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Updated: Jun 24, 2025

Assessing Dyslexia at Six Year of Age
Published on: May 1, 2020
Cortical Structure in Pre-Readers at Cognitive Risk for Dyslexia: Baseline Differences and Response to Intervention
Maria Economou1, Femke Vanden Bempt1, Shauni Van Herck1
1Department of Neurosciences, KU Leuven, Leuven, Belgium.
Insights
Early phonics intervention in at-risk children led to brain structural changes, specifically thickening in the left supramarginal gyrus. This highlights the impact of early reading interventions on neurodevelopment in children at risk for dyslexia.
Area of Science:
- Neuroscience
- Developmental Psychology
- Educational Psychology
Background:
- Early childhood is crucial for brain development and identifying reading difficulties.
- Early interventions for at-risk children show promise, but underlying neurocognitive mechanisms need further study.
- Existing research indicates anatomical brain differences in children at risk for dyslexia.
Purpose of the Study:
- To investigate cortical structure changes following a 12-week tablet-based intervention in at-risk children.
- To compare neuroplasticity in children receiving phonics-based training versus an active control (AC) training.
- To examine differences in brain morphology between at-risk and typically developing children.
Main Methods:
- Used anatomical magnetic resonance imaging (MRI) to assess cortical structure before and after intervention.
- Compared three groups: at-risk children with phonics training, at-risk children with AC training, and typically developing children.
- Analyzed changes in brain surface area and cortical thickness, focusing on the supramarginal gyrus.
Main Results:
- At baseline, at-risk children showed greater right supramarginal gyrus surface area compared to controls.
- Post-intervention, the phonics-trained group exhibited significant thickening of the left supramarginal gyrus.
- No significant cortical thickening was observed in the active control or typical control groups.
Conclusions:
- Early anatomical differences exist in children at risk for dyslexia.
- Phonics-based interventions can induce positive changes in brain morphology, specifically in language-related regions.
- These findings enhance understanding of brain morphology's role in dyslexia risk and intervention response, prompting further research into early anatomy's impact on literacy development.
Abstract:
Early childhood is a critical period for structural brain development as well as an important window for the identification and remediation of reading difficulties. Recent research supports the implementation of interventions in at-risk populations as early as kindergarten or first grade, yet the neurocognitive mechanisms following such interventions remain understudied. To address this, we investigated cortical structure by means of anatomical MRI before and after a 12-week tablet-based intervention in: (1) at-risk children receiving phonics-based training (n = 29; n = 16 complete pre-post datasets), (2) at-risk children engaging with AC training (n = 24; n = 15 complete pre-post datasets) and (3) typically developing children (n = 25; n = 14 complete pre-post datasets) receiving no intervention. At baseline, we found higher surface area of the right supramarginal gyrus in at-risk children compared to typically developing peers, extending previous evidence that early anatomical differences exist in children who may later develop dyslexia. Our longitudinal analysis revealed significant post-intervention thickening of the left supramarginal gyrus, present exclusively in the intervention group but not the active control or typical control groups. Altogether, this study contributes new knowledge to our understanding of the brain morphology associated with cognitive risk for dyslexia and response to early intervention, which in turn raises new questions on how early anatomy and plasticity may shape the trajectories of long-term literacy development.
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