著者

戸塚 元吉 福迫 陽子 笹沼 澄子

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.24, no.4, pp.257-269, 1983-10-25 (Released:2011-01-31)

参考文献数

59

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左側脳硬塞による失語症患者69例 (年齢28~81歳) の失語症検査成績と脳のCT所見との関係について, 側面図に投影する方法を用いて集計し, 以下の知見を得た.1.多くの検査項目において側頭葉の関与が大きかった.2.前頭葉と特に密接な関連にあったのは次の下位検査であった.すなわち, 「嚥下機能」, 「軟口蓋の運動性」, 「単音節のくり返し」, 「音韻変化」, 「流暢性」である.また側頭葉, 頭頂葉下半部と特に密接な関連が示されたのは「復唱」であった.3.入・出力モダリティーが同じ下位検査であっても, 言語処理の複雑さ, ないしレベルの差異によって脳の関与のしかたが異なっていた.4.検査遂行にあたっての入・出力モダリティーや言語処理の複雑さ, ないしはレベルが異なっているにもかかわらず, その差異が今回の結果に反映されない下位検査も認められた.

著者

笹沼 澄子 福迫 陽子

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.9, no.2, pp.79-89, 1972-04-18 (Released:2009-10-28)

参考文献数

7

被引用文献数

35 35

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The recovery processes of 72 out of the 269 aphasic patients studied in PART I were investigated longitudinally by means of following up the rate (and direction) of the change of each of the five factors obtained in PART I. Measurement was taken of the increase and decrease of the factor scores estimated for each patient at each of the successive re-testings. The length of the follow-up period ranged from one to 32 months after the initial evaluation.Each factor seemed to have its characteristic mode of change in time. Factor 1 (the general factor of language behavior) had a tendency to exhibit subnormal scores in the majority of subjects at the initial evaluation, but to show a greatest possibility of improvement for a longest period of time (1.5 years since onset). The rest of the factors tended to be more variable in the kinds of subjects exhibiting subnormal scores as well as in the rate and degree of improvement. The clinical types of aphasia appeared to serve as a crutial variable in predicting the overall patterns of improvement of the five factors in individual patients.The findings seemed to give a further support for the neuro-physiological interpretation of the five factors suggested in PART I. The necessity of increased specificity in our diagnostic and therapeutic procedures was emphasized, and the possible use of the factor analysis technique for this purpose was reiterated.

著者

福迫 陽子 笹沼 澄子

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.19, no.2, pp.174-189, 1978-04-15 (Released:2010-06-22)

参考文献数

22

被引用文献数

1

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The purpose of the present investigation was to construct a short test of aphasia on the basis of factor analysis and to examine its clinical usefulness.As a first step, we performed the factor analysis of the test scores obtained from the administration of the long test to 180 consecutive patients, which resulted in the identification of the following factors; F1: Word Comprehension, F2: Language Behavior, F3: Phonological Processing, F4: Motor Functions of Speech Organs, F5: Visuomotor Ability, F6: Numerical Concept, F7: Calculation, and F8: Fluency.Secondly, in accordance with the rules of reducing the size of a test battery without transforming the factor structure of that battery, we reduced 56 subtests in the original version to 16.The test scores of the 180 patients on these 16 subtests, then, were put into another factor analysis. The results showed that the factor structure obtained with the shortened test was highly similar to that obtained with the original, longer battery.Examination of clinical usefulness of the shortened test in terms of its ability 1) to classify the patients into major clinical types and 2) to evaluate their severity levels indicated that the short test is quite similar to the original long test in both of these abilities.On the basis of these findings it was tentatively concluded that the new short test of aphasia was a useful tool for screening aphasic patients in a relatively short period of time (approx. 30 min.) as well as for malting a rough estimation on major clinical types and severity of aphasic impairments.

著者

福迫 陽子 笹沼 澄子

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.17, no.3, pp.104, 1976-10-25 (Released:2010-06-22)

著者

伊藤 元信 笹沼 澄子 柴田 貞雄 竹内 愛子 佃 一郎 永江 和久 広瀬 肇 福迫 陽子 船山 美奈子

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.21, no.3, pp.194-211, 1980-07-25 (Released:2010-06-22)

参考文献数

6

被引用文献数

5 4

著者

藤田 郁代 物井 寿子 奥平 奈保子 植田 恵 小野 久里子 下垣 由美子 藤原 由子 古谷 二三代 笹沼 澄子

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.41, no.2, pp.179-202, 2000-04-20 (Released:2010-06-22)

参考文献数

35

被引用文献数

5 13

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本委員会は, 1993年から「失語症語彙検査」の開発に着手し, 現在までに中核部分の諸検査: 語彙判断検査, 名詞・動詞検査, 類義語判断検査, 意味カテゴリー別名詞検査を作成した.本検査の目的は, 脳損傷患者の単語の表出・理解機能を多面的に評価し, 言語病理学的診断, 治療方針の決定, 治療効果の測定等に役立てることにある.今回は, 本検査を健常者に実施し, データを分析した.健常者の成績は, すべての検査において満点に近く, 本検査の課題は健常者にとって容易であることが明らかとなった.年齢および性による成績の差は大部分の検査において有意ではなかった.語の頻度効果を語彙判断検査, 名詞表出検査, 名詞理解検査において, 心像性効果を語彙判断検査, 名詞理解検査, 類義語判断検査において認めた.以上および先行研究の結果から, 本検査は脳損傷患者の単語の理解, 表出機能を評価する上での手段になりうると考えられた.

著者

笹沼 澄子

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.36, no.4, pp.442-447, 1995-11-20

参考文献数

27

著者

大橋 博司 笹沼 澄子 浜中 淑彦 大東 祥孝 山鳥 重 永江 和久 渡辺 俊三 北條 敬 長谷川 恒雄 伊藤 元信 福迫 陽子 物井 寿子 前田 真治 竹内 愛子 河内 十郎 員見 芳房

出版者

一般社団法人 日本脳卒中学会

雑誌

脳卒中 (ISSN:09120726)

巻号頁・発行日

vol.4, no.3, pp.184-208, 1982-09-25 (Released:2009-09-03)

著者

物井 寿子 福迫 陽子 笹沼 澄子

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.4, pp.299-312, 1979-10-25 (Released:2010-06-22)

参考文献数

39

被引用文献数

14

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Phonemic and sub-phonemic analyses were made of speech sound errors exhibited by 3 conduction and 3 Broca's aphasic patients in naming and word repetition tasks. The results indicated the following:1) In both the naming and word repetition tasks, errors for the conduction aphasics oc-curred both in consonants and vowels, while errors for the Broca's aphasics occurred selecti-vely for consonants.2) In both the naming and repetition tasks, the percentages of substitution errors and transposition errors in the conduction aphasics were 44% and 44%, respectively; in the Broca's aphasics, however, they were 71% and 17%, respectively.3) An analysis of the substitution errors in terms of the distinctive feature framework showed that the Broca's aphasics most frequent error sounds (50% of all errors) were those which were different from the target sounds only by one feature in both the naming and repetition tasks. In the conduction aphasics, on the other hand, errors were distributed almost at random in terms of the feature distance in the naming task, while the frequency of one-feature errors increased somewhat in the repetition task.On the basis of these findings, it was hypothesized that the differences in error patterns between the two types of aphasia reflected differences in the underlying mechanisms of the impairment in each type, i.e., in the conduction aphasics impairment at the level of phonological processing (phoneme retrieval and sequencing) was responsible for their speech sound errors, while in the Broca's aphasics impairment at the phonetic level of the speech production process (programming of articulatory movements), in addition to impairment at the phonological level (phoneme retrieval), was responsible for their errors.

著者

正木 信夫 辰巳 格 笹沼 澄子

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.31, no.2, pp.186-194, 1990

被引用文献数

2

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発語失行症患者の発語における, 調音器官と発声器官の協調運動について検討した.純粋な症例1例と健常対照群の, [ai] および [amV] (V=a, e, i) で始まる平板型・尾高型アクセントの単語発話を発話試料とした. [ai] で始まる単語については, アクセント指令と第2拍 [i] の調音指令を, それぞれ基本周波数とフォルマント周波数から, 日本語の単語アクセント生成および調音運動生成の機能的モデルに基づいて推定した.発語失行症患者では, 発話速度が遅い場合にアクセント指令の調音指令に対する遅れが健常者に比べ著しく大きかった.また, [amV] で始まる単語の発話では, アクセント指令の, [m] の唇閉鎖時点に対する遅れが健常者に比べて大きかった.従来, 発語失行症患者の発話における調音器官同士の協調運動に異常が起こることは報告されてきた.しかし, 本研究の結果では協調運動の異常は調音器官同士ばかりでなく, 調音器官と発声器官の間にも起こりうることが示された.

著者

笹沼 澄子

出版者

一般社団法人 日本高次脳機能障害学会

雑誌

高次脳機能研究 (旧 失語症研究) (ISSN:13484818)

巻号頁・発行日

vol.27, no.2, pp.135-138, 2007 (Released:2008-07-01)

参考文献数

6

被引用文献数

2 2

著者

綿森 淑子 竹内 愛子 福迫 陽子 宮森 孝史 鈴木 勉 遠藤 教子 伊藤 元信 笹沼 澄子

出版者

社団法人日本リハビリテーション医学会

雑誌

リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)

巻号頁・発行日

vol.26, no.1, pp.23-33, 1989-01-18

被引用文献数

2

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Sixty-five patients with dementia were evaluated with 1) The Japanese CADL (a measure for functional communication), 2) abbreviated version of the Roken Test of Higher Cortical Functions (a measure for dementia severity) and 3) a checklist of behavior observed during the test sessions. The results were as follows : 1) The degree of functional communication ability was proportional to the degree of dementia severity (r=0.87,p<0.001).2) Analysis of subtests revealed that dementia patients at early stages failed to respond appropriately to the communication activities that require multiple steps of information processing (i.e., buying a ticket using a ticket vending machine). On the other hand, highly automated communication behavior such as greetings and saying own name were preserved in the severst patients.3) When the groups of senile dementia patients (N=17) and vascular dementia patients(N=48) were compared, no differences were observed on the dementia severity. However, senile group was lower in functional communication ability which was particularly noticeable on the tasks that require utilization of contextual information and abstract thinking. They also showed more anxiety toward the test situation than vascular group.4) When dementia and aphasia patients matched for the CADL total scores were compared, significant differences were found between the subtest profiles. Dementia patients were inferior to aphasia patients on the subtests that require utilization of contexual information, the ability of numerical operation and the ability of visuospatial information processing. Aphasia patients were inferior to dementia patients on the subtests that directly tap linguistic functions.