Integrated number sense tutoring remediates aberrant neural representations in children with mathematical disabilities.

Focusing on neural mechanisms, our study advances understanding of how numerical problem-solving can be enhanced in children with mathematical disabilities (MD). We evaluated an integrated number sense tutoring program designed to enhance connections between concrete (e.g. 2 dots) and symbolic (e.g. "2") numerical representations. Remarkably, the tutoring program not only improved these children's ability to process numbers similarly across formats but also enhanced their arithmetic skills, indicating transfer of learning to related domains. Importantly, tutoring normalized brain processing patterns in children with MD to resemble those of typically developing peers. These insights highlight the neural bases of successful interventions for MD, offering a foundation for developing targeted educational strategies that could markedly improve learning outcomes for children facing these challenges.