Related Experiment Video
Updated: Jun 12, 2026

Advancing Dyslexia Assessment in Children Through Computerized Testing
Published on: August 16, 2024
Minor neurological dysfunction in children with dyslexia
Marja Punt1, Marianne DE Jong, Erik DE Groot
1Department of Child and Adolescent Psychiatry, Fornhese, Amersfoort, Netherlands. marjapunt@planet.nl
Insights
Children with severe dyslexia often exhibit minor neurological dysfunctions (MNDs), particularly in fine motor skills. These neurological issues are significantly more common in dyslexic children than in the general population.
Area of Science:
- Neuroscience
- Developmental Psychology
- Child Psychiatry
Background:
- Severe dyslexia is a complex developmental disorder affecting reading acquisition.
- Understanding the underlying neurological and psychiatric factors is crucial for effective intervention.
Purpose of the Study:
- To investigate the prevalence and types of minor neurological dysfunctions (MNDs) in children with severe dyslexia.
- To compare neurological findings in dyslexic children with the general population.
- To explore the relationship between MNDs, psychiatric comorbidities, and brain function in dyslexia.
Main Methods:
- A cohort of 104 children (7-12 years) with severe dyslexia underwent neurological examinations and child psychiatric assessments.
- Minor neurological dysfunctions (MNDs) were evaluated based on severity and type.
- Data were compared with neurological morbidity rates in the general population.
Main Results:
- A high incidence of MNDs was observed in 87% of children with severe dyslexia (43% simple, 44% complex).
- MNDs were significantly more prevalent in dyslexic children compared to the general population (p<0.001).
- Fine manipulative disability, muscle tone regulation issues, and associated movements were common findings. Comorbid psychiatric syndromes were diagnosed in 63% of cases.
Conclusions:
- Neurological and child psychiatric assessments are vital for children with severe dyslexia.
- The findings suggest that dysfunction in cortical structures plays a significant role in the development of dyslexia.
Aim:
to improve understanding of brain function in children with severe dyslexia in terms of minor neurological dysfunctions (MNDs).
Method:
one hundred and four children (81 males, 23 females; age range 7-12y; mean age 9y 7mo, SD 1y 2mo;) with severe dyslexia (the presence of a Full-scale IQ score of ≥ 85, retardation in single-word or text reading of ≥2y), assessed in a department of dyslexia of a third-level regional psychiatric centre, underwent a neurological examination according to Touwen and a multidisciplinary child psychiatric assessment. Special attention was paid to severity and type of MND. Data were compared with neurological morbidity data of children in the general population.
Results:
most children had MND (87%): 43% had simple MND, 44% complex MND. The incidence of MND was significantly higher (p<0.001) in the children with dyslexia than in the general population (simple MND 15%, complex MND 6%). Children with dyslexia showed especially fine manipulative disability and - to a lesser extent - mild dysfunction in muscle tone regulation and excessive presence of associated movements. A comorbid psychiatric syndrome was diagnosed in 66 children (63%): emotional disturbances (27%), adjustment disorder (42%), hyperkinetic disorder (15%), autism spectrum disorder (3%), specific disturbances of childhood not otherwise specified (13%). The neurological findings of children with dyslexia with and without psychiatric comorbidity were similar.
Interpretation:
our results demonstrate the importance of neurological and child psychiatric assessment in children with severe dyslexia. Our findings suggest that dysfunction of cortical structures plays a dominant role in dyslexia.
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