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Music and Dyslexia: A New Musical Training Method to Improve Reading and Related Disorders

机译:音乐与诵读困难:一种新的音乐训练方法可改善阅读及相关疾病

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摘要

Numerous arguments in the recent neuroscientific literature support the use of musical training as a therapeutic tool among the arsenal already available to therapists and educators for treating children with dyslexia. In the present study, we tested the efficacy of a specially-designed Cognitivo-Musical Training (CMT) method based upon three principles: (1) music-language analogies: training dyslexics with music could contribute to improve brain circuits which are common to music and language processes; (2) the temporal and rhythmic features of music, which could exert a positive effect on the multiple dimensions of the “temporal deficit” characteristic of some types of dyslexia; and (3) cross-modal integration, based on converging evidence of impaired connectivity between brain regions in dyslexia and related disorders. Accordingly, we developed a series of musical exercises involving jointly and simultaneously sensory (visual, auditory, somatosensory) and motor systems, with special emphasis on rhythmic perception and production in addition to intensive training of various features of the musical auditory signal. Two separate studies were carried out, one in which dyslexic children received intensive musical exercises concentrated over 18 h during 3 consecutive days, and the other in which the 18 h of musical training were spread over 6 weeks. Both studies showed significant improvements in some untrained, linguistic and non-linguistic variables. The first one yielded significant improvement in categorical perception and auditory perception of temporal components of speech. The second study revealed additional improvements in auditory attention, phonological awareness (syllable fusion), reading abilities, and repetition of pseudo-words. Importantly, most improvements persisted after an untrained period of 6 weeks. These results provide new additional arguments for using music as part of systematic therapeutic and instructional practice for dyslexic children.
机译:最近的神经科学文献中有许多论点支持将音乐训练用作治疗师和教育工作者已经可用的武库中治疗儿童阅读障碍的一种治疗工具。在本研究中,我们基于以下三个原则测试了一种专门设计的认知音乐训练(CMT)方法的功效:(1)音乐语言类比:用音乐训练阅读障碍可以改善音乐中常见的大脑回路和语言过程; (2)音乐的时间和节奏特征,可能对某些类型的阅读障碍的“时间缺陷”特征的多个维度产生积极影响; (3)跨模态整合,基于诵读困难症和相关疾病的大脑区域之间连通性受损的证据。因此,我们开发了一系列的音乐练习,涉及共同和同时的感觉(视觉,听觉,躯体感觉)和运动系统,除了强化训练听觉信号的各种特征外,还特别注重节奏感和产生。进行了两项单独的研究,其中阅读困难的儿童在连续3天的18小时内接受了集中的音乐练习,而另一项研究将18小时的音乐训练分散了6周。两项研究均显示出一些未经训练的,语言和非语言变量的显着改善。第一个在语音时间成分的类别感知和听觉感知方面取得了显着改善。第二项研究揭示了听觉注意,语音意识(音节融合),阅读能力和伪字重复方面的其他改进。重要的是,未经训练的6周后,大多数改善仍然持续。这些结果为使用音乐作为诵读困难儿童的系统治疗和教学实践的一部分提供了新的新论据。

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