This document summarizes a study examining the ability of stroke patients to solve riddles based on whether they have speech and language disorders (SLDs). The study involved 88 patients who were given 10 riddles to solve. Patients with SLDs correctly solved an average of 26.76% of riddles, significantly lower than patients without SLDs who solved 60% on average. Patients with left brain lesions or damage to language areas had greater difficulty solving riddles than those with right hemisphere lesions. Location of functional impairment also correlated with performance, as patients with right-sided impairments solved fewer riddles on average than those with left-sided impairments. The results indicate that SLDs and certain types of brain damage reduce patients
The study aims to examine the role of the cerebellum in language recovery following pre- or perinatal stroke. While adults often experience lasting language impairment from early strokes, infants often show remarkable recovery. However, the role of the cerebellum in this recovery is not well understood. The study will analyze MRI scans of 42 individuals who suffered early strokes and 26 siblings without injury. It will correlate the volume of cerebellar regions to language outcomes, hypothesizing that greater atrophy in specific cerebellar areas will predict poorer language skills. Findings could influence rehabilitation strategies after early brain damage.
This document provides background information on a research study investigating the effects of brain injury on language fluency after an accident. It includes an acknowledgement, abstract, introduction, objectives, hypothesis and literature review sections. The introduction discusses how brain injury can cause language disorders by damaging specific brain areas involved in language production and comprehension. The purpose is to investigate if brain injury can affect language fluency through a case study of 4 patients who suffered brain injuries. The hypothesis is that language fluency is affected in persons after an accident. The literature review covers previous research on language localization in the brain and effects of damage to areas like Broca's and Wernicke's areas.
Development and Standardization of a Semantic Comprehension Assessment Tool f...iosrjce
IOSR Journal of Applied Physics (IOSR-JAP) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of physics and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications in applied physics. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
1. The document summarizes the 3rd Oxford-Kobe Symposium which brought together over 30 world experts to discuss the latest research on dyslexia.
2. Key findings included evidence that dyslexia is caused by both genetic and environmental factors and deficits in both the auditory and visual pathways. Research also showed differences in how dyslexia manifests depending on the writing system, like differences found between English, Chinese, and Japanese scripts.
3. Speakers also discussed promising avenues for intervention including computer-based training programs and games to improve skills like phonological awareness, rapid naming, and visual attention which could help remediate dyslexia.
Neuroscience Graduate Program Annual Symposium Jan 20th 2017Rita Barakat
1. Scanning was completed on a 3.0T Siemens Trio System located at the University of Southern California. Structural MRI and Diffusion MRI scans were repeated twice and averaged to prevent data loss from head movement.
2. As of December 2016, the study included 22 children with dyslexia and 25 healthy, age-matched controls aged 7-12 who underwent neuropsychological testing and MRI scanning.
3. Preliminary analysis of behavioral data from an MRI reading task found children with dyslexia had more irregular performance between difficulty levels than controls, though this did not differentiate reading strategies as hypothesized. The fMRI data is now being analyzed to further examine these results.
Specific learning disorder - reading disorder, mathematics disorder, and disorder of written expression and learning disorder NOS .
neurodevelopmental disorder produced by the interactions of genetic and environmental factors that influence the brain's ability to perceive or process verbal and nonverbal information efficiently.
1) The document reports on a case study examining the effects of a third ventricle lesion with obstructive hydrocephalus on cognitive, linguistic, and speech skills both before and after surgery.
2) Pre-surgery assessments found deficits in memory, fluency, reading, writing and speech intelligibility. Post-surgery, oro-motor skills and cranial nerve function improved, but cognitive and memory skills did not, though some language tasks did relatively.
3) The study concludes that while surgery improved some speech and language abilities, deviations remained, demonstrating the need for further therapy and rehabilitation to fully address impairments from third ventricle lesions.
The study aims to examine the role of the cerebellum in language recovery following pre- or perinatal stroke. While adults often experience lasting language impairment from early strokes, infants often show remarkable recovery. However, the role of the cerebellum in this recovery is not well understood. The study will analyze MRI scans of 42 individuals who suffered early strokes and 26 siblings without injury. It will correlate the volume of cerebellar regions to language outcomes, hypothesizing that greater atrophy in specific cerebellar areas will predict poorer language skills. Findings could influence rehabilitation strategies after early brain damage.
This document provides background information on a research study investigating the effects of brain injury on language fluency after an accident. It includes an acknowledgement, abstract, introduction, objectives, hypothesis and literature review sections. The introduction discusses how brain injury can cause language disorders by damaging specific brain areas involved in language production and comprehension. The purpose is to investigate if brain injury can affect language fluency through a case study of 4 patients who suffered brain injuries. The hypothesis is that language fluency is affected in persons after an accident. The literature review covers previous research on language localization in the brain and effects of damage to areas like Broca's and Wernicke's areas.
Development and Standardization of a Semantic Comprehension Assessment Tool f...iosrjce
IOSR Journal of Applied Physics (IOSR-JAP) is a double blind peer reviewed International Journal that provides rapid publication (within a month) of articles in all areas of physics and its applications. The journal welcomes publications of high quality papers on theoretical developments and practical applications in applied physics. Original research papers, state-of-the-art reviews, and high quality technical notes are invited for publications.
1. The document summarizes the 3rd Oxford-Kobe Symposium which brought together over 30 world experts to discuss the latest research on dyslexia.
2. Key findings included evidence that dyslexia is caused by both genetic and environmental factors and deficits in both the auditory and visual pathways. Research also showed differences in how dyslexia manifests depending on the writing system, like differences found between English, Chinese, and Japanese scripts.
3. Speakers also discussed promising avenues for intervention including computer-based training programs and games to improve skills like phonological awareness, rapid naming, and visual attention which could help remediate dyslexia.
Neuroscience Graduate Program Annual Symposium Jan 20th 2017Rita Barakat
1. Scanning was completed on a 3.0T Siemens Trio System located at the University of Southern California. Structural MRI and Diffusion MRI scans were repeated twice and averaged to prevent data loss from head movement.
2. As of December 2016, the study included 22 children with dyslexia and 25 healthy, age-matched controls aged 7-12 who underwent neuropsychological testing and MRI scanning.
3. Preliminary analysis of behavioral data from an MRI reading task found children with dyslexia had more irregular performance between difficulty levels than controls, though this did not differentiate reading strategies as hypothesized. The fMRI data is now being analyzed to further examine these results.
Specific learning disorder - reading disorder, mathematics disorder, and disorder of written expression and learning disorder NOS .
neurodevelopmental disorder produced by the interactions of genetic and environmental factors that influence the brain's ability to perceive or process verbal and nonverbal information efficiently.
1) The document reports on a case study examining the effects of a third ventricle lesion with obstructive hydrocephalus on cognitive, linguistic, and speech skills both before and after surgery.
2) Pre-surgery assessments found deficits in memory, fluency, reading, writing and speech intelligibility. Post-surgery, oro-motor skills and cranial nerve function improved, but cognitive and memory skills did not, though some language tasks did relatively.
3) The study concludes that while surgery improved some speech and language abilities, deviations remained, demonstrating the need for further therapy and rehabilitation to fully address impairments from third ventricle lesions.
This document summarizes a case study examining the neural mechanisms underlying language outcomes in a patient who recovered from Landau–Kleffner Syndrome (LKS). Key findings include:
1) The recovered LKS patient showed normal letter-sound integration in the superior temporal gyrus, indicating intact function, but altered connectivity between temporal and frontal language areas as shown by diffusion tensor imaging.
2) The altered connectivity may explain the patient's short-term verbal memory problems and difficulties with speech sound-motor interaction, which could underlie the language disorders in LKS.
3) While temporal lobe auditory processing appeared intact, fiber tracking suggested the patient's Heschl's gyrus fibers were left-
Disordered Brain Modeling Using Artificial Network SOFMSyeful Islam
Autism is known as a neurobiological developmental disorder which affects language,
communication, and cognitive skill. In the case of autism attention shift impairment and
strong familiarity preference are considered to be prime deficiencies. Attention shift
impairment is one of the most seen behavioral disorders found in autistic patients. We
have model this behavior by employing self-organizing feature map (SOFM).
Disordered Brain Modeling Using Artificial Network SOFMSyeful Islam
This document summarizes a research paper that models attention shift impairment in autistic individuals using an artificial neural network called Self Organizing Feature Map (SOFM). SOFM is an unsupervised learning algorithm that can train autistic people to recognize and learn objects. The document provides background on autism as a neurodevelopmental disorder characterized by social and communication difficulties. It describes research showing differences in brain structure and function in autistic individuals, pointing to the cortex being differently wired. It also summarizes treatment approaches and long-term outcomes for autism.
The document discusses how brain development involves more complex processes than simply growing from simple to complex. It involves addition of neurons and connections, subtraction through pruning of unused connections, and reorganization of brain regions and representations. Language acquisition similarly involves learning to ignore irrelevant information, represent concepts economically, and develop modular organization over time. The brain areas involved in learned skills change as the skills become automatic. Environmental factors can influence all stages of neurological development, including growth, pruning and functional specialization.
The document discusses how brain development involves more complex processes than simply growing from simple to complex. It involves addition of neurons and connections, subtraction through pruning of unused connections, and reorganization of brain regions and representations. Language acquisition similarly involves learning to ignore irrelevant information, represent concepts economically, and develop modular organization over time. The brain areas involved in learned skills change as the skills become automatic. Environmental factors can influence all stages of neurological development, including growth, pruning and functional specialization.
المجلد: 2 ، العدد: 3 ، مجلة الأهواز لدراسات علم اللغة
مجلة الأهواز لدراسات علم اللغة
(مجلة فصلية دولية محكمة)
(ISSN: 2717-2716)
لمزید من المعلومات، ﯾرﺟﯽ زﯾﺎرة ﻣوﻗﻌﻧﺎ اﻹﻟﮐﺗروﻧﻲ : WWW.AJLS.IR
ترحب المجلة بجميع الباحثين في مجال اهتمامها العلمي والبحثي في احد المحاور المذکورة أدﻧﺎه بإحدی اللغات التالیة: العربیة، الإنجلیزیة و الفارسیة:
أ) اللغات و اللهجات (القضايا الراهنة بلسانیات اللغة)
ب) علم اللغة (القضايا الراهنة بعلم اللغة)
ج) الأدب (القضاية الراهنة بالأدب العربي، الإنجليزي، و سائر اللغات)
د) الترجمة (القضاية الراهنة بترجمة اللغات)
ه) القضايا الراهنة بلسانیات القرآن الکریم
و) القضايا الراهنة لتعلیم اللغات لغير الناطقين بها
ز) تعليم، برمجة و تقييم برامج تعليم و تعلم اللغات
ح) الاستراتيجيات، إمكانیات و تحديات التسويق وريادة الأعمال فی اللغات المتنوعة
ط) القضايا الراهنة بلسانیات النصوص و الخطاب الديني، الاقتصادی، الاجتماعي، القانوني، و ...
الأهواز / الصندوق البريدی 61335-4619:
الهاتف :32931199-61 (98+)
الفاکس:32931198-61(98+)
النقال و رقم للتواصل علی الواتس اب : 9165088772(98+)
البريد اﻹﻟﮑﺘﺮوﻧﻲ: info@pahi.ir
Vol. 2, No. 3 , Ahwaz Journal of Linguistics Studies
Ahwaz Journal of Linguistics Studies
(Peer-Reviewed International Quarterly Journal)
(ISSN: 2717-2643)
For more information, please visit the journal website:
WWW.AJLS.IR
The journal welcomes submissions in English, Arabic or Persian in any of the relevant fields:
A) Linguistics (Any issue related to either theoretical or applied linguistics)
B) Languages and dialects (Any linguistic issue related languages and dialects)
C) Translation (Any translation and interpreting issue related to languages and dialects)
D) Religious linguistics (Any linguistic study related to religious texts and speeches)
Please feel free to write if there is any query.
The AJLS Secretariat,
Ahwaz 61335-4619 Iran
Tel: (+98) 61-32931199
Fax: (+98) 61-32931198
Mobile: (+98) 916-5088772 (WhatsApp Number)
Email: info@pahi.ir
Apraxia of Speech and Grammatical Language Impairment in Children with Autism...ijtsrd
The presence and extent of motor speech and grammatical language impairments are very heterogeneous in children with autism spectrum disorders ASD . Childhood apraxia of speech CAS is a prevalent concomitant motor speech disorder in children with autism affecting imitation skills and impairing speech acquisition due to motor sequencing deficits. Children with CAS also exhibit procedural learning impairments Iuzzini Seigel, 2021 . Ullman 2006 hypothesized in the ‘Procedural Deficit Hypothesis’ that procedural memory deficit underlies grammatical language impairments in ASD. This causes difficulty in formulating sentences on the basis of grammatical or word order sequencing rules. Therefore, children with ASD prefer to retrieve and use pre learnt utterances stored as whole units in their semantic memory. Literature review suggests disruption of a common FOXP2 Forkhead Box P2 gene in both CAS and developmental language impairment Morgan, Fisher, Scheffer and Hildebrand, 2016 . Evidence also suggests that the same gene FOXP2 underlies functioning of procedural memory system Ullman et. al., 1997 . From the review of literature it is hypothesized that procedural learning deficit is the plausible cause of grammatical language impairment and apraxia of speech in ASD. The potential implication of this review is that procedural memory training could enhance both speech motor planning programming and grammar in children with ASD. Dr. Maria Grace Treasa "Apraxia of Speech and Grammatical Language Impairment in Children with Autism: Procedural Deficit Hypothesis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52447.pdf Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/other/52447/apraxia-of-speech-and-grammatical-language-impairment-in-children-with-autism-procedural-deficit-hypothesis/dr-maria-grace-treasa
This document describes a case study of a patient ("S") who suffered damage to the arcuate fasciculus and other white matter tracts in the superior longitudinal fasciculus due to radiation treatment for a brain tumor at age 5. Diffusion tensor imaging revealed missing or abnormal fiber tracts in these regions compared to controls. Neuropsychological testing showed S had profound dyslexia as well as deficits in visuospatial abilities, calculation, rapid naming, and working memory. The specific damage to the superior longitudinal fasciculus provides an explanation for S's reading and visuospatial impairments. This case links selective radiation damage to disruption of particular white matter pathways.
1. The document is a final project by a clinical psychologist analyzing how understanding the brain course helped her work with children with developmental disabilities including Down syndrome.
2. It summarizes what is known about the neurobiology of Down syndrome including smaller brain volumes and impaired functions like language and memory.
3. The course helped the psychologist better understand the complexity of intelligence and disabilities, reminded her it's a common problem with varied impacts, and emphasized seeing the whole person beyond just impairments.
Dyslexia is a neurological disorder with a genetic origin. There are three major theories about its causes: the phonological theory involving phonological representations, the auditory theory involving perception of short/rapid sounds, and the visual theory involving processing of letters and words. The cerebellar theory also suggests the cerebellum plays a role in motor control and automatization of tasks like reading. A unifying magnocellular theory attempts to integrate these findings by proposing a generalized magnocellular dysfunction across modalities that also affects the cerebellum. While its exact mechanisms remain unclear, dyslexia is not a disease and interventions aim to improve coping skills in a society where reading and writing are integral.
This summary provides the key points about connectionist models of aphasic perseveration in 3 sentences:
Connectionist models analyze how damage to neural connections in language processing areas of the brain can lead to recurrent errors like perseveration seen in aphasic patients. A seminal model by Plaut and Shallice (1994) showed that short-term learning mechanisms in a network trained for visual object naming could produce perseverative errors following simulated damage. However, the model has limitations and incorporating recent findings on how neuromodulation interacts with learning may help improve models of aphasic perseveration.
The document summarizes research on language lateralization and processing in the left and right hemispheres of the brain. It discusses how damage to different areas like Broca's area and Wernicke's area can cause different language deficits. It also covers split-brain patients and research showing the hemispheres can function independently. Functional brain imaging research suggests language activation is widespread and varied rather than localized to specific areas.
Bishop, D. V. M. (2009). Genes, cognition and communication: insights from neurodevelopmental disorders. The Year in Cognitive Neuroscience: Annals of the New York Academy of Sciences, 1156, 1-18.
This document discusses aphasia, a neurological disorder that impacts areas of the brain responsible for communication, language comprehension, speech, and writing. There are two main types of aphasia - Broca's aphasia and Wernicke's aphasia - which result from damage to different areas of the left hemisphere of the brain. Broca's aphasia affects expression and speech production while Wernicke's aphasia affects language comprehension. The presentation reviews the causes, symptoms, and impacts of aphasia, including difficulties with speaking, comprehension, and communication, and discusses speech therapy and other treatments.
IMPACT OF BRAIN-BASED LEARNING TOOLS IN MAINTAINING COGNITIVE RESERVE OF DEME...IAEME Publication
This document discusses using brain-based learning tools like Islamic songs ("nasheed") to maintain cognitive reserve in dementia patients. It reviews literature on cognitive reserve and how education, occupation, and leisure activities can build reserve. The author then presents observations from caring for a dementia patient, finding that listening to nasheed improved attention, learning, and memory over 18 months. Nasheed may create a relaxed yet alert state that enhances comprehension. The paper concludes that brain-based tools tailored to a patient's culture could help preserve cognitive abilities as dementia progresses by engaging compensatory neural networks.
The document provides an overview of psycholinguistics, which is an interdisciplinary field that brings together linguistics and psychology to understand how humans acquire, process, and use language. It discusses several topics within psycholinguistics including language acquisition, comprehension, production, the relationship between language and the brain, aphasia, individual differences that influence language learning, information processing approaches, theories of connectionism, complexity theory, processability theory, age differences in second language acquisition, the critical period hypothesis, the role of motivation and sex in language learning, and aptitude for language learning.
Speech is an expression of thoughts which is performed by interacting with people. As every technique in this world it has its own drawbacks, which includes inability to understand the sound or perceive it either from listener end or disruptive atypical speech generation at the speaker end.
In life we encounter number of people who are mentally unstable. In addition to the issues faced in performing basic work like confident walking public behavior and presentation, they may also suffer heavily with the speech stigma. While they speak they often sound like noise and are not understandable. Mental retardation is a relative term. Its meaning depends on the requisites of a society. A society of well grown and groomed people demands presence of intelligence and intellectualism, they search for person’s social behavior to decide if a person is mentally impaired or not. This study is an attempt to find the differences and observe the pattern of pitch variation in 2 main categories of Mental retardation i.e. Mild mental retardation and moderate mental retardation.
In light of teaching students with dyslexia and other learning difficulties (LD), neuroscientists claim that
such deficiencies happen due to a neural base, depending on biological and environmental factors, and
experience developing properties and improving reading skills. The research claims two types of dyslexia:
developmental (or innate) and deep (or acquired due to brain traumas or diseases). This article researches
developmental dyslexia (DD), which may be primary and secondary. DD is divided into two main
subtypes: surface and phonological While reading; our brains must "rewire" neural circuits initially used
for other tasks, such as visual and speech processing and attention and cognition. Psycholinguistics
investigates the cognitive process of perception, production, and general use of language. This article
revises teaching English in light of neuroscience, psycholinguistics, and appropriate methods to train
working memory and other ways to overcome DD and its subtypes
A View From The Bridge Essay ConclusionFelicia Clark
The document discusses the steps involved in requesting writing assistance from HelpWriting.net. It outlines 5 steps: 1) Create an account with a password and email. 2) Complete a 10-minute order form providing instructions, sources, and deadline. 3) Review bids from writers and choose one. 4) Review the completed paper and authorize payment. 5) Request revisions to ensure satisfaction, with a refund offered for plagiarized work.
The document outlines a 5-step process for requesting and receiving writing assistance from the HelpWriting.net website. Students must first create an account, then submit a request form providing instructions and deadlines. Writers will bid on the request and students can choose a writer, make a deposit, and receive a completed paper to review and pay for upon approval.
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Similar to Ability To Solve Riddles In Patients With Speech And Language Impairments After Stroke
This document summarizes a case study examining the neural mechanisms underlying language outcomes in a patient who recovered from Landau–Kleffner Syndrome (LKS). Key findings include:
1) The recovered LKS patient showed normal letter-sound integration in the superior temporal gyrus, indicating intact function, but altered connectivity between temporal and frontal language areas as shown by diffusion tensor imaging.
2) The altered connectivity may explain the patient's short-term verbal memory problems and difficulties with speech sound-motor interaction, which could underlie the language disorders in LKS.
3) While temporal lobe auditory processing appeared intact, fiber tracking suggested the patient's Heschl's gyrus fibers were left-
Disordered Brain Modeling Using Artificial Network SOFMSyeful Islam
Autism is known as a neurobiological developmental disorder which affects language,
communication, and cognitive skill. In the case of autism attention shift impairment and
strong familiarity preference are considered to be prime deficiencies. Attention shift
impairment is one of the most seen behavioral disorders found in autistic patients. We
have model this behavior by employing self-organizing feature map (SOFM).
Disordered Brain Modeling Using Artificial Network SOFMSyeful Islam
This document summarizes a research paper that models attention shift impairment in autistic individuals using an artificial neural network called Self Organizing Feature Map (SOFM). SOFM is an unsupervised learning algorithm that can train autistic people to recognize and learn objects. The document provides background on autism as a neurodevelopmental disorder characterized by social and communication difficulties. It describes research showing differences in brain structure and function in autistic individuals, pointing to the cortex being differently wired. It also summarizes treatment approaches and long-term outcomes for autism.
The document discusses how brain development involves more complex processes than simply growing from simple to complex. It involves addition of neurons and connections, subtraction through pruning of unused connections, and reorganization of brain regions and representations. Language acquisition similarly involves learning to ignore irrelevant information, represent concepts economically, and develop modular organization over time. The brain areas involved in learned skills change as the skills become automatic. Environmental factors can influence all stages of neurological development, including growth, pruning and functional specialization.
The document discusses how brain development involves more complex processes than simply growing from simple to complex. It involves addition of neurons and connections, subtraction through pruning of unused connections, and reorganization of brain regions and representations. Language acquisition similarly involves learning to ignore irrelevant information, represent concepts economically, and develop modular organization over time. The brain areas involved in learned skills change as the skills become automatic. Environmental factors can influence all stages of neurological development, including growth, pruning and functional specialization.
المجلد: 2 ، العدد: 3 ، مجلة الأهواز لدراسات علم اللغة
مجلة الأهواز لدراسات علم اللغة
(مجلة فصلية دولية محكمة)
(ISSN: 2717-2716)
لمزید من المعلومات، ﯾرﺟﯽ زﯾﺎرة ﻣوﻗﻌﻧﺎ اﻹﻟﮐﺗروﻧﻲ : WWW.AJLS.IR
ترحب المجلة بجميع الباحثين في مجال اهتمامها العلمي والبحثي في احد المحاور المذکورة أدﻧﺎه بإحدی اللغات التالیة: العربیة، الإنجلیزیة و الفارسیة:
أ) اللغات و اللهجات (القضايا الراهنة بلسانیات اللغة)
ب) علم اللغة (القضايا الراهنة بعلم اللغة)
ج) الأدب (القضاية الراهنة بالأدب العربي، الإنجليزي، و سائر اللغات)
د) الترجمة (القضاية الراهنة بترجمة اللغات)
ه) القضايا الراهنة بلسانیات القرآن الکریم
و) القضايا الراهنة لتعلیم اللغات لغير الناطقين بها
ز) تعليم، برمجة و تقييم برامج تعليم و تعلم اللغات
ح) الاستراتيجيات، إمكانیات و تحديات التسويق وريادة الأعمال فی اللغات المتنوعة
ط) القضايا الراهنة بلسانیات النصوص و الخطاب الديني، الاقتصادی، الاجتماعي، القانوني، و ...
الأهواز / الصندوق البريدی 61335-4619:
الهاتف :32931199-61 (98+)
الفاکس:32931198-61(98+)
النقال و رقم للتواصل علی الواتس اب : 9165088772(98+)
البريد اﻹﻟﮑﺘﺮوﻧﻲ: info@pahi.ir
Vol. 2, No. 3 , Ahwaz Journal of Linguistics Studies
Ahwaz Journal of Linguistics Studies
(Peer-Reviewed International Quarterly Journal)
(ISSN: 2717-2643)
For more information, please visit the journal website:
WWW.AJLS.IR
The journal welcomes submissions in English, Arabic or Persian in any of the relevant fields:
A) Linguistics (Any issue related to either theoretical or applied linguistics)
B) Languages and dialects (Any linguistic issue related languages and dialects)
C) Translation (Any translation and interpreting issue related to languages and dialects)
D) Religious linguistics (Any linguistic study related to religious texts and speeches)
Please feel free to write if there is any query.
The AJLS Secretariat,
Ahwaz 61335-4619 Iran
Tel: (+98) 61-32931199
Fax: (+98) 61-32931198
Mobile: (+98) 916-5088772 (WhatsApp Number)
Email: info@pahi.ir
Apraxia of Speech and Grammatical Language Impairment in Children with Autism...ijtsrd
The presence and extent of motor speech and grammatical language impairments are very heterogeneous in children with autism spectrum disorders ASD . Childhood apraxia of speech CAS is a prevalent concomitant motor speech disorder in children with autism affecting imitation skills and impairing speech acquisition due to motor sequencing deficits. Children with CAS also exhibit procedural learning impairments Iuzzini Seigel, 2021 . Ullman 2006 hypothesized in the ‘Procedural Deficit Hypothesis’ that procedural memory deficit underlies grammatical language impairments in ASD. This causes difficulty in formulating sentences on the basis of grammatical or word order sequencing rules. Therefore, children with ASD prefer to retrieve and use pre learnt utterances stored as whole units in their semantic memory. Literature review suggests disruption of a common FOXP2 Forkhead Box P2 gene in both CAS and developmental language impairment Morgan, Fisher, Scheffer and Hildebrand, 2016 . Evidence also suggests that the same gene FOXP2 underlies functioning of procedural memory system Ullman et. al., 1997 . From the review of literature it is hypothesized that procedural learning deficit is the plausible cause of grammatical language impairment and apraxia of speech in ASD. The potential implication of this review is that procedural memory training could enhance both speech motor planning programming and grammar in children with ASD. Dr. Maria Grace Treasa "Apraxia of Speech and Grammatical Language Impairment in Children with Autism: Procedural Deficit Hypothesis" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52447.pdf Paper URL: https://www.ijtsrd.com/humanities-and-the-arts/other/52447/apraxia-of-speech-and-grammatical-language-impairment-in-children-with-autism-procedural-deficit-hypothesis/dr-maria-grace-treasa
This document describes a case study of a patient ("S") who suffered damage to the arcuate fasciculus and other white matter tracts in the superior longitudinal fasciculus due to radiation treatment for a brain tumor at age 5. Diffusion tensor imaging revealed missing or abnormal fiber tracts in these regions compared to controls. Neuropsychological testing showed S had profound dyslexia as well as deficits in visuospatial abilities, calculation, rapid naming, and working memory. The specific damage to the superior longitudinal fasciculus provides an explanation for S's reading and visuospatial impairments. This case links selective radiation damage to disruption of particular white matter pathways.
1. The document is a final project by a clinical psychologist analyzing how understanding the brain course helped her work with children with developmental disabilities including Down syndrome.
2. It summarizes what is known about the neurobiology of Down syndrome including smaller brain volumes and impaired functions like language and memory.
3. The course helped the psychologist better understand the complexity of intelligence and disabilities, reminded her it's a common problem with varied impacts, and emphasized seeing the whole person beyond just impairments.
Dyslexia is a neurological disorder with a genetic origin. There are three major theories about its causes: the phonological theory involving phonological representations, the auditory theory involving perception of short/rapid sounds, and the visual theory involving processing of letters and words. The cerebellar theory also suggests the cerebellum plays a role in motor control and automatization of tasks like reading. A unifying magnocellular theory attempts to integrate these findings by proposing a generalized magnocellular dysfunction across modalities that also affects the cerebellum. While its exact mechanisms remain unclear, dyslexia is not a disease and interventions aim to improve coping skills in a society where reading and writing are integral.
This summary provides the key points about connectionist models of aphasic perseveration in 3 sentences:
Connectionist models analyze how damage to neural connections in language processing areas of the brain can lead to recurrent errors like perseveration seen in aphasic patients. A seminal model by Plaut and Shallice (1994) showed that short-term learning mechanisms in a network trained for visual object naming could produce perseverative errors following simulated damage. However, the model has limitations and incorporating recent findings on how neuromodulation interacts with learning may help improve models of aphasic perseveration.
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Ability To Solve Riddles In Patients With Speech And Language Impairments After Stroke
1. 158
Srp Arh Celok Lek. 2016 Mar-Apr;144(3-4):158-164 DOI: 10.2298/SARH1604158S
ОРИГИНАЛНИ РАД / ORIGINAL ARTICLE UDC: 616.831-005.1-06
Correspondence to:
Goran SAVIĆ
IPRM„Dr Miroslav Zotović“
Banja Luka
Republic of Srpska
Bosnia and Herzegovina
sakogo@blic.net
SUMMARY
Introduction Successful riddle solving requires recognition of the meaning of words, attention, con-
centration, memory, connectivity and analysis of riddle content, and sufficiently developed associative
thinking.
Objective The aim of the study was to determine the ability to solve riddles in stroke patients who do
or do not have speech and language disorders (SLDs), to determine the presence of SLDs in relation
to the lesion localization, as well as to define the relationship between riddle-solving and functional
impairment of a body side.
Methods The sample consisted of 88 patients. The data used included age, sex, educational level, time
of stroke onset, presence of an SLD, lesion localization, and functional damage of the body side. The
patients were presented with a task of solving 10 riddles.
Results A significant SLD was present in 38.60% of the patients. Brain lesions were found distributed at
46 different brain sites. Patients with different lesion localization had different success in solving riddles.
Patients with perisylvian cortex brain lesions, or patients with Wernicke and global aphasia, had the
poorest results. The group with SLDs had an average success of solved riddles of 26.76% (p = 0.000).
The group with right-sided functional impairments had average success of 37.14%, and the group with
functional impairments of the left side of the body 56.88% (p = 0.002).
Conclusion Most patients with SLDs had a low ability of solving riddles. Most of the patients with left
brain lesions and perisylvian cortex damage demonstrated lower ability in solving riddles in relation to
patients with right hemisphere lesions.
Keywords: localized brain damage; associative thinking; aphasia; functional impairment
Ability to solve riddles in patients with speech and
language impairments after stroke
Goran Savić
Institute of Physical Medicine and Rehabilitation“Dr Miroslav Zotović,”Banja Luka, Republic of Srpska,
Bosnia and Herzegovina
INTRODUCTION
Stroke is the most common cause of severe
physical disability, impaired communication
skills, limited ability to perform activities of
independent living, dependence on others for
care and assistance, and many other more or
less serious consequences [1]. Ageing of popu-
lation, globalization, and urbanization are the
powerful drivers of the stroke epidemic [2, 3].
The World Health Organization has forecasted
that by 2050, the number of people 60 years of
age and older will reach two billion [4].
The human brain consists of a large number
of neural networks, which connect many func-
tional regions of the brain. Damage to these
networks is the result of a stroke. The location
of brain damage determines the type of dys-
function that results. Verbal communication
impairment is a particular problem in stroke
patients. Difficulties may occur in speech and
language understanding or expression, or both
understanding and expression.
There is a large amount of information in
the world today about speech and language im-
pairments as a result of stroke. It is assumed
that the entire cortex is involved in connecting
linguistic functions.
Clinical data show that lesions in certain
areas of the brain give rise to severe speech
and language disorder (SLD), while damage to
other areas of the cortex does not cause speech
and language disorders [5, 6, 7]. Both cerebral
hemispheres are necessary in order for the
brain to function properly. Certain functions
are better executed by the right hemisphere
of the brain while others are better executed
by the left hemisphere. This phenomenon is
known as the functional asymmetry of the
brain [8].
Processes and activities of certain brain
regions related to speech and language com-
munication are rarely present in both hemi-
spheres. For most people, the left half of the
brain is responsible for speaking, reading and
writing. The role of the right hemisphere and
sub cortical zone in executing these functions
is less known.
Lexical and grammatical knowledge show
hemispheric specialization. Speech and lan-
guage functions are predominantly left hemi-
sphere functions in most people. Right hemi-
sphere has a role in understanding prosody
(the color and tonality of verbal statements),
but it has no role in processing grammatical
relations. Right hemisphere is important for
learning a new language, learning new words,
for spatial organization and attention [9].
Damage to the brain’s sensory and motor
pathways and centers often cause delays, dif-
2. 159
Srp Arh Celok Lek. 2016 Mar-Apr;144(3-4):158-164
www.srpskiarhiv.rs
ficulties or total loss of adequate response of the patient.
Damage to these functions depends on the location, in-
tensity and extent of brain lesions.
In our previous research, we have found brain damage
almost equally located on the left and right sides of the
brain, to a lesser extent on both sides. About a third of all
brain damage, located mainly in the left hemisphere, was
accompanied by an SLD. SLDs are less common as a result
of damage to the right hemisphere [10].
Damage to the right cerebral hemisphere in most pa-
tients does not have an SLD as a consequence. Very few
studies explore the implications for understanding speech
after damage to the right cerebral hemisphere. Nomination
is a problem that arises with disorders of higher cogni-
tive functions due to its interconnection with language
and memory. This problem occurs in all types of aphasia
caused by focal injury and neurodegenerative diseases.
We investigated nomination ability in 105 patients
who had an SLD after stroke. We found that the lesions
are located in the left brain hemisphere in 58.49% of the
sample, they were bilateral in 29.24% of the sample (which
includes damage to the left side of the brain), they were in
the right brain hemisphere in 4.71% of the sample, and the
unknown location was in 7.54% of the patients. Patients
with lesions on the right hemisphere had more success and
produced better results when compared to patients with
left brain hemisphere lesions [11].
Successful naming depends on the ability of the audi-
tory understanding of the message, the visual perception
of the object that shall be appointed, on the level of short-
term and long-term memory, attention and concentration,
as well as the capacity for verbal expression. Damage to
one or more of these skills leads to lower success in tests
of naming [1].
Riddles are statements, questions, and phrases that have
double or veiled meaning, and set as a task to be solved
or guessed.
From the standpoint of neurofunctional anatomy there
are several reasons for the failure of solving language prob-
lems on the part of patients with stroke.
Partial or complete absence of understanding speech
and linguistic messages is the result of damage to the
primary acoustic areas (transverse temporal gyrus and
planum temporal) and secondary acoustic areas of the
dominant hemisphere [12]. The planum temporale shows
a significant asymmetry. In 65% of all individuals the left
planum temporale appears to be more developed, while the
right planum temporale is more developed in only 10%. In
some individuals’ brains, the planum temporale is more
than five times larger on the left than on the right, making
it the most asymmetrical structure in the brain [13].
Understanding depends on the size and localization of
damage to neuroanatomic bases and linguistic complexity
of the set task.
Prosodic elements of speech (intonation, register,
tempo, rhythm, intensity, and accent) provide the non-
dominant hemisphere with information needed for under-
standing ambiguous messages, metaphor, sarcasm, humor,
and even riddles. Damage to the area of the non-dominant
hemisphere needed for this task complicates the analysis
of the prosodic elements of speech.
Damage to the lower part of the primary motor area,
Broca’s area of the dominant hemisphere (pars opercularis,
pars triangularis, inferior frontal gyrus) and the premotor
area, results in impaired speech, motor aphasia [12]. With
more extensive damage the patient knows what he wants
to say but cannot, while lesser damage results in vague and
unintelligible speech.
Reduced ability or inability to complete the integration
of information, and their inter-media processing, is the
result of damage to the associative areas of the cerebral
cortex.
The products of inter-media information processing in
neural networks associative cortex and the limbic system
are complex functions such as thinking, language, selective
attention, memory, and other forms of cognitive activity
and behavior [14].
Damage to several brain sites responsible for speech
and language functioning significantly complicates un-
derstanding and processing of linguistic messages. This
reduces the chances of getting expected verbal responses.
In our previous study, we tested the success of solving
42 riddles in patients with right-sided brain lesions after
stroke and in the “healthy population” control group [1].
For this study we used 10 riddles for which the “healthy
population” control group had an average success rate of
89.50% [1].
OBJECTIVE
The aim of the study was to determine the ability to solve
complex speech and language structures, riddles, in pa-
tients with or without history of SLDs. Further objective
of the study was to determine the presence of an SLD in
relation to brain lesion localization, and relation between
riddle-solving ability and body side impairment in the
same patients.
METHODS
The sample consisted of 88 patients involved in rehabilita-
tion at IPRM Dr Miroslav Zotović in Banja Luka, during
the period from June 1, 2014, to July 31, 2014.
The information collected includes data on age, gender,
educational level, time of stroke onset, presence of an SLD,
brain lesion localization and functional damage of body
side. Patients were tested within 90 days of surviving the
stroke. Assessment of SLD type was performed in patients
who were referred by a physiatrist.
We read 10 riddles to each patient. The patient needed
to solve each riddle within 90 seconds. We compared the
performance results of patients with and without an SLD,
with different brain lesions, with different types of SLD,
and with functional impairments of the right and left side
of the body.
3. 160
doi: 10.2298/SARH1604158S
Goran Savić Ability to solve riddles in patients with speech and language impairments after stroke
RESULTS
The average age of the sample was 69.46 ± 9.73 years. Gen-
der structure was 59.10:40.90% (N = 52:36) in favor of
males. The average age of males was 67.92 years, and 71.69
years in female patients (Graph 1).
The education level of the group was as follows: 49 with
no qualifications (55.68%); 25 workers with an apprentice-
ship qualification (28.40%); seven with high school educa-
tion (7.95%); and seven with a higher degree of education
(7.95%).
The average number of days from onset stroke to testing
for the entire sample was 48.03.
Average of the entire group was 4.71 successfully solved
riddles, or 47.10%. The average success of the group with
an SLD was 26.76% of successfully solved riddles, and
60.00% for the group without an SLD (Table 1).
T-test for equality of means of success of patients with
and without an SLD shows that the results are statistically
significant (p = 0.000).
T-test for equality of means of success of patients with
functional impairments of the right and left side of the
body shows that the results are statistically significant
(p = 0.002).
We found that 47.70% of the sample had right-sided
body impairments, 51.1% had left, and 1.10% of patients
were those with bilateral functional impairments of the
body occurring as a result of a stroke.
We found that of the 45 patients with functional im-
pairments of the left side of the body, seven (15.55%) had
significant SLD. Of the 42 patients with functional impair-
ments of the right side of the body, 27 (64.28%) had an
SLD present. One patient with bilateral functional body
impairments had no significant SLD.
The average success of the group with right-sided func-
tional impairments was 37.14% of solved riddles (Graph
2). The group with functional impairments of the left side
of the body had success in 56.88% of the test, p = 0.002
(Graph 3).
In the group of 42 patients with functional impairments
of right side of the body, there were 27 (64.28%) patients
with an SLD which significantly affected the result. We
found that in the group of 45 patients with functional im-
pairments of the left side of the body there were seven
(15.55%) patients with an SLD which significantly affected
the result.
Patients without an SLD were on average 68.12 years
old (±9.80), and average age of patients with an SLD was
71.58 years (±9.37), p = 0.102.
The correlation between the number of days passed
from the stroke and success in riddle solving was r = 0.025,
p = 0.816.
The correlation between age and success was r = 0.402,
p = 0.000.
DISCUSSION
The ability of auditory perception, analysis, understand-
ing, remembering, connecting analogies and associations
of previously learned language structures, are all associ-
ated with the functioning of the entire brain, especially the
parts responsible for speech and linguistic functioning.
Providing ‘workarounds,’ indirect associative information
about a term that needs to be nominated, is the essence of
each given riddle [1].
Successful riddle resolving requires good command of
the language, recognition of the meaning of words in the
riddle, attention, concentration and memory, perception
of speech and language content as a whole, as well as de-
veloped associative thinking.
Absence of any of the above stated elements will result
in insufficient understanding of set riddles or complete
lack thereof, and the absence of adequate response.
We wanted to determine the difference in performance
between patients with and without an SLD in solving com-
plex linguistic structures expressed through riddles. Using
the same test we also wanted to determine the difference in
performance among patients with different brain lesions,
with different types of SLD and with functional impair-
ment of a body side.
Graph 3. Number of successfully solved riddles in relation to func-
tional impairment of the left side of the body in patients with and
without an SLD
Graph 1. Gender and age structure of the sample
Graph 2. Number of successfully solved riddles in relation to func-
tional impairment of the right side of the body in patients with and
without an SLD
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Patients had a task of solving 10 riddles. We took the
riddles from ABC books and textbooks used in educa-
tional programs starting from primary school from the
time when the largest number of respondents attended
primary school.
The average age of the sample (Graph 1) was similar to
our previous researches [1, 10, 11, 15].
In the researched sample test results ranged from com-
plete ineffectiveness to complete success (Table 1). Low
success of the group with an SLD was associated with brain
damage of the regions responsible for speech and language
functioning. Patients with damage to these sites had little
or no auditory comprehension, connecting, had anomie,
problems of verbal expressions, etc. In our previous study,
we analyzed success in solving riddles in “healthy popula-
tion,” and performance varied depending on the riddle,
from 85% to 100%, the average being 89.50% [1]. Patients
without an SLD achieved low results in relation to “healthy
Table 1. Successfully solved riddles in relation to brain lesion localization
Localization of stroke
Mean of
solved riddles
No.
of patients
Std. Deviat. No. without SLD No. with SLD
Multifocal hotspot dominant left 0.00 1 - 0 1
Paraventricular left 0.00 1 - 0 1
Parietal and paraventricular left 0.00 1 - 0 1
Parietal-occipital-temporal left 0.00 1 - 0 1
Parietal-temporal left 0.00 3 0.00 0 3
Frontoparietal left 0.00 2 0.00 0 2
Parietal and paraventricular right 1.00 2 1.41 1 1
Multifocal hotspot dominant right 2.00 1 - 0 1
Temporal left 2.00 1 - 0 1
Frontal-parietal-temporal right 2.50 2 3.53 1 1
Periventricular left 2.75 4 2.21 0 4
Parietal right 3.75 4 2.50 3 1
Parietal left 4.00 1 - 0 1
Parietal right and paraventricular bilateral 4.00 1 - 1 0
Pons 4.00 1 - 1 0
Temporal-occipital left 4.00 2 5.65 0 2
Basal ganglia left 4.50 4 4.12 2 2
Frontal-parietal right 4.66 3 1.52 3 0
Multifocal hotspots 4.75 8 3.24 5 3
Unknowns localization 4.75 4 1.70 3 1
Supra and infratentorial right 5.00 1 - 1 0
Frontal left 5.00 3 1.00 3 0
Thalamus right 5.00 1 - 1 0
Periventricular right 5.00 1 - 1 0
Basal ganglia right 5.50 4 3.41 4 0
Parietal-temporal right 5.50 2 0.70 2 0
Supratentorial left 5.50 2 0.70 2 0
Supratentorial and parietal right 5.50 2 4.94 1 1
Capsule internal and basal gang. right 6.00 1 - 1 0
Fronto-parietal-insular left 6.00 1 - 0 1
Periventricular bilateral 6.00 1 - 1 0
Irrigation ACM right 7.00 2 4.24 1 1
Paraventricular right 7.00 1 - 1 0
Parietal bilateral 7.00 1 - 1 0
Parietal and insular right 7.00 1 - 1 0
Pons right 7.00 1 - 1 0
Fronto-parietal-temporal left 7.00 2 1.41 0 2
Thalamus left 7.00 3 3.60 2 1
Supratentorial right 7.66 3 0.57 3 0
Basal ganglia both side 8.00 1 - 1 0
Putamen left 8.00 1 - 1 0
Cerebellum left 8.00 1 - 1 0
Fronto-parietal bilateral 8.00 1 - 1 0
Centrum semi oval bilateral 8.00 1 - 1 0
Paraventricular bilateral 8.50 2 0.70 1 1
Capsule internal right 9.00 1 - 1 0
Total 4.71 88 3.02 54 34
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doi: 10.2298/SARH1604158S
population,” probably because of problems with attention,
concentration, low integration of obtained data and other
reasons that should be researched.
Kirshner [16] found that language function lateralizes
to the left hemisphere in 96–99% of right-handed people
and in 60% of left-handed people. Of the remaining left-
handed people, about one half have mixed hemisphere lan-
guage dominance, and about one half has right hemisphere
dominance. Left-handed individuals may develop an SLD
after a lesion of either hemisphere, but syndromes from
a left hemisphere injury may be milder or more selective
than those seen in right-handed individuals [16].
Knecht et al. [17] found that in most people the left side
of the brain contains language centers. The incidence of
right hemisphere language dominance was found to in-
crease linearly with the degree of left-handedness, from 4%
in strong right-handers to 15% in ambidextrous individu-
als, and 27% in strong left-handers [17].
In our research, brain lesions are found distributed in
46 different brain sites (Table 1). Localizations that are
specified in this research are listed as there were men-
tioned in CT and NMR reports taken from the medical
records. The term “multifocal hotspots” includes, not only
the focally distributed lesions in a certain location, but also
lesions that were distributed in different combinations on
three or more unrelated brain sites.
Patients with different lesion localization had different
success in solving riddles.
Patients without an SLD mainly had right brain lesions.
Only small number of patients had no SLD in the part of
the sample with lesions of the left hemisphere of the brain.
They had brain lesions located in the deeper layers that are
not responsible for speech and language. Why the success
of the group with right brain lesions is not approximately
equal to the “normal population” should be researched in
a separate study.
We assume that there are several factors that have
contributed to these low results. The level of attention,
concentration, lack of motivation, and damaged prosodic
elements of speech and language reduce the ability to un-
derstand idioms, sarcasm, and humor, as well as riddles,
and probably some other factors have also influenced the
results.
Causes for these low results can be found in patients
with an SLD.
Lesions of posterior locations, behind the lateral sulcus,
temporal lobe and crossing points of temporal-parietal
lobe of the left cerebral hemisphere, result in reduction or
complete absence of speech and language understanding.
Damage to the front of the lateral sulcus, lesions of the
frontal lobes, have resulted in reduction or complete ab-
sence of speech expression. Some of these patients may
have and could give the correct answer, but due to impaired
function of initiation they were prevented to find an ad-
equate expression, or demonstrated an inability to name.
Associative cortex lesions result in the inability to con-
nect more information or integrate them, or to process
them mentally and solve the problem, as in this case, i.e.
to solve riddles.
Greater damage to multiple brain sites responsible for
speech and language processes reduced the possibility of
successful riddle solving due to more extensive speech and
language functions’ impairment.
In the group of patients without SLDs there were 44
patients (81.48% of the group) with five or more success-
fully solved riddles, while the group with SLDs had nine
patients (26.47% of the group) with five or more success-
fully solved riddles (Table 1).
There were seven patients in the group without SLDs
(12.96% of the group) with eight or more successfully
solved riddles. Group with SLDs had one patient (2.94%
of the group) with eight or more successfully solved riddles
(Table 1).
Average score of seven or more successfully solved
riddles achieved one quarter of the sample (22 patients).
Seven of these patients had left-sided, six bilateral, and
nine right-sided brain lesions (Table 1). Of those, two pa-
tients from the group with left-sided lesions had cortical
lesions, while others had deep brain lesions. Two of the
patients from the group with bilateral lesions had corti-
cal lesions. Most patients in this part of the sample did
not have lesions of the sites responsible for speech and
language functioning (only five patients from this group
had an SLD). The question is why they did not achieve bet-
ter results than the “healthy population”, since 50% of the
patients in this group had an average score of seven suc-
cessfully solved riddles. This is a question for some new,
additional research of other factors and circumstances that
affect results obtained in this way.
We analyzed the relationship between the type of SLD
and the number of solved riddles. The best results were
found in patients with dysarthria (Table 2). They were the
most numerous in the category of patients with an SLD
and successfully solved 61.20% of riddles presented. Most
of these patients had no cortical brain lesions. For the most
part, patients from this group had no difficulties with un-
derstanding the task, with connectivity and processing the
riddle, nor with giving an adequate response. The difficul-
ties were present in speech expression and speech fluency.
Patients with Wernicke aphasia, global aphasia and
Broca’s aphasia had the lowest results. That is the logi-
cal consequence of damage to the parts of the brain that
are responsible for speech and language understanding,
connectivity and processing of riddle elements, as well as
localities responsible for the initiation and implementation
of an adequate response, or damage to the above men-
tioned sites in various combinations.
It is interesting that among patients who were not re-
ferred to speech therapy assessment, although they had
suffered from an SLD in the acute phase of the stroke, nine
had a success rate of 0–3 solved riddles. These patients
are likely to have other problems such as problems with
attention, concentration, memory, connecting informa-
tion, motivation, presence or absence of psychoorganic
syndrome, and the state of premorbid capacity. They prob-
ably had no major SLD and were not referred to speech
and language assessment.
Goran Savić Ability to solve riddles in patients with speech and language impairments after stroke
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www.srpskiarhiv.rs
The results of this research in relation to the effects
on functional impairment of the body are approximate to
those in our earlier study [10].
With this research we confirmed the results of patients
with functional impairments on the left side of the body of
our previous studies, as the test results are approximately
equal to those of this study [1].
CONCLUSION
Damage to organic substrate and distribution of neural
networks reduces, hinders, slows or completely disables
previously developed ability of understanding, associative
thinking, memory, attention, concentration, and expression.
Most patients with an SLD showed low ability to solve
riddles, but the largest part of the sample, regardless of the
localization of brain lesions and body side impairments,
had worse results compared to the results of earlier tested
“healthy population.” Most patients with left hemisphere
lesions, with perisylvian cortex damage, had lower results
in solving riddles compared to patients with right hemi-
sphere lesions.
This confirms the left hemispheric dominance of
speech and language functions. Patients with Wernicke
and global aphasia had the worst results.
Most patients with neurological impairments and func-
tional left-sided body, had poor results in solving riddles,
even though they did not have brain damage to areas re-
sponsible for speech and language functioning.
ACKNOWLEDGEMENTS
Special thanks for her translation from Serbian to the Eng-
lish language are owed to Ms. Jelena Satara, speech thera-
pist, IPRM “Dr Miroslav Zotović,” Banja Luka, Republic
of Srpska, Bosnia and Herzegovina.
NOTE
The research was partially presented at the 5th Congress of
Physiatrists of Bosnia and Herzegovina with International
Participation, Sarajevo, September 25–28, 2014.
Table 2. Presence of SLDs in relation to their type
No. of solved riddles
Not referred to a speech
therapist
Type of SLD in patients referred to a speech therapist Total
1* 2* 3* 4* 5* 6* 7*
0 4 10 1 1 16
1 1 1 2
2 1 2 1 1 1 6
3 2 2 4
4 4 2 1 7
5 12 2 1 1 16
6 5 2 1 8
7 4 3 1 8
8 6 3 5 14
9 1 2 2 5
10 2 2
Total 37 17 11 16 1 5 1 88
Percent 42.04 19.31 12.50 18.18 1.13 5.68 1.13 100.00
Mean of solved riddles 5.91 4.35 0.18 6.12 0.00 3.40 5.00 4.71
Mean of solved riddles 6.00 2.67 4.71
1* – without SLD; 2* – patients not referred to speech therapy assessment although they had SLD in the acute phase of the disease; 3* – global aphasia;
4* – dysarthria; 5* – Wernicke’s aphasia; 6* – Broca’s aphasia; 7* – aphonia and/or dysphonia
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КРАТАК САДРЖАЈ
Увод Успех код решавања загонетака захтева препозна-
вање значења речи, пажњу, концентрацију, краткорочну
меморију, повезивање и анализу говорно-језичког садржаја
загонетке у целини, те довољно развијено асоцијативно
мишљење.
Циљ рада Циљ рада је утврдити успех код решавања за-
гонетака пацијената након можданог удара (МУ), са при-
сутним говорно-језичким поремећајима (ГЈП) и без њих,
утврдити присуство ГЈП у односу на локализацију можданог
оштећења, те успешност решавања загонетака пацијената у
односу на функционално оштећење стране тела.
Методе рада За узорак од 88 пацијената прикупљени су
подаци о старости, полу, степену образовања, времену
протеклом од МУ, присутности ГЈП, локализацији можда-
них оштећења, те функционалним оштећењима стране тела.
Требало је да пацијенти реше 10 загонетака.
Резултати Значајне ГЈП је имало 38,60% пацијената. Мож-
дане лезије су нађене и распоређене на 46 различитих
можданих локалитета. Пацијенти са различитим локализа-
цијама можданих лезија имали су различит успех решавања
загонетака. Најслабије резултате постигли су пацијенти са
можданим лезијама перисилвијевог кортекса, односно па-
цијенти са Верникеовом и глобалном афазијом. Просечна
успешност групе са присутним ГЈП је била 26,76% реше-
них загонетака (p = 0,000). Просечна успешност групе са
десностраним функционалним оштећењима тела је била
37,14% решених загонетака, а групе са левостраним функ-
ционалним оштећењима тела 56,88% (p = 0,002).
Закључак Већина пацијената са ГЈП показала је слабу
способност решавања загонетака. Већина пацијената са
оштећењима леве мождане хемисфере са кортикалним
оштећењима перисилвијевог кортекса имала је слабије
резултате у решавању загонетака у односу на пацијенте са
оштећењима десне хемисфере.
Кључне речи: локализација можданог оштећења; асоција-
тивно мишљење; афазија; функционална оштећења
Способност решавања загонетака пацијената са присутним говорно-језичким
поремећајима након можданог удара
Горан Савић
ЗЗФМР„Др Мирослав Зотовић“ Бања Лука, Република Српска, Босна и Херцеговина
Примљен • Received: 07/05/2015 Прихваћен • Accepted: 08/06/2015
Goran Savić Ability to solve riddles in patients with speech and language impairments after stroke