• 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.

• The Journal of Korean Medicine
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• v.22 no.4
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• pp.158-163
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• 2001

Clinical symptoms of acute stroke include loss of consciousness, aphasia, dysphagia, hemiplegia, without urination or defecation, headache, dizziness, chest discomfort, etc. As methods of oriental medical treatment at acute stroke state, acupuncture, fumigating, emetic, sternutatory therapy etc. were known. We treated a 69-year-old female patient who was unconscious after acute stroke with acupuncture and herbal medicine. Also, we chose Croton seed (Crotonis Fructus) Tansy (Artemisiae Argi Folium)-hwan for treatment and fumed it on the patient's nose once a day. After 7 days of treatment with fumigating therapy, we observed improvement in consciousness on the Glasgow coma scale, and other symptoms (aphasia, dysphagia, hemiplegia, without urination or defecation)

• Proceedings of the KSLP Conference
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• 1996.11a
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• pp.88-88
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• 1996

본 연구목적은 한국어판 실어증감별진단검사를 이용하여 2회 이상 경과를 검토할 수 있었던 Broca실어의 3증례에 있어서의 개선경과를 초회평가시의 실어증 중등도가 거의 같은 일본의 장기 관찰예와 비교하여 장애 pattern의 검출 및 개선경과의 추적에 있어서의 한국판 실어증 감별진단검사의 유효성을 검토하였다. 그 결과, 신경학적으로 안정되어있는 실어증환자의 경우 중증도별로 보면, 언어과정 전반의 득점 profile은 유사성이 높았으며, 치료경과에 양국어의 일반성과 특수성이라고 하는 면에서는 금후 한층 더 상세한 토의가 요구되었다.

• Speech Sciences
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• v.8 no.1
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• pp.115-122
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• 2001

This paper explored the effectiveness of a hierarchical Treatment of Aphasic Perseveration (TAP) program on an aphasic in two regards: decrease in the frequency of perseveration and improvement in naming ability. The subject was a 54-year-old female with Transcortical Sensory (TCS) aphasia following a left ischemic Cerebrovascular Accident (CVA). It was concluded that the hierarchical TAP program was more effective and efficient in terms of decreasing perseveration and increasing correct naming performance. Within the data of the hierarchical TAP program, however, a substantial decrease in the frequency of occurrence of perseverative behaviors did not necessarily result in proportionate improvement of naming ability. The probable causes and reasons were discussed.

• 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.

• Speech Sciences
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• v.8 no.4
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• pp.75-86
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• 2001

This study explored the effectiveness of a hierarchical treatment of aphasic perseveration (TAP) program in a Korean client with transcortical sensory aphasia. The subject with 52% perserveration score (Korean version of Boston Naming Test : K-BNT) was 44 year-old female with MCA (Middle cerebral artery) infarction. The experimental design used was an alternating treatment design with the hierarchical TAP and conventional audio-visual stimulation. The frequency of occurrence of perseverative behaviors and correct response in naming performance were analyzed and compared. It was claimed that the hierarchical TAP was more effective in naming performance than conventional audio-visual stimulation in terms of correct naming response. The frequency of occurrence of perseverative behaviors was lower in hierarchical TAP but the difference was relatively small. Unlike in English, sentence completion task was no longer stimulable while unison speech was very stimulable among the specific strategies of TAP program in Korean. Therefore, it could be said that TAP is language-dependent.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.16 no.2
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• pp.158-164
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• 2005

Melody intonation therepy (MIT) is to improve the linguistic aspects of the verbal utterance for aphasic patients utilizing the intact right brain. It is applied to the aphasic patients with good comprehension, poor fluency, and little available speech are thought to be ideal candidates. The purpose of the study was to investigate the effects of Korean Melody intonation therapy (kMIT) in patients with non-fluent aphasia. Five male non-fluent aphasic patients were participated in this study. Average ages were 49.9 years old. Each therapy took 45-50minutes once a week for six months. Aphasic Screen lest (RISS) was used to assess language parameter such as Auditory comprehension, oral expression, reading, writing and calculation ability before and after kMIT. Mean of Length Utterance, verbal intelligibility and articulation disorder were assessed also. Computerized Speech Lab was used to assess the acoustic characteristics of aphasic patients before and after kMIT. The results are as follows : 1) Auditory comprehension, oral expression, reading, writing and calculation ability of the subjects increased after UH'. However, only oral expression showed significant difference (p<0.05). 2) Mean of Length Utterance of five patients generally increased after Un. 3) After kMIT, verbal intelligibility increased and showed significant difference (p<0.05). 4) Misarticulation rate generally decreased after m. 5) Voice Onset Time of the alveolar lenis /t/ and velar lenis /k/ gradually decreased after kMIT. 6) However, intonation pattern were increased gradually in yes'no question after kMIT.

• The Journal of Internal Korean Medicine
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• v.12 no.1
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• pp.105-113
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• 1991

The results of the investigation of literature were summerized as follows ; 1. Information of voice, the pharynx, the larynx, the epiglottis, the uvula and the hyoid bone were concerned. 2. In disorders of voice and speech, Lung channel, Stomach channel, Spleen channel, Heart channel, Liver channel, Kidney channel, Im channel (任脈), and Chung channel (衝脈) were concerned. 3. The disorders of voice and speech were showed as follows ; aphonia, ashasia, seong-shi (?嘶), seom-eo(?語) kwang-eo (狂語), jeong-seong (鄭?), dok-eo (獨語) and chak-eo (錯語). 4. The cause of Aphonia and Aphasia were freauently as follows ; abnormal rising of Liver energy (肝邪暴逆), excessive heart fire (心火太過), deficiency of heart-blood (心血太虛), apoplexy of heart spleen (心脾俱中風), consumption of lung fluid caused by heat evil (肺津被灼), deficiency of lung energy (肺氣虛寒) and dificiency of kidney energy (腎虛). 5. The cause of seom-eo, kwang-eo, Jeong-seong were as follows ; the heart of stomach (胃中熱), the heat evil attach the blood chamber (血人血室) and the consumption of healthy energy (精氣奪). 6. In disorders of voice and speech, flaceid tong with aphasia (舌?) and aphasia due to throat disease (喉?) were divided.

• Dementia and Neurocognitive Disorders
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• v.17 no.3
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• pp.110-119
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• 2018

Background and Purpose: To analyze $^{18}F-THK5351$ positron emission tomography (PET) scans of patients with clinically diagnosed nonfluent/agrammatic variant primary progressive aphasia (navPPA). Methods: Thirty-one participants, including those with Alzheimer's disease (AD, n=13), navPPA (n=3), and those with normal control (NC, n=15) who completed 3 Tesla magnetic resonance imaging, $^{18}F-THK5351$ PET scans, and detailed neuropsychological tests, were included. Voxel-based and region of interest (ROI)-based analyses were performed to evaluate retention of $^{18}F-THK5351$ in navPPA patients. Results: In ROI-based analysis, patients with navPPA had higher levels of THK retention in the Broca's area, bilateral inferior frontal lobes, bilateral precentral gyri, and bilateral basal ganglia. Patients with navPPA showed higher levels of THK retention in bilateral frontal lobes (mainly left side) compared than NC in voxel-wise analysis. Conclusions: In our study, THK retention in navPPA patients was mainly distributed at the frontal region which was well correlated with functional-radiological distribution of navPPA. Our results suggest that tau PET imaging could be a supportive tool for diagnosis of navPPA in combination with a clinical history.

• 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.