• 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.

• Annals of Clinical Neurophysiology
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• v.4 no.2
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• pp.137-139
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• 2002

Background : Subtle status epilepticus (SE) is an end-stage of convulsive SE. This phenomenon might be a clinical expression of neuronal exhaustion caused by sustained electrical discharges. As subtle SE may show diverse clinical features, early detection depends on clinical suspicion. Case : A 68-year-old woman was presented with repetitive involuntary movement of right limbs after two generalized tonic-clonic seizures. She experienced right middle cerebral artery infarction 4 months ago, and after the event, left side hemiplegia sustained. These seizures were first-ever after the cerebral infarction. Orientation and verbal responses were fairly preserved but general cognitive function was minimally slowed. During the video-EEG monitoring, repetitive sharp waves were noted in the right hemisphere and these sharp waves occasionally spread to the contralateral side. Her right side involuntary movement was identifiable when the epileptic discharges were found on her right hemisphere. Conclusion : We suggested that this unexpected convulsive movement is a reflection of earlier exhaustion in the right hemisphere or deefferentation of right hemisphere because of preexisting neuronal damage.

• 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.

• 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.

• The Journal of Korean Physical Therapy
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• v.17 no.2
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• pp.67-87
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• 2005

Impaired sensorimotor function of the hand ipsilateral to a unilateral brain damage has been reported in a variety of motor task. however, it is still the controversial issue because of the difficulty of detection in clinical situation, patients' variability(time after onset, contralateral upper extremity severity, other cognitive functions including apraxia), and the performed various motor task. The purpose of this study is to determine the presence of ipsilateral motor deficit following unilateral brain damage in three different specific tasks(hand tapping, visual tracking and coin rotation) compared with healthy age-sex matched control group using the same hand and to investigate the lateralized motor control in each hemispheric function. Findings revealed that stroke patients with unilateral brain damage experienced difficulties with rapid-simple repetitive movement, visuomotor coordination, complex sequencing movement on ipsilateral side. Also, Comparison of the left-hemispheric stroke groups and the right-hemispheric stroke groups revealed that patients with a left-hemisphere damage tended to be more variable in performing all of the three tasks. These results show that stroke patient with left hemisphere damage has more ipsilateral motor deficit, and the left hemisphere contributes to the processing of motor control that necessary for the executing actions with ipsilateral hand.

• 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.

• Phonetics and Speech Sciences
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• v.2 no.1
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• pp.13-21
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• 2010

The purpose of this study was to examine the prosody characteristics of sentence-level utterances which contain homographs with context cues in patients with neurogenic communication disorders. Homographs which may be affected by prosody, especially tonic length features, were used to investigate this matter. The characteristics of tone, duration, pitch, and pitch peak were analyzed to examine the characteristics of prosody in patients with lesions in the left or right hemisphere and normal controls. The whole process was recorded using Praat 4.3.14 and for statistical analyses, three-way ANOVA and multiple comparative analyses, Chi-Square tests, and a one-way ANOVA were carried out using SPSS 12.0 for Windows. The conclusions of this study are as follows. First, the length of syllables and vowels in homographs in Korean was different depending on the meaning and was not significant between groups. Second, it was found that patients with lesions in the right hemisphere had significant difference on pitch. Third, it was found that frequency of pitch peak and tone in 'short' tone syllables were different between groups. The conclusion of this study found that the prosody of homographs between groups absolutely was not differentiated. Accordingly, more detailed studies of acoustic parameters and other parameters which the prosody characteristic between groups could be found are needed in the future.

• Sleep Medicine and Psychophysiology
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• v.6 no.2
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• pp.143-148
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• 1999

Objectives: We studied correlations between neuropsychological tests and perceptual disorder in patients with head trauma and psychiatric patients in order to explore the functional localization of brain in perceptual disorders. Methods: Halstead Reitan Neuropsychological Test Battery, Korean Wechsler Intelligent Scale, and Minnesota Multiphasic Peronality Inventory(MMPI) were administered to one hundred ninteen patients consisting of sixty nine psychiatric patients and fifty patients with brain damage. We tested the correlation between results of neuropsychological tests and peceptual disorder scale PDS) made from nine items related with perceptual disorder in MMPI. T-tests between twenty one higher scorers and seventeen lower scorers of PDS were also performed in the psychiatric group. Results: In brain damage group, significant correlations were found in tests related with function of frontal lobe such as category tests, trail making tests, tactual performance test, and fingertip number writing test, and significant correlations were also noted in the tests related with function of right hemisphere such as tactual performance test, performance, picture completion, picture arrangement and block design. Tests related with subcortical function such as digit symbol test, arithmetic and digit span were signigicantly correlated, too. In psychiatric group, there were significant differences of PDS in the tests related with function of right hemisphere such as picture completion, block design, and right laterality index, and in the tests related with function of left hemisphere such as comprehension, vocabulary, and similarities. Conclusion: Perceptual disorder seems to be related with functions of frontal lobe, right hemisphere, and subcortex in both groups. In a psychiatric group, left hemisphere may be also partially related with perceptual disorder.

• 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.

• Clinical and Experimental Pediatrics
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• v.49 no.4
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• pp.341-353
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• 2006

Learning disorders are diagnosed when the individual's achievement on standardized tests in reading, mathematics, or written expression is substantially below that expected for age, schooling, and level of intelligence. Subtypes of learning disorders may be classified into two groups, language-based type learning disorders including reading and writing disorder, and nonverbal type learning disorder (NLD) such as those relating to mathematics & visuospatial skills, and those in the autism spectrum. Converging evidence indicates that reading disorder represents a disorder within the language system and more specifically within a particular subcomponent of that system, phonological processing. Recent advances in neuroimaging technology, particularly the development of fMRI, provide evidences of a neurobiological basis for reading disorder, specifically a disruption of two left hemisphere posterior brain systems, one parieto-temporal, the other occipito-temporal. The former is the reading system for beginner reading, the latter for skilled reading. Compensatory engagement of anterior systems around the inferior frontal gyrus(Broca's area) and a posterior(right occipito-temporal) system is noted in persistent poor readers in long-term follow up study. The theoretical model proposed to explain NLD's source is not right hemisphere damage, but rather the white matter model. The working hypothesis of the white matter model is that the underdevelopment of, damage to, or dysfunction of cerebral white matter(long myelinated fibers) is the source of this disorder. The role of an evidence-based effective intervention in the remediation of children with learning disorder is discussed.