scholarly journals Right hemisphere damage: Communication processing in adults evaluated by the Brazilian Protocole MEC - Bateria MAC

2007 ◽  
Vol 1 (3) ◽  
pp. 266-275 ◽  
Author(s):  
Rochele Paz Fonseca ◽  
Jandyra Maria Guimarães Fachel ◽  
Márcia Lorena Fagundes Chaves ◽  
Francéia Veiga Liedtke ◽  
Maria Alice de Mattos Pimenta Parente
Keyword(s):  
Right Hemisphere ◽  
Damage Effect ◽  
Control Group ◽  
Clinical Group ◽  
Conversational Discourse ◽  
Lexical Semantic ◽  
Right Hemisphere Damage ◽  
Right Brain ◽  
Communication Processes ◽  
Brazilian Version

Abstract Right-brain-damaged individuals may present discursive, pragmatic, lexical-semantic and/or prosodic disorders. Objective: To verify the effect of right hemisphere damage on communication processing evaluated by the Brazilian version of the Protocole Montréal d'Évaluation de la Communication (Montreal Communication Evaluation Battery) - Bateria Montreal de Avaliação da Comunicação, Bateria MAC, in Portuguese. Methods: A clinical group of 29 right-brain-damaged participants and a control group of 58 non-brain-damaged adults formed the sample. A questionnaire on sociocultural and health aspects, together with the Brazilian MAC Battery was administered. Results: Significant differences between the clinical and control groups were observed in the following MAC Battery tasks: conversational discourse, unconstrained, semantic and orthographic verbal fluency, linguistic prosody repetition, emotional prosody comprehension, repetition and production. Moreover, the clinical group was less homogeneous than the control group. Conclusions: A right-brain-damage effect was identified directly, on three communication processes: discursive, lexical-semantic and prosodic processes, and indirectly, on pragmatic process.

scholarly journals Artistic Production Following Brain Damage: A Study of Three Artists

Leonardo ◽  
2011 ◽  
Vol 44 (5) ◽  
pp. 405-410 ◽  
Author(s):  
Anjan Chatterjee ◽  
Bianca Bromberger ◽  
William B. Smith ◽  
Rebecca Sternschein ◽  
Page Widick
Keyword(s):  
Brain Damage ◽  
Right Hemisphere ◽  
Neural Basis ◽  
Left Brain ◽  
Right Hemisphere Damage ◽  
Right Brain ◽  
Art Production ◽  
The Right ◽  
Left Brain Damage ◽  
Insight Into

We know little about the neurologic bases of art production. The idea that the right brain hemisphere is the “artistic brain” is widely held, despite the lack of evidence for this claim. Artists with brain damage can offer insight into these laterality questions. The authors used an instrument called the Assessment of Art Attributes to examine the work of two individuals with left-brain damage and one with right-hemisphere damage. In each case, their art became more abstract and distorted and less realistic. They also painted with looser strokes, less depth and more vibrant colors. No unique pattern was observed following right-brain damage. However, art produced after left-brain damage also became more symbolic. These results show that the neural basis of art production is distributed across both hemispheres in the human brain.

scholarly journals The DRESS trial: a feasibility randomized controlled trial of a neuropsychological approach to dressing therapy for stroke inpatients

2011 ◽  
Vol 26 (8) ◽  
pp. 675-685 ◽  
Author(s):  
Marion F Walker ◽  
Alan Sunderland ◽  
Joanna Fletcher-Smith ◽  
Avril Drummond ◽  
Pip Logan ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Right Hemisphere ◽  
Controlled Trial ◽  
Phase Iii ◽  
Rehabilitation Service ◽  
Control Group ◽  
Cognitive Difficulties ◽  
Randomized Controlled ◽  
Right Hemisphere Damage ◽  
Significant Difference

Objective: To investigate two approaches to treating patients with persistent dressing problems and cognitive difficulties following stroke. Design: Pilot randomized controlled trial. Setting: Inpatient stroke rehabilitation service. Subjects: Seventy consecutive stroke patients with persistent dressing problems and accompanying cognitive difficulties at two weeks after their stroke. Interventions: Patients were randomly allocated to six weeks of either a systematic neuropsychological approach, based on analysis of dressing problems and further cognitive testing, or to the control group who received conventional (functional) dressing practice. Both groups received treatment three times a week in accordance with two separately prepared manuals. Main measures: Nottingham Stroke Dressing Assessment (NSDA), Line Cancellation, 10-hole peg transfer test, Object Decision, Gesture Imitation. Patients were assessed at six weeks after randomization by an independent assessor masked to group allocation. Results: Both neuropsychological and functional groups improved performance on the NSDA over the treatment period (31% and 22%, respectively) but there was no significant difference between groups at six weeks. However, the neuropsychological group showed a significantly greater improvement on a line cancellation test of visual neglect ( t(62) = 2.1, P < 0.05) and a planned subanalysis for those with right hemisphere damage showed a trend towards better dressing outcome ( P = 0.07, one-tailed). Conclusions: Results demonstrate the potential benefits of a systematic neuropsychological approach to dressing therapy, particularly for patients with right hemisphere damage. This study suggests the need for a phase III study evaluating the efficacy of a systematic neuropsychological approach in treating dressing difficulties, targeting patients with right hemisphere stroke and visuospatial impairments.

Lateralization of Categorical and Coordinate Spatial Functions: A Study of Unilateral Stroke Patients

1994 ◽  
Vol 6 (3) ◽  
pp. 189-203 ◽  
Author(s):  
Bruno Laeng
Keyword(s):  
Right Hemisphere ◽  
Spatial Perception ◽  
Spatial Relation ◽  
Spatial Relations ◽  
Control Group ◽  
Coordinate Transformations ◽  
Stroke Patients ◽  
Short Delay ◽  
Right Hemisphere Damage ◽  
Coordinate Spatial Relations

Sixty patients with unilateral stroke (half with left hemisphere damage and half with right hemisphere damage) and a control group (N = 15) matched for age and educational level were tested in two experiments. In one experiment they were first shown, on each trial, a sample drawing depicting one or more objects. Following a short delay, they were asked to identify the drawing when it was paired with a drawing in which the same object(s) was transformed in categorical or coordinate spatial relations. In the other experiment, the same subjects first were shown, on each trial, a sample drawing. They then judged which of two variants (each in one type of spatial relation) looked more similar to the sample drawing. Typically, patients with left-sided stroke mistakenly identified the categorical transformation for the sample drawing in the first task; in the second task, they judged the categorical transformation as more similar to the sample drawing. Patients with right-sided stroke mistakenly identified the coordinate transformations for the sample drawing in the first task, and, in the second task, typically judged the drawings transformed along coordinate spatial relations as more similar to the sample drawing. These findings provide evidence for complementary lateralization of the two types of spatial perception. It can therefore be inferred that separate functional subsystems process the two types of spatial relations.

Communication Abilities Following Right Hemisphere Damage: Prevalence, Evaluation, and Profiles

2016 ◽  
Vol 1 (2) ◽  
pp. 106-115 ◽  
Author(s):  
Perrine Ferré ◽  
Yves Joanette
Keyword(s):  
Right Hemisphere ◽  
Communication Disorders ◽  
Communication Assessment ◽  
Right Hemisphere Damage ◽  
Right Brain ◽  
Clinical Background ◽  
Neurological Conditions ◽  
Neuro Imaging ◽  
The Right ◽  
Clinical Awareness

It is now consensually accepted that the contribution of both hemispheres is required to reach a functional level of communication. The unilateralized view of language function, introduced more than a century ago, has since been complemented by clinical experience as well as neuro-imaging observations. Studies based on healthy and right-brain-damaged individuals assert the necessity to better describe, assess, and care for this broad population. Indeed, various neurological conditions, including stroke, traumatic brain injury (TBI), or neurodegenerative disease, can affect the right hemisphere (RH) and lead to distinct communication disorders. In the past 30 years, knowledge about communication assessment and, more recently, therapy designed for right-brain-damaged adults has drastically evolved. This manuscript aims at presenting the theoretical and clinical background that established the current expertise to support accurate assessment of communication following right brain damage. It is believed that a better understanding of the various profiles of impairments following a RH infract will allow speech-language pathologists (SLPs) to develop the clinical awareness necessary for appropriately taking care of these individuals.

The Identification of Affective-Prosodic Stimuli by Left- and Right-Hemisphere-Damaged Subjects

1992 ◽  
Vol 35 (5) ◽  
pp. 963-970 ◽  
Author(s):  
Diana Van Lancker ◽  
John J. sidtis
Keyword(s):  
Cerebral Hemisphere ◽  
Right Hemisphere ◽  
Function Analysis ◽  
Control Group ◽  
Acoustic Cues ◽  
Right Hemisphere Damage ◽  
Left And Right ◽  
Listening Task ◽  
Pattern Of Performance ◽  
Multiple Skills

Impairments in listening tasks that require subjects to match affective-prosodic speech utterances with appropriate facial expressions have been reported after both left- and right-hemisphere damage. In the present study, both left- and right-hemisphere-damaged patients were found to perform poorly compared to a nondamaged control group on a typical affective-prosodic listening task using four emotional types (happy, sad, angry, surprised). To determine if the two brain-damaged groups were exhibiting a similar pattern of performance with respect to their use of acoustic cues, the 16 stimulus utterances were analyzed acoustically, and the results were incorporated into an analysis of the errors made by the patients. A discriminant function analysis using acoustic cues alone indicated that fundamental frequency (FO) variability, mean FO, and syllable durations most successfully distinguished the four emotional sentence types. A similar analysis that incorporated the misclassifications made by the patients revealed that the left-hemisphere-damaged and right-hemisphere-damaged groups were utilizing these acoustic cues differently. The results of this and other studies suggest that rather than being lateralized to a single cerebral hemisphere in a fashion analogous to language, prosodic processes are made up of multiple skills and functions distributed across cerebral systems.

Adolescents’ self-mutilation - Relationship with dependent behaviour

2003 ◽  
Vol 62 (4) ◽  
pp. 241-249 ◽  
Author(s):  
M. Bolognini ◽  
B. Plancherel ◽  
J. Laget ◽  
P. Stéphan ◽  
O. Halfon
Keyword(s):  
Suicide Attempts ◽  
Clinical Sample ◽  
Control Sample ◽  
Clinical Population ◽  
Control Group ◽  
Clinical Group ◽  
Self Mutilation ◽  
Self Harm ◽  
Partial Overlap ◽  
The Relationship

The aim of this study, which was carried out in the French-speacking part of Switzerland, was to examine the relationship between suicide attempts and self-mutilation by adolescents and young adults. The population, aged 14-25 years (N = 308), included a clinical sample of dependent subjects (drug abuse and eating disorders) compared to a control sample. On the basis of the Mini Neuropsychiatric Interview ( Sheehan et al., 1998 ), DSM-IV criteria were used for the inclusion of the clinical population. The results concerning the occurrence of suicide attempts as well as on self-mutilation confirm most of the hypotheses postulated: suicidal attempts and self-mutilation were more common in the clinical group compared to the control group, and there was a correlation between suicide attempts and self-mutilation. However, there was only a partial overlap, attesting that suicide and self-harm might correspond to two different types of behaviour.

Assessment and Diagnostic Accuracy Evaluation of the Reflux Symptom Index (RSI) Scale: Psychometric Properties using Optimal Scaling Techniques

2020 ◽  
Vol 129 (10) ◽  
pp. 1020-1029
Author(s):  
Andrea Nacci ◽  
Luca Bastiani ◽  
Maria Rosaria Barillari ◽  
Jerome R. Lechien ◽  
Massimo Martinelli ◽  
...  
Keyword(s):  
Psychometric Properties ◽  
Sensitivity And Specificity ◽  
Reflux Symptom ◽  
Original Version ◽  
Control Group ◽  
Clinical Group ◽  
Accuracy Evaluation ◽  
Reflux Symptom Index ◽  
Characteristic Analysis ◽  
Symptom Index

Objectives: To investigate the psychometric properties of the reflux symptom index (RSI) as short screening approach for the diagnostic of laryngopharyngeal reflux (LPR) in patients with confirmed diagnosed regarding the 24-hour multichannel intraluminal impedance-pH monitoring (MII-pH). Methods: From January 2017 to December 2018, 56 patients with LPR symptoms and 71 healthy individuals (control group) were prospectively enrolled. The LPR diagnosis was confirmed through MII-pH results. All subjects (n = 127) fulfilled RSI and the Reflux Finding Score (RFS) was performed through flexible fiberoptic endoscopy. The sensitivity and the specificity of RSI was assessed by ROC (Receiver Operating Characteristic) analysis. Results: A total of 15 LPR patients (26.8%) of the clinical group met MII-pH diagnostic criteria. Among subjects classified as positive for MII- pH diagnoses, RSI and RFS mean scores were respectively 20 (SD ± 10.5) and 7.1 (SD ± 2.5), values not significantly different compared to the negative MII-pH group. The metric analysis of the items led to the realization of a binary recoding of the score. Both versions had similar psychometric properties, α was 0.840 for RSI original version and 0.836 for RSI binary version. High and comparable area under curve (AUC) values indicate a good ability of both scales to discriminate between individuals with and without LPR pathology diagnosis. Based on balanced sensitivity and specificity, the optimal cut-off scores for LPR pathology were ≥ 5 for RSI binary version and ≥ 15 for RSI original version. Both version overestimated LPR prevalence. The original version had more sensitivity and the RSI Binary version had more specificity. Conclusions: It would be necessary to think about modifying the original RSI in order to improve its sensitivity and specificity (RSI binary version, adding or changing some items), or to introduce new scores in order to better frame the probably affected of LPR patient.

Verbal comprehension deficits after right hemisphere damage

1980 ◽  
Vol 1 (3) ◽  
pp. 279-294 ◽  
Author(s):  
Daniel B. Hier ◽  
Joni Kaplan
Keyword(s):  
Educational Attainment ◽  
Sentence Comprehension ◽  
Right Hemisphere ◽  
Vocabulary Test ◽  
Verbal Comprehension ◽  
Visuospatial Deficits ◽  
Control Subjects ◽  
Right Hemisphere Damage ◽  
The Right ◽  
Grammatical Sentence

ABSTRACTWe have compared the verbal comprehension abilities of 34 right hemisphere damaged patients to 16 hospitalized control subjects of comparable age and educational attainment. The right hemisphere damaged patients performed as well as the control subjects on a vocabulary test, but were impaired in their ability to interpret proverbs and comprehend logico-grammatical sentences. Impairment on the proverbs test was the result of a decrease in the number of abstract interpretations, whereas impairment on the logico-grammatical sentence comprehension test was related to difficultes in grasping spatial and passive relationships. These comprehension impairments tended to correlate with visuospatial deficits and hemianopia, but not with the degree of hemiparesis or the presence of sensory extinction. Patients with anterior right hemisphere damage performed better on the logico-grammatical sentence conprehension test than patients with posterior damage. A variety of factors probably contribute to these verbal deficits including impaired intellect, inattention, an inability to grasp spatial relationships, and difficulties in manipulating the inner schemata of language.

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