An eye movement based reading intervention in lexical and segmental readers with acquired dyslexia

An eye movement based reading intervention in lexical and segmental readers with acquired dyslexia
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对患有获得性阅读障碍的词汇和分段读者进行基于眼动的阅读干预

DOI:
10.1080/09602011.2014.913530
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发表时间:
2014
影响因子:
2.7
通讯作者:
Radach
Radach
中科院分区:
心理学3区
文献类型:
--
作者:
Ablinger;von Heyden;Vorstius;Radach

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由于脑损伤,患有获得性阅读障碍的失语患者往往在更大程度上依赖于词汇或分段阅读程序。因此,治疗干预主要针对较弱的阅读策略。在目前的工作中,我们介绍了一种新的治疗方法,该方法基于实时测量患者在试图阅读单词时的眼球运动。更具体地说,一种眼动随机的逐步字母去掩蔽技术被用于支持顺序阅读,而非中心字母的注视依赖的初始掩蔽刺激了词汇(平行)阅读策略。四名获得性中枢阅读障碍的词汇型和片段型读者接受了我们的强化阅读干预。所有的参与者都表现出了显著的进步,包括总阅读时间的减少、每个单词的注视次数的减少和阅读准确性的提高。两种类型的干预在所有受试者中都导致特定项目的训练效果。在词汇训练后的分词阅读者中发现了对未训练项目的泛化。眼球运动分析也用于比较治疗前后的文字处理,表明除了一个例外,所有患者都保持了他们首选的阅读策略。然而,在一些情况下,顺序处理和词汇处理之间的平衡变得不那么极端,这表明两种文字处理方式之间的个体相互作用更有效。
Due to their brain damage, aphasic patients with acquired dyslexia often rely to a greater extent on lexical or segmental reading procedures. Thus, therapy intervention is mostly targeted on the more impaired reading strategy. In the present work we introduce a novel therapy approach based on real-time measurement of patients' eye movements as they attempt to read words. More specifically, an eye movement contingent technique of stepwise letter de-masking was used to support sequential reading, whereas fixation-dependent initial masking of non-central letters stimulated a lexical (parallel) reading strategy. Four lexical and four segmental readers with acquired central dyslexia received our intensive reading intervention. All participants showed remarkable improvements as evident in reduced total reading time, a reduced number of fixations per word and improved reading accuracy. Both types of intervention led to item-specific training effects in all subjects. A generalisation to untrained items was only found in segmental readers after the lexical training. Eye movement analyses were also used to compare word processing before and after therapy, indicating that all patients, with one exclusion, maintained their preferred reading strategy. However, in several cases the balance between sequential and lexical processing became less extreme, indicating a more effective individual interplay of both word processing routes.
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