is the left frontal part of the brain that seems to be the culprit.  Basically, the left side of the brain is thought to be used for language and speech, logical reasoning, number skills and writing.  The right side is the spatial side, able to see the big picture (while the left handles the details).  The right is said to also be the creative, musical side, the side that can understand a metaphor or a joke.  For example, people who have suffered right-brained strokes can understand the literal meaning of words, but miss the abstract meaning.  When asked to explain a common proverb such as “a stitch in time saves nine”, they can only say that it must have something to do with sewing.   Here we can see how the two sides of the brain must work together to grasp the main idea. The better they work together, the easier it is for a person to grasp the complicated task of reading and writing.   

  Picture of brain with the Corpus Callosum  The corpus callosum is another subject of study for the cause of dyslexia.  The corpus callosum is a bundle of nerves that connects the right and left hemispheres of the brain; its purpose is to provide a means for communicating between the two sides.  Studies on the corpus callosum are being done on people who are dyslexic to try to find a commonality in determining the cause of dyslexia.  Some studies show that the corpus callosum in dyslexic people is faulty, resulting in miscommunication that impairs understanding and execution.  Consequently, the two sides of the brain do not work well together.

     All in all, studies are still being done to pinpoint the exact cause dyslexia.  What is clear is that the brain does function differently which impairs the person in reading, writing and any language based activity.  That being said, individuals with dyslexia excel in other areas that make them unique, they are just as or more intelligent than non-dyslexics.

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Can treatment help dyslexic children?

    The good news is that MRI studies have also been done to determine if treatment can help people with dyslexia.  In one study (reference: pnas.0030098100) a MRI study was done on 20 dyslexic children (8-12 years old) before and after a remediation program that focused on oral language training and auditory processing.  After the treatment, the dyslexic children showed an increase in activity in the left temporo-parietal cortex and left inferior frontal gyrus, bringing brain activation in these regions closer to that seen in normal-reading children.  Training improved their reading and oral language performance; in fact, the more these regions of the brain were activated, the more the children showed an improvement in their reading and language ability.

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How do I know that my child has dyslexia?Girl in classroom

If the child does not have any sensory problems (such as poor eyesight), has adequate instruction in reading and writing, has an average (or above average) IQ, and is not reading (or writing) at a level equal to his or her peers, then it is very probable that he/she is dyslexic.  These children are more visual and less language oriented. They may excel at jigsaw puzzles and crafts, usually having had language difficulties in the early years of their lives (needing speech therapy).  If the child was tested through their school district (or privately), you really want to know two things: what is their IQ and what is their reading level.  Note that many school districts don’t recognize that this condition (dyslexia) exists, or they would have to do something about it, which is (admittedly) time consuming and thus expensive. 

    In any case, the main problem is that the child can not read and there is no magic pill that can fix it.  To train that brain to read you must dive (deep) into the English language.

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Common Signs of Untreated Dyslexia

 

Early Years (ages 4 -5)

  1. Trouble remembering the names of the days of the week and months of the year.

  2. Trouble following directions (especially multiple instructions).

  3. Has speech problems (usually, but not always, had many ear infections in their first few years of life).

  4. Trouble making up rhymes.

  5. Trouble memorizing words to songs.

Middle Years (6-9)

  1. Reverses letters and numbers (normally 'b' and 'd', '6' and '9).

  2. When reading, may skip words (strangely, it is usually the smaller, easier words that get skipped).

  3. When reading, may substitute a word that has the same or similar meaning.  For example, they may see the word "gigantic", but may say "big" or "large".

  4. When reading, may see the first letter of a word and take a wild guess, out of context, based on that first letter; for example, they may see a word like "prairie" and say "palace".

  5. When reading, will change letters within words, such as "calm" to "clam".

  6. Forgets to add prefixes or suffixes when writing.  For example, they may forget to add the 'ed' to make a word past tense.

  7. In the classroom, may have trouble copying from the board.

  8. Doesn't always write sounds from left to right; for example, may spell "to' as "ot.

  9. Poor reading comprehension.

  10. Trouble memorizing math facts.

  11. Delayed in telling time (on an analog clock).

  12. Switches their dominant hand for some tasks; for example, they may write with their right hand, but do cartwheels left-handed.

Later Years (10 to adult)

  1. Takes poor notes in the classroom.

  2. Has trouble articulating; jumbles up words or has trouble searching for the right word.

  3. Avoids reading, or reads very slowly in a monotone voice.

  4. Has difficulty with foreign languages.

  5. Writing is very simplistic, handwriting is usually messy.

  6. Trouble organizing.

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