Evidence map›Paper›PMID 41771237›Full record

ArticleJournal of optometry

Efficacy of the DEM test as a predictor of reading difficulty.

M C Sanchez-Parra, S Martin-Gonzalez, I Sanchez

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Article in Journal of optometry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

M C Sanchez-ParraCentro de Optometria y Terapia Visual (COTV), Orihuela, Alicante, Spain.
S Martin-GonzalezDepartment of Construction and Manufacturing Engineering, University of Oviedo, Asturias, Spain.
I SanchezDepartamento de Física Teórica, Atómica y Óptica, Universidad de Valladolid, Valladolid, Spain; Optometry Research Group, IOBA Eye Institute, University of Valladolid, Valladolid, Spain. Electronic address: irene.sanchez.pavon@uva.es.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the relationship between the DEM test and reading speed, its diagnostic accuracy (sensitivity and specificity), and its usefulness as a screening tool for reading difficulties. We also examined how reading speed is associated with other optometric measures.

methodsA retrospective study was conducted involving children aged 7 and 8 years. Reading speed was assessed using the PROLEC test. The optometric evaluation included visual acuity, stereopsis, accommodative facility, near point of convergence, cover test, retinoscopy, and eye movements assessed with the DEM test. The standard DEM parameters were analyzed. In addition, given the aim of the study, a new outcome variable was introduced: the total time, calculated as the sum of the vertical and adjusted horizontal times.

resultsA total of 48 children participated in the study. When both age groups were analyzed together, all DEM parameters showed significant correlations with reading speed (vertical time, r=-0.52,p < 0.01; adjusted horizontal time, r=-0.63,p < 0.01; ratio, r=-0.48,p < 0.01; and total time, r=-0.58,p < 0.01). The best sensitivity-specificity combination for detecting below-age PROLEC scores was obtained using the adjusted horizontal time (whole sample: 80 %/45 %). AUC ranged from 0.59 (ratio) to 0.79 (total time). A significant association was also found between reading speed and accommodative function (p = 0.02).

conclusionThe application of the DEM test for detecting reading difficulties should be approached with caution. Although DEM results show a correlation with reading speed and demonstrate high sensitivity, specificity remains low regardless of the DEM measure used.

Indexed as

DyslexiaReadingVision ScreeningVision TestsAccommodation, OcularChildDepth PerceptionEye MovementsFemaleHumansMaleReproducibility of ResultsRetrospective StudiesSensitivity and SpecificityVisual AcuityDEM testEye movementsFixationReading difficultiesSaccades

Identifiers

PMID41771237
PMCPMC12961201

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.