Right brain hemisphere lesions affecting language functioning in the acute phase of stroke recovery: A Croatian survey.

IF 1.4 4区 心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology-Adult Pub Date : 2025-01-17 DOI:10.1080/23279095.2025.2454346
Lara Pilepić, Marina Roje Bedeković
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Abstract

Greater empirical and scientific attention is still put on patients with left brain hemisphere (LBH) damage where language impairments are common and expected. In patients with RBH damage, language assessment is therefore rarely done in the acute phase of stroke recovery.

Purpose: To investigate language impairments in the acute phase of stroke using a Croatian standardized language battery for the first time and compare patients with RBH stroke, LBH stroke and healthy individuals.

Methods: This study compares language functioning in three groups of conveniently sampled participants: RBH stroke patients, LBH stroke patients and healthy individuals. Kruskal Wallis H test was used to evaluate a combined group comparison, after which a post-hoc Dunn test was performed.

Results: Patients with RBH stroke scored significantly lower than healthy individuals on the CAT:HR in verbal fluency, comprehension of written sentences, naming, and total production. In addition, comprehension of written and spoken sentences did not differ between patients with RBH and LBH stroke patients which suggests the existence of language impairment (p>.05).

Conclusion: RBH stroke can significantly impair language comprehension and production in the acute phase of stroke recovery emphasizing the importance of early detection.

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右脑半球损伤在中风恢复的急性期影响语言功能:克罗地亚的一项调查。
更多的经验和科学关注仍然放在左脑半球(LBH)损伤患者,语言障碍是常见的和预期的。在RBH损伤的患者中,语言评估因此很少在脑卒中恢复的急性期进行。目的:首次采用克罗地亚标准化语言量表对脑卒中急性期的语言功能障碍进行研究,并对RBH脑卒中患者、LBH脑卒中患者和健康人进行比较。方法:本研究比较了三组方便抽样的参与者:RBH脑卒中患者、LBH脑卒中患者和健康人的语言功能。采用Kruskal Wallis H检验评价联合组比较,之后进行事后Dunn检验。结果:RBH脑卒中患者在CAT:HR的口头流畅性、书面句子理解、命名和总产量得分显著低于健康个体。此外,RBH和LBH脑卒中患者对书面和口语句子的理解没有差异,提示存在语言障碍(p < 0.05)。结论:RBH脑卒中在脑卒中恢复急性期可显著损害语言理解和生产能力,早期发现的重要性。
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来源期刊
Applied Neuropsychology-Adult
Applied Neuropsychology-Adult CLINICAL NEUROLOGY-PSYCHOLOGY
CiteScore
4.50
自引率
11.80%
发文量
134
期刊介绍: pplied Neuropsychology-Adult publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in adults. Full-length articles and brief communications are included. Case studies of adult patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.
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