• Title/Summary/Keyword: 우반구 손상

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Comparison of prosodic characteristics by question type in left- and right-hemisphere-injured stroke patients (좌반구 손상과 우반구 손상 뇌졸중 환자의 의문문 유형에 따른 운율 특성 비교)

  • Yu, Youngmi;Seong, Cheoljae
    • Phonetics and Speech Sciences
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    • v.13 no.3
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    • pp.1-13
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    • 2021
  • This study examined the characteristics of linguistic prosody in terms of cerebral lateralization in three groups of 9 healthy speakers and 14 speakers with a history of stroke (7 with left hemisphere damage (LHD), 7 with right hemisphere damage (RHD)). Specifically, prosodic characteristics related to speech rate, duration, pitch, and intensity were examined in three types of interrogative sentences (wh-questions, yes-no questions, alternative questions) with auditory perceptual evaluation. As a result, the statistically significant key variables showed flaws in production of the linguistic prosody in the speakers with LHD. The statistically significant variables were more insufficiently produced for wh-questions than for yes-no and alternative questions. This trend was particularly noticeable in variables related to pitch and speech rate. This result suggests that when Korean speakers process linguistic prosody, such as that of lexico-semantic and syntactic information in interrogative sentences, the left hemisphere seems to be superior to the right hemisphere.

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.

Characteristics of Right Hemispheric Damaged Patients in Korean Focused Prosodic Sentences (한국어 초점 발화 시 우반구 손상인의 초점 운율 특성)

  • Lee, Myung Soon;Park, Hyun
    • Therapeutic Science for Rehabilitation
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    • v.8 no.3
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    • pp.69-81
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    • 2019
  • Objective: The purpose of this study was to examine the characteristics of prosody of ambiguous sentences in patients with right hemisphere damage(RHD). Methods: Sentences with each word prosodically focused were used to investigate. Several acoustic parameters such as intensity, F0, and duration were measured to identify characteristics of prosody in patients with lesions in the right hemisphere and normal controls. All speech samples were recorded using the Praat 4.3.14 software. Data were analyzed with the independent sample t-test using SPSS 18.0. Results: The results of this study are as follows: First, intensity of the first syllable of the focus word was different between the two groups in several sentences. Second, F0 was different between the two groups in all sentences. Third, duration was different between the groups in several sentences. Accordingly, prosody were varied and values of acoustic parameters differed due to the focus of utterance. The group with right hemisphere damage showed restricted prosody. Conclusions: Intensity, duration, and F0 are all used as elements of prosody in emphasizing structural and pragmatic meaning, but according to the focus, strength and duration were related to F0. In contrast, F0 has a significant linguistic difference, but there was a significant difference between the RHD and normal people, so F0 can be a discriminatory factor of rhyme evaluation of the right hemisphere damaged and it is necessary to accumulate more strong evidence through future research.

Hemispheric Asymmetry in Processing Semantic Relationship Shown in Normals and Aphasic (정상인과 명칭성 실어증 환자에게서 보이는 의미적 관련성의 좌우반구 편재화)

  • Chae, Su-Kyung;Kim, Dung-Hye;Pyum, Sung-Bum;Hong, Sung-Bin;Lee, Hong-Jae;Nam, Ki-Chun
    • Annual Conference on Human and Language Technology
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    • 1999.10e
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    • pp.462-469
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    • 1999
  • 본 연구에서는 시각적으로 제시되는 단어 자극의 의미 관련성의 차이에 따라 좌우반구의 처리가 어떻게 이루어지는지 알아보고자 하였다. 이를 위해서 명칭성 실어증 환자와 정상인 대학생 피험자를 대상으로 점화 어휘판단 과제를 수행하였다. 이 연구의 기본 논리는 명칭성 실어증 환자의 왼쪽 뇌가 손상되어 있기 때문에 어떤 정보처리가 왼쪽 뇌에서 일어나는 것이라면 정상인과 명칭성 실어증환자간의 수행에서 어떤 차이가 나타날 것을 기대되는 반면, 만일에 우뇌에서 처리되는 것이라면 정상인의 과제 수행 형태와 명칭성 실어증 환자의 것이 일치하는 형태를 보일 것이라는 것이다. 실험 1에서는 수직적 범주관련성이 어느 반구에서 정보처리 되는지를 조사하였다. 그 결과 정상인은 좌반구에서 유의미한 점화효과가 있고 우반구에서는 점화효과가 없었던 반면에, 명칭성 실어증 환자는 정상인과 정반대의 점화 효과를 보이고 있다. 이러한 결과는 좌반구가 일차적으로 수직적 범주 관련성 정보처리와 관련이 있음을 시사해 준다. 또한 수평적 범주 관련성에 따른 실험 은 정상인과 환자 두 집단 모두 수평적 범주관련성이 우반구에서 처리되는 유사한 패턴을 보여주었다. 실험2에서는 연합적 범주관련성에 따른 두 집단간의 점화 효과를 비교하였다. 정상인 집단과 환자 모두 좌우반구에 점화효과를 보여주고 있지만, 정상인 집단의 경우에는 우반구에서, 환자는 좌반구에서 점화량이 더 컸다. 연합관련 정보처리는 좌우반구 모두에서 일어난다고 하는 기존의 견해와 관련하여 볼 때 연합관련 정보처리는 좌우반구에서 일어난다고 해석할 수 있을 것이다. 명칭 실어증 환자의 정보처리는 정상인과 다르게 이루어지므로 이러한 좌우반구에서의 차이가 난 것으로 볼 수 있다. 이상의 실험1과 2의 결과를 종합해 보면, 시각적으로 제시되는 단어의 범주적 관련성이 주는 어휘정보 처리는 반구에 따라 처리하는 기능이 다르다고 결론 내릴 수 있다. 즉, 좌반구는 수직적 범주 관련성을 담당하고 우반구는 수평적 관련성을 담당하며, 연합적 관련성은 좌우반구 모두에서 정보처리 된다는 것이다.

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The Study Trends of the Right Hemisphere Damage Cognitive-Communication Disorders - Focused of Recent 10 Years - (우반구 손상 환자의 인지의사소통장애의 연구동향 -최근 10년간을 중심으로-)

  • Woo, HeeRim;Kim, JungWan
    • 재활복지
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    • v.21 no.1
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    • pp.213-231
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    • 2017
  • Communication disorders caused by Right Hemisphere Damage manifests different symptom with that of left, and studies concerning language evaluation and intervention have not been actively investigated because they are either mild or difficult to discern through the aphasic assessment targeted to left hemisphere damage patients. This study analyzes domestic and international RHD group study trends in last 10 years for the purpose of examining the trends regarding directions of RHD group communication disorders and intervention. 75 thesis were analyzed(13 domestic and 62 international) after classifying them into two categories, study type and research area. Regarding research type, both domestic and international studies primarily comprised characteristic comparison. As for the research area, both studies mainly investigated on extra-linguistic ability. While international studies frequently investigated the development and suitability of evaluation instrument as well as RHD group's activities of daily life. Domestic studies have shown limited scopes of research. Therefore, it seems that more attention should henceforth be payed to RHD patients in domestic level, and in-depth studies of diverse subjects should be conducted as well.

Comparison of Sites of Intracranial Injury and the Results of MMPI & K-WAIS in the Patients with Post-Traumatic Organic Mental Disorder (외상후 기질성 정신장애 환자의 뇌손상 부위에 따른 다면적 인성검사, 한국판 웩슬러 지능검사 결과비교)

  • Kim, Tae-Ho;Na, Chul
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.1
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    • pp.37-48
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    • 2001
  • Objectives : The purpose of this study was to evaluate the difference of psychometric analysis among patients with Post-traumatic organic mental disorder according to the lesion of MRI finding of traumatic brain injury. Methods : We divided 35 patients into 4 groups according to the lesion of MRI finding of brain injury. We evaluated the difference of the subscales of MMPI and K-WAIS among 4 groups with Post-traumatic organic mental disorder by ANOVA. Results : We found no significant difference of all subscales of MMPI and K -WAIS among 4 groups by ANOVA. Compared Rt hemispheric injury group with Lt hemispheric injury group by independent t-test, the depression scale in MMPI scored significantly higher in Lt hemispheric injury group, and the block design in K-WAIS scored significantly lower in Rt hemispheric injury group. Conclusion : This study suggests that Lt hemispheric injury be significantly related to depression, and Rt hemispheric injury be significantly related to visuospatial ability.

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Korean Agraphia Subsequent to Right Hemispheric Lesion (우반구 손상 환자의 한글 실서증 특징)

  • Yoon, Ji-Hye;Shin, Ji-Cheol;Kim, Deog-Young;Suh, Mee-Kyung;Kim, Hyang-Hee
    • Speech Sciences
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    • v.13 no.3
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    • pp.121-132
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    • 2006
  • In Hangeul, the graphemes of syllables are organized in horizontal, vertical and mixed (both horizontal & vertical) orientations, and the graphemic position of consonant(s) and vowel(s) within a each syllable needs to be maintained within a square pattern. We investigated the characteristics of writing errors of 9 stroke patients with right hemisphere (RH) lesions and compared it to the performances of 15 normal subjects. The subjects were asked to write to dictation of 90 Korean syllables. One of the interesting findings was that our patients manifested visuospatial errors which are not commonly observed in other language-speaking (e.g., English) patients due to the unique syllabic organizations of Korean writing system. The prominent errors in the RH group could be explained by the impaired RH which normally controls the visuospatial functions.

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Depression after Traumatic Brain Injury (외상성 뇌 손상이후의 우울증)

  • Jung, Han Yong;Han, Sun Ho
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.21-29
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    • 1999
  • Traumatic Brain Injury(TBI) of any severity can result in broad and persisting biopsychosocial sequelae. Depression after TBI occur at a greater frequency than in the general population, with estimates approaching 25% to 50% for major depression, and 155 to 30% for dysthmia. Acute onset depressions are related to lesion location and may have their etiology in biological response of the injured brain, whereas delayed onset depressions may be mediated by psychosocial factors, suggesting psychological reactions as a possible mechanism. Anxious depressions are associated with right hemisphere lesions, whereas major depressions alone are associated with left dorsolateral frontal and left basal ganglia lesions. However, there is insufficient information to postulate a specific neuroanatomic model for TBI-related depression.

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STANDARDIZATION STUDY FOR THE KOREAN VERSION OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY FOR CHILDREN II : EVALUATION OF THE VALIDITY & CLINICAL UTILITY OF THE KOREAN VERSION OF LNNB-C (한국판 아동용 Luria-Nebraska 신경심리 검사의 표준화 연구 II : 타당도 및 임상적 유용성 검증)

  • Shin, Min-Sup;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.70-82
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    • 1994
  • Present study was to evaluate the validity and the clinical utility of the Korean version of Luria-Nebraska Neuropsychological Battery for Children(LNNB-C) in various groups including normal, brain damaged attention deficit hyperactivity disordered(ADHD), and psychiatrically disordered. The Korean version of LNNB-C and BGT were administered to clinical groups consisted of 51 patients(19 brain damaged, 16 ADHD. and 16 psychiatric controls), and to normal group composed of 147 children between the age of 8 and It Also KEDI-WISC was administered D clinical groups as a part of comprehensive psychological assessment There were significant differences between the brain damaged and the normals on all scales of LNNB-C, and between the normals and the ADHD on 11 clinical scales and 3 summary scales, which indicate the clinical validity for the scales of the Korean version of LNNB-C. The significant differences between the ADHD and the brain damaged on 3 summary scales were found, suggesting that the summary scales might play an important role id discriminating between two groups. Multiple discriminant analysis showed that the Korean version of LNNB-C significantly discriminates 3 groups - normals, ADHD, and brain damaged. Percentages of correct classification were ranged from 62.5% in the ADHD to 98.6Ta in the normals. For further evaluating the discriminant validity of the LNNB-C, the discriminant power of each items were calculated, and 131 of the 147 items discriminated significantly between the brain damaged and the normals. The scales of LNNB-C significantly correlated with the error scores of BGT and the most of scales of KEDI-WISC. These results put together : strongly support the concurrent and the discriminant validity of the Korean version of LNNB-C in diagnosing brain damage. The limitations of present study and several issues for the luther study were discussed.

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Study on Korean Proverb Comprehension in Patients with Right Hemisphere Damage (우리말 속담에 대한 우반구 손상 환자의 이해력 연구)

  • Ahn, Jong-Bok
    • Speech Sciences
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    • v.15 no.3
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    • pp.67-78
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    • 2008
  • This study was intended to analyze how well people with right hemisphere damage can understand Korean proverbs. This study used a between-subject design and within-subjects design where all subjects participate in the three experiments for 10 hospitalized patients of whose average age is 66.1 years old and 10 normal adults in the same age range. Experiment 1 was to make up Korean proverb related stories and suggest it in written, Experiment II was to suggest a picture presenting a Korean proverb and the proverb itself directly, and Experiment III was to make up a story related to a Korean proverb and tell it auditory. Five Korea proverbs were used for each experiment; 15 in total. The results were as follows: First, there was a significant difference in understanding of Korean proverbs between normal adults and people with right hemisphere damage. Second, there was no significant difference of understanding between them by stimulating methods to suggest Korean proverbs. Third, people with right hemisphere damage had a tendency to interpret Korean proverbs literally as a total wrong reaction was composed of 55.36%. Considering the above the results, it can be said that people with right hemisphere damage have less understanding of Korean proverbs than normal adults, which is not affected by a way of or a condition of suggesting Korean proverbs in people with RHD, and they are inclined to make literal interpretation of Korean proverbs as they are.

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