• Title/Summary/Keyword: s aphasia

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Familial Creutzfeldt-Jakob Disease with V180I Mutation Presented with Broca's Aphasia (브로카실어증으로 발현한 가족성 V180I 변이 Creutzfeldt-Jakob병)

  • Kim, Jeongyeon;Lee, Deok-Soo;Park, Kyung Won
    • Journal of the Korean neurological association
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    • v.36 no.4
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    • pp.345-349
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    • 2018
  • Familial Creutzfeldt-Jakob Disease (fCJD) is characteristic with older age onset, relatively low occurrence rate, slower progression and lower possibility of developing myoclonus, cerebellar, pyramidal signs and visual disturbance compared with classical sporadic CJD. We report a case of 75-year-old male patient presented with sudden onset of right side weakness with Broca's aphasia who has been diagnosed with fCJD with V180I mutation. This case indicates that fCJD with V180I mutation can have stroke-like initial presentation.

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.

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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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.

A Case of Transcortical Sensory Aphasia Assessed with Analysing the Patient's Speech at the Series of Pictures (이야기배열그림 발화분석을 통해 살펴본 초피질감각실어증환자 치료경과 1례(例))

  • Yoo, Gyung;Kim, Lak-Hyung;Jeong, Eun-Hee
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.251-257
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    • 2005
  • In this case study, We treated a transcortical aphasia patient with herbal medicine, acupunture and language therapy. We assessed the progress of the patient with Western Aphaia Battery(K-WAB), Boston Naming Test(BNT) and analysed the patient's speech at the series of pictures. The score of K-WAB and K-BNT was improved, the rate of statement at the theme of the picture was improved and the neologistic and verbal paraphasia was reduced. We think that the analysing the speech of the patient at the series of pictures to evaluate the practical problem of the patient would be useful. Further study is necessary about the utility of this assessment tools.

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Effects of Cheap Talk on Improving Communicative Ability in Severe Broca's Aphasics (칩톡 사용이 중증브로카실어증 환자의 의사소통기능 개선에 미치는 효과)

  • Choi, Yang-Soon;Yoo, Jae-Yeon
    • 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.

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A Comparative Study of Spoken and Written Sentence Production in Adults with Fluent Aphasia (유창성 실어증 환자의 구어와 문어 문장산출 능력 비교)

  • Ha, Ji-Wan;Pyun, Sung-Bom;Hwang, Yu Mi;Yi, Hoyoung;Sim, Hyun Sub
    • Phonetics and Speech Sciences
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    • v.5 no.3
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    • pp.103-111
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    • 2013
  • Traditionally it has been assumed that written abilities are completely dependent on phonology. Therefore spoken and written language skills in aphasic patients have been known to exhibit similar types of impairment. However, a number of latest studies have reported the findings that support the orthographic autonomy hypothesis. The purpose of this study was to examine whether fluent aphasic patients have discrepancy between speaking and writing skills, thereby identifying whether the two skills are realized through independent processes. To this end, this study compared the K-FAST speaking and writing tasks of 30 aphasia patients. In addition, 16 aphasia patients, who were capable of producing sentences not only in speaking but also in writing, were compared in their performances at each phase of the sentence production process. As a result, the subjects exhibited different performances between speaking and writing, along with statistically significant differences between the two language skills at positional and phonological encoding phases of the sentence production process. Therefore, the study's results suggest that written language is more likely to be produced via independent routes without the mediation of the process of spoken language production, beginning from a certain phase of the sentence production process.

Would Wernicke's Aphasic Speech Vary with Auditory Comprehension Abilities and/or Lesion Loci?

  • Kim, Hyang-Hee;Lee, Young-Mi;Na, Duk-L.;Chung, Chin-Sang;Lee, Kwang-Ho
    • Speech Sciences
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    • v.13 no.1
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    • pp.69-83
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    • 2006
  • Speech characteristics of Wernicke's aphasia are characterized by such errors as empty speech, jargon, paraphasia, filler and others. However, not all the errors can be observed in each patient presumably due to diverse auditory comprehension (AC) abilities and/or lesion loci. The purpose of this study was, thus, to clarify the speech characteristics of Wernicke's aphasics according to the AC levels (i.e., better vs. worse) and lesion loci (i.e., Wernicke's area, WA vs. non-Wernicke's area, NWA). The authors divided 21 Wernicke's aphasic patients into four patient groups based on their AC levels and the lesion loci. The results showed that the four groups differed only in CIU (Correct Information Unit) rate. The patient groups with a better AC ability had higher CIU rates than the groups with a worse AC regardless of the lesion loci (e.g., WA or NWA). Therefore, it was concluded that CIU rate, the differentiating speech variable was most likely related to the AC levels, but not to lesion loci.

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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.