• Title/Summary/Keyword: 전도 실어증

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A morpho-syntactic analysis of agrammatic aphasia in Korean (비문법적 실어증의 형태-통사론적 분석)

  • 김영주
    • Korean Journal of Cognitive Science
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    • v.9 no.1
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    • pp.41-46
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    • 1998
  • The argument-structure distributions of predicates in the speech of two roca-type aphasic patients and one Conduction-type patient are compared with both matched controls and each other on the basis of narrative production data. Whereas English-speaking agrammatics have been reported to have difficulties producing noncopular unaccusative predicates (Kegl 1995) Korean-speaking agrammatics are found not to have particular difficulties with unaccusative predicates. On the assumption that agrammatics lack specific syntactic knowledge for the processing of displaced arguments from their lexically specified positions. it is proposed that unaccusatives in Korean do not involve the displacement of arguments for Case-theoretic reasons or involve a vacuous movement. if any.

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Language performance analysis based on multi-dimensional verbal short-term memories in patients with conduction aphasia (다차원 구어 단기기억에 따른 전도 실어증 환자의 언어수행력 분석)

  • Ha, Ji-Wan;Hwang, Yu Mi;Pyun, Sung-Bom
    • Korean Journal of Cognitive Science
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    • v.23 no.4
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    • pp.425-455
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    • 2012
  • Multi-dimensional verbal short-term memory mechanisms are largely divided into the phonological channel and the lexical-semantic channel. The former is called phonological short-term memory and the latter is called semantic short-term memory. Phonological short-term memory is further segmented into the phonological input buffer and the phonological output buffer. In this study, the language performance of each of three patients with similar levels of conduction aphasia was analyzed in terms of multi-dimensional verbal short-term memory. To this end, three patients with conduction aphasia were instructed to perform four different aspects of language tasks that are spontaneous speaking, repetition, spontaneous writing, and dictation in both word and sentence level. Moreover, the patients' phonological memories and semantic short-term memories were evaluated using digit span tests and verbal learning tests. As a result, the three subjects exhibited various types of performances and error responses in the four aspects of language tests, and the short-term memory tests also did not produce identical results. The language performance of three patients with conduction aphasia can be explained according to whether the defects occurred in the semantic short-term memory, phonological input buffer and/or phonological output buffer. In this study, the relations between language and multi-dimensional verbal short-term memory were discussed based on the results of language tests and short-term memory tests in patients with conduction aphasia.

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Narrative discourse in patients with fluency aphasia (유창성 실어증자의 이야기 이해와 산출능력)

  • Yang, Yong-Seon;Kim, Soo-Jin
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2006.06a
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    • pp.125-130
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    • 2006
  • 원활한 의사소통을 위해서는 문장들을 연결하여 흐름을 조직하고 말로 산출하고 전체적인 의미를 파악할 수 있어야 한다. 이야기는 이러한 문장들이 연결되어있는 것으로, 종속적이거나 나열적인 이야기 특성은 의사소통장애인의 이야기 이해와 산출의 수행에 영향을 미칠 수 있다. 본 연구에서는 이야기 특성에 따른 유창성 실어증환자의 이야기 이해 및 산출의 능력을 알아보고, 이해과제 수행이 산출과제에 미치는 영향을 분석해보았다. 이야기 종류로는 시간적 나열 이야기와 인과적 관계 이야기, 유머가 있는 이야기를 사용하였으며, 사실적 정보, 텍스트 추론, 빠진 정보추론 등 세 가지의 이해과제를 통하여 이해 능력을 측정하였다. 산출능력은 이해과제 전과 후에 CIU 비율로 질적인 측면을 측정하고, 분당어절 수를 이용하여 양적인 측면을 분석하였다. 그 결과 이해측면은 세 가지 이야기 모두 사실적 정보에 대한 이해 능력이 상대적으로 좋았으며, 오류의 형태는 추론오류가 가장 많이 나타났다. 산출에서는 인과적 관계이야기에서의 CIU 비율이 가장 높았고, 이해과제 전, 후의 차이를 비교한 결과, CIU 비율은 변화하지 않았으나, 분당 어절수에서는 증가하고 있음을 보여주었다. 이야기의 종류에 따라서 유창성 실어증화자의 산출과제의 수행수준은 다르게 나타났다. 그리고 이해과제의 수행이 산출과제에서 양적인 증가는 가져왔으나 질적인 수준에는 아무런 영향을 미치지 않았다.

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Effects of Communication Improvement on Caregivers Education and Training on Aphasia (보호자 교육과 경험학습 훈련이 실어증 환자의 의사소통 개선에 미치는 효과)

  • Park, Hee-June;Chang, Hyun-Jin
    • Therapeutic Science for Rehabilitation
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    • v.8 no.2
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    • pp.79-88
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    • 2019
  • Objective : Aphasia interferes with communication between the patient and conversation partner. Adequate communication is essential not only for the patient but also for caregiver education and training Method : This study examined the benefits of parental education and group training in terms of improving the communication of six aphasic patients and their caregivers(family members). Caregiver education provided caregivers with information on stroke and aphasia, and group training was conducted according to the experimental learning cycle. Result : As a result, communication increased in terms of sending and receiving messages or interactive communication. Furthermore, the questionnaire analysis showed that caregivers learned more about aphasia and had confidence in using facilitation strategies. Conclusion : Giving educational opportunities to patients and caregivers promotes caregiver's knowledge and positively interacts.

Inter-rater Reliability and Training Effect of the Differential Diagnosis of Speech and Language Disorder for Stroke Patients (뇌졸중 환자의 말, 언어장애 선별에 대한 검사자간 신뢰도 및 훈련효과)

  • Kim, Jung-Wan
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.407-413
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    • 2011
  • Distinguishing aphasia in stroke patients and observing the subtle linguistic characteristics associated with it primarily requires the use of instruments that provide reliable assessment results. Additionally, examiners should be fully aware of how to use those instruments. This study examined 46 stroke patients for aphasia and assessed the reliability of their diagnoses according to examiners whose medical fields were different from each other. Furthermore, a comparison was made between the reliability before training and that after training. To this end, 46 stroke patients were tested for aphasia and in terms of their speech disorder degree by 3 groups, each of which consisted of 12 professionals (3 SLP, 3 neurologist, and 3 nurse). In the result, a rating of 'acceptable' was given for speech intelligibility tasks and the voice quality of /ah-/ prolongation, and other sub-tests were marked as 'good-excellent' by the experts with different areas of medical expertise. For the tasks marked as 'acceptable', the subjects were video-trained for 3 weeks and the differences were compared before and after their training. Consequently, the differences in the examiners' ratings in the speech intelligibility tasks showed a significant decrease and the accuracy of their voice quality ratings showed a significant increase. In the result of research on the correlation between the accuracy of the sub-test ratings and the amount of clinic experience, speech therapists developed more accuracy in rating a picture description task and a speech intelligibility task as their experience accumulated. Meanwhile, doctors and nurses showed more accurate ratings in picture description tasks with greater clinical experience. The results of this study suggest that assessing the neurologic-communicative disorders of stroke patients requires ongoing training and experience, especially for speech disorders. It was also found that the rating reliability in this case could be improved by training.

Effects of breathing training in melodic intonation therapy on articulation intelligibility of aphasics: pilot study (멜로디 억양 치료에서 실어증 환자의 조음 명료도에 대한 호흡 훈련 효과: 초기 실험)

  • Kim, Seon Sik;Hong, Geum Na;Choi, Min Joo
    • The Journal of the Acoustical Society of Korea
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    • v.35 no.4
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    • pp.319-329
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    • 2016
  • The present study was to test if breathing training in melodic intonation therapy (MIT) ameliorated the articulation intelligibility of Broca's aphasics or not. The experimental group did breathing training (2 stages) that preceded the MIT. In order to evaluate the efficacy of the MIT intervention, the VOT (Voice Onset Time), the TD (Total Delay), the voice sound intensity and the expiratory volume of the subjects, closely associated with articulation intelligibility were measured before and after the intervention. It was shown that, in the experimental group after the MIT intervention, the VOT and TD were increased on bilabial/p/, alveolar consonant /t/, and soft palatal /k/(p < 0.05), but no significant differences were found on affricate /c/ and fricative /s/(p > 0.05). In the control group, no significant increases in the VOT and TD were observed on all articulation points(p > 0.05). The voice sound intensity which influences the verbal articulation increased in the experimental group after the intervention(p < 0.05), whereas no significant changes were observed in the control group. In conclusion, the breathing training in the MIT was found to result in improving the articulation intelligibility of Broca's aphasiacs.

The Effects of Cognitive Language Intervention in a Subject with Conduction Aphasia: Case Study (인지적 접근을 이용한 언어중재가 전도성 실어증자의 언어 표현력에 미치는 영향: 사례 연구)

  • Lee, Ok-Bun;Kwon, Young-Ju;Jeong, Ok-Ran
    • Speech Sciences
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    • v.8 no.4
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    • pp.119-129
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    • 2001
  • Language is one aspect of cognition, along with attention and concentration, learning and memory, visuospatial abilities, and executive function. The purpose of this study was to determine the effect of language intervention by cognitive approach on language expressive performance in a patient with conduction aphasia. This study used several tasks such as Attention and concentration task, visual memory tasks, memory tasks, categorization, divergent thinking, self-monitoring and evaluate thinking. The effects of treatment were evaluated by periodic probing of both trained and untrained familiar words in three tasks; picture naming, answering to questions and telling stories. The results showed improvements both in trained and untrained words. Therefore, we concluded that expressive language performance of this aphasic patient is amenable to this intervention, and that cognitive therapy approach can be useful.

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The Effects of the Bang's Scalp Acupuncture on Poststroke Aphasia (방씨 두침료법이 뇌출혈로 인한 표현성실어증 환자언어호전도에 미치는 영향)

  • Han Young Joo;Lee Joung Eun;Bae Han Ho;Jo Chul Jun;Park Yang Chun;Kim Byung Tak
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.17 no.6
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    • pp.1560-1563
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    • 2003
  • The purpose of this study is to examine how Bang's Scalp Acupunture affects the aphasia in stroke patients. Subject was 1 stroke patient who was admitted at Daejon University Oriental Hospital. The degree of aphasia was measured by the Daegu Aphasia Battery. The result showed that a comparative study of pre Bang's Scalp Acupunture & post Bang's Scalp Acupunture, aphasia was improved. On the basis of one case result, Bang's Scalp Acupunture is effective in treating poststroke aphasia. Serial studies must be done and requested in the aspects of improvement contrast, improvement durancy and the improvement difference on the healing period.