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EN
The effectiveness of the recovery measures during aphasia depends on the development of adequate methods of the rehabilitation process which corresponds to the nature of the defect. The creation of such methods will be possible given the condition that they will correspond to the modern scientific conceptions regarding the pathogenesis and occurrence of this disorder. The aim of this article is to determine the contemporary theories in pathogenesis and occurrence of aphasia following a stroke of the brain. Analyzing recent scientific publications it was identified that at different stages the theories of aphasia corresponded to the level of scientific knowledge and primarily to the understanding of the higher mental functions in human beings. A prerequisite for the modern conceptions of the nature of aphasia was the accumulated experience in the field of the consequences after the local injuries of the brain. As early as the first observations of aphasia the scientists held the cases of the vascular genesis of this disorder. The modern conceptions on aphasia became a foundation of its new definition and distinguished the key issues for differential diagnostics. Up to date the major studies were made on aphasia following a stroke of the brain. However, regardless the great number of researches, the accumulated experience and long-standing observations some aspects are open for discussions. Contemporary researches point out that the language disturbances in post-stroke aphasias are diverse and different in its manifestation. The ischemic strokes account for the aphasia as twice as the hemorrhage strokes. The severity of speech impairments is considerably higher in the ischemic stroke. The nature of aphasia and its development are indentified not just by the type of stroke but also and primarily by the clinical features in acute period of the illness, which depend on the nature of process, size of lesion, occurrence of new hemorrhages, the state of collateral blood circulation and so on. Besides, the co-called “pure” forms during brain strokes there are numerous cases of mixed and complex language disorders. These issues are important and crucial for making prognosis of the recovery of speech function and the development of effective procedures of rehabilitation learning process in these patients.
EN
The article reveals the relevance of the problem of determining pedagogical conditions of logopedic rehabilitation of people with aphasia. The role of the pedagogical environment as a pedagogical condition of restorative training and the effective lever in optimizing of the rehabilitation process is highlighted. As was shown by analysis of research literature, despite the pithiness and methodological elaborating of regulations of restorative training in case of aphasia, the questions of the organization of pedagogical environment require concretization and refinement. The purpose of the article is the determining of the components of a pedagogical environment and determining their impact on restorative training of people with aphasia. Specific requirements for improving the quality of correctional aid to patients with aphasia cause the studying of the components of pedagogical environment in which the logopedic rehabilitation of patients takes place. Pedagogical environment of restorative training in case of aphasia can be defined as a sphere of constant expansion of ties of the patient and environment or social environment through a set of organizational, personal, social and living conditions. Their consideration in the implementation of the rehabilitation program in restoration of speech improves efficiency restorative activity. Thus, the organizational conditions cause establishing contact with the patient and his entourage, conducting neuropsychological examination, the implementation of methodological approaches and forms of organization of restorative training. The personal component is based on consideration of patient’s individuality changes associated with the damage to brain structures and personal reactions of the patient to the speech defect and disease in general. Social conditions of pedagogical environment are a set of social relations and social spheres of life of the patient: family, permitting, public and professional ones. Purposeful adjustment impact on these spheres gives its positive results in logopedic rehabilitation. Consumer component is the comfort of restorative activities. A promising area of scientific researches may be the analysis of aspects of modeling of pedagogical environment in logopedic rehabilitation of people with aphasia
EN
Background: This article is about the rehabilitation of a patient with kinaesthetic aphasia based on an original computer program. The program facilitates the practice of correct kinaesthetic responses in patients with impaired sensation of the configuration of the various elements of the articulation apparatus.Case description: The study was conducted on JB, a male patient with kinaesthetic aphasia following left hemisphere apoplexy. The computer-assisted therapy began in February 2006 and lasted until the end of June 2006. The article provides a detailed account of the changes in the patient's functioning resulting from the speech therapy conducted in the year 2006, and presents the results of the speech examination conducted after 33 months since its completion. The second study was performed in order to evaluate the lasting effect of the therapy.Conclusions: The results of this study have demonstrated the effectiveness of speech therapy using an original computer program for the rehabilitation of patients with kinaesthetic aphasia.
EN
Aphasia following an acquired neurological insult necessitates an in-depth evaluation of the primary and secondary language symptoms. Of all the tools available for aphasia diagnosis, the Western Aphasia Battery (WAB; Kertesz, 1982) has proved to be one of the most comprehensive test batteries for describing the aphasia symptom complex. Several authors have pointed out the need for language-specific tools for the assessment of aphasia. But in Bengali, the most prevalent language in eastern India, no formal language assessment tool was available to date. The present study adapted the original WAB in Bengali to give the Bengali WAB (B-WAB). The study was completed in three phases: development, standardization and validation of the B-WAB. The test material was developed preserving the total number of items, however minor changes were made wherever necessary so that it matched the sociolinguistic norms in this part of the country. It was standardized in a group of 150 normal individuals in five different age groups ranging from 18-70 years, and normative values were provided for each subtest for each group. For establishing validity, it was administered to 30 aphasic subjects and the results indicated that the B-WAB was a valid tool for testing individuals with aphasia.
EN
The article presents the analysis of different approaches to understanding and definition of speech, as a research activity of our and foreign scientists. Since the organic relation of speech activity with communication activity is emphasized in all approaches, we have examined singly the traditions of studying the speech in communication. For the analysis of communication as a speech phenomenon we explore the generation mechanism and perception of speech messages for communication aims or for regulation and control of own activity. These mechanisms are considered on their phase structure. We have examined the act of procreation of speech saying by means of O. O. Leontyev’s conventional scheme, as his theory provides the choice of behavior strategy, it is flexible, allows different ways of operating with a saying at various stages of generation or speech perception. The model of perception and understanding the speech saying in the article is examined by means of I. O. Zimnaya’s theory; this scheme consists of two different components: the image of the original perception and identification of the formed image. The analysis of the afore cited mechanisms suggests that the acts of transmission and reception of speech message making the structure of speech activity, provide feedback and it is the main condition of speech communication. The approach that has been used in the article allowed us to conduct theoretical analysis of speech activity as a way to implement speech communication. It is concluded that the acts of sending and receiving voice messages that make up the structure of speech activity, providing feedback are the main conditions of verbal communication. All these processes are provided by different mechanisms, which are regulated by the brain, which, uniting in working condition form a functional speech system. Breaking the link between the mechanisms of generation and perception of speech communications at the level of the brain can cause aphasia, which destroys speech activity and makes verbal communication impossible. The correct mapping of the various components of speech activity with the corresponding anatomical areas of the brain that has been affected as a result of stroke, brain tumor or traumatic brain injury, changes the approach to the analysis of speech disorders in aphasia and helps to determine the most appropriate and effective ways of recovery process of verbal communication of individuals in this category.
PL
Kaźmierczak Monika, Wichurska Karina, The specificity and determinants of speech-language therapy with a patient after ischemic stroke. Case study. Culture – Society – Education no 2(16) 2019, Poznań 2019, pp. 133–147, Adam Mickiewicz University Press. ISSN 2300-0422. DOI 10.14746/kse.2019.16.9. Patients with ischemic brain injury may be affected by damage of brain centers responsible for speech, which is the cause of aphasia. Because the disintegration of linguistic and communication skills makes it difficult or even impossible to communicate with the environment effectively, every patient with aphasia requires speech therapy. In diagnosing aphasia, a qualitative approach is desirable. Presented case proves that the main goal of reeducation of a patient who has lost the ability to communicate with the environment is first to restore this contact in the simplest form, and then gradually rebuild various types of competences and improve implementation, using adequate methods, techniques and tools. All activities, taking into account the possibilitiesand limitations of the patient and adapted to the dynamics of her speech disorder, were aimed at improving the quality of patient’s life and becoming more independent, so that she could successfully participate in social life.
EN
The article describes a case of a patient with aphasia, diagnosed with symptomatic epilepsy seizures after aneurysm clipping. A speech therapy diagnosis was made, consisting of patient observation, analysis of clinical documentation and speech test results. The subject was diagnosed with disorders of linguistic competence and skills caused by the presence of acoustic-mnestic aphasia. Their consequences are dysfunctions in terms of communication and interaction skills and abilities.
PL
This article is a voice in a streamlined discussion on methods for diagnosing adult patients with aphasia. The variety of aphasic symptoms and the complexity of the clinical picture of patients after neurological incidents often make it impossible to conduct an examination with standardised, well-known methods [see Siudak 2017]. The signals of reluctance towards the methods of examination sent by patients are uttered expressis verbis by people who have overcome aphasia: we need a conversation, not an examination. How then, do we turn diagnosis into a meeting? How can we determine the level of linguistic functioning without having to make the patient aware of what they can no longer do? The Gradual Test Method developed by the author is a research proposal, in which the determination of a patient’s level of language difficulty is based on a gradual transition from easier to more complex structures, without repeating the same procedures many times.
PL
Creating false memories with words is a research procedure mainly used in psychology. It is based on a high correlation between the probability of remembering-knowing a critical word (the memories of the fact of learning it) and the likelihood of providing this word as an association with a list of words. An unrepresented critical word appears as a memory because it is associated with thewords presented to the participants of the study. The falsehood of the memory lies in the fact that the probability of providing a false word, i.e. a critical word, is as strong as the possibility of giving a listed word, whereas the respondents report that they remember the very moment of remembering a critical word. The aim of this article is to present the results of research on causing false memories and their effects carried out on the group of people with motor aphasia and the control group of those without this type of disorder. The study was conducted using the modified DRM procedure on the group of people with motor aphasia (N = 46) and the control group (N = 46). The study was conducted individually and the material was presented by means of visual and auditory ways. The conclusion is that the people with aphasia are prone to the effect of causing false memories to a similar extent as those without aphasia, even though this fact may be due to the non-linguistic deficits associated with aphasia.
PL
The article discusses the issue of using relaxation in work with an aphasic patient. The first part of the article presents basic information about the types and forms of relaxation. The second part presents the case study of a patient with aphasia who has refused to work with a speech therapist. This study shows that we can help such patients improve the quality of their communication (even if they are not willing to undertake speech therapy) and, as a result, change their lives (a little).
PL
Creating false memories with words is a research procedure mainly used in psychology. It is based on a high correlation between the probability of remembering-knowing a critical word (the memories of the fact of learning it) and the likelihood of providing this word as an association with a list of words. An unrepresented critical word appears as a memory because it is associated with thewords presented to the participants of the study. The falsehood of the memory lies in the fact that the probability of providing a false word, i.e. a critical word, is as strong as the possibility of giving a listed word, whereas the respondents report that they remember the very moment of remembering a critical word. The aim of this article is to present the results of research on causing false memories and their effects carried out on the group of people with motor aphasia and the control group of those without this type of disorder. The study was conducted using the modified DRM procedure on the group of people with motor aphasia (N = 46) and the control group (N = 46). The study was conducted individually and the material was presented by means of visual and auditory ways. The conclusion is that the people with aphasia are prone to the effect of causing false memories to a similar extent as those without aphasia, even though this fact may be due to the non-linguistic deficits associated with aphasia.
EN
Eight patients with cranio-cerebral trauma after prolonged coma participated in a study investigating their ability to learn a second language (L2). A severe traumatic brain injury (TBI) results in a dramatic decrease of consciousness and cerebral activity. If the state lasts more than 48 hours, it is considered a coma. Due to irreversible changes in the brain, chances of regaining premorbid physical and mental functions drastically diminish after 4 weeks of coma. Only a limited number of post-coma patients succeed in regaining full efficiency. The present study verifies whether it is possible for these patients, for whom it takes months, sometimes even years, of regular exercise to regain normal language functions in the native language, to learn an L2. The experiment was carried out within "The Academy of Life", a program of classes for in- and outpatients, whose aim is to re-adjust patients to everyday life in society after discharge from hospital. All the subjects had known English to some extent before their accidents. There were 18 sessions lasting 1.5-2 hours within a period of 6 months. The subjects were examined twice: before and after the program. The results show that learning an L2 is still possible. The subjects improved their performance in the following language components: lexicon, grammar and pronunciation. The acquisition process was delayed by post-traumatic aphasia which led to a lack of criticism of the patients' own utterances, as well as a dysfunction of the switch mechanism. The subjects also suffered from disorganization of memory and concentration. However, some patients achieved higher results than it had been expected. The relatively young age of the subjects (mean 20.6 years) increased their chances of learning an L2.
EN
The subject of the article is an attempt to describe the structure of a proprial mental lexicon as exemplified by naming disorders of neurological origin occurring in aphasia. Various means are discussed here of compensating for deficiencies of the naming process (so-called anomia) that allow illustrating the construction of a mental dictionary of proper names. The architecture of this lexicon is structured in a superior-subordinate manner with the help of various types of relations: whole — part, general — detailed, native — foreign, real — fictional, also taking into account commonly known categories: persons, places, representatives of various professions, and persons of similar interests (musicians, sportsmen, journalists, politicians, authorities).
Logopedia
|
2017
|
vol. 46 EN
173-179
EN
One of the most interesting problems concerning human speech is the complicated two-way correlation between language and the brain. The present article attempts to answer the question how multilingualism is represented in people suffering from aphasia-spectrum disorders. What are the results of a brain stroke on speech centres? It should be noted that monitoring patients with aphasic speech disorders plays a significant role in understanding brain dysfunctions and is a source in creating models of learning processes and brain functions. The latest research into aphasia constitutes one of the few possibilities of getting answers to the question concerning the representation of language activity occurring in the brain. Does the theory postulating separate representation of various languages in different regions of the brain in a polyglot still find its supporters? The article explains the terms of multilingualism and aphasia, together with its causes. The remaining part of the article analyses the factors that play a significant role in the process of language restitution.
EN
Human intellectual capabilities are the result of Nature’s creative activity: this view is present in the opinions of many scholars and thinkers. The phylogenetically and ontogenetically earlier processes, automatic and unconscious, are covered by intentional, conscious, planned and controlled functions shaped late in the development of the human species and formed in the late stage of every individual’s development. According to the Herder-Humboldt thesis, utterances contain a certain form of thinking, hence it should be expected that the aphasic disintegration of speech produces changes at the level of cognitive structures in aphasic persons. Cerebral pathomechanisms that have a direct or indirect impact on the processes of human cognitive processes have been mostly identified and described. Cognitive disorders in persons with neurological conditions manifest themselves differently, depending on: the etiology of brain damage, the range and location of pathological changes in nervous tissue, the course of a neurological disease, stages of its treatment, and rehabilitation results.
16
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Apraxia of Speech

88%
EN
This article is devoted to pure apraxia of speech (AOS). It focuses on the characteristics of the speech disorder and the types of accompanying articulation errors. The paper presents the types of AOS, including the most recent reports on the mechanisms underlying the disorder. The author describes the relationship between AOS and oral apraxia, as well as elements of differential diagnosis between AOS, dysarthria and aphasia. The disorder is rarely or erroneously diagnosed in clinical practice due to its unrecognised mechanism and uniqueness caused by its selective nature, among other reasons. AOS and aphasia are usually concurrent disorders.
EN
The purpose of the article is to examine the language results of a unilingual treatment for a bilingual individual with aphasia. The patient, a 36- year old male, was born in Poland, but was exposed mostly to English for the 13 years prior to the incident, due to the fact that his family moved to the United States, where English became his everyday language. At the age of 31, while still resident in the US, the patient sustained a brain injury resulting in Broca’s aphasia. A speech-language evaluation revealed disturbances in all language skills in both languages, with language production more disturbed than comprehension skills.
PL
The present paper discusses application of telerehabilitation services in speech therapy management in aphasic adults. The author presents theoretical issues related to the specifics of therapeutic effects of at a distance approach and indicates its recipients, focusing on neurological patients with language difficulties. Further on, the author reviews the selected studies on telerehabilitation used in diagnoses and therapies of aphasic speech disorders.
20
75%
EN
The paper addresses some of the pitfalls connected with the investigation of the language of aphasic patients. In total, ten pitfalls are presented and briefly discussed: three of them are related to neurological and psycho-social aspects, two to linguistic-empirical aspects, and one to the overall cognitive system. There are also three pitfalls focusing on methodological issues and one addressing the logistics of empirical research on aphasic patients.
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