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Ability to solve riddles in patients with speech and language impairments after stroke

机译:解决中风后语言和语言障碍患者的谜语的能力

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Introduction. Successful riddle solving requires recognition of the meaning of words, attention, concentration, 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.
机译:介绍。成功的谜语解决方法需要识别单词的含义,注意力,注意力,记忆力,谜语内容的连通性和分析,以及充分发展的联想思维。目的。这项研究的目的是确定解决患有或不患有言语和语言障碍(SLD)的中风患者的谜语的能力,确定与病灶位置相关的SLD的存在,并确定其关系解决谜题和身体一侧的功能障碍之间的关系。方法。样本包括88位患者。使用的数据包括年龄,性别,教育程度,中风发作时间,SLD的存在,病变部位和身体一侧的功能损害。为患者提供了解决10个难题的任务。结果。 38.60%的患者存在明显的SLD。发现脑部病变分布在46个不同的大脑部位。具有不同病灶定位的患者在解决谜语方面取得了不同的成功。腕周皮层脑部病变患者或Wernicke和整体失语症患者的结果最差。具有SLD的组平均解决谜题成功率为26.76%(p = 0.000)。右侧功能障碍者的平均成功率为37.14%,而左侧身体功能障碍者的平均成功率为56.88%(p = 0.002)。结论。大多数SLD患者解决谜语的能力较低。与右半球病变患者相比,大多数患有左脑病变和肩周皮质损伤的患者表现出较低的解决谜语的能力。

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