Stoornissen in De Zinsvorm Bij Afasie

1979 ◽  
Vol 7 ◽  
pp. 218-224
Author(s):  
Marianne J.F. van Grunsven ◽  
Herman H.J. Kolk

Aggrammatism is a disorder of sentence production which is typically observed in the context of Broca's aphasia. This paper does two things. First, a model of normal sentence production, proposed by Garrett (1975), is described and it is demonstrated how two phonological and two syntactic hypotheses of agrammatism can be deduced from this model. Three of these appear to correspond with hypotheses already proposed in the literature, while one of them - a syntactic one - is new. Second, a new experimental paradigm is described that seems to be capable of discriminating between at least a number of these approaches. The technique involves training patients to produce sentences of a particular form (e.g. the lion is able to kill, the child is anxious to drink) and then testing them on sentences of the same form but of a different underlying syntactic structure (e.g. the lion is easy to kill, the book is pleasant to read). Results obtained from American patients do not support a phonological type of approach to agrammatism. Furthermore, an analysis of errors appears to provide a basis for choosing between the two hypotheses.

2014 ◽  
Vol 8 (3) ◽  
pp. 297-301 ◽  
Author(s):  
Marcela Lima Silagi ◽  
Fernanda Naito Hirata ◽  
Lúcia Iracema Zanotto de Mendonça

Agrammatism is characterized by morphosyntactic deficits in production of sentences. Studies dealing with the treatment of these deficits are scarce and their results controversial. The present study describes the rehabilitation of a case diagnosed as chronic Broca's aphasia, with agrammatism, using a method directed to sentence structural deficits. The method aims to expand the grammatical repertoire by training production of sentences with support from contexts that stimulate actions and dialogues. The patient showed positive results on all types of sentences trained and generalized the gains to spontaneous speech. However, these benefits were not sustained in the long term.


Aphasiology ◽  
2010 ◽  
Vol 24 (11) ◽  
pp. 1303-1325 ◽  
Author(s):  
Petra Links ◽  
Joost Hurkmans ◽  
Roelien Bastiaanse

Aphasiology ◽  
2014 ◽  
Vol 29 (2) ◽  
pp. 169-194 ◽  
Author(s):  
Toru Takizawa ◽  
Natsumi Nishida ◽  
Akito Ikemoto ◽  
Noriko Kurauchi

1987 ◽  
Vol 52 (2) ◽  
pp. 143-155 ◽  
Author(s):  
Patrick J. Doyle ◽  
Howard Goldstein ◽  
Michelle S. Bourgeois

A multiple baseline design across responses was used to examine the effect of syntax training on the sentence production of 4 individuals with Chronic Broca's aphasia. Subjects were trained to produce five exemplars of five sentence types from Helm's Elicited Language Program for Syntax Stimulation (Helm-Estabrooks, 1981). Generalization and maintenance of trained sentence types to novel exemplars and novel stimulus conditions served as dependent measures. In addition, five naive judges rated subjects' responses before and following the treatment in terms of their "adequacy." Generalization to novel exemplars was demonstrated sequentially by 3 subjects (i.e., following the teaching of all five forms), and the remaining subject demonstrated generalization for three of five sentence types trained. Maintenance was variable across subjects and sentence types. Generalization across stimulus conditions was limited for all subjects Adequacy judgments revealed improved communication skills for wh-questions but limited changes in the perceived adequacy of subjects' declarative responses. These findings indicate that the effects of syntax training procedures are limited to those grammatical constructions taught, that generalization of learned forms to novel stimulus conditions is not an automatic consequence of acquisition, and that the effect of such training on the adequacy of subjects' responses may be limited.


Author(s):  
Lynn M. Maher

Broca’s aphasia serves as a platform for discussions of the cognitive and neural mechanisms of sentence production and how those systems break down in individuals with damage in left inferior frontal regions beyond Broca’s area, suggesting a role for such regions in syntactic processing. Standardized and nonstandardized diagnostic tools facilitate assessment of comprehension and production of grammatical functions that can be impaired in Broca’s aphasia. Several treatment approaches address impairment in sentence production that emanates across various processes in sentence formulation. The nomenclature surrounding Broca’s aphasia provides a launching pad to guide analysis and intervention for the communication impairments experienced by these individuals.


2020 ◽  
Vol 22 (Supplement_2) ◽  
pp. ii212-ii212
Author(s):  
John Andrews ◽  
Nathan Cahn ◽  
Benjamin Speidel ◽  
Valerie Lu ◽  
Mitchel Berger ◽  
...  

Abstract Brodmann’s areas 44/45 of the inferior frontal gyrus (IFG), are the seat of Broca’s area. The Western Aphasia Battery is a commonly used language battery that diagnoses aphasias based on fluency, comprehension, naming and repetition. Broca’s aphasia is defined as low fluency (0-4/10), retained comprehension (4-10/10), and variable deficits in repetition (0-7.9/10) and naming (0-8/10). The purpose of this study was to find anatomic areas associated with Broca’s aphasia. Patients who underwent resective brain surgery in the dominant hemisphere were evaluated with standardized language batteries pre-op, POD 2, and 1-month post-op. The resection cavities were outlined to construct 3D-volumes of interest. These were aligned using an affine transformation to MNI brain space. A voxel-based lesion-symptom mapping (VLSM) algorithm determined areas associated with Broca’s aphasia when incorporated into a resection. Post-op MRIs were reviewed blindly and percent involvement of pars orbitalis, triangularis and opercularis was recorded. 287 patients had pre-op and POD 2 language evaluations and 178 had 1 month post-op language evaluation. 82/287 patients had IFG involvement in resections. Only 5/82 IFG resections led to Broca’s aphasia. 11/16 patients with Broca’s aphasia at POD 2 had no involvement of IFG in resection. 35% of IFG resections were associated with non-specific dysnomia and 36% were normal. By one-month, 76% of patients had normal speech. 80% of patients with Broca’s aphasia at POD 2 improved to normal speech at 1-month, with 20% improved to non-specific dysnomia. The most highly correlated (P< 0.005) anatomic areas with Broca’s aphasia were juxta-sylvian pre- and post-central gyrus extending to supramarginal gyrus. While Broca’s area resections were rarely associated with Broca’s aphasia, juxta-sylvian pre- and post-central gyri extending to the supramarginal gyrus were statistically associated with Broca’s type aphasia when resected. These results have implications for planning resective brain surgery in these presumed eloquent brain areas.


1872 ◽  
Vol 18 (81) ◽  
pp. 46-56 ◽  
Author(s):  
J. Batty Tuke ◽  
John Fraser

1994 ◽  
Vol 8 (1) ◽  
pp. 83-90 ◽  
Author(s):  
Kerry W. Kilborn ◽  
Angela D. Friederici

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