History, Dyslexia and Instruction Flashcards

1
Q

History of the Field of Learning Disabilities

A

Term first introduced in 1963 to link concerned parent groups into an organization
Term invented to create an umbrella under which different types of disabilities and impairments could fall
Learning Disabilities Association of America was born
From 1800-1930, brain research was performed by physicians (mostly on adults)
Linked the loss of functions to specific damaged areas of the brain
Became the foundation of the field of learning disabilities in children (1930-1960)
Psychologists and educators developed instruments for assessment and for methods of teaching students with learning disabilities

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2
Q

History of the Field of Learning Disabilities (cont’d)

A

Term brain-injured children used by Strauss and Lehtinen (1947)
These pioneers determined that brain injury could occur:
Before birth (prenatal stage)
During birth process
After birth (postnatal stage)
Organic impairments impede the natural learning process
Perceptual disorder is a characteristic of brain injured child (1950s)
Disturbance in the ability to perceive objects, relations or qualities
Difficulty with sensory stimulation
Minimal brain dysfunction (1966)
Mild or minimal neurological abnormality that causes learning disabilities
Child may have near average intelligence with learning and behavior disorders related to central nervous system dysfunction

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3
Q

History of the Field of Learning Disabilities (cont’d)

A

Programs established
One of the first public school programs for learning disabilities was established in Syracuse in early 1960s
By the 1960s and 1970s programs were established throughout the country
State laws requiring services
Widespread training programs for educators
Education for All Handicapped Children Act (PL 94-142) established in 1975; amended to IDEA in 1990
Programs initially mandated learning disabled students to be taught in separate classrooms before resource room was developed

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4
Q

History of Dyslexia Discovery

A

1861 - Paul Broca, French surgeon, isolates speech area during autopsy of an individual who lost his speech, but retained other skills
Became known as Broca’s area (located on frontal lobe on left side of brain)
1874 - Neurologist Carl Wernicke isolates brain area of individual who could speak but lost comprehension skills
Now known as Wernicke’s area (located on temporal lobe of back/left side of brain)
1877 – German physician Adolph Kussmaul observes “word blindness” but believes it is visually based
1896 – Dr. W. Pringle Morgan is first to recognize, describe and label dyslexia
1917- Ophthalmologist James Hinshelwood advocates a specific systematic teaching tactic that involves linking multiple brain regions and modalities
1925- Psychiatrist and neuropathologist Samuel Orton begins work on dyslexia and notes five types of learning disorders

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5
Q

Orton’s 5 Types of Learning Disorders

A

Developmental alexia (without word reading) or word blindness - inability to read in a way that is consistent with mental age or other academic skills not due to a visual or motor disturbance in seeing or copying letters
What does this sound like?

Developmental word deafness–the inability to identify sounds correctly and understand spoken language
What does this sound like?

Special disability in writing
What does this sound like?

Motor speech delay

Stuttering
Orton recognized that dyslexia was neurologically based and proposed multisensory instructional approach

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6
Q

History of Dyslexia Study

A

1932 - Teacher Anna Gillingham joins Orton in the Language Research Project of the New York Neurological Institute
Develops the still used Orton-Gillingham method emphasizing the structure of language and understanding of its principles
Explicitly teaches phonology, phonics, syllables, morphology, syntax, semantics and reading comprehension while also weaving them together
Includes diagnostic, structured, sequential, systematic, and cumulative techniques
1936 - Psychologist and educator Marion Monroe develops Reading Aptitude Tests
1943 - Grace M. Fernald pioneers multisensory teaching approaches (visual, auditory, kinesthetic/tactile) for teaching sight words and publishes Remedial Techniques in Basic School Subjects
Students trace with finger as they say word aloud
1962 - Sally Childs develops systematic phonics teaching for classroom to reach more students

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7
Q

History of Dyslexia Study (cont’d)

A

Beth Slingerland develops preventative measures and teaches graduate level class
Her adapted Orton-Gillingham approach spread to public school districts throughout the country
Aylett Cox trained large groups of teachers
Published textbooks, materials, and evaluations
Alphabetic Phonics training program is still in use
1963 - Samuel Kirk proposes “learning disabilities” label
Parents spur movement and demand multidisciplinary team approach to meet their children’s educational needs
Led to Education for All Handicapped Children Act of 1975 which guarantees Free and Appropriate Public Education (FAPE) for all students with educationally disabling conditions
Becomes Individuals with Disabilities Education Act (IDEA) in 1990 and revised over the years
Eligibility varies from state to state

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8
Q

Understanding Dyslexia

A

What do we know or have we heard about dyslexia?
International Dyslexia Association (IDA)/National Institution of Child Health and Human Development (NICHD) definition
Neurobiological in origin
Difficulties with accurate or fluid word recognition
Poor spelling and decoding
Results from a deficit in the phonological component of language
Unexpected in relation to other cognitive abilities and proper classroom instruction
Secondary consequences
Reading comprehension problems
Limited vocabulary and background knowledge

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9
Q

Dyslexia
What type of deficit, what it affect and statistics

A

A deficit of the phonological system
Impacts word reading, decoding and spelling
Affects 80% of those identified with learning disabilities
One of the most common learning problems in children and adults
Estimated to occur in up to 20% of the population in USA
Found in every social class, race, and ethnic group
Occurs across the lifespan – no “growing out of it”

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10
Q

Most At Risk of Dyslexia

A

Most at-risk
Little understanding of phonemic awareness, letter knowledge, print awareness, reading purpose, and lack oral language and vocabulary skills
Children from low SES households
May not have health care
Children with speech and hearing impairments
Children whose parents and caregivers have low reading levels

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11
Q

Common Early Signs of Dyslexia

A

Difficulty learning to speak
Problems organizing written and spoken language
Difficulty learning the sounds and names of letters
Inaccurate decoding
Slow, laborious, dysfluent reading
Spelling and writing problems
Difficulty learning foreign language
Struggles in memorizing number facts
Difficulty with math operations
Not caused by: lack of motivation, sensory impairment, inadequate instruction, a lack of environmental opportunities or low intelligence

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12
Q

Relevant Brain Function and the genetic component of dyslexia and the goal

A

Broca’s Area (frontal lobe)
Articulation of words and ideas
Wernicke’s Area (parieto-temporal lobes)
Word analysis (comprehension)
Occipito-temporal lobes
Word form (morphology)

*Dyslexia has a genetic component (runs in families)
*Goal is to build brain circuitry and pathways that connect and interact in students with dyslexia that is like the pathways that are present in students whose reading development is typical

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13
Q

Developmental Language Disorder (DLD) and Dyslexia

A

Many studies have looked at the overlaps and differences
Catts’ “Distinct Disorders Hypothesis” has won out
Children with DLD show a wide range of reading abilities and children with dyslexia show a wide range of language skills (high co-occurrence)

Universally agreed upon
Both are language based with underlying phonological component
Average intelligence

Differences
Dyslexia = primacy deficit in word reading
DLD = primary deficit in comprehension

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14
Q

Important Terms for Structured Literacy and Its Components

A

Structured Literacy
Teaching literacy in a planned, systematic manner
Phonology
The study of the sound structure of spoken words within a single language
Phonics
Mapping out of phonemes to their spellings and spellings to their pronunciations
Morphology
Study of the sequence and structure of meaningful elements in words
Syntax
The set of principles that dictate the sequence and functions of words, phrases, and clauses in sentences to convey meaning

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15
Q

Important Terms for Structured Literacy and Its Components

A

Fluency
Reading with speed, accuracy, and prosody
Semantics
Meaning of words, phrases, sentences, and connected texts and their relationships
Systematic
Following a planned path based on evidence
Multisensory
Tapping into multiple senses, also known as “modalities” (Visual, Auditory, Tactile/Kinesthetic)

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16
Q

Phonemic Awareness and Dyslexia

A

Must develop an awareness of how phonemes build to words which build to sentences in order to be a reader
Dyslexics have difficulty recognizing real and pseudowords
Overreliance on context and guessing instead of developing decoding skills
Students can be identified early based on phonemic awareness screening tools!
Need intensive, early help from a trained professional during this critical period in order to catch up!

17
Q

Other Deficits Associated with Dyslexia

A

Attention
Short-term memory problems
Verbal memory weaknesses
Difficulty with word retrieval
Mathematics deficits
Listening and reading comprehension
Difficulty with motor aspects of writing
Poor pencil grip and messy handwriting
Poor oral and written expression

18
Q

Executive Functioning Deficits and Dyslexia

A

Prefrontal cortex
Following directions
Retrieving names of things such as letters
Sequencing
Time management
Organizational problem
Lack of self/social awareness
Poor spatial sense

19
Q

Effective Instruction

A

Evidence-based research instruction to all students
fMRIs show that intensive, systematic evidence-based reading interventions led to increased activation in the left occipito-temporal brain region
Significant gains in reading fluency and comprehension in YEAR ONE
Evidence of brain plasticity
Brain organization improves and neural systems develop that underlie skilled reading
Older students require more intense instruction
Must make more than a year of progress each year to catch up
Providers must be equipped to teach listening, speaking, reading
Multisensory instruction is necessary!

20
Q

Elements of Effective Instruction
Approach must include

A

Approach must include:
Systematic, explicit phonemic awareness instruction
Phonics
Spelling integrated with reading
Fluency
Vocabulary building
Text comprehension strategies

Multisensory Structured Literacy (MSL) programs necessary when classroom approaches fail
Visual, Auditory, Kinesthetic, Tactile (VAKT)

21
Q

Multisensory Instruction
Advantages

A

Active Learning
Conscious employment of responsive, strategic learning
Makes it easier for students to sustain focus
Increases engagement
Learners actively make connections between new information and existing schemata
Forming own mnemonic strategies and thinking aloud while learning ties to memory and promotes generalization

Triple Word Form Theory (TWFT)
Phonology–orthography–morphology should be integrated during instruction
Already critical during younger grades, but becomes increasingly important as students get older
Predicts the development of reading, spelling, and vocabulary

22
Q

Synthetic and Analytic Instruction

A

Synthetic - builds from part to whole
Combining sounds to make a word
/g/ + /o/  go
Use supporting details to find main idea

Analytic – begins with the whole and then broken down
Break apart a full word
Pump  /p/ + /u/ + /m/ + /p/
Find the main idea, and then fill-in the details

*These approaches are not exclusive to word work – can be applied to other language tasks

23
Q

MSL Programs

A

Multisensory, systematic, cumulative, explicit, sequential and taught by trained instructor
Orton-Gillingham
Wilson Reading systems (most common in schools)
HMH Into Reading
Imagine Learning EL Education
HD Word
Great Minds Wit & Wisdom

Structured lesson planning / keep charts to monitor progress
Technology and intensity are important factors
Content must include phonology and phonological awareness, sound-symbol association, syllable instruction, morphology, syntax, semantics

24
Q

Only Use Reading Programs That Have The Following Components:

A

Multisensory
Incorporate the five Pillars of Literacy
Individual or small group setting
Accredited (evidence-based)
Structured
Logical progression

25
Q

Orton-Gillingham Approach

A

Often the first approach used for a child with a reading disability
The basics of language are taught through all three modalities
Visual
Auditory
Kinesthetic
See letter, say it aloud, write it down at same time
Every reading rule directly taught
Some flexibility (contrast from Wilson)
Starts with letters and sounds; increases in complexity
One-on-one instruction is ideal, but used in small groups and classrooms

26
Q

Wilson Reading System
Tiers

A

Three Tiers of Wilson Intervention
Tier 1 (K-3) - Fundations
Tier 2 (K-3, 4-12) – Fundations or Just Words
Tier 3 (2-12) - Wilson Intervention (intense)
Designed for students who:
Have not made sufficient progress through other methods
Require multisensory language instruction
Have learning disability or dyslexia

27
Q

Wilson Reading System
Instructions in

A

Based on Orton-Gillingham principles
Instruction in:
Word Structure
Word recognition and spelling of high frequency words and irregular words
Vocabulary
Sentence-level text
Reading with expression
Listening comprehension
Reading comprehension with increasing levels of difficulty
Narrative and informational text structures
Proofreading and self-monitoring

28
Q

Wilson Components
5

A

Five main elements:
Phonemic awareness

Instruction of word analysis, prosody, and comprehension

Reading and spelling instruction

Cumulative instruction

Teaching for mastery

Students are involved in various activities including hearing sounds, practicing with flash cards, listing to others read, and reading aloud themselves.

29
Q

Wilson Structure/Design

A

10 Parts in each lesson
Block 1: Parts 1-5 emphasize word study/foundational reading skills
Block 2: Parts 6-8 emphasize spelling/foundational writing skills
Block 3: Parts 9-10 emphasize fluency and comprehension
Targeted 3-5 times per week for 60–90-minute sessions
One-on-one or small group
Can take up to three years to complete all 12 steps
Steps begin with closed syllables with increasing number of sounds
Build to open syllables
Suffixes
Contractions
R-controlled vowels
Advanced concepts (split vowels, such as “create, violin”)

30
Q

HD Word
Where is the focus ?

A

Preferred option for middle school, older students
Focus is word study (phonics, phonemic awareness)
Concepts may be appropriate for older students, but still targets all necessary reading components
Preventative Program
Whole class
15-25 minutes per day (Tier 1; grades 2-12)
Intervention
Small group
15-25 minutes per day (Tiers 2 and 3; grades 2-12)
Advanced phonics components

31
Q

HD Word

A

33 units (one per week)
Weekly Schedule
Monday - Oral reading/fluency/comprehension
Accuracy goal 98% or higher
Tuesday - Phonemic Awareness
Segmenting, blending, manipulating phonemes (multisensory)
Wednesday and Thursday - Phonics Concepts
Digraphs, blends, morphology, syllable types
Friday - Student Practice
Controlled practice, cumulative
Provider gives immediate feedback through positive error correction

32
Q

Rewards Program

A

Explicit
Systematic
Short-term
Focus is on adolescents (grades 4-12)
Students who struggle to read long, multisyllabic words
Comprehending content-area based text
Prefixes, suffixes
Increasing word and passage reading fluency
Building academic vocabulary
Has supplements for science, social studies content