Developmental Coordination Disorder, Dyslexia, Developmental, Dyspraxia, Specific Developmental Disorders of Speech and Language, Specific Learning Disorder
Conditions
Keywords
Specific Learning Disorder, Developmental Coordination Disorder, Specific Developmental Disorders of Speech and Language, Dyslexia, Developmental, Dyspraxia
Brief summary
To evaluate, in primary care, the sensitivity of Heterophory-Vertical-Labile (HV-Labile) in ambulatory screening for Specific Learning Disabilities (SLD) and Developmental Coordination Disorder (DCD). in children aged 8 to 12 years.
Detailed description
General practitioners during a day of professional training on learning disabilities will be trained to perform the proprioceptive Maddox, to search for a HVLabile. Each trained practitioner will then test at least six children aged 8 to 12 years old in his or her practice, seen at random 250 to 300 physicians will be trained as part of this research EXPERIMENTAL DESIGN * Cross-sectional study with prospective recruitment. * Search for a Vertical Labile Heterophory (HV-Labile). * Prescription of a standardized speech and language screening assessment for HV-Labile, and in the same number of children without HV-Labile by secondary coupling. * Delivery of symptomatic questionnaire. * In case of learning disabilities, the attending physician should look for a possible etiology. * Adapted speech therapy care for more than six months. * Speech and language therapy check-up at more than six months.
Interventions
DIAGNOSTIC_TESTDiagnostic of specific learning disabilities or of Developmental Coordination Disorder
Speech therapy assessment, or occupational therapy. In case of pathological disorder, search for a sensory disorder, and therapeutic management. If the pathological disorder persists for more than six months, elimination of a secondary etiology.
Sponsors
Scalab CNRS 9193
CNGE IRMG Association
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
SINGLE (Outcomes Assessor)
Masking description
An adjudication committee to determine the presence or absence of a specific learning disability will be set up, regardless of the presence of a central reference instability.
Intervention model description
Comparison of the presence of a specific learning disability, or a Developmental Coordination Disorder, in the case of the presence or absence of referential instability of central origin.
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
The population studied is composed of children: * from 8 to 12 years old * seen for any reason for consultation in general practice * Schooled in an ordinary environment since the Preparatory Course in France * Francophone parents * One of whose parents has signed the consent * Consent of the child * Social Insured
Exclusion criteria
The background and living conditions that may promote secondary learning disabilities, for example: * Child with a known intellectual disability (Wisc) * Child in IME (Institut Médico Educatif) * Child followed in SESSAD (Specialised education service at home) * Child not knowing how to answer the questions asked * Child with a known etiology causing learning disabilities (epilepsy, autism spectrum disorder, hearing impairment, visual impairment (deafness, blindness, low vision)) * Child on treatment (antiepileptic, neuroleptic, antidepressant, anxiolytic) * Child under the care of a psychiatrist, * Child followed by the CMP (Centre médico-psychologique) * Child living in an institution, * Adopted child * A child whose mother has experienced known depression during the child's early childhood (0-18 months) because it causes attachment disorders, which can impact the child's development, including learning * Child of a family that has lived through more than two family recompositions * Child known to be a victim of abuse. * Out of school child. To determine the presence of an HV-Labile * Child with a known visual correction greater than + or- 2 diopters * Known amblyopic child * Known strabic child * Child with no known binocular vision.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity of the HV-Labile to SLD or DCD | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Specificity of the HV-Labile to SLD or DCD | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
| Positive and negative likelihood ratios | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
| Prevalence of children with HV-Labile | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
| Positive predictive values | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
| Negative predictive values | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
| Correlation coefficient between the symptomatic proprioceptive questionnaire and the presence of HV-Labile | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Calculation of results based on a Cut Off at -1.5 standard deviation, or -2 standard deviation, to determine the presence of a SLD or a DCD | through study completion, an average of 3 year | Estimated and provided with its 95% confidence interval. |
Countries
France
Contacts
Primary ContactLuc Virlet
Backup ContactJoel Cogneau
Outcome results
None listed