• Title/Summary/Keyword: 실어증

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Research Trends Regarding Primary Progressive Aphasia During the Last 10 Years (일차 진행성 실어증에 대한 최근 10년간 연구 동향)

  • Kim, Noheul;Kim, JungWan
    • 재활복지
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    • v.20 no.3
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    • pp.45-65
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    • 2016
  • The purposes of this study were to determine recent trends of domestic and international studies for primary progressive aphasia (PPA) patient group and to identify areas for future research. For these purposes, 171 studies on communication disorders of a PPA were chosen and sub-categories for research methods and contents were also analyzed. The sub-categories for research methods include types of research subject, research purpose and research field. As the research subject, 'agrammatism' was most frequently dealt with in both domestic and international studies; as the research purpose, 'characteristics study' accounted for the largest portion; and with respect to the research field, the international studies have covered evenly language, speech and others, while the domestic studies have handled only the field of 'language,' paying no attention to 'speech' and 'others.' In the international studies, apraxia of speech was added to the conventional three sub-types of PPA classification, so distinction between the four symptoms has been actively studied; however, patient cases were difficult to find in Korea, so the symptoms the patients had, although centering around communication disorders, have been rarely researched in the domestic studies. The results suggested that there have been extremely few studies related and their research field has lacked diversity. We suggested a direction for future research on communication disorders with PPA.

Assessment Tools of Cognitive-communicative Ability for Traumatic Brain Injury and Right Hemisphere Damage: A Review (외상성 뇌손상 및 우반구 손상 환자의 인지-의사소통 능력 평가도구에 관한 문헌 고찰)

  • Lee, Mi-Sook;Kim, Hyang-Hee
    • The Journal of the Korea Contents Association
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    • v.11 no.4
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    • pp.253-262
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    • 2011
  • Cognitive-communicative disorders after traumatic brain injury(TBI) and right hemisphere damage(RHD) are different from other neurological disorders in nature. Therefore, it is not desirable to use aphasia tests in evaluating individuals with TBI or RHD. The aim of this study is to review assessment protocols on TBI and RHD, and literature related with them. As a result, it is recommended that individuals with TBI be examined in scope of the cognition including attention, memory, organization, reasoning, as well as the functional communication. Similarly, it is useful to consider high-order language related to various cognitive domains in assessing cognitive-communicative ability after RHD. In conclusion, we need to focus on the overall cognitive-communicative domains in an evaluative process of TBI and RHD. Furthermore, it is necessary to develop multiple items for individuals with cognitivecommunicative disorders for the purpose of differentiating these heterogeneous groups from other neurological disorders such as aphasia, and of making good use of them as a therapeutic manual.

The Effects of Group Therapy on the Language Performance of Aphasics: 4 Cases (그룹치료가 실어증자들의 언어수행력에 미치는 영향: 사례연구)

  • Lee, Ok-Bun;Kwon, Young-Ju;Jeong, Ok-Ran
    • Speech Sciences
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    • v.9 no.3
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    • pp.113-120
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    • 2002
  • The purpose of this study was to determine the effects of group therapy on the language performance of aphasic patients. Four aphasic subjects participated in group therapy. Their aphasic types were TCMA (transcortical motor aphasia), conduction, anomie, and Broca's aphasia. The focus of the therapy was to stimulate cooperative learning skills. For this purpose, categorization tasks, semantic association tasks, convergent thinking, and divergent thinking tasks were employed. The results showed that all of the aphasic subjects demonstrated some improvement in writing ability, categorization ability, and speaking ability in sentences.

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The Validity and Reliability of the Daegu Diagnostic Aphasia Examination (대구 실어증 진단검사 개발 및 표준화 연구 -신뢰도와 타당도-)

  • Kim, Ji-Chae;Ahn, Jong-Bok;Lee, Ok-Bun;Hwang, Young-Jin;Jeong, Ok-Ran
    • Speech Sciences
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    • v.12 no.3
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    • pp.7-17
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    • 2005
  • This study aimed at investigating the validity and reliability of the Daegu Diagnostic Aphasia Examination (DDAE). The DDAE has been developed to assess aphasics' receptive and expressive language ability. One hundred and forty eight aphasics (96 males and 52 females) diagnosed as aphasics participated in this study. Reliability coefficients showed that the DDAE was highly consistent and accurate (Cronbach's a = .76$\sim$.82). For its' content-validity, a 5-point scale was administered. Four speech and language pathologists served as evaluator. The receptive language mean score was 4.29, the expressive language mean score was 4.09, and the right-hemisphere function mean score was 4.00. For construct validity, the correlation total scores were calculated. The results showed a significant correlation.

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Effects of Cheap Talk on Improving Communicative Ability in Severe Broca's Aphasics (칩톡 사용이 중증브로카실어증 환자의 의사소통기능 개선에 미치는 효과)

  • Choi, Yang-Soon;Yoo, Jae-Yeon
    • Speech Sciences
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    • v.14 no.4
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    • pp.233-249
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    • 2007
  • This study investigated the improvement level of communication ability by mediation method using Cheap Talk in four severe Broca's aphasia patients, who have more difficulties in expression than comprehension. In the preliminary and post test, making nutritious rice dish and vegetable pancakes were performed. In the mediation stage, the activities of going to markets, making kimchi and bean paste soup were performed and script activities were performed in the first week and activities using picture cards were executed in the next week by turns. The results of this study were as follows. First, the communication functions of all subjects were improved under all of the courses using Cheap Talk. Second, the method of mediation by using picture cards showed higher communication functions than the method of mediation by using script activity with the use of Cheap Talk.

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A Case Report of Child Aphasia (아동 실어증 환아 증례 보고)

  • Song, Hyun-Jee;Han, Jae-Kyung;Kim, Yun-Hee
    • The Journal of Pediatrics of Korean Medicine
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    • v.22 no.2
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    • pp.115-123
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    • 2008
  • Objectives : The purpose of this study is to report a case showed some clinical improvement in treating child aphasia with oriental medicine. Methods : The patient had some problems in communication, intelligence and behaviors due to aphasia after brain injury caused by epilepsy. We treated the patient with herbal medicine(Yangsintangkamibang), acupuncture, verbal remediation and intelligence-learning treatment. We observed the clinical progress of aphasia and evaluated the case with PRES. Results : Oriental medical treatment alleviated patient's symptoms of aphasia and PRES was also improved. Conclusions : This study shows oriental medicine can be a meaningful treatment for child aphasia, and more studies for oriental medical treatment for child aphasia is needed.

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A Case Report of Broca’s Aphasia after Cerebral Infarction by Korean Medical Treatment including Five-Element Acupuncture (오행침자법(五行鍼刺法)을 포함한 한방치료로 호전된 뇌경색 후 발생한 Broca 실어증 치험 1례)

  • Kim, Tae-ryun;Lim, Hyun-chan;Jeon, Sang-yun
    • The Journal of Internal Korean Medicine
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    • v.37 no.3
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    • pp.568-577
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    • 2016
  • Objective: To report the case of a patient suffering from Broca’s aphasia after cerebral infarction, which was improved by Korean medical treatments, especially five-element acupuncture.Methods: To relievesymptoms, Korean medicine treatments such as acupuncture, moxibustion, and herb medication were performed. To evaluate the effect of the treatments, articulation accuracy, vowel accuracy, and the sequential motion rate of articulator were checked.Result: After treatments for 28 days, the symptoms were improved.Conclusion: This report suggests that five-element acupuncture can be effectively used for patients with Broca’s aphasia after cerebral infarction.

한국판 실어증 감별진단 검사법 시안(1)의 표준화에 있어서 한국 정상대조군을 중심으로 한 쓰기능력 검토

  • 박혜숙;사사누마스미꼬;선우일남;나은우;신정순
    • Proceedings of the KSLP Conference
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    • 1994.06b
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    • pp.85-85
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    • 1994
  • 본 연구에서는 환자의 쓰기 과제에 있어서 득점에 영향을 주는 요인이 연령차인지 학력 차인지를 검토하였다. 연구대상은 40세 이상의 정상자 162명이며 남성 82명, 여성 80명으로서 다음의 3가지 조건을 갖춘 자로 하였다. 1) 정신·신경학적인 기왕력이 없을 것, 2. 오른손잡이이며, 3. 교육수준은 최저 국민학교 졸업이상인 것 등이다. 검사 항목은 1) 한자 문자의 재현, 2) 한자 단어의 스스로 쓰기, 3) 한자 단어의 받아쓰기 등이며, 검사득점 분석결과 한자의 쓰기 능력 득점에 영향을 주는 것은 학력 차보다는 오히려 연령차이에 의한 영향이 주 요인인 것이 명백하게 되었다. (중략)

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Two cases of Combination Therapy of Acupuncture, Herbal medication and Speech Therapy for Aphasic Stroke Patients (중풍 후유증으로 인한 실어증 환자에 한방치료와 언어치료를 병행한 경험2례)

  • 양태규;박정미
    • The Journal of Korean Medicine
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    • v.23 no.4
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    • pp.196-202
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    • 2002
  • Aphasia is frequent in stroke patients and most patients with aphasia exhibit spontaneous progressive improvement in language abilities over time, but few recover completely. Neurological variables, especially initial severity of aphasia and time post-onset, appear to have influence on improvement. Effect of speech therapy and pharmacotherapy has been studied and some drugs, like amphetamine are proved to be benefit for recovery of aphasia following stroke. But there has been few evidence to facilitate recovery from aphasia by acupuncture or herbal medication therapy. So we report two cases of aphasic stroke patients who treated by combination therapy of acupuncture, herbal medication(Cheongsinhaeo-tang) and speech therapy over 6 months and improved in language abilities. Further clinical studies will be needed to explore the effects of acupuncture and herbal medication therapy for aphasia. Researchers should examine the long term effect of these treatment, and whether it is more effective than speech therapy and western pharmacotherapy or not..

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A Preliminary Study for Development of the Aphasia Screening Test (실어증 선별검사 도구개발을 위한 예비연구)

  • Kim, Hyang-Hee;Lee, Hyun-Joung;Kim, Deog-Yong;Heo, Ji-Hoe;Kim, Yong-Wook
    • Speech Sciences
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    • v.13 no.2
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    • pp.7-18
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    • 2006
  • An aphasia screening test can serve a main purpose of differentiating aphasics from non-aphasic patients in a quick as well as efficient manner. As a preliminary study for developing a standardized aphasia screening test for Korean patients, we constructed an aphasia screening test constituting items from the Paradise' Korean version-the Western Aphasia Battery(P K-WAB). All test items were analyzed in order to extract items with optimal item discrimination and adequate item difficulty indices. From the results, we were able to select some items from each subtest with optimal results of discriminant function analysis for aphasic and normal control groups. It is expected, thus, that information on the item analysis could be utilized in developing a Korean aphasia screening test.

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