Fluent contextual reading is associated with greater synchronization of the visual and auditory networks, fluent reading and better speed of processing in children with dyslexia

Tzipi Horowitz-Kraus, Keri Rosch, Jenny Fotang, Stewart H. Mostofsky, Bradley L. Schlaggar, James Pekar, Nikolay Taran, Rola Farah

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

The asynchrony theory of dyslexia postulates weaker visual (orthographical processing) and auditory (phonological processing) network synchrony in dyslexic readers. The weaker visual-auditory network synchronization is suggested to contribute to slow processing speed, which supports cognitive control, contributing to single-word reading difficulty and lower reading fluency. The current study aims to determine the neurobiological signature for this theory and to examine if prompting enhanced reading speed through deleted text is associated with a greater synchronization of functional connectivity of the visual and auditory networks in children with dyslexia and typical readers (TRs). We further aimed to determine if the change in visual-auditory connectivity prompted by deleted text is associated with reading fluency and processing speed abilities. Nineteen children with dyslexia and 21 typical readers ages 8–12 years old participated in a fMRI under two types of reading conditions: a still text condition and deleted text condition, in which letters was sequentially deleted from the screen. Effects of diagnostic group and condition on functional connectivity (FC) of visual and auditory networks were examined. Results revealed a significant overall effect of condition with a marginally significant Group × Condition interaction, such that as compared with TRs, children with dyslexia showed a significantly greater increase in visual-auditory FC between the still and deleted text conditions. Additionally, for children with dyslexia, this FC increase was significantly correlated with better reading fluency and verbal/nonverbal processing speed. These results support a relationship between the synchronization of the visual and auditory networks, fluent reading and increased speed of processing abilities in children with dyslexia, which can help guide fluency-based intervention strategies.

Original languageEnglish
Pages (from-to)62-75
Number of pages14
JournalCortex
Volume168
DOIs
StatePublished - Nov 2023
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2023 Elsevier Ltd

Funding

This study was supported by the National Institute of Child Health and Human Development ( R01 HD086011 ; PI: Horowitz-Kraus). The authors have no conflict of interest to declare.

FundersFunder number
National Institute of Child Health and Human DevelopmentR01 HD086011

    Keywords

    • Dyslexia
    • Fluency
    • Functional connectivity
    • Reading
    • Speed of processing
    • Visual-auditory synchronization

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