Abstract
The temporal envelope of speech is an important cue contributing to speech intelligibility. Theories about the neural foundations of speech perception postulate that the left and right auditory cortices are functionally specialized in analyzing speech envelope information at different time scales: the right hemisphere is thought to be specialized in processing syllable rate modulations, whereas a bilateral or left hemispheric specialization is assumed for phoneme rate modulations. Recently, it has been found that this functional hemispheric asymmetry is different in individuals with language-related disorders such as dyslexia. Most studies were, however, performed in adults and school-aged children, and only a little is known about how neural auditory processing at these specific rates manifests and develops in very young children before reading acquisition. Yet, studying hemispheric specialization for processing syllable and phoneme rate modulations in preliterate children may reveal early neural markers for dyslexia. In the present study, human cortical evoked potentials to syllable and phoneme rate modulations were measured in 5-year-old children at high and low hereditary risk for dyslexia. The results demonstrate a right hemispheric preference for processing syllable rate modulations and a symmetric pattern for phoneme rate modulations, regardless of hereditary risk for dyslexia. These results suggest that, while hemispheric specialization for processing syllable rate modulations seems to be mature in prereading children, hemispheric specialization for phoneme rate modulation processing may still be developing. These findings could have important implications for the development of phonological and reading skills.
- auditory processing
- auditory steady-state responses
- children
- dyslexia
- hemispheric asymmetry
- speech envelope
Introduction
Speech signals contain numerous auditory cues that contribute to speech perception, but the speech envelope is essential and with some limited spectral information almost sufficient for accurate speech intelligibility (Drullman et al., 1994; Shannon et al., 1995). The speech envelope is characterized by amplitude modulations (AM). Modulations <50 Hz play an important role in the identification and segmentation of crucial speech units such as syllables (AM near 4 Hz) and phonemes (AM near 20 Hz) (Rosen, 1992). Theories about speech perception propose that these modulation ranges are processed asymmetrically in the auditory cortices, with a right hemispheric preference to process syllable rate modulations and a bilateral or left hemispheric preference to process phoneme rate modulations (Poeppel, 2003; Boemio et al., 2005). Moreover, this functional hemispheric asymmetry seems already present in infancy (Telkemeyer et al., 2009, 2011).
Recently, it has been suggested that a disturbance in this functional hemispheric asymmetry may be linked to language-related disorders such as dyslexia (Goswami, 2011). Developmental dyslexia is a neurological, hereditary disorder that is characterized by severe and persistent reading and spelling problems, which are thought to be caused by difficulties representing and manipulating the phonological structure of words at the syllable and/or phoneme level (Vellutino et al., 2004). Recent studies have suggested that deviances in the neural representation of speech envelope cues are related to these phonological problems. Hämäläinen et al. (2012) demonstrated that, compared with right hemispheric asymmetry in normal readers, individuals with dyslexia display a more symmetrical neural organization during syllable rate processing. Additionally, phoneme rate modulations are found to be less lateralized to (Lehongre et al., 2011) or reduced within (Poelmans et al., 2012a) the left hemisphere in individuals with dyslexia. On the other hand, some studies have shown auditory processing deviances in individuals with dyslexia already at the brainstem level (Hornickel et al., 2009).
However, most of these studies were performed in adults (Lehongre et al., 2011; Hämäläinen et al., 2012; Poelmans et al., 2012a) and school-aged children with dyslexia (Abrams et al., 2009), and little is known about how and when these neural alterations manifest in preschool children, before reading acquisition. Given that neural processing of syllable and phoneme rate modulations strongly relates to phonological awareness (Abrams et al., 2009; Lehongre et al., 2011; Poelmans et al., 2012a) and speech perception (Alaerts et al., 2009; Poelmans et al., 2012a), it may be that altered response patterns to these modulations in prereading children can predict reading problems before they occur.
To investigate this, auditory steady-state responses (ASSR) to syllable and phoneme rate modulations were measured in prereading children at high hereditary risk for dyslexia (based on first-degree relatives with official dyslexia diagnosis) and in prereading control children. We aimed to explore hemispheric response asymmetry for cortical syllable and phoneme rate modulations and to determine whether preschool children at high hereditary risk for dyslexia process syllable and/or phoneme rate modulations differently than control children. Furthermore, we aimed to examine processing at these cortical levels as well as processing at the brainstem level.
Materials and Methods
Participants.
In this study, 87 5-year-old children (age range, 56–68 months), attending the last year of kindergarten, participated. All participants were monolingual Dutch speakers, without a history of brain damage, permanent hearing loss, or visual problems. Additionally, participants were required to have adequate nonverbal intelligence, defined by an IQ score of >85 on the Raven Coloured Progressive Matrices (Raven et al., 1984). Forty-four participants were children with an increased hereditary risk for dyslexia, the so-called high-risk (HR) group. These children had at least one first-degree relative (parent and/or sibling) with an official diagnosis of dyslexia, and consequently a greater risk for developing dyslexia (Gilger et al., 1991). The other 43 participants were control children, the so-called low-risk (LR) group. Children in the LR group had no family members with a learning or language deficit. HR and LR children were matched based on the following five criteria: (1) educational environment (same kindergarten school); (2) gender; (3) age; (4) nonverbal intelligence; and (5) parental educational level.
In the current report, 75 children (32 girls/43 boys) of this longitudinal study participated (Table 1). Twelve children in the larger cohort were excluded for the following reasons: (1) they were left handed, as assessed by the Edingburgh Handedness Inventory (Oldfield, 1971); or (2) they had moved excessively during the electroencephalography (EEG) recordings in all test conditions.
All tests were approved by the medical ethics committee of The University Hospitals Leuven. Written informed consent was obtained from parents along with verbal assent from the participating children. All children were tested between August and October at the start of third kindergarten.
Before the measurements, hearing thresholds and middle ear function were assessed by audiometric (pure-tone audiogram at 0.5, 1, 2, and 4 kHz), otoscopic and tympanometric examination. Four of 75 children experienced a mild temporary conductive hearing loss [pure tone average (PTA) at 0.5, 1, and 2 kHz >20 dB HL: 22, 23, 24, and 25 dB HL] in the right ear due to ear infection or ear congestion at the moment of testing.
Neurophysiological stimulus and recording parameters.
Neural sensitivity to auditory temporal cues was investigated by recording ASSR embedded in the EEG. ASSR measure the ability of the auditory system to fire synchronously to the rhythm (i.e., the modulation rate) of an auditory stimulus (Picton et al., 2003; Picton, 2011). These responses can be recorded from cortical sources as well as from deeper sources such as the brainstem (Picton, 2011).
ASSR stimuli consisted of continuous amplitude-modulated, speech-weighted noise. The noise carriers were derived from the speech-weighted masking noise of the Leuven Intelligibility Sentence Test, which contains the long-term average speech spectrum of 730 sentences of a female speaker (van Wieringen and Wouters, 2008). Noises were 100% amplitude modulated at modulation rates of 4, 20, and 80 Hz. The first two modulation rates are known to be dominantly processed in the auditory cortex (Giraud et al., 2000) and can give important information on how syllable and phoneme units, respectively, in speech are processed in the brain. The 80 Hz modulation rate was selected as a reference condition, as it is shown in studies with latency and source waveform measurements that this rate dominantly gives information about modulation processing at the level of the brainstem (Herdman et al., 2002; Picton et al., 2003).
Stimuli were presented by an RME Hammerfall DSP Multiface multichannel soundcard in combination with stimulation platform RBA (Hofmann and Wouters, 2010) at a sampling rate of 32 kHz. Each stimulus was presented for ∼600 s with Etymotic Research ER-3A insert earphones, monaurally to the right ear at 70 dB SPL. For the four children with increased audiometric thresholds (PTA > 20 dB HL: 22, 23, 24, and 25 dB HL), the overall stimulation level was adjusted individually according to their PTA, with +x dB for x, the PTA value >20 dB HL. Hence, the sensation level was at least 50 dB SL for all children, and the maximum stimulation level was 75 dB SPL.
The continuous EEG was recorded from 64 Ag/AgCl active scalp electrodes, using ActiveTwo System software (Biosemi). The electrodes were mounted on a child-sized elastic head cap at the standard positions of the 10–20 system (Malmivuo and Plonsey, 1995; Fig. 1). The EEG recordings were conducted with a sampling rate of 8192 Hz and a recording bandwidth of DC–1600 Hz. The recordings were performed in a double-walled and soundproof booth with a Faraday cage. During the measurements, children were lying on a bed for 3 blocks of ∼10 min each while watching a soundless cartoon to stay awake. The cartoon was projected on a screen above the participant's head, providing a comfortable viewing experience. One test leader accompanied the child in the sound booth to comfort and instruct him/her, preventing excessive movement during measurements.
Neurophysiological data analysis.
Data analyses were performed off-line in MATLAB R14 (MathWorks). The continuous EEG was divided into epochs of 1.024 s. Epochs containing muscle artifacts (amplitude >150 μV) were rejected using BESA research 5.3 software. To keep the number of analyzed epochs and the signal-to-noise ratio (SNR) equal across participants, only the first 448 artifact-free epochs for each participant in each condition were used. In 6 of the 75 children, <448 epochs remained after epoch selection for one (3 children) or two (3 children) of the three conditions due to excessive movement artifacts. More specifically, this was the case in a total of 9 measurements: 4, 3, and 2 of the 75 recorded measurements at 4, 20, and 80 Hz, respectively. These data were excluded for further analyses, resulting in analyzed data of 71, 72, and 73 participants in total for the 4, 20, and 80 Hz conditions.
Analyses were performed on the electrode level since source waveform analyses were not possible due to a lack of good head models for surface-to-source modeling in 5-year-old children. Data were referenced off-line to Cz. The Cz reference was chosen over the average reference since it has been shown to be an appropriate reference electrode for laterality measurements and ASSR recordings in general (van der Reijden et al., 2005; Van Dun et al., 2009; Picton, 2011; Poelmans et al., 2012b). Moreover, a post hoc analysis with average reference demonstrated similar results. To avoid distortions caused by low drift and skin potentials, raw data were filtered by a 2 Hz zero-phase filter (12 dB/octave). For each recording, epochs were grouped into sweeps of 64 epochs, averaged in the time domain, and transformed into the frequency domain using a fast Fourier transform (FFT). After the FFT, the spectrum was corrected for the theoretical filter response to calculate accurate response estimates (see below).
Next, the signal-to-noise-ratio of the response (i.e., response SNR) was calculated (Eq. 1) based on the ratio between the power of the response plus noise at the tested modulation rate, P(s + n), and the power of the noise estimate, P(n), of 60 neighboring frequency bins on each side of the response frequency bin (corresponding in the response spectrum to ∼0.92 Hz to the left and right side of the modulation rate). A response was considered significant when the F ratio statistic showed a significant difference (p < 0.05) between the power of the response plus noise and the power of the noise, corresponding to a response SNR of 4.8 dB. Negative response SNRs were transformed to the baseline level of 0 dB (Alaerts et al., 2009; Poelmans et al., 2012a, 2012b).
Furthermore, hemispheric response asymmetry was calculated by a laterality index (LI; Eq. 2). The LI was based on the root mean square average of response amplitudes, √[P(s + n) − P(n)], of electrodes over the right (R) and the left (L) hemisphere. The LI was calculated as the difference between R and L normalized by the sum of R and L. This measure reflects how strongly responses are lateralized to a specific hemisphere. The LI is +1 for a response completely asymmetrical to the right hemisphere, zero for a symmetrical response, and −1 for a response completely asymmetrical to the left hemisphere.
Statistical analysis.
For further analyses, an electrode selection was made based on two criteria. First, selection was based on the position of the electrodes on the scalp. In order to examine laterality, midline electrodes were excluded. Second, electrode selection was based on response recording sensitivity measured by the number of participants with significant responses on each electrode. The sensitivity for recording responses varied for different electrode positions. A high number of participants had significant responses on parietal and occipital electrodes. In contrast, the least number of significant responses was recorded at frontal electrodes with <60% of significant responses in the majority of electrodes. Therefore, only electrode pairs of mirrored electrodes with an average number of significant responses of >70% for all conditions were included.
Based on the above mentioned criteria, nine electrodes in the left hemisphere (TP7, P9, P7, P5, P3, P1, PO7, PO3, and O1) and nine electrodes in the right hemisphere (TP8, P10, P8, P6, P4, P2, PO8, PO4, and O2) remained for analyses (Fig. 1). Response SNRs were calculated for each of the above selected electrodes separately as well as averaged over the group of electrodes within each hemisphere. Accordingly, LIs were calculated for each electrode pair and for the paired group of electrodes.
Statistical analyses were performed with the SPSS version 20.0 (IBM). All analyses were two tailed (α = 0.05). Normality of the response SNRs and LIs was tested by a Kolmogorov–Smirnov test separately for the participant groups and the modulation rates. For the latter test, the significance level was set at α = 0.01 to adjust for multiple comparisons. Response SNRs and LIs were normally distributed according to this criterion, except for the SNRs and LIs for the individual electrodes and electrode pairs.
Results
The goal of this study was to investigate the cortical representation of slow temporal modulations in speech and to explore neural asymmetry to syllable and phoneme rate modulations in prereading children at high and low hereditary risk for dyslexia. Toward this end, neural speech envelope representations were investigated with response SNR values, and temporal processing asymmetry was examined with laterality indices.
Topographical maps of current source density, amplitude voltage, and time-domain waveforms for the grand mean averaged ASSR across all subjects for each condition are presented in Figure 2.
Neural syllable and phoneme rate processing
For the averaged response SNR over nine electrodes over each hemisphere, a repeated-measures ANOVA with group (HR vs LR) as a between-subject factor and hemisphere (left hemisphere vs right hemisphere) as a within-subject factor was conducted for the three tested modulation rates separately (Fig. 3).
For 4 Hz, no main effect of group (F(1,68) = 0.39, p = 0.536) or interaction effect between group and hemisphere (F(1,68) = 0.14, p = 0.707) was observed, suggesting no group difference in response SNR for the syllable rate. Overall, a main effect of hemisphere (F(1,68) = 17.41, p < 0.001) was found. Ipsilateral right hemisphere responses were higher than contralateral left hemisphere responses (mean difference, 1.5 dB; SE, 0.4 dB). This main effect of hemisphere was also found for individual electrodes with a Mann–Whitney U test. For seven of nine electrode pairs, responses were significantly higher for right hemisphere electrodes than for left hemisphere electrodes (all p < 0.037).
For 20 Hz, no main effect of group (F(1,69) = 0.23, p = 0.631) or hemisphere (F(1,69) = 0.01, p = 0.911), nor an interaction (F(1,69) = 2.52, p = 0.117) between these factors was observed.
For 80 Hz, no main effect of group (F(1,70) < 0.01, p = 0.946) or interaction effect between group and hemisphere (F(1,70) = 3.03, p = 0.086) was observed, suggesting no group difference in response SNR for the 80 Hz response. Overall, a main effect of hemisphere (F(1,70) = 218.51, p < 0.001) showed that ipsilateral right responses were considerably higher than contralateral left responses (mean difference, 4.6 dB; SE, 0.3 dB). This main effect of hemisphere was replicated at individual electrodes with a Mann–Whitney U test. For all electrode pairs, right hemisphere responses were significantly higher than left hemisphere responses (for all electrode pairs, p < 0.001).
Temporal processing asymmetries
To further examine the observed main effects of hemisphere, LIs were calculated. LIs were evaluated separately for each modulation rate and for each participant group based on a one-sample t test for the averaged group of electrodes (Fig. 4) and based on a Wilcoxon signed-rank test for individual electrode pairs. To examine possible differences between the HR and the LR group, an independent sample t test was conducted on the averaged group of electrodes, and a Mann–Whitney U test was conducted on the individual electrode pairs.
To investigate laterality on a more individual level, participants were categorized according to their left (LI < 0) or right (LI > 0) asymmetric ASSR based on the LIs of the averaged group of electrodes (Table 2). Finally, a binomial test was conducted to examine whether a significant proportion of participants demonstrated left or right asymmetry.
For 4 Hz, an ipsilateral right hemispheric asymmetry was found for the LR group (LI = 0.12, t(38) = 2.40, p = 0.022), and a trend toward right hemispheric asymmetry was found for the HR group (LI = 0.12, t(30) = 2.40, p = 0.052). This right hemispheric asymmetry was also present for the majority of the separate electrode pairs (LR group: five of nine electrode pairs, all p < 0.050; HR group: eight of nine electrodes pairs, all p < 0.050) and for >70% of the individuals within each participant group (LR group: 72%, z = 2.72, p = 0.001; HR group: 71%, z = 2.34, p < 0.001). No significant difference was found between the LR and HR group in the degree of right hemispheric asymmetry (t(68) = −0.01, p = 0.995; U test: for eight of nine electrode pairs, p > 0.050).
For 20 Hz, responses were symmetrical for the LR group (LI = 0.04, t(38) = 1.30, p = 0.203) as well as for the HR group (LI = −0.04, t(31) = −0.89, p = 0.380). Similarly, symmetrical responses were found for individual electrode pairs (LR group: seven of nine electrode pairs, all p > 0.050; HR group: nine of nine electrode pairs, all p > 0.050). For 20 Hz, the number of participants with left asymmetry equaled the number of participants with right asymmetry in the LR group (L = 44%, z = 0.80, p = 0.522) as well as in the HR group (L = 53%, z = 0.35, p = 0.860). No significant group differences were found for 20 Hz (t(69) = 1.51, p = 0.135; U test, all p > 0.050).
Finally, a significant ipsilateral right asymmetry was found for 80 Hz for both participant groups for the averaged group of electrodes (LR group: LI = 0.31, t(38) = 10.98, p < 0.001; HR group: LI = 0.21, t(32) = 6.17, p < 0.001) as well as for individual electrode pairs (LR group: all p < 0.001; HR group: all p < 0.001). Right asymmetry was observed in 97% of the LR children (z = 5.93, p < 0.001) and in 94% of the HR children (z = 5.05, p < 0.001). A significant difference in the degree of asymmetry was found between the LR and the HR groups on the averaged group of electrodes (t(70) = 2.16, p = 0.034). This difference could, however, not be replicated on the level of individual electrode pairs (U test, all p > 0.050).
Discussion
In the current study, cortical evoked potentials to syllable and phoneme rate modulations were measured in a group of prereading children with and without hereditary risk for dyslexia. Prereading children demonstrated a right hemispheric preference for processing syllable rate modulations. In contrast, symmetric processing of phoneme rate modulations was observed. No clear differences between the HR and the LR group could be observed.
In literature, evidence is reported for a functional hemispheric preference to process modulation rates that are present in the temporal envelope of speech (Poeppel, 2003). However, there is still no consensus about the precise manifestation of this hemispheric processing asymmetry. Whereas most studies indicate that syllable rate modulations are processed dominantly in the right hemisphere (Boemio et al., 2005; Abrams et al., 2008; Hämäläinen et al., 2012), it is still under debate as to whether phoneme rate modulations are processed in the left hemisphere (Abrams et al., 2008) or bilaterally (Boemio et al., 2005; Hämäläinen et al., 2012). An important factor contributing to these contradicting results is the methodological difference between studies. First, studies assessed asymmetry with different recording techniques (fMRI: e.g., Boemio et al., 2005; MEG: e.g., Hämäläinen et al., 2012; EEG: e.g., Poelmans et al., 2012a). Second, stimulus factors such as stimulus complexity (linguistic: e.g., Abrams et al., 2009; acoustic: e.g., Lehongre et al., 2011) or stimulus presentation manner (unilateral or bilateral stimulus presentation: e.g., Poelmans et al., 2012b) may have influenced hemispheric asymmetry. In a previous study, we investigated neural sensitivity to syllable and phoneme rate modulations in adults with and without dyslexia (Poelmans et al., 2012a,b) with exactly the same stimuli and a very similar recording technique as used in the present study. We found that, with right ear stimulation, syllable and phoneme rate modulations were lateralized to the right hemisphere (Poelmans et al., 2012b), and that adults with dyslexia demonstrate lower left hemispheric responses to phoneme rate modulations (Poelmans et al., 2012a). Based on these results, it was hypothesized that the literacy problems in dyslexia may be caused by a specific problem in processing phoneme rate modulations in the speech envelope.
In contrast to the results found in adults (Poelmans et al., 2012a), the present study did not find evidence for syllable and phoneme rate processing differences between preschool children with a high hereditary risk for dyslexia and control children. This is, however, not completely unexpected given the heterogeneity of the samples examined in this study. That is, the current study selected participants based on their hereditary risk for dyslexia. The fact that “only” up to 50% of the children with a high hereditary risk for dyslexia will eventually develop dyslexia (Gilger et al., 1991) implies that this high-risk group is very heterogeneous and that effects may be masked. Nevertheless, in previous fMRI studies, structural and functional alterations in posterior brain regions were demonstrated in children with high hereditary risk for dyslexia before reading onset (Raschle et al., 2011, 2012). Longitudinal follow-up and retrospective investigation of the current sample will be necessary to determine the real precursors of dyslexia.
In contrast to the syllable and phoneme rate modulations, a significant group difference was found for the 80 Hz control rate modulation in the absolute strength of lateralization. Since 80 Hz responses are known to be more prominent in the brainstem at the ipsilateral side of stimulation (see below), a lateralized processing was expected. However, responses at 80 Hz were significantly less lateralized to the right in HR compared with LR children. A less lateralized response in HR children may indicate reduced neural synchronization to the stimulus. Alternatively, it is possible that fewer brainstem neurons fire synchronously in the HR group compared with the LR group. However, the last two possibilities are unlikely, since no differences were found in absolute response SNR between HR and LR children. Moreover, the observed difference between the HR and LR group was present only for the averaged group of electrodes and could not be replicated when analyses were performed on the individual electrode pairs. This suggests that the group difference at 80 Hz may be a rather small effect. Nonetheless, in literature the presence of auditory processing abnormalities in individuals with dyslexia are found across multiple levels of the auditory processing system from the level of the auditory brainstem (e.g., Hornickel et al., 2009) to the level of the auditory cortices (e.g., Poelmans et al., 2012a). Moreover, Abrams et al. (2006) found that the precision of temporal encoding of speech in the auditory brainstem predicts cortical asymmetry to speech sounds. A poorer neural synchronization in the brainstem might thus influence the development of hemispheric asymmetry patterns at syllable and/or phoneme rate modulations.
Despite the lack of clear group differences, different hemispheric asymmetry patterns were found for the 80 Hz control rate, the syllable rate, and the phoneme rate modulations. For the 80 Hz control rate, a right lateralized response was found in the HR and LR groups. The dominant neural generators of the 80 Hz responses are located in brainstem, before the anatomical crossover of the auditory pathway in the superior olive complex (Picton et al., 2003), resulting in ipsilateral right lateralization to monaural right ear stimulation. Ipsilateral asymmetry to 80 Hz responses has been observed by others in adult studies as well as in children and infant studies (Herdman et al., 2002; Picton et al., 2003).
For the syllable rate, responses were higher over the right than over the left hemisphere, for both the HR and the LR groups. Right asymmetry for syllable rate modulations was previously found in adults (Poelmans et al., 2012a,b), children (Abrams et al., 2009), and newborns (Telkemeyer et al., 2009, 2011). Together with the present findings, this suggests that right hemispheric specialization to process syllable rate modulations is already present at a very young age, possibly even from birth. This, in combination with the lack of group difference in the present study and in adults (Poelmans et al., 2012a), suggests that it is unlikely that the reading problems in dyslexia are caused by a neural deviance in processing syllable rate modulations.
For the phoneme rate, responses were equally high in both hemispheres, for both the HR and the LR groups. This is in contrast with results found in adults, where an ipsilateral preference (i.e., a right hemispheric asymmetry to right ear stimulation) for processing phoneme rate modulations was found (Poelmans et al., 2012b). The dissimilarity between both age groups may have structural as well as functional causes. First, the difference between children and adults may be due to a difference in the degree of cortical folding. If an extended range of pyramidal cells is activated, responses can be generated with a variable polarity due to the high folding that appears in the human cerebral cortex (Ahlfors et al., 2010). Depending on the local geometry of the cortex, this can result in a cancellation of the generated responses, especially when the patches of activity extend to opposite walls of sulci and gyri (Shaw et al., 2013). Furthermore, it has been shown that the degree of cortical folding changes with age and becomes stable only at 6–7 years of age (Nie et al., 2013). Therefore, a difference in the degree of cortical folding between hemispheres for children and adults in the region where responses to phoneme rate modulations are generated can cause different hemispheric response patterns at that rate. Second, it may be that the lateralization pattern of adults and prereading children differs because of developmental changes in the language network. Similar to the present results, Telkemeyer et al. (2009, 2011) found evidence for symmetrical processing of phoneme rate information in newborns. Given that cerebral lateralization changes with age (Shaw et al., 2009; Bishop, 2013) and that this development is influenced by maturation as well as experience (Minagawa-Kawai et al., 2011), it seems that symmetrical processing of phoneme rate modulations in prereading children develops into a specialized ipsilateral hemispheric preference, after the age of 5 years. This increasing cortical specialization for processing phoneme rate modulations may be linked to phonological and reading development. If phoneme rate processing mechanisms are not yet mature at the age of 5 years, this may explain why prereading children process phonological information at the syllable level, and do not spontaneously develop phoneme awareness before the start of reading instruction (Anthony et al., 2003; Ziegler and Goswami, 2005). It may be that a certain degree of cortical specialization is necessary to make this transition and to allow accurate reading development. Alternatively, it is possible that explicit reading instruction and the development of phoneme awareness has a top-down influence on the development of hemispheric specialization to process phoneme rate modulations in speech. Retrospective analysis of the current dataset, when children with dyslexia are identified, may unravel the causal nature of these hypotheses.
This study investigated cortical evoked potentials to syllable and phoneme rate modulations in a group of prereading children with and without hereditary risk for dyslexia. Even though we did not find group differences for processing syllable and phoneme rate modulations, the present results suggest an immature hemispheric specialization pattern for processing phoneme rate modulations in 5-year-old children. Therefore, it is hypothesized that a possible disturbance in the development of hemispheric specialization to processing phoneme rate modulations may, in part, underlie the reading problems of individuals with dyslexia. Longitudinal follow-up of these children will enlighten this assumption.
Footnotes
This research was supported by the Fund for Scientific Research Flanders (Grant G.0920.12) and the Research Council of KU Leuven (Grant OT/12/044). H.P. is supported through the Research Fund KU Leuven (Grant PDMK/12/170). We thank all children and their families, as well as the teachers and schools that participated in this study. Special thanks are due to H. Luts for her useful comments; R. Luke for technical assistance; S. Dandache for support in the recruitment of participants; and to L. Gijbels, T. Goossens, and S. Magits for their assistance in data acquisition.
The authors declare no competing financial interests.
- Correspondence should be addressed to Sophie Vanvooren, O&N2, Herestraat 49, bus 721, 3000 Leuven, Belgium. sophie.vanvooren{at}med.kuleuven.be