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Archives de pédiatrie
Volume 13, n° 7
pages 1071-1075 (juillet 2006)
Doi : 10.1016/j.arcped.2006.04.016
Que faire devant un enfant qui n'apprend pas à lire ?
What should be done when a child cannot learn to read?

C. Billard
Centre de référence sur les troubles du langage de l'enfant, CHU de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France 


Devant un enfant en difficultés d'apprentissage de la lecture, le médecin doit réaliser un examen clinique neuropsychologique. Il vérifiera si la plainte est justifiée par un test étalonné, en référence au développement normal de la lecture. Il différenciera les difficultés de lecture qui s'inscrivent dans un retard scolaire global (déficit intellectuel, trouble de la communication ou massif du comportement), des troubles spécifiques d'acquisition du langage écrit. Les troubles spécifiques peuvent se limiter à un simple retard ou bien rentrer dans le cadre d'une dyslexie. La réponse pédagogique de première intention, les indications de la rééducation orthophonique ainsi que les adaptations pédagogiques sont décrites.

The full text of this article is available in PDF format.

When a child faces difficulties in learning to read, clinicians should, first of all, examine cognitive functions. The actual reading level is checked using a test calibrated on normal reading development. They are thus able to differentiate between global learning disorders (related to mental deficiency or pervasive disorders) and specific reading impairment. Specific reading impairment might be a simple delay or developmental dyslexia. We described the first at-school training, as well as the criteria of speech therapy.

The full text of this article is available in PDF format.

Mots clés : Lecture, Dyslexie, Enfant

Keywords : Reading, Dyslexia, Child

© 2006  Published by Elsevier Masson SAS.
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