• Title/Summary/Keyword: aphasia

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Korean Medical Treatment and Language Therapy in Patient with Fluent Aphasia after Stroke : Case Report (한방치료 및 언어치료를 병행한 중풍 유창성 실어증 환자 치험 1례)

  • Yeo, Jin-Ju;Jang, In-Soo;Yoo, Gyung;Jeong, Eun-Hee;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.1
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    • pp.137-143
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    • 2006
  • In this study, we evaluated the effects of herbal medicine, acupuncture and language therapy in a patient with fluent aphasia after stroke. We treated the patient with Jihwangumja, special acupuncture points and Language-Oriented Treatment(LOT). The language abilities of the patient in this study was markedly increased in Korean-Western Aphasia Battery(K-WAB) and Communicative Ability in Daily Living Test(CADLT). Aphasia quotient, fluency, comprehension, repetition and naming score of K-WAB were improved in second and third examination compared with those of the first examination. Each item of CADLT was improved in second examination compared with that of the first examination.

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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.

A Case Report of Treatment for Aphasia in Patients with Cerebral Infarction with Hydrocephalus (수두증을 동반한 뇌경색 환자의 실어증 치료 증례보고 1례)

  • Choi, Yu-jin;Bae, Yeong-rong;Shin, Seon-mi;Kim, Ki-tae;Ko, Heung
    • The Journal of Internal Korean Medicine
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    • v.41 no.1
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    • pp.97-110
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    • 2020
  • The purpose of this case study was to report the effectiveness of aphasia in patients with cerebral infarction with hydrocephalus. A patient diagnosed with a middle cerebral artery infarction and hydrocephalus was treated with Gami-cheongeumjowi-tang, acupuncture, and moxibustion. The degree of improvement of symptoms was evaluated using the Korean version of the Frenchay Aphasia Screening Test (K-FAST) and the Mini-Mental State Examination-Korea (MMSE-K). At the time of admission, the K-FAST score was 7 points and the MMSE-K score was 4 points because no words other than 'Yes' could be spoken. At discharge, the K-FAST score was 22 points and the MMSE-K score was 19 points. A particularly noticeable improvement was found in spoken and written comprehension, reading, and repetition. The study findings indicate that Korean medicine treatment can be used to treat the symptoms of patients with aphasia. The periventricular region may be distorted by hydrocephalus, resulting in Broca's aphasia in a cerebral infarction of the middle cerebral artery inferior division.

Electro-Acupuncture on Aphasia after Stroke: A Systemic Review of Randomized Controlled Trials (뇌졸중 환자의 실어증에 대한 전침 치료 : 체계적 문헌 고찰)

  • Ha, Jeong-been;Lee, Su-jung;Yang, Ji-soo;Lew, Jae-hwan
    • The Journal of Internal Korean Medicine
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    • v.42 no.3
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    • pp.323-339
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    • 2021
  • Objectives: This study investigates the effect of electro-acupuncture on aphasia after stroke. Methods: A search of OASIS, NDSL, PubMed, Cochrane, and CNKI was executed between 4 January 2021 and 4 February 2021, with no limitation on publication year. Extraction and selection from the studies were made by 3 authors. The quality of the studies was evaluated using Cochrane's risk of bias (RoB) tool. Results: 10 studies met the selection criteria. As the treatment site for electro-acupuncture, GV20 (Baihui) was used the most. In all studies, the region located on the head was used for treatment without distinguishing between acupoints and areas of scalp acupuncture, and the stimulation was organized into 3 conditions: speed, intensity, and time. The outcome indicators used before and after treatment focused on the evaluation of language function and the degree of aphasia. The results showed that using electro-acupuncture with speech rehabilitation therapy for aphasia after stroke was more effective than using speech rehabilitation therapy alone. Conclusions: In this review, electro-acupuncture for aphasia after stroke was found to have a significant effect compared to the previous treatment alone. However, because of limitations, information was not reliable enough. Additional research is needed to produce more objective evidence.

A Case Report of Anomic Aphasia after Putaminal Hemorrhage Improved by Korean Medical Treatment Including Head Acupuncture (두침 요법을 포함한 한의 치료로 호전된 피각 출혈 후 명칭 실어증 치험 1례)

  • Kim, Ha-ri;Jeong, Hye-seon;Choi, Jeong-woo;Jeon, Gyu-ri;Park, Seong-uk;Park, Jung-mi;Ko, Chang-nam;Cho, Seung-yeon
    • The Journal of Internal Korean Medicine
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    • v.41 no.6
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    • pp.1200-1209
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    • 2020
  • Aphasia is a language disorder that results from brain damage and typically occurs after a stroke. The purpose of this case report was to describe the effects of Korean medical treatment on anomic aphasia after a putaminal hemorrhage. We used Korean medical treatment, including head acupuncture and herbal medicine (Hyungbangsabaek-san) therapy, on a patient who was admitted to the hospital for 19 days. The clinical symptoms were assessed with the Korean version of the Western Aphasia Battery (K-WAB), and quality of life was evaluated with Korean version of Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 19 days of treatment, the K-WAB scores were increased from 17 to 19 in the spontaneous speech score, from 7.55 to 9.85 in the comprehension score, from 9 to 9.4 in the speaking score, and from 5.8 to 9.7 in the naming score. The AQ score was increased from 78.7 to 95.9, and the K-SAQOL-3 score was increased from 2.64 to 3.26. In conclusion, the study findings suggested that Korean medical treatment could be an effective option for treating symptoms and improving quality of life in patients with aphasia after stroke.

Two Cases of Aphasic Stroke Patients treated with Speech Therapy and Korean Medical Therapy (언어치료와 한방치료를 병행한 중풍 실어증환자 치험 2례)

  • Yeo, Jin-Ju;Lee, Tae-Ho;Yu, Gyung;Kim, Lak-Hyung;Seo, Eui-Seok;Jang, In-Soo
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.662-668
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    • 2004
  • Cerebrovascular accident(CVA) is a leading cause of death, and severe sequelae, like motor disturbance, mental disorder, dysphagia, recognition disorder, speech disorder(aphasia) often occur. Most of medical cure about CVA sequelae lay emphasis on motor disturbance, so speech disorder(aphasia) has been neglected. But speech disorder therapy is essential for social rehabiltation. Recently, inside and outside South Korea, various clinical approaches and potential medical cures for speech disorder (aphasia) have been researched. In Korean Medicine, papers pertaining to speech disorders have been but a few. In this study two cases of aphasic stroke patients who were treated for speech and language disorders through Korean medical therapy are reported.

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The Effects of Increased Processing Demands on the Sentence Comprehension of Korean-speaking Adults with Aphasia (지연된 자극 제시가 실어증 환자의 문장 이해에 미치는 영향: 반응정확도와 반응시간을 중심으로)

  • Choi, So-Young
    • Phonetics and Speech Sciences
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    • v.4 no.2
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    • pp.127-134
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    • 2012
  • The purpose of this study is to present evidence for a particular processing approach based on the language-specific characteristics of Korean. To compare individuals' sentence-comprehension abilities, this study measured the accuracy and reaction times (RT) of 12 aphasic patients (AP) and 12 normal controls (NC) during a sentence-picture matching task. Four versions of a sentence were constructed with the two types of voice (active/passive) and two types of word order (agent-first/patient-first). To examine the effects of increased processing demand, picture stimuli were manipulated in such a way that they appeared immediately after the sentence was presented. As expected, the AP group showed higher error rates and longer RT for all conditions than the NC group. Furthermore, Korean speakers with aphasia performed above a chance level in sentence comprehension, even with passive sentences. Aphasics understood sentences more quickly and accurately when they were given in the active voice and with agent-first order. The patterns of the NC group were similar. These results confirm that Korean adults with aphasia do not completely lose their knowledge of sentence comprehension. When the processing demand was increased by delaying the picture stimulus onset, the effect of increased processing demands on RT was more pronounced in the AP than in the NC group. These findings fit well with the idea that the computational system for interpreting sentences is intact in aphasics, but its ability is compromised when processing demands increase.

A Review of Recent Digital Technology-Based Language Rehabilitation For Aphasia: Focusing on VR, AR, and Mobile Application (실어증 환자 대상 디지털 기술 기반 언어재활에 관한 최근 문헌 고찰: VR, AR, 모바일 애플리케이션을 중심으로)

  • Chung, Chae Youn;Hong, You Jeong;Kong, Seong Hyeon;Choi, You Jin;Lee, Kyogu
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.46-63
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    • 2022
  • With the rapid development of digital technology and the growing trend to integrate it into the medical field, recent studies suggest language rehabilitation for people with aphasia using virtual reality (VR), augmented reality (AR) and mobile applications. This study conducted a scoping review to summarize the features of digital technology-based language rehabilitation for aphasia in the last four years (2018-2021) and draw implications for future research. A total of 20 papers met the selection criteria among the documents retrieved from the Web of Science, CINAHL, and RISS. This review demonstrates that digital technology could offer unique treatment content by gamification, individualization, and creating a realistic communication environment, and by utilizing them in various ways. Therefore, we expect digital technology-based language rehabilitation for aphasia could supplement the limitations of conventional language rehabilitation and provide a novel perspective on development of treatment content.

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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