Tag Archive for 'Treatment'

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Canadian kid docs on chiropractic

Over on I Speak of Dreams, Liz Ditz posted an entry showing that the Canadian Pediatric Association understands the appropriate use of chiropractic procedures with children and youths. Jump to Liz’s post, read her entry, and follow her link to the statement: “Canadian Pediatric Society Position Statement: Chiropractic care for children: Controversies and issues.”

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Remediation changes brain structures

Writing in the journal Neuron, Timothy Keller and Marcel Just reported that they have found changes in children’s neural anatomy that appear to be a consequence of improved reading performance. Whereas previous studies, many of which I’ve mentioned in these posts, have shown changes in the blood flow in children’s brains as a consequence of reading instruction, the findings from Keller and Marcel showed that there are changes in the physical tissue in the brain following remedial reading instruction.

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Promoting reading comprehension

Sheri Berkeley and colleagues reported the results of a meta-analysis of research on reading comprehension interventions for students with Learning Disabilities in a forthcoming issue of Remedial and Special Education. Although their results echo findings from earlier meta-analyses and narrative reviews, they were able to add refinements to educators’ understanding of ways to promote students’ understanding of what they read. They propose that the common element in successful interventions was “teach[ing] students to attend more carefully or to think more systematically about text as it was being read.”
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Additional weak evidence about chiropractic treatment

Over the holiday weekend, Liz Ditz sent me the reference to a study that I have now downloaded and read. I’m reporting my notes here. I see that she has a related post over on her blog, I Speak of Dreams.

In “Developmental Delay Syndromes: Psychometric Testing Before and After Chiropractic Treatment of 157 Children,” Scott Cuthbert and Michel Barras present the results of an analysis of pretest-posttest scores for children who received chiropractic treatment at a clinic in Lausanne (CH). They reported that the children had higher scores after treatment, leading them to conclude that “This report suggests that a multimodal chiropractic method that assesses and treats motor dysfunction reduced symptoms and enhanced the cognitive performance in this group of children.”

Here is the abstract for this report. After it, I’ll explain why I find this study provides uncompelling evidence in support of chiropractic treatment for Learning Disabilities.
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JLD on professional development


JLD cover

The Journal of Learning Disabilities for September-October 2009 features a special series of articles about the teaching of reading teaching. Issue editors R. Malatesha Joshi and Anne E. Cunningham put together a set of articles by stellar authorities in the area of reading to examine “Perceptions and Reality: What We Know About the Quality of Literacy Instruction.”

Moats, L. (2009). Still wanted: Teachers with knowledge of language. Journal of Learning Disabilities, 42, 387-391.

Joshi, R. M., Binks, E., Hougen, M., Dahlgren M. E., Ocker-Dean, E., & Smith, D. L. (2009). Why elementary teachers might be inadequately prepared to teach reading. Journal of Learning Disabilities, 42, 392-402.[Link]

Podhajski, B., Mather, N., Nathan, J., & Sammons, J. (2009). Professional development in scientifically based reading instruction: Teacher knowledge and reading outcomes Journal of Learning Disabilities, 42, 403-417. [Link]

Cunningham, A. E., Zibulsky, J., Stanovich, K. E., & Stanovich, P. J. (2009). How teachers would spend their time teaching language arts: The mismatch between self-reported and best practices. Journal of Learning Disabilities, 42, 418-430. [Link]

Spear-Swerling, L. (2009). A literacy tutoring experience for prospective special educators and struggling second graders. Journal of Learning Disabilities, 42, 431-443. [Link]

Kaiser, L., Rosenfield, S., & Gravois, T. (2009). Teachers’ perception of satisfaction, skill development, and skill application after instructional consultation services. Journal of Learning Disabilities, 42, 444-457.[Link]

Joshi, R. M., Binks, E., Graham, L., Ocker-Dean, E., Smith, D. L., & Boulware-Gooden, R. (2009). Do textbooks used in university reading education courses conform to the instructional recommendations of the National Reading Panel? Journal of Learning Disabilities, 42, 458-463. [Link]

Stotsky, S. (2009). Licensure tests for special education teachers: How well they assess knowledge of reading instruction and mathematics. Journal of Learning Disabilities, 42, 464-474. [Link]

Lyon, G. R., & Weiser, B. (2009). Teacher knowledge, instructional expertise, and the development of reading proficiency. Journal of Learning Disabilities, 42, 475-480.[Link]

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Think Aloud redux

Over on Twitter, friend of LD Blog Liz Ditz retweeted this:

RT @Includekidswdis: Stop, Think, Do a program by Lindy Petersen http://is.gd/1FQ0h which can really help children with #ADHD

I took a quick look and immediately remembered the work of Bonnie Camp and her colleagues (especially Mary Ann Bash) during the previous millennium. Dr. Camp and her group developed, researched, and refined methods for teaching children with learning and behavior problems, including attention deficit disorders, to manage their behavior. The Think Aloud program was at the forefront of the cog-mod mania that swept through child clinical psychology and special education in the 70s and 80s.

THINK ALOUD is a psychoeducational training progtam designed to enhance social and cognitive problem solving skills for increasing prosocial behavior and decreasing impulsivity. Much of the program content was chosen to correct cognitive deficits displayed by young aggressive boys. (1,2) Research on verbal mediation indicated that before internal controls could be established, many children needed first to establish effective control by verbalizing aloud then fading to a silent level. The Think Aloud Program was designed to teach children a problem solving process (including problem identificaton, generation of alternative solutions, predicting consequences and evaluating outcomes), how to verbalize aloud, how to apply this process in both cognitive and social situations, then move to silent direction and control of behavior. The original research with the program was conducted in two controlled trials and one refresher program with pairs of 6-8 year old boys rated as hyperaggressive by their teachers. (3,4,7,8,9,12) The manual for this program, along with details of research findings, is presented in Think Aloud: Small Group Program (11).

The numerals in the quote are footnotes (not surprisingly). They refer to only a few of the dozens of sources Dr. Camp provides.

Although it is a bit rough as a Web site, Dr. Camp has created an Internet site for Think Aloud. It features citations for those sources as well as some of the original materials. In addition, she has made some new materials for the program available as downloads.

Link to the Think Aloud site.

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Dyslexia in Science

Professor John Gabrieli of the Massachusetts Institute of Technology has a paper in the current issue of Science discussing dyslexia. Here’s the abstract.

Gabrieli, J. D. E. (2009). Dyslexia: A new synergy between education and cognitive neuroscience. Science, 325, 280 – 283

Reading is essential in modern societies, but many children have dyslexia, a difficulty in learning to read. Dyslexia often arises from impaired phonological awareness, the auditory analysis of spoken language that relates the sounds of language to print. Behavioral remediation, especially at a young age, is effective for many, but not all, children. Neuroimaging in children with dyslexia has revealed reduced engagement of the left temporo-parietal cortex for phonological processing of print, altered white-matter connectivity, and functional plasticity associated with effective intervention. Behavioral and brain measures identify infants and young children at risk for dyslexia, and preventive intervention is often effective. A combination of evidence-based teaching practices and cognitive neuroscience measures could prevent dyslexia from occurring in the majority of children who would otherwise develop dyslexia.

Link to the article

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About on Irlen

Whoever writes the section of About on Learning Disabilities provides support for Irlen Syndrome. Although there are two sentences expressing reservation and it doesn’t flatly commend the idea, there are 100s of words describing it and making fact-like statements such as “It often runs in families and typically goes mis-diagnosed as a learning disability or dyslexia.”

Here are the two disclaiming statements:

  • “Research in this area, however, is quite limited.”
  • “It is important to note that Irlen syndrome and visual treatments are unproven and not recognized by the major academic Pediatric Organizations in the US(AAP, AOA, and AAO.)”
  • At least there are those two sentence. Still, why report all the other stuff uncritically? But, perhaps I’m misreading the entry or over-reacting. I invite readers to check it (link to the entry) and then vote in this poll.

    How favorably does the About entry on Irlen Syndrome treat the topic

    View Results

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    Functional Disconnection Syndrome

    Here’s one for the faithful: “functional disconnection syndrome.” Let Dr. Kurt W. Kuhn, D.C. and Ph.D. explain:

    Functional Disconnection Syndrome is a condition where there is a functional breakdown in the neurological pathways of the body causing the brain and its neural net to function asynchronously, at a decreased frequency of firing or at a functional level that is below that required for higher cognitive and health requirements.

    A quick review of the medical literature will find the term “functional disconnections” used for all sorts of conditions that are the affect [sic] of neurological dysfunction. Symptoms ranging from behavioral and learning problems to pain and conditions of reduced general health. Functional disconnections can be caused by genetic, environmental, nutritional, stress, toxins, spinal subluxations and other causes.

    Just for grins, I took the challenge. I searched the health sciences databases available via EBSCO, the venerable information management system that says it works with 79,000 publishers. I found one citation referring to “Functional Disconnection Syndrome”; it was a case study describing a psychiatric problem of a 23-year-old woman (Simon, Walterfan, Petralli, & Velakoulis, 2008, Neuropsychobiology, 58).
    Continue reading ‘Functional Disconnection Syndrome’

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    Research on chiropractic effects on LD

    Somewhere someone who’s read my two earlier entries about chiropracty and Learning Disabilities probably said, “How can he say chiropractic treatment of LD is ‘bogus?’ Hasn’t he read the research?” Well, I actually did read what research I could find.

    I looked for studies about the effects of chiropracty and LD. I didn’t find any credible studies demonstrating the benefits of chiropractic treatment for LD or related problems. Indeed, the studies I found used inadequate research methods (unrepresentative samples; weak measures; designs that do not permit causal inferences; etc.). I was pleased to learn that my quick review agreed with a review reported by Yannick Pauli.
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