Language performance and cognitive function in persons with nondominant-hemispheric stroke
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This study investigated the relationship between language performance and cognitive function in stroke patients after nondominant hemisphere damage. The results of a battery of formal language tests, K-WAB, of seventy-eight patients were analyzed. The correlation between their K-WAB and K-MMSE scores was analyzed. Multivariate analysis of covariance adjusting for educational years in each of K-WAB and K-MMSE was conducted in accordance with the brain lesion location. Only 35.9 % of patients were classified as normal and the remaining 64.1 % were categorized as subnormal by K-WAB. There was a positive correlation between their language and cognitive functions. Outcomes differed according to lesion location, as the SAH group exhibited a significantly lower performance in both language and cognitive evaluations than the other groups. Cognitivecommunicative disorders in stroke patients with nondominant-hemispheric lesions present in different ways. In-depth language evaluation of all brain-damaged patients should be conducted so that language defects of patients are not ignored.
Abstract
This study investigated the relationship between language performance and cognitive function in stroke patients after nondominant hemisphere damage. The results of a battery of formal language tests, K-WAB, of seventy-eight patients were analyzed. The correlation between their K-WAB and K-MMSE scores was analyzed. Multivariate analysis of covariance adjusting for educational years in each of K-WAB and K-MMSE was conducted in accordance with the brain lesion location. Only 35.9 % of patients were classified as normal and the remaining 64.1 % were categorized as subnormal by K-WAB. There was a positive correlation between their language and cognitive functions. Outcomes differed according to lesion location, as the SAH group exhibited a significantly lower performance in both language and cognitive evaluations than the other groups. Cognitivecommunicative disorders in stroke patients with nondominant-hemispheric lesions present in different ways. In-depth language evaluation of all brain-damaged patients should be conducted so that language defects of patients are not ignored.
참고문헌 (26)
- Aerden, L., "Validation of the Oxfordshire Community Stroke Project syndrome diagnosis derived from a standard symptom list in acute stroke", Journal of the Neurological Sciences, 220, pp.55~58 (2004)
- Al-Khawaja, I., "Bedside screening for aphasia : A comparison of two methods", Journal of Neurology, 243, pp.201~204 (1996)
- Amarenco, P., "Classification of stroke subtypes", Cerebrovascular Disease, 27, pp.493~501 (2009)
- Benton, E., "Incidence of language disorder after right hemisphere CVA", International Journal of Rehabilitation Research, 19, pp.47~54 (1996)
- Cappa, S. F., "Language and verbal memory after right hemispheric stroke : A clinical-CT scan study", Neuropsychologia, 28, pp.503~509 (1990)
- Carter, B. S., "Factors associated with reintegration to normal living after subarachnoid hemorrhage", Neurosurgery, 46, pp.1326~1333 (2000)
- De´monet, J. F., "Renewal of the neurophysiology of language : Functional neuroimaging", Physiological Review, 85, pp.49~95 (2005)
- Enderby, P., "The Frenchay Aphasia screening test : A short, simple test for aphasia appropriate for non-specialists", International Journal of Rehabilitation Medicine, 8, pp.166~170 (1987)
- 하지완, "한국판 프렌차이 실어증 선별검사(Korean version of Frenchay Aphasia Screening Test: K-FAST)의 신뢰도와 타당도: 뇌손상 환자를 대상으로", Communication Sciences and Disorders, 14(1), pp.46~57 (2009), 한국언어청각임상학회
- Helm-Estabrooks, N., "Cognition and aphasia : A discussion and a study", Journal of Communication Disorders, 35, pp.171~186 (2002)
- Hunt, W. E., "Surgical risk as related to time of intervention in the repair of intracranial aneurysms", Journal of Neurosurgery, 28, pp.14~20 (1968)
- Joanette, Y., "Language in right-handers with righthemisphere lesions : A preliminary study including anatomical, genetic, and social factors", Brain and Language, 20, pp.217~248 (1983)
- Kang, Y., "A validity study on the Korean mini-mental state examination(KMMSE)in dementia patients", Journal of the Korean Neurological Association, 15, pp.300~308 (1997)
- Kim, H. H., "Korean-version Western Aphasia battery(K-WAB)" (2001), Paradise Welfare Foundation
- Le Roux, P. D., "Predicting outcome in poor-grade patients with subarachnoid hemorrhage : A retrospective review of 159 aggressively managed cases", Journal of Neurosurgery, 85, pp.39~49 (1996)
- Lindberg, M., "Self-reported prevalence of disability after subarachnoid haemorrhage, with special emphasis on return to leisure and work", British Journal of Neurosurgery, 6, pp.297~304 (1992)
- Lindell, A. K., "In your right mind : Right hemisphere contributions to language processing and production", Neuropsychological Review, 16, pp.131~148 (2006)
- Miller, R. M., "Rehabilitation medicine: Principles and practice", pp.239~268 (1998), Lippincott-Raven
- Nickels, L., "Therapy for naming disorders: Revisiting, revising, and reviewing", Aphasiology, 16, pp.935~979 (2002)
- Oldfield, R. C., "The assessment and analysis of handedness: The Edinburgh inventory", Neuropsychologia, 9, pp.97~113 (1971)
- Purpura, J. E., "An analysis of the relationships between test takers’ cognitive and metacognitive strategy use and second language test performance", Language Learning, 47, pp.289~325 (1997)
- Sung Bom Pyun, "The Author Reply Re: Lateralization of Cognitive Functions in Aphasia after Right Brain Damage", Yonsei Medical Journal, 54(4), pp.1072~1073 (2013), 연세대학교의과대학[DOI]
- Ross, E. D., "Neurology of affective prosody and its functional-anatomic organization in right hemisphere", Brain and Language, 104, pp.51~74 (2008)
- Rovira, A., "Distribution territories and causative mechanisms of ischemic stroke", European Radiology, 15, pp.416~426 (2005)
- Schmidt, G. L., "Right hemisphere metaphor processing? Characterizing the lateralization of semantic processes", Brain and Language, 100, pp.127~141 (2007)
- Warrington, E. K., "The anatomical localisation of selective impairment of auditory verbal short-term memory", Neuropsychologia, 9, pp.377~387 (1971)
