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PubMedDate not supplied

[Continuous pattern recognition in the assessment of memory disorders in dementia].

A simple and short method for assessing visual short term memory is presented, based on continuous picture recognition, which is not explicitly dependent on input or output language abilities. The material was gathered from Kimura's Recurring Figures Test (RFT) and Erzigkeit's SKT. Two of three parallel series which are characterized by different levels of "nameability" and familiarity are apt to distinguish between demented patients and patients without memory problems. Objectivity is assured by a simle scoring system which allows rapid transformation into d'-values according to signal detection theory. It is expected that by this procedure not only screening for memory problems in the demented will be facilitated, but also the impact of language disorders will be minimized.

Aged↗
PubMedDate not supplied

[Questioning in child psychosis (author's transl)].

Case study of infantile psychosis characterized by serious behavioral and language disorders, the most conspicuous feature being the unceasing questioning, giving evidence of missing essential references, ambiguous mode of communication and consisting of endless, sometimes metaphysical questions, usually occulted by the child when grown to "Years of reason".

Child↗
PubMed2003

Spectral and temporal degradation of speech as a simulation of morphosyntactic deficits in English and German.

Spectral and temporal degradation of the speech stream is increasingly used to model receptive language deficits such as aphasia and developmental language disorders. As with results from patient studies, the specific pattern of receptive deficits can reveal underlying structural and processing characteristics of different languages. Here, we test English- and German-speaking college students' auditory comprehension of complex morphosyntactic structures under normal and 'dual-degradation' conditions. The resulting profiles of strength and vulnerability in the two languages highlight the cross-linguistic differences in reliability of syntactic and morphological cues, and closely resemble the deficits observed in previous studies of receptive aphasia.

Acoustic Stimulation↗
PubMed1977

Who needs speech therapy?

Assessment of communication by a patient with a speech disorder by clinicians is often dependent on whether the patient makes an appropriate response to an instruction. The speech therapist concerned with language usage and the over-all ability to communicate has developed skills and investigational techniques to identify subgroups within the broad categories of speech pathology appreciated by the clinicians. This prospective study of 100 patients with neurological disease referred for speech therapy, examined in detail in good working conditions and with ample therapy time, is intended to clarify for the clinician a method of assessment, and to illustrate the value of therapy, and establish a prognosis for the variety of speech and language disorders encountered.

Aged↗
PubMed2005

[Validation of a screening test of language and learning disorders for 6-year old children (ERTLA6)--a prospective study].

Medical practitioners are, like the other health, education and childhood professionals, important actors of the language and learning disorders' screening. Six years old--the age at which children start the elementary school--is a key age for this screening. At the request of practitioners, a multidisciplinary staff had developed a screening tool: ERTLA6 (Epreuves de repérage des troubles du langage et des apprentissages de l'enfant de 6 ans). The objective was to validate the capacity of ERTLA6 to predict the school performance. A sample of 187 children was randomly constituted among the whole population of last year nursery school children in an area of France (the Académie de Nancy-Metz). Those children, aged from 5 to 6, were screened with ERTLA6 by the school practitioner during a medical visit (score from 0 [the best] to 18 [the worse]). The School outcomes (considered as judgment criteria) were assessed 2 or 3 years later, after two years of elementary school. 148 children had completed their follow-up (the others: 27 moving house, 6 absents the day of evaluation, 2 missing data). Mean age was 5; 10 years. With a threshold > or = 7, ERTLA6 sensibility and specificity were respectively 79% [63-94] and 87% [81-93]; the positive predictive value was 58% [42-74], the negative predictive value was 95% [90-99]. The percentage of well classified children was 84% [69-99]. To our knowledge, ERTLA6 is the first validated tool in France for screening language and learning disorders which can be used by practitioners for the prediction of school outcomes.

Child↗
PubMedDate not supplied

Emerging issues in speech therapy in Iran.

This report is a short review of the form and content of speech and language therapy services and the trend of their institutionalization in Iran. A summary of formal education in speech and language therapy in Iran as originated by establishing a 4-year BS rehabilitation program in the College of Rehabilitation Sciences in Tehran is given. Since then, speech and language rehabilitation programs have been expanding both in size and quality, resulting in about 1,000 speech therapists practicing in hospitals and rehabilitation centers throughout the country. The expansion of graduate programs at MS level in three different institutions and a prospective PhD program are also adding to the quality of these services. The content of the theory courses and clinical practice courses as well as research on specific speech and language disorders and cross-linguistic studies are briefly described.

Humans↗
PubMed1991

Dementia presenting with aphasia: clinical characteristics.

Dementia, a disorder of multiple cognitive functions, may atypically present as an aphasia. The clinical characteristics are reported of 13 patients with up to 14 years of progressive language impairment before developing dementia. In reviewing the literature, it was found that these patients were similar to those reported with progressive aphasia. It is concluded that dementia may present with an anomic, dysfluent language disorder due to the focal left sylvian onset of several dementing illnesses.

Aged↗
PubMed1984

Computed tomography of the brain in children with minor neurodevelopmental disorders.

Eighty-nine boys and twenty girls with minor neurodevelopmental disorders underwent cranial computed tomography (CT). Twenty-five per cent showed aberrations at CT. The incidence of manifest lefthandedness and of developmental language disorders was not higher among children with pathological CT findings than among those with normal ones. Nineteen per cent of the children with pathological CT results but only 1% of those with normal CT findings had had afebrile seizures. Abnormal chromatographic patterns of peptides and protein associated peptide complexes in the urine were found significantly more often in children with pathological than in those with normal CT.

Adolescent↗
PubMed1988

A characterization of the prosodic loss in Parkinson's disease.

Prosodic contours in the verbal output of 30 patients with Idiopathic Parkinson's disease were contrasted to those of fifteen age-, sex-, and educationally matched normal subjects. All subjects were tested for language disorder, dementia, depression, and the comprehension of linguistic prosody. The striking disorder of prosody in Parkinson's disease relates to motor control, not to a loss of the linguistic knowledge required to make prosodic distinctions. It appears that prosody, language and the motor planning of speech are integrated at a basal ganglia level.

Aged↗
PubMed2000

Semantic dementia: clinical, radiological and pathological perspectives.

Semantic dementia (SD) is a recently described clinical syndrome characterised by an acquired progressive inability to name or comprehend common concepts, with little or no distortion of the phonological and syntactic aspects of language, and relative sparing of other aspects of cognition, such as episodic memory, nonverbal problem-solving, and perceptual and visuo-spatial skills. The cognitive locus of this syndrome appears to lie in the permanent store of long-term memory representing general world knowledge-semantic memory. The anatomical distribution of atrophy is less well-defined, and the contribution of various imaging modalities is discussed in the context of a body of 45 published and unpublished cases. We conclude that involvement of the left infero-lateral temporal cortex is the critical area in the genesis of SD. SD probably always represents a non-Alzheimer neurodegenerative process; a variety of pathological lesions may be present, and possible causes, together with debates about their correct classification, are discussed.

Dementia↗
PubMed2003

Bilateral cochlear implantation in children.

AIMS: to determine the benefit of bilateral cochlear implantation in a child on speech and language development. METHOD: This child got her first implant, a Nucleus 24-system, on the right side at the age of 2.5 years. The left side was implanted at the age of 4.4 years with a Nucleus 24Contour-system. On the right side she's now wearing an Esprit 24-speechprocessor (SPR). On the left side she has a Sprint-SPR. M. goes to a mainstream school and receives Speech and Language therapy in a Speech and Hearing Rehab Centre. The etiology of her deafness was hyperbilirubinemia. Auditory capacity and speech recognition tests were performed for both ears separately and together. RESULTS: Aided thresholds give a PTA of 28 dBA with the first implant, 22 dBA with the second implant and with both implants we get a PTA of 23 dBA. Results for speech identification and recognition demonstrated an increased performance when both implants are used together. Speech and language development was equivalent to the mean of age 4.5. At the time of testing M. was 4.8 years. At this time the speech and language development show no delays with normal hearing children. CONCLUSIONS: bilateral cochlear implantation in children may have additional value for their speech and language development. Also, implantation may be considered when auditory neuropathy is likely.

Child, Preschool↗
PubMed1986

Electrical stimulation of Wernicke's area interferes with comprehension.

Arrays of subdural electrodes were placed over the lateral convexity of the dominant hemisphere for propositional language in four patients with epilepsy as part of an evaluation prior to cortical resections. Stimulation was performed over several days. When we stimulated the posterior temporal language area, reading and comprehension of complex verbal information were impaired, but comprehension of nonverbal and simple verbal data was not affected. Impairment produced by stimulation seemed to be due to language comprehension difficulties, rather than impaired praxis or initial word storage.

Adolescent↗
PubMed1984

Speech--language rehabilitation for children in Switzerland.

Speech therapy for children is well known in Switzerland, but not all regions get the same supply. The average age of children who receive speech therapy is 7.9 years. This late beginning of treatment leads to longer duration of therapy. Therapy costs are shared by various institutions, to a wide extent by the Schweizerische Invaliden-Versicherung. The public has to be further informed about the meaning of speech and language rehabilitation.

Adolescent↗
PubMed1996

Systemic concepts in speech-language treatment.

While systemic concepts are well known in many professions, a systemic paradigm is relatively new to most speech-language pathologists. Five systems concepts that apply to current practices in speech-language pathology are described and illustrated. The concepts relate to the influences of context or environment, relationships, family structure, isomorphism, and the attribution of meaning.

Child, Preschool↗