Dysorthographia: Complete Guide for Speech-Language Pathologists

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Dysorthography: complete guide for speech therapists

Dysorthography is a specific learning disorder of spelling. Often associated with dyslexia, it can also exist in isolation. It is characterized by persistent difficulties in spelling words correctly despite appropriate instruction. This guide presents the types of dysorthography, assessment and rehabilitation strategies.

✍️ Resources for dysorthography

Spelling exercises, visual rules, mnemonic strategies

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What is dysorthography?

Dysorthography is a specific disorder of spelling acquisition, of neurobiological origin. It manifests itself through persistent difficulties in writing words correctly, in the absence of intellectual disability, sensory disorder or lack of instruction.

It is often associated with dyslexia (reading disorder), but can exist in isolation. When both disorders are present, it is called dyslexia-dysorthography.

Types of dysorthography

TypeAffected mechanismTypical errors
PhonologicalPhoneme-grapheme conversionPhonetically implausible errors: "boat" → "bot"
SurfaceOrthographic lexiconErrors on irregular words: "woman" → "wuman"
MixedBoth routesAll types of errors

Types of spelling errors

Phonological errors

  • Omissions: "tree" → "tre"
  • Additions: "leave" → "leaeve"
  • Substitutions: "hat" → "bat"
  • Reversals: "for" → "fro"

Usage/lexical errors

  • Irregular words: "mister" → "miter"
  • Homophones: "to/too", "there/their"
  • Silent letters: "time" → "tim"

Grammatical errors

  • Agreement: "the cats black"
  • Conjugations: "they eats"
  • Grammatical homophones: "and/end", "this/these"

Assessment

  • Word dictation: regular, irregular, pseudowords
  • Sentence/text dictation
  • Spontaneous written production
  • Qualitative analysis of errors
  • Reading assessment (often associated)
  • Phonological awareness

Speech therapy intervention

💡 Rehabilitation principles

  • Target the type of dysorthography (phonological, surface, grammatical)
  • Make explicit the rules and strategies
  • Multi-sensory: see, hear, write, spell
  • Repetition and automatization
  • Metacognition: learning to proofread

Work areas

  • Phonological awareness: segmentation, sound manipulation
  • Phoneme-grapheme correspondences: systematic learning
  • Orthographic lexicon: memorization of frequent and irregular words
  • Spelling rules: explicit, with mnemonic devices
  • Grammar: agreements, conjugations
  • Proofreading strategies

School accommodations

  • Additional time
  • Computer with spell checker
  • Non-penalization of spelling (except dictation)
  • Adapted dictation: fill-in-the-blank, multiple choice, reduced
  • Oral assessment when possible
  • Supports: memo cards, displayed rules

Our tools to download

🎶 Phonological awareness

Foundation of phonetic spelling.

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📝 Visual spelling rules

Illustrated memos of main rules.

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🔤 High-frequency word cards

Words to memorize globally.

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✅ Proofreading grid

Checklist for self-correction.

Download

Frequently asked questions

📌 Is dysorthography always associated with dyslexia?

No, not always. Most dyslexics also have dysorthography (reading and writing share mechanisms). But dysorthography can exist without dyslexia: the person reads correctly but has difficulties writing. This is particularly the case when it is the lexical route (orthographic memory) that is affected.

📌 Is a spell checker sufficient?

The spell checker is a valuable help but is not sufficient. It doesn't correct everything (grammatical homophones, misspelled but existing words) and doesn't replace understanding of rules. Rehabilitation aims to improve spelling skills, and the spell checker is a complementary compensation tool.

✍️ Supporting dysorthography

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