Developmental Dyslexia
Conditions
Brief summary
To show the interest of the association of proprioceptive and orthophonic care of dyslexic children. The assumption is that proprioceptive support by correcting a centrally located spatial localization instability restores the ability to automate. It allows a gain of effectiveness of the orthophonic remediation of the reading of dyslexic children. Interventional comparative study over 9 months, of three modes of care: Speech-language, or proprioceptive, or combined (speech therapy or proprioceptive)
Interventions
Speech therapy adapted to the child, at least 25 sessions over 9 months.
Proprioceptive treatment adapted to the child. This treatment aims to stabilize a central reference instability revealed to Maddox Postural by the use of neurosensory decoys:: * Proprioceptive stimulation of oculomotor muscles (active prisms). * Oral somatosensory stimulation (ALPH). * Proprioceptive antigravity stimulation (proprioceptive sole). * Proprioceptive reprogramming exercise. Following the teaching of the University Diploma: Perception-Action, Learning Disorders (University of Bourgogne, France)
Sponsors
Study design
Intervention model description
Interventional comparative study over 9 months, of three modes of care: Speech-language, or proprioceptive, or combined (speech therapy or proprioceptive); In view of the lack of recruitment of dyslexic children who had stopped speech therapy, we decided to keep only two comparative arms to our study: of two modes of care: Speech-language, or combined (speech therapy or proprioceptive)
Eligibility
Inclusion criteria
* Developmental dyslexia, (CIM-10) * Having benefited from 2 years of speech therapy. * Pathological reading delay of more than 24 months or -2 standard deviations. * Either in the course of orthophonic care, or having stopped any orthophonic care.
Exclusion criteria
* Refractive correction above +/- 1.5 diopters. * Absence of binocular vision. * Amblyopia. * Convulsion.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline C index ( Alouatte-R test) at 9 months | Baseline, at nine months | Number of correctly read words (standard deviation) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline M index ( Alouatte-R test) at 9 months | Baseline, at nine months | Number of words read (M)(standard deviation) |
| Change from baseline E index ( Alouatte-R test) at 9 months | Baseline, at nine months | Number of errors (E)(standard deviation) |
| Change from baseline CM index ( Alouatte-R test) at 9 months | Baseline, at nine months | Precision index (CM)(standard deviation) |
| Change from baseline CTL index ( Alouatte-R test) at 9 months | Baseline, at nine months | Speed index (CTL)(standard deviation) |
| Change from baseline Regular ODEDYS test at 9 months | Baseline, at nine months | Regular words reading, Screening tools for dyslexia (ODEDYS)(standard deviation) |
| Change from baseline Irregular ODEDYS test at 9 months | Baseline, at nine months | Irregular words reading (standard deviation) |
| Change from baseline TL index ( Alouatte-R test) at 9 months | Baseline, at nine months | Reading time in second (TL) (standard deviation) |
| Change from base line DFF VOG at 9 months | Baseline, at nine months | Duration of first fixation (DFF), of the measured reading in Video Oculography (VOG), |
| Change from baseline DL VOG at 9 months | Baseline, at nine months | Duration of look (DL), of the measured reading in Video Oculography (VOG), |
| Change from baseline TFT VOG at 9 months | Baseline, at nine months | Total fixation time (TFT), of the measured reading in Video Oculography (VOG), |
| Observation of the evolution of the shape of maxwells spots from baseline at 9 months | Baseline, at nine months | From the shape of Maxwell's tasks to the fovea-scope |
| Vertical orthophoria | Baseline, at nine months | Comparison of the evolution of reading tests, taking into account the presence or absence of localization instability, whatever the treatment groups. |
| change from baseline Pseudo-words ODEDYS test at 9 months | Baseline, at nine months | Pseudo-words reading (standard deviation) |
Countries
France