著者

柏木 敏宏 小島 義次 柏木 あさ子

出版者

The Japan Society of Logopedics and Phoniatrics

雑誌

音声言語医学 (ISSN:00302813)

巻号頁・発行日

vol.20, no.2, pp.132-140, 1979-04-25 (Released:2010-06-22)

参考文献数

25

被引用文献数

3

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The purpose of this study was to assess the comprehension abilities of aphasic patients in daily living situations. For the purpose of analysis results derived from the Standard Language Test of Aphasia (SLTA) were employed. In order to discuss its theoretical background we investigated two factors which were assumed to play important roles in daily communication; contextual information and means for responses.Findings were as follows:1. SLTA Subtest 1 [Word Comprehension] is a sensitive tool when applied to aphasics with severer comprehension deficits, and Subtest 3 [Commands] is sensitive to aphasics with milder deficits. Whereas Subtest 2 [Sentence Comprehension] is sensitive to all degrees of severity manifested.2. Those who easily comprehend daily conversation but who do not comprehend complex contents received at least four out of ten points on Subtest 2, but one point or less of the ten points available on Subtest 3. In Subtest 2, contextual information was abundant and the means for responses was easily manipulated by aphasics, whereas in Subtest 3, contextual information was less available and means for responses more difficult. The condition of each subtest was considered to correspond to simple daily conversation and complex conversation respectively.3. In Subtest 2, a set of four pictures was presented to the examinees before a stimulus sentence was given. It was assumed to act as contextual information in assisting the aphasic patient in comprehending the stimulus sentence. This assumption was confirmed by results of the two examinations. One demonstrated that wrong responses were influenced by the elements presented in the drawings. The other demonstrated that test responses were poorer when a set of pictures was presented after a stimulus was given.4. In conclusion it appears that test conditions, contextual information, and means for responses in the SLTA Subtests correspond roughly to distinct situations apparent in average daily communication. Therefore the results of the SLTA Subtests could be used as an indicator for predicting comprehension abilities of aphasic persons in living situations.

著者

小島 義次 小島 千枝子 窪田 俊夫

出版者

日本音声言語医学会

雑誌

音声言語医学 (ISSN:00302813)

巻号頁・発行日

vol.22, no.3, pp.250-258, 1981-07-25 (Released:2010-06-22)

参考文献数

24

被引用文献数

2

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In order to investigate the nature of motor defects of the speech musculatures in dysarthric patients due to cerebral vascular accidents, non-verbal oral movements were studied in relation to overall intelligibility of speech, coordinative movements of speech organs and swallowing movements.The results led us to the following conclusions.1. The degree of individual isolated oral movements were correlated with efficacy of articulatory, coordinative and swallowing movements.2. A considerable number of the subjects, particularly the subjects whose articulation were moderately disturbed, showed unconscious accompanied movments in other parts during an intended oral movement.3. The types of the accompanied movements were often common to different subjects.4. In spite of the lower grade of oral movements ability, the subjects who exhibited more accompanied movements got fairly well marks in swallowing. This seemed to indicate that the accompanied movements reflected the lower motor patterns of speech organs in some way.5. It is important to estimate the degrees of the accompanied movements and the isolated movements for the evaluation of the ability of oral movements.