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Imaging the Impact of Reading Intervention in Children

 Bruce McCandliss, Rebecca Sandak, Antigona Martinez, Isabel Beck, Charles Perfetti and Walter Schneider
  
 

Abstract:
Individual differences in reading and phonological skills in normal and dyslexic adults have been recently linked to activation differences in regions of left perisylvian cortex. The aim of this study was to examine such differences during the early years of literacy acquisition and to extend this investigation to examine the impact of a decoding skills intervention on reading skills and patterns of cortical activation. Children with and without reading and phonological skills impairments (7 to 10 years of age) participated in an initial fMRI scan involving a repetition detection (1 back) task with visual letter strings. Initial comparisons between blocks of pronounceable vs. non-pronounceable letter strings suggest that non-impaired children showed greater left perisylvian activation for pronounceable strings, whereas reading impaired children did not. Children were then randomly assigned to a standardized 24-session word decoding skills intervention program (McCandliss, et al, 1999) or a waiting-list control group. Behavioral results indicated significant intervention-based gains in reading and phonological skills, suggesting a central role for decoding skills during early literacy. A second set of identical scans conducted after the intervention period provide a means of assessing the relationship between changes in decoding skills and changes in functional activation in left perisylvian areas.

 
 


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