Deviant processing of letters and speech sounds as proximate cause of reading failure: A functional magnetic resonance imaging study of dyslexic children.
Open accessAbstract
Learning to associate auditory information of speech sounds with visual information of letters is a first and critical step for becoming a skilled reader in alphabetic languages. Nevertheless, it remains largely unknown which brain areas subserve the learning and automation of such associations. Here, we employ functional magnetic resonance imaging to study letter-speech sound integration in children with and without developmental dyslexia. The results demonstrate that dyslexic children show reduced neural integration of letters and speech sounds in the planum temporale/Heschl sulcus and the superior temporal sulcus. While cortical responses to speech sounds in fluent readers were modulated by letter-speech sound congruency with strong suppression effects for incongruent letters, no such modulation was observed in the dyslexic readers. Whole-brain analyses of unisensory visual and auditory group differences additionally revealed reduced unisensory responses to letters in the fusiform gyrus in dyslexic children, as well as reduced activity for processing speech sounds in the anterior superior temporal gyrus, planum temporale/Heschl sulcus and superior temporal sulcus. Importantly, the neural integration of letters and speech sounds in the planum temporale/Heschl sulcus and the neural response to letters in the fusiform gyrus explained almost 40% of the variance in individual reading performance. These findings indicate that an interrelated network of visual, auditory and heteromodal brain areas contributes to the skilled use of letter-speech sound associations necessary for learning to read. By extending similar findings in adults, the data furthermore argue against the notion that reduced neural integration of letters and speech sounds in dyslexia reflect the consequence of a lifetime of reading struggle. Instead, they support the view that letter-speech sound integration is an emergent property of learning to read that develops inadequately in dyslexic readers, presumably as a result of a deviant interactive specialization of neural systems for processing auditory and visual linguistic inputs.
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Written from the paper’s full text.
TL;DR
Dyslexic children showed reduced neural integration of letters and speech sounds in left planum temporale/Heschl sulcus and superior temporal sulcus, alongside weaker unisensory responses to speech sounds and letters. The integration and visual letter responses together explained almost 40% of variance in reading performance, suggesting letter-speech sound integration is an emergent property of learning to read that develops inadequately in dyslexia.
Key findings
- Dyslexic children had reduced congruency effects for letter-speech sound pairs in left planum temporale/Heschl sulcus (117 voxels, t = 16.7, P = 0.00) and bilateral superior temporal sulcus (left: t = 7.73, P = 0.01; right: t = 8.34, P = 0.01); fluent readers showed stronger activation for congruent than incongruent pairs, while dyslexic readers showed no such modulation.
- Unisensory group differences included weaker speech-sound responses in anterior superior temporal gyrus (left t = 2.89, right t = 2.8, P = 0.01) and weaker letter responses in fusiform gyrus bilaterally (left t = 3.83, P = 0.00; right t = 4.51, P = 0.00) in dyslexic children.
- The congruency effect in planum temporale/Heschl sulcus and the visual response in fusiform gyrus explained almost 40% of variance in reading performance (R² = 0.39); PT/HS alone: R = 0.51, R² change = 0.27, F = 12.04, P = 0.002; combined model: R = 0.62, R² change = 0.11, F = 5.73, P = 0.023.
- Attention task performance was comparable: fluent readers mean = 97.91, SEM = 1.55; dyslexic readers mean = 99.08, SEM = 0.55; reaction times 575 ms vs 609 ms, P = 0.10.
Methods
- fMRI study of 18 dyslexic children (mean age 9.39, SD 0.43, one female) and 16 non-impaired readers (mean age 9.43, SD 0.44, four females), all healthy, right-handed, native Dutch speakers, matched for educational level, age, handedness and IQ.
- Block design with four conditions: unisensory letters, unisensory speech sounds, multisensory congruent letter-speech sound pairs, and multisensory incongruent pairs; 128 stimuli per condition; children performed an attention detection task; data acquired on a 3 T Siemens scanner and analyzed in BrainVoyager QX using random-effects GLMs, including a 2 × 2 reading status × multisensory condition interaction.
- Offline standardized battery included reading, phoneme deletion, phonological decoding, and letter-to-sound matching; correlations and stepwise multiple linear regressions related fMRI responses to reading performance.
Limitations
- The paper states that the linear regression results should be treated with caution because of the small sample size of neuroimaging studies, and that the assumption about child-adult differences needs further empirical validation.
- Evident from the text: the design is cross-sectional, so it cannot directly establish causality, although the authors argue the integration deficit is not merely a consequence of a lifetime of reading struggle.
- Evident from the text: brain-behaviour correlations became non-significant when reading group was partialled out, indicating they were driven by group differences in reading ability; the total sample was small (n = 34) and the dyslexic group included only one female.
Model-written summary. Check it against the paper before relying on it.
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Claims the paper makes
0 of 39 cited sources checked · 0 supported · 0 flagged
- Findingown data
Dyslexic children have weaker responses to speech sounds in the anterior superior temporal gyrus, planum temporale/Heschl sulcus and superior temporal sulcus.
“as well as reduced activity for processing speech sounds in the anterior superior temporal gyrus, planum temporale/Heschl sulcus and superior temporal sulcus.”
- Also stated in: § Unisensory activations · plain
“Dyslexic children showed weaker activity for processing speech sounds in the anterior superior temporal gyrus (Fig. 2A)”
Quote in the paperSubstantial claim - Also stated in: § Unisensory activations · plain
- Findingown data
The integration of letters and speech sounds in the planum temporale/Heschl sulcus and the response to letters in the fusiform gyrus together account for nearly 40% of the variance in individual reading performance.
“Importantly, the neural integration of letters and speech sounds in the planum temporale/Heschl sulcus and the neural response to letters in the fusiform gyrus explained almost 40% of the variance in individual reading performance.”
Quote in the paperSubstantial claim - Findingown data
Dyslexic children have weaker unisensory responses to letters in the fusiform gyrus.
“Whole-brain analyses of unisensory visual and auditory group differences additionally revealed reduced unisensory responses to letters in the fusiform gyrus in dyslexic children”
Quote in the paperSubstantial claim - Findingown data
Children with dyslexia show weaker integration of letters with speech sounds in the planum temporale/Heschl sulcus and the superior temporal sulcus.
“The results demonstrate that dyslexic children show reduced neural integration of letters and speech sounds in the planum temporale/Heschl sulcus and the superior temporal sulcus.”
Quote in the paperSubstantial claim - Findingown data
Non-impaired and dyslexic readers responded equally quickly to attention stimuli, indicating comparable attention across groups.
“In addition, non-impaired and dyslexic readers responded equally fast to attention stimuli (fluent: mean = 575 ms, SEM = 16.1;dyslexic: mean = 609 ms, SEM = 14.0;P = 0.10), indicating that attention levels were comparable across reading groups.”
Quote in the paperSubstantial claim
- Findingown data
Together, the congruency-related response in PT/HS and the visual response in FG accounted for nearly 40% of variance in reading performance.
“Together, these two neural effects explained almost 40% of the variance in reading performance (R 2 = 0.39).”
Quote in the paperSubstantial claim - Findingown data
The congruency-related response explained an extra 20% of variance beyond the auditory response to speech.
“while the congruency effect explained an additional 20% of the variance above and beyond the auditory response to speech.”
Quote in the paperSubstantial claim - Findingown data
Auditory effects did not explain variance beyond the congruency-related response in PT/HS and STS.
“Auditory effects explained no additional variance that was not already explained by the effect of congruency in planum temporale/Heschl sulcus and superior temporal sulcus”
Quote in the paperSubstantial claim - Findingown data
The interaction between reading status and multisensory condition revealed a significant effect in the dorsal left superior temporal gyrus (planum temporale), near primary auditory cortex (Heschl sulcus).
“The results revealed a significant interaction in the dorsal part of the left superior temporal gyrus (planum temporale) in close proximity to primary auditory cortex (Heschl sulcus) (Table 2).”
Quote in the paperSubstantial claim - Findingown data
Dyslexic children showed weaker congruency-related effects in PT/HS and STS during multisensory conditions.
“In multisensory conditions, we found weaker effects of congruency in the planum temporale/Heschl sulcus and the superior temporal sulcus of dyslexic children”
Quote in the paperSubstantial claim - Findingown data
There was no main effect of reading ability for processing multisensory letter-speech sound pairs.
“No main effect of reading ability was found for the processing of multisensory letter-speech sound pairs.”
Quote in the paperNot a substantial claim - Findingown data
No other activation area survived cluster-size correction in the unisensory between-group comparison.
“No other area of activation survived the correction for cluster size.”
Quote in the paperSubstantial claim - Findingown data
A bilateral superior temporal sulcus cluster showed a significant group-by-congruency interaction.
“In addition to planum temporale/Heschl sulcus, a bilateral cluster in superior temporal sulcus showed a significant group-by-congruency interaction (Table 2).”
Quote in the paperSubstantial claim - Findingown data
Unisensory speech-sound responses correlated positively with the congruency effect in the planum temporale/Heschl sulcus (partial R=0.67, P=0.000) and left superior temporal sulcus (partial R=0.41, P=0.019) even after controlling for reading ability.
“Unisensory responses to speech sounds correlated positively with the congruency in planum temporale/Heschl sulcus (R PARTIAL = 0.67, P = 0.000) and the left superior temporal sulcus (R PARTIAL = 0.41, P = 0.019) even after the factor reading ability was partialled out.”
Quote in the paperSubstantial claim - Findingown data
Both reading groups performed at ceiling on detecting visual, auditory and audiovisual attention control stimuli.
“Both reading groups performed at ceiling for the detection of visual, auditory and audiovisual attention control stimuli (fluent: mean = 97.91,SEM = 1.55; dyslexic: mean = 99.08,SEM = 0.55).”
Quote in the paperSubstantial claim - Findingown data
The fusiform-visual to planum temporale/Heschl sulcus congruency correlation became non-significant when reading group was partialled out, indicating dependence on reading ability.
“This effect was non-significant when the factor reading group was partialled out, indicating that it was dependent upon reading ability.”
Quote in the paperSubstantial claim - Findingown data
The congruency-related response in PT/HS explained a significant amount of variance in reading performance.
“the congruency effect in planum temporale/Heschl sulcus as well as the visual response in fusiform gyrus were both found to cause significant reductions in error variance on the reading task”
- Also stated in: § Correlations with performance · plain
“planum temporale/Heschl sulcus: R = 0.51, R 2 change = 0.27, F = 12.04; P = 0.002”
Quote in the paperSubstantial claim - Also stated in: § Correlations with performance · plain
- Findingown data
Dyslexic children also had less activity for speech sounds in the fusiform gyrus area.
“Interestingly, dyslexics also displayed less activity for speech sounds in this same fusiform gyrus (visual letter) area.”
Quote in the paperSubstantial claim - Findingown data
The visual response in the fusiform gyrus correlated with reading accuracy and letter-speech sound matching speed.
“Moreover, the auditory response in the anterior superior temporal gyrus correlated with reading accuracy and the speed of letter-speech sound matching (Fig. 4C) as did the visual response in the fusiform gyrus (Fig. 4D).”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Faster processing is one of the main indices of automation for a cognitive process.
- Findingown data
The visual response to letters in FG explained about 11% additional variance beyond the auditory response and the congruency-related response.
“The visual response to letters in fusiform gyrus explained about 11% additional variance beyond the variance already explained through the auditory response and the congruency effect in planum temporale/Heschl sulcus.”
Quote in the paperSubstantial claim - Findingown data
The visual response in FG explained significant additional variance in reading performance.
“the congruency effect in planum temporale/Heschl sulcus as well as the visual response in fusiform gyrus were both found to cause significant reductions in error variance on the reading task”
- Also stated in: § Correlations with performance · plain
“fusiform gyrus: R = 0.52, Combined model: R = 0.62; R 2 change = 0.11, F = 5.73; P = 0.023”
Quote in the paperSubstantial claim - Also stated in: § Correlations with performance · plain
- Findingown data
Fluently reading children activate PT/HS and STS more strongly for congruent than incongruent letter-speech sound pairs.
“Fluently reading children activate the planum temporale/Heschl sulcus and superior temporal sulcus more strongly for the processing of congruent compared to incongruent letter-speech sound pairs.”
Quote in the paperSubstantial claim - Findingown data
Significant correlations between unisensory response to visual letters in FG and congruency-related effect in PT/HS were dependent upon reading ability.
“we also found significant correlations between the unisensory response to visual letters in fusiform gyrus and the congruency effect in planum temporale/Heschl sulcus that was dependent upon reading ability”
Quote in the paperSubstantial claim - Findingown data
Group differences for processing unisensory stimuli between dyslexic and fluent readers were localized to PT/HS and STS and two additional regions in anterior STG and FG.
“group differences for processing unisensory stimuli between dyslexic and fluent readers were observed, localized to planum temporale/Heschl sulcus and superior temporal sulcus (interaction sites) and two additional processing regions in the anterior part of superior temporal gyrus and the fusiform gyrus.”
Quote in the paperSubstantial claim - Findingown data
Dyslexic children show little or no modulation of cortical responses to speech sounds in auditory cortex and superior temporal cortex as a function of audiovisual congruency.
“In contrast, dyslexic children exhibit little or no modulation of cortical responses to speech sounds in the auditory cortex and superior temporal cortex as a function of audiovisual congruency.”
Quote in the paperSubstantial claim - Findingown data
Visual response in FG correlated with the strength of the congruency-related effect in PT/HS.
“We found that the response to speech sounds in the planum temporale/Heschl sulcus and superior temporal sulcus as well as the visual response in the fusiform gyrus correlated with the strength of the congruency effect in the planum temporale/Heschl sulcus.”
Quote in the paperNot a substantial claim - Findingown data
Dyslexic readers had weaker activation to unisensory speech sounds in PT/HS, STS, and aSTG.
“weaker activation in response to unisensory speech sounds in dyslexic readers in the planum temporale/Heschl sulcus, superior temporal sulcus, anterior superior temporal gyrus”
- Also stated in: § Unisensory processing and effects of reading ability · plain
“The finding that dyslexic subjects underactivate superior temporal brain regions when processing speech sounds”
Quote in the paperSubstantial claim - Also stated in: § Unisensory processing and effects of reading ability · plain
- Findingown data
PT/HS and STS are involved in the integration of letters and speech sounds.
“Our finding that planum temporale/Heschl sulcus and superior temporal sulcus were involved in the integration of letters and speech sounds”
Quote in the paperSubstantial claim - Findingown data
Both dyslexic and fluently-reading children activated a spatially similar network of brain regions for processing letters and speech sounds.
“Overall, our results demonstrate that both dyslexic and fluently-reading children activated a spatially similar network of brain regions for processing letters and speech sounds”
Quote in the paperSubstantial claim - Findingown data
The congruency-related effect in PT/HS and STS is positively correlated with neural response to speech sounds.
“The present data revealed that the congruency effect in planum temporale/Heschl sulcus and superior temporal sulcus is positively correlated with the neural response to speech sounds”
Quote in the paperSubstantial claim - Findingown data
Dyslexic readers had weaker activation to unisensory visual letters in FG.
“weaker activation to unisensory visual letters in the fusiform gyrus.”
- Also stated in: § Unisensory processing and effects of reading ability · plain
“the neural responses to visual letters in the fusiform gyrus were less pronounced in the dyslexic group.”
Quote in the paperSubstantial claim - Also stated in: § Unisensory processing and effects of reading ability · plain
- Findingown data
In this dataset, the weak fusiform response to speech sounds was also lower in dyslexic subjects than in fluent readers.
“in the present data-set, the relatively weak response to speech sounds in the fusiform cortex was also weaker in dyslexic subjects than in fluent readers.”
Quote in the paperNot a substantial claim - Findingown data
Auditory response in PT/HS and STS correlated with the strength of the congruency-related effect in PT/HS.
“We found that the response to speech sounds in the planum temporale/Heschl sulcus and superior temporal sulcus as well as the visual response in the fusiform gyrus correlated with the strength of the congruency effect in the planum temporale/Heschl sulcus.”
Quote in the paperNot a substantial claim - Interpretationown data
An interconnected network of visual, auditory and heteromodal brain regions supports the skilled use of letter-speech sound associations needed for learning to read.
“These findings indicate that an interrelated network of visual, auditory and heteromodal brain areas contributes to the skilled use of letter-speech sound associations necessary for learning to read.”
Quote in the paperSubstantial claim - Premisecitation
Research on dyslexia supports a core deficit in phonological processing, marked by difficulty recognizing and manipulating the sound structure of language.
“Advances in understanding the origin of dyslexia support a core deficit in phonological processing characterized by difficulties in recognizing and manipulating the sound structure of language (Share, 1995;Snowling, 2001;Vellutino et al., 2004;Shaywitz and Shaywitz, 2005).”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
Compared with fluent readers, dyslexic adults underactivate the superior temporal gyrus when integrating passively presented letter-speech sound stimuli.
“The results showed that, relative to fluent readers, dyslexic readers underactivate the superior temporal gyrus for the integration of passively presented letter-speech sound stimuli.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blau et al., 2009 source
Not checked in the free run.
- Premisecitation
A consistent finding in intervention studies is improved reading behaviour together with changes in left temporoparietal cortex activation.
“A consistent result seen in these studies has been behavioural improvements in reading ability as well as changes in brain activation in the left temporoparietal cortex.”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
Paediatric fMRI studies have not directly examined letter-speech sound associations.
“To date, paediatric fMRI studies have not directly investigated the associations of letters and speech sounds.”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
In transparent languages such as Dutch, most school-aged children master letter-speech sound associations within one year of reading instruction.
“In largely transparent languages, such as Dutch, most school-aged children fully master letter-speech sound associations within one year of reading instruction (Blomert and Vaessen, 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blomert and Vaessen, 2009
Not checked in the free run.
- Interpretationown data
The data argue against the idea that reduced letter-speech sound integration in dyslexia is a consequence of years of reading difficulty.
“By extending similar findings in adults, the data furthermore argue against the notion that reduced neural integration of letters and speech sounds in dyslexia reflect the consequence of a lifetime of reading struggle.”
Quote in the paperSubstantial claim - Interpretationcitation
Reduced congruency-related effects in dyslexic children indicate less successful integration of letters and speech sounds.
“reduced congruency effects in dyslexic children are likely to indicate less successful letter-speech sound integration.”
- Also stated in: § Discussion · hedged
“indicating less successful integration of letters and speech sounds.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites van Atteveldt et al., 2007
Not checked in the free run.
- Also stated in: § Discussion · hedged
- Premisecitation
Intervention studies support the relevance of letter-speech sound associations for learning to read, since many training programs include a component that teaches these associations.
“Intervention studies furthermore provide good evidence for the relevance of letter-speech sound associations in learning to read as many training protocols include a condition focused on teaching such associations (Simos et al., 2002;Aylward et al., 2003;Shaywitz et al., 2004;Eden et al., 2004).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Study design and conductnone given
The two reading groups in this study were well matched on age and educational level to control for maturational and experiential changes that could otherwise confound reading-related group effects.
“Moreover, the two reading groups in the present study were well-matched in age and educational standard, in order to control for maturational and experiential changes that otherwise might interfere with reading-related group effects.”
Quote in the paperSubstantial claim - Premisecitation
Paediatric fMRI studies using complex phonological tasks consistently find underactivation in perisylvian cortex and occipito-temporal gyri in dyslexia.
“These studies converge on the finding of underactivation in perisylvian cortex and occipito-temporal gyri in dyslexia.”
Quote in the paperSubstantial claim0 of 3 sources checked - Premisecitation
In literate adults, fMRI has shown that superior temporal cortex and auditory cortex are involved in integrating letters and speech sounds.
“In literate adults, functional MRI (fMRI) has been employed to reveal the involvement of superior temporal cortex (superior temporal gyrus/superior temporal sulcus) and auditory cortex (Heschl sulcus/planum temporale) in the integration of letters and speech sounds (Raij et al., 2000;van Atteveldt et al., 2004van Atteveldt et al., , 2007)).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites Raij et al., 2000
Not checked in the free run.
- cites van Atteveldt et al., 2004
Not checked in the free run.
- cites van Atteveldt et al., 2007
Not checked in the free run.
- Interpretationreasoning
A neural deficit in integrating letters with speech sounds reflects difficulty retrieving or applying letter-speech sound knowledge rapidly while reading.
“this finding indicates that a neural deficit in letter-speech sound integration reflects an inability to retrieve or apply knowledge about letter-speech sound associations quickly during reading.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Schneider and Chein, 2003
Not checked in the free run.
- Interpretationreasoning
Efficient letter-speech sound integration in PT/HS and STS may be a direct neural correlate of reading failure.
“suggesting that the ability to integrate letters efficiently with speech sounds in the planum temporale/Heschl sulcus and superior temporal sulcus might be one of the direct neurofunctional correlates of reading failure.”
Quote in the paperSubstantial claim - Interpretationown data
The regression results suggest a dominant role for letter-speech sound integration and visual processing in early reading.
“they certainly indicate a dominant role for letter-speech sound integration and visual processing in early reading performance.”
Quote in the paperSubstantial claim - Interpretationcitation
These neurofunctional effects closely resemble those seen in adult dyslexia.
“These neurofunctional effects closely resemble those seen in adult dyslexia.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blau et al., 2009 source
Not checked in the free run.
- Interpretationown data
This suggests a further association between visual responses to print and letter-speech sound integration.
“suggesting a further association between visual responses to print and letter-speech sound integration.”
Quote in the paperSubstantial claim - Interpretationown data
The link between congruency-related responses in PT/HS and left STS and reading-task performance suggests auditory and superior temporal structures as possible neural correlates connecting letter-sound integration with reading skill.
“The present correlation between congruency effects in planum temporale/Heschl sulcus and left superior temporal sulcus and performance on reading-related tasks points to auditory and superior temporal brain structures as potential neuroanatomical correlates linking letter-sound integration and reading skill.”
Quote in the paperSubstantial claim - Interpretationown data
The links of visual and auditory responses with letter-speech sound integration in PT/HS, varying with reading ability, support an interactive cortical network that connects orthographic and phonological representations of print in early reading.
“Together, the correlation of the visual response and the auditory response with letter-speech sound integration in planum temporale/Heschl sulcus as a function of reading ability make a case for the existence of an interactive cortical network involved in linking orthographic and phonological representations of print in early reading development.”
Quote in the paperSubstantial claim - Interpretationown data
This correlation indicates dependency between phonological processing of speech and letter-speech sound integration in beginning readers.
“indicating the dependency between phonological processing of speech and letter-speech sound integration in beginning readers.”
Quote in the paperSubstantial claim - Interpretationown data
Reading models that stress reciprocal relations between reading and phonological development may best explain these findings.
“Therefore, we think that the present findings may be best accounted for by reading models that emphasize the reciprocal nature between reading and phonological development.”
Quote in the paperNot a substantial claim - Interpretationown data
These data provide first evidence of a neural deficit in letter-speech sound integration in dyslexic children, localized to auditory cortex and STS.
“In summary, the present data provide first evidence for a neural deficit in the integration of letters and speech sounds in dyslexic children localized to auditory cortex and the superior temporal sulcus.”
Quote in the paperSubstantial claim - Interpretationown data
The deficit in congruency-related effects in dyslexic children could not be explained by insufficient knowledge of letter-speech sound correspondences.
“As indicated by their adequate accuracy on matching letters and speech sounds in offline behavioural tasks, this deficit could not be explained by dyslexic readers' insufficient knowledge about letter-speech sound correspondences.”
Quote in the paperSubstantial claim - Interpretationown data
The auditory response to speech sounds affected reading performance indirectly through its link to visual letters.
“In other words, the influence of the auditory response to speech sounds on reading performance was mediated through its relation to visual letters.”
Quote in the paperSubstantial claim - Interpretationown data
This study gives first empirical support for PT/HS and STS as neural correlates of inadequate automation of letter-speech sound processing in dyslexic children.
“The present study provides first time empirical support for the planum temporale/Heschl sulcus and superior temporal sulcus as neuroanatomical correlates for a failure to adequately automate letter-speech sound processing skills in dyslexic children.”
Quote in the paperSubstantial claim
- May combine two claims. 19
- Classified as probably not a substantial claim. 15
May combine two claims.
Findingown dataIn fluent readers, speech-sound responses were modulated by whether a letter matched the sound, with strong suppression for mismatched letters; dyslexic readers showed no such modulation.
“While cortical responses to speech sounds in fluent readers were modulated by letter-speech sound congruency with strong suppression effects for incongruent letters, no such modulation was observed in the dyslexic readers.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataDyslexic children had impaired reading, with word reading in the lowest 10th percentile, and poor performance on phonological awareness and phonological decoding subtests.
“Specifically, dyslexic readers showed impaired reading (within the lower 10th percentile on a standardized test of word reading) and poor performance on subtests involving phonological awareness and phonological decoding (Table 1).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe fMRI congruency response in the planum temporale/Heschl sulcus and superior temporal sulcus correlated positively with reading accuracy and negatively with reaction times on letter-speech sound matching.
“Figure 4 illustrates that the fMRI congruency response in planum temporale/Heschl sulcus and superior temporal sulcus correlated positively with accuracy on the reading task and negatively with reaction times on letter-speech sound matching (Fig. 4A and B).”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Faster processing is one of the main indices of automation for a cognitive process.
May combine two claims.
Findingown dataAll reported brain-behaviour correlations became non-significant when reading group was controlled with partial correlations, suggesting they were driven by group differences in reading ability.
“All reported correlations turned out to be non-significant when the factor reading group was controlled using partial correlations, suggesting that the brainbehaviour correlations were driven by group differences in reading ability.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe auditory response in the anterior superior temporal gyrus correlated with reading accuracy and letter-speech sound matching speed.
“Moreover, the auditory response in the anterior superior temporal gyrus correlated with reading accuracy and the speed of letter-speech sound matching (Fig. 4C) as did the visual response in the fusiform gyrus (Fig. 4D).”
Quote in the paperNot a substantial claim- The authors state this as an assumption: Faster processing is one of the main indices of automation for a cognitive process.
May combine two claims.
Findingown dataFluent readers activated the superior temporal sulcus more for congruent than incongruent letter-speech sound pairs, whereas dyslexic readers showed no congruency effect.
“Comparable to planum temporale/ Heschl sulcus, fluent readers activated the superior temporal sulcus more for the presentation of congruent as opposed to incongruent letter-speech sound pairs, while dyslexic readers showed no congruency effect.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataBetween-group comparisons showed that dyslexic children had weaker activity for speech sounds in the anterior superior temporal gyrus and for letters in bilateral fusiform gyrus.
“Dyslexic children showed weaker activity for processing speech sounds in the anterior superior temporal gyrus (Fig. 2A) and for processing letters in an area around the fusiform gyrus bilaterally (Table 2 and Fig. 2B).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataVisual responses in left and right fusiform gyrus correlated with congruency effects in the planum temporale/Heschl sulcus (left R=0.38, P=0.025; right R=0.37, P=0.030), with fluent readers showing stronger letter responses and stronger congruency effects.
“Moreover, the visual response in left and right fusiform gyrus correlated with congruency effects in planum temporale/Heschl sulcus (left fusiform gyrus: R = 0.38, P = 0.025; right fusiform gyrus: R = 0.37, P = 0.030), with fluent readers showing stronger responses to letters and a stronger effect of letter-speech sound congruency.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataWeaker congruency-related effects in PT/HS and STS of dyslexic children were associated with lower reading scores, while stronger effects in fluent readers were associated with higher reading scores.
“More concretely, weaker congruency effects in planum temporale/Heschl sulcus as well as superior temporal sulcus of dyslexic children were associated with lower reading scores, while stronger congruency effects in fluent readers were associated with higher reading scores.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataNeural integration responses in PT/HS and STS correlated with speed of performance on letter-speech sound matching, with no accuracy differences.
“neural integration responses in planum temporale/Heschl sulcus and superior temporal sulcus correlated with the speed of performance on letter-speech sound matching, in the absence of accuracy differences for judging the congruency between letters and sounds.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationReading acquisition and awareness of speech sounds likely influence each other reciprocally.
“Thus, the relationship between reading acquisition and awareness for speech sounds is likely to be reciprocal (Perfetti et al., 1987;Wagner and Torgesen, 1987;Torgesen et al., 1994;Ehri, 2005;Ziegler and Goswami, 2005).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites Perfetti et al., 1987
Not checked in the free run.
- cites Wagner and Torgesen, 1987
Not checked in the free run.
- cites Torgesen et al., 1994 source
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductnone givenDyslexia criteria used a discrepancy between reading test performance and IQ, classifying children with reading scores in the lowest 10th percentile but average IQ as dyslexic.
“Criteria for dyslexia were based on a discrepancy score between performance on the reading test and IQ, according to which children with a standard reading score within the lower 10th percentile, but average IQ score were classified as dyslexic (Table 1).”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataLetter-speech sound integration is an emergent property of learning to read that develops inadequately in dyslexic readers, possibly because neural systems for auditory and visual linguistic input specialize abnormally.
“Instead, they support the view that letter-speech sound integration is an emergent property of learning to read that develops inadequately in dyslexic readers, presumably as a result of a deviant interactive specialization of neural systems for processing auditory and visual linguistic inputs.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
PremisecitationImpaired phonological awareness is the most common behavioural explanation for reading failure.
“Although various other factors may play a role as well (Livingstone et al., 1991;Tallal et al., 1993;Stein and Walsh, 1997;Nicolson et al., 2001), impaired phonological awareness constitutes the most common behavioural explanation for reading failure (Ramus, 2003).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Ramus, 2003 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe variance inflation factor for all independent variables ranged from 1.05 to 2.29, so multicollinearity was judged not to be a concern.
“For all independent variables the variance inflation factor was between 1.05 and 2.29 and hence multi co-linearity was considered of no concern for the present model.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
Study design and conductcitationThe groups were matched on educational level, age, handedness and IQ.
“The groups were matched for educational level, age, handedness and IQ, (585, Wechsler Intelligence Scale estimated IQ within 1 SD of norm) and were tested on various measures for reading status using a standard test battery (Blomert and Vaessen, 2009).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blomert and Vaessen, 2009
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductcitationMultisubject statistical maps were corrected for multiple comparisons using false-discovery rate or cluster-size thresholding.
“Depending on the specificity of the contrast, multisubject statistical maps were corrected for multiple comparisons using the false-discovery rate (Genovese et al., 2002) or cluster-size thresholding (Forman et al., 1995;Goebel et al., 2006).”
Quote in the paperSubstantial claim0 of 3 sources checkedClassified as probably not a substantial claim.
PremisecitationAcquiring letter-speech sound associations is thought to be critical for fluent reading because it affects early literacy acquisition.
“Successful acquisition of letter-speech sound associations, in turn, has been theorized to be critical for the development of fluent reading skills by impacting the early phases of literacy acquisition (Bradley and Bryant, 1983;Ehri, 2005).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites Bradley and Bryant, 1983
Not checked in the free run.
- cites Ehri, 2005
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSome but not all child fMRI studies report atypical frontal cortex activation.
“Moreover, deviant patterns of activation in frontal cortex are reported in some but not all child fMRI studies (Maisog et al., 2008;Gabrieli, 2009).”
Quote in the paperNot a substantial claim0 of 2 sources checkedMay combine two claims.
PremisecitationIn dyslexic adults, weaker letter-speech sound integration was directly linked to reduced auditory processing of speech sounds, which predicted phonological task performance.
“This reduced integration was directly associated with reduced auditory processing of speech sounds, which in turn predicted performance on phonological tasks.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blau et al., 2009 source
Not checked in the free run.
Classified as probably not a substantial claim. May combine two claims.
Study design and conductown dataFor GLM4, the initial voxel-level threshold was P<0.01 (t=5.1) uncorrected, yielding a 115 mm3 cluster after 1000 iterations and a corrected false-positive probability of 5% or less.
“For GLM4 (i.e. the interaction between 'multisensory condition' and 'reading status'), an initial voxel-level threshold was set to P50.01 (t = 5.1) uncorrected resulting in a cluster level of 115 mm 3 (four contiguous voxels) after 1000 iterations and a corresponding corrected false-positive probability of 5% or less.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationDevelopmental dyslexia involves persistent reading and/or spelling difficulties that are unexpected given age, motivation or other cognitive abilities.
“Specific reading disorder (or developmental dyslexia), which affects $4-10% of the population (Esser et al., 1990;Shaywitz et al., 1990;Blomert, 2005), is characterized by persistent difficulties in reading and/or spelling that are unexpected in relation to age, motivation or other cognitive abilities (Lyon et al., 2003).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Lyon et al., 2003
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataFor GLM5, the initial voxel-level threshold was P<0.01 (t=2.5) uncorrected, yielding a minimum 168 mm3 cluster at a false-positive probability of 5% or less.
“For GLM5 (i.e. the direct comparisons between control and dyslexic readers on the auditory or visual condition), an initial voxel-level threshold was set to P50.01 (t = 2.5) uncorrected, resulting in a minimum cluster of 168 mm 3 (five contiguous voxels) at a false-positive probability of 5% or less.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationLearning the mappings between visual letters and auditory speech units is the first critical step in reading development and the main focus of early reading instruction.
“However, the first critical step in reading development and the focus of most early reading instruction is to learn the correspondences between visual letters and auditory units of speech (speech sounds) (Ehri, 2005).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Ehri, 2005
Not checked in the free run.
Classified as probably not a substantial claim.
Study design and conductown dataDyslexic participants were diagnosed through an extensive standardized cognitive-behavioural procedure.
“Dyslexic subjects were recruited via the Dutch Regional Institute for Dyslexia and diagnosed using an extensive, standardized cognitive-behavioural test procedure.”
Quote in the paperSubstantial claimMay combine two claims.
InterpretationreasoningLetter-speech sound integration emerges during reading acquisition but develops poorly in dyslexic readers, possibly through deviant interactive specialization of auditory and visual language systems.
“This suggests that letter-speech sound integration is an emergent property of learning to read that develops inadequately in dyslexic readers, presumably as a result of a deviant interactive specialization of neural systems for processing auditory and visual linguistic inputs.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe correlations between congruency-related effects and reading scores became non-significant when reading group was partialled out, indicating they reflect reading ability.
“These correlations turned out to be non-significant when the factor reading group was partialled out indicating that they indeed reflect an effect of reading ability.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataThe linear regression results should be treated with caution because of small sample size.
“While these linear regression results should be treated with caution because of the small sample size of neuroimaging studies”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationProblems integrating letters with speech sounds arise during reading acquisition rather than from many years of reading difficulty.
“showing that a deficit in letter-speech sound integration is an emergent property of learning to read and not the result of a lifetime of reading difficulties”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Blau et al., 2009 source
Not checked in the free run.
The authors state this as an assumption.
Faster processing is one of the main indices of automation for a cognitive process.
“Based on the assumption that faster processing is one of the main indices for the automation of a cognitive process (Schneider and Chein, 2003)”
The paper relies on this without support.
The selected age range is the earliest point at which reading disabilities are typically diagnosed.
“Importantly, the selected age range coincides with the earliest time in development at which reading disabilities are typically diagnosed and hence one of the earliest possible time-points to investigate the neurocognitive basis of letterspeech sound integration in dyslexia.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
LOTS response shaping is probably initially guided by phonological and multisensory regions in posterior STS and inferior parietal cortex.
“The process of shaping the responses in LOTS is likely to be guided, initially, by phonological and multisensory integration regions in posterior STS and inferior parietal cortex (Blau et al., 2010; Blau, van Atteveldt, Ekkebus, Goebel, & Blomert, 2009).”
From The Development of Cortical Sensitivity to Visual Word Forms (2011) · cites this paper as Blau et al., 2010
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
aSTG is defined as sulcus but described as gyrus
MinorTable 2 defines aSTG as the anterior superior temporal sulcus, while the results describe the corresponding speech-sound region as the anterior superior temporal gyrus.
“aSTG = anterior superior temporal sulcus”
“Dyslexic children showed weaker activity for processing speech sounds in the anterior superior temporal gyrus”
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The Development of Cortical Sensitivity to Visual Word Forms
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Self-citation
- Authors
- Blau, V., Reithler, J., van Atteveldt, N., Seitz, J., Gerretsen, P., Goebel, R., & Blomert, L.
- Affiliations
- Maastricht University (NL)
- Venue
- Brain
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-01-07
- Volume
- 133
- Issue
- 3
- Pages
- 868-879
- ISSN
- 0006-8950 (ISSN-L)
- 1460-2156
- OpenAlex
- W2136056602
- Semantic Scholar
- 54d81053eba4f4a2c7cf39a282e8b20a9654f611
- Cited by
- 301
- References
- 56
- Citations by year
- 2026: 9 · 2025: 11 · 2024: 13 · 2023: 25 · 2022: 16 · 2021: 19 · 2020: 7 · 2019: 20 · 2018: 26 · 2017: 18 · 2016: 24 · 2015: 21 · 2014: 23 · 2013: 20 · 2012: 23
- FWCI
- 40.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Brain (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- European Commission
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Reading and Literacy Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neurobiology of Language and Bilingualism
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Multisensory perception and integration
- Keywords
- developmental dyslexia, reading acquisition, planum temporale, superior temporal sulcus, fusiform gyrus, audiovisual integration, reading failure, children, neural specialization
- MeSH terms
- Acoustic Stimulation, Brain, Brain Mapping, Child, Dyslexia, Female, Humans, Magnetic Resonance Imaging, Male, Neural Pathways, Neuropsychological Tests, Phonetics, Photic Stimulation, Reading, Speech Perception, Visual Perception
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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