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Are predictors of reading impairment in isolated cleft similar to those in idiopathic dyslexia?
Annals of Dyslexia ( IF 2.275 ) Pub Date : 2018-11-07 , DOI: 10.1007/s11881-018-00166-2
Amy Lynn Conrad 1
Affiliation  

Children with isolated cleft of the lip and/or palate (iCL/P) are at increased risk for reading impairment. The purpose of this study was to evaluate the impact of early risk factors (hearing, speech, and early literacy) on reading performance compared to unaffected participants with average (uAR) and impaired (uIR) reading. Reading achievement and early literacy skills were evaluated across three groups (27 iCL/P, 32 uAR, and 33 uIR). All participants were males, ages 8–11 years old. Those with history of head trauma/injury or major medical/mental health conditions were excluded. Group differences in achievement and early literacy skills were evaluated with ANCOVAs. Participants with impaired reading achievement (at or below 25th Percentile) were identified. Medical record reviews for participates with iCL/P were conducted and audiology and speech ratings recorded. Correlations were calculated between achievement, early literacy, hearing, and speech. Participants with iCL/P had significantly elevated risk for reading impairment (37%); this risk differed by cleft type (0% iCL, 55% iCLP, and 60% iCP). Achievement for participants with iCP was similar to the uIR group. Early literacy risk resulted in lower achievement scores for both iCL/P and unaffected participants. History of inadequate hearing and speech did not significantly impact early literacy or achievement measures. There is a high risk of reading impairment for children with iCL/P—highest for those with iCLP and iCP. Early literacy predictors of reading outcome are similar for iCL/P and idiopathic dyslexia. Current screening and intervention methods are supported.

中文翻译:

孤立性left裂中阅读障碍的预测因子是否与特发性阅读障碍患者相似?

唇isolated裂和/或唇isolated裂(iCL / P)患病的儿童阅读障碍的风险增加。这项研究的目的是评估早期危险因素(听力,言语和早期识字率)与平均(uAR)和受损(uIR)阅读的未受影响参与者相比对阅读表现的影响。在三个组(27 iCL / P,32 uAR和33 uIR)中评估了阅读成绩和早期识字技能。所有参与者均为男性,年龄为8-11岁。那些有头部外伤/受伤史或重大医学/心理健康状况的患者被排除在外。小组在成就和早期识字技能方面的差异通过ANCOVA进行了评估。识别出阅读成绩受损(等于或低于25%)的参与者。对参加iCL / P的病历进行了审查,并记录了听力学和言语等级。计算了成就,早期识字,听力和言语之间的相关性。患有iCL / P的参与者阅读障碍的风险显着升高(37%);这种风险因c裂类型而异(0%iCL,55%iCLP和60%iCP)。iCP参与者的成就与uIR组相似。早期识字风险导致iCL / P和未受影响的参与者的成就得分较低。听觉和言语不足的历史并没有显着影响早期识字或成就测验。iCL / P儿童的阅读障碍风险很高,而iCLP和iCP的儿童阅读障碍的风险最高。iCL / P和特发性阅读障碍的早期读写能力预测指标相似。
更新日期:2018-11-07
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