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Taking into account the systems for the treatment of brain information when drawing up a work plan allows us to recreate processing routines that go from multisensory perception to motor, oral and cognitive production, which is the step prior to executive levels of thought, bottom-up and top-down processing systems. In recent years, the use of phonological methods to prevent or resolve reading disorders has become the fundamental mainstay in the treatment of dyslexia. The work is mainly based on phonological proficiency, which enables the patient to detect phonemes (input), to think about them (performance) and to use them to build words (output). Daily work with rhymes, the capacity to listen, the identification of phrases and words, and handling syllables and phonemes allows us to perform a preventive intervention that enhances the capacity to identify letters, phonological analysis and the reading of single words. We present the different therapeutic models that are most frequently employed. Fast For Word (FFW) training helps make progress in phonematic awareness and other linguistic skills, such as phonological awareness, semantics, syntax, grammar, working memory and event sequencing. With Deco-Fon, a programme for training phonological decoding, work is carried out on the auditory discrimination of pure tones, letters and consonant clusters, auditory processing speed, auditory and phonematic memory, and graphophonological processing, which is fundamental for speech, language and reading-writing disorders. Hamlet is a programme based on categorisation activities for working on phonological conceptualisation. It attempts to encourage the analysis of the segments of words, syllables or phonemes, and the classification of a certain segment as belonging or not to a particular phonological or orthographical category. Therapeutic approaches in the early phases of reading are oriented towards two poles based on the basic mechanisms underlying the process of learning to read, the grapheme-phoneme transformation process and global word recognition. The interventionalist strategies used at school are focused on the use of cognitive strategy techniques. The purpose of these techniques is to teach pupils practical strategies or resources aimed at overcoming specific deficiencies.
Resumen: En este estudio se pretende investigar el funcionamiento neuropsicológico de niños con dislalias. 34 niños con dislalia múltiple (distorsión o sustitución articulatoria de tres fonemas: /r/, /l/ y /s/) y exploración neurológica normal fueron comparados con 28 niños sin problemas del habla. El perfil neuropsicológico se estima mediante la Escala de Inteligencia Wechsler para Niños-Revisada (WISC-R) y la Batería Neuropsicoló-gica Luria-DNI. Los resultados indican que los niños dislálicos presentan: a) un perfil mnésico globalmente deteriorado respecto al grupo de referencia aunque están preservado la memoria remota y la memoria de formas; b) alteraciones en cinestesia y estereognosia; c) problemas atencionales. Estos resultados indican que los niños dislálicos presentan problemas mnésicos y atencionales similares a los manifestados por niños con problemas de lenguaje secundarios a daño cerebral o afectaciones orgánicas o psicolingüísti-cas importantes. Debemos considerar este perfil neuropsicológico deteriorado en la orientación neurológica y psicoeducativa de estos niños. Palabras clave: atención; cinestesia; dislalias; estereognosia; memoria; perfil neuropsicológico.Title: Neuropsychological profile of children with dyslalias: Memory impairment and attentional. Abstract: In this study we investigate the neuropsychological functioning of children with dyslalias. 34 children with multiple dyslalia (articulatory distortion or substitution of three phonemes: / r /, / l / and / s /) and normal neurological examination. 28 children without speech problems are used as reference group. The neuropsychological profile is estimated using the Wechsler Intelligence Scale for Children-Revised (WISC-R) and Luria Neuropsychological Battery-DNI. We found in children with dyslalias: A) The memory profile deteriorated globally in respect to the reference group but are preserved remote memory and the memory of shapes. B) kinesthesia and estereognosia disorders. C) Attentional disorders. We found mnemonic and attentional problems in children with dyslalias similar to those children with language problems secondary to brain damage or affect organs or major psycholinguistic disorders. We consider this neuropsychological profile deteriorated in neurological and psychoeducational counseling, which would justify the treatment and neuropsychological rehabilitation of memory and attention. Key words: attention; kinesthetic; dyslalias; estereognosia; memory; neuropsychological profile IntroducciónEl término dislalia hace referencia a un trastorno primario de la articulación de los fonemas. Es la alteración del habla más frecuente en niños. Se estima que puede tener una incidencia del 5-10 % entre la población infantil. El trabajo pionero de Ingram (1976) ofrece un primer estudio neuropsicológico de los sujetos con problemas primarios de articulación y presenta un modelo con tres niveles en los que ubicar el mecanismo alterado o el tipo de operación deficitaria en cada caso. Así, distingue entre el nivel perceptivo, el organizativo ...
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