Propositional speech in unselected stroke: The effect of genre and external support
| Autor: | Breanne Young, Donna Pinsker, Bonnie Law, Gail Robinson |
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| Rok vydání: | 2014 |
| Předmět: |
Male
medicine.medical_treatment Context (language use) Neuropsychological Tests Speech Therapy Speech Disorders Executive Function Arts and Humanities (miscellaneous) Aphasia Selection (linguistics) medicine Humans Cognitive Dysfunction Stroke Applied Psychology Aged Aged 80 and over Rehabilitation Novelty Cognition Middle Aged medicine.disease Linguistics Neuropsychology and Physiological Psychology Treatment Outcome Female medicine.symptom Psychology Cognitive psychology Executive dysfunction |
| Zdroj: | Neuropsychological rehabilitation. 25(3) |
| ISSN: | 1464-0694 |
| Popis: | Distinguished from nominal language, propositional language generation refers to the spontaneous and voluntary aspect of language that introduces novel concepts to a specific context. Propositional language can be impaired in a range of neurological disorders, including stroke, despite well-preserved nominal language. Although external support can increase speech rate in patients with reduced propositional speech, no specific investigation of propositional speech has been carried out in unselected stroke patients. The current study investigated propositional language in an unselected post-acute stroke group (N = 18) with mild cognitive impairment and prominent executive dysfunction, but without significant aphasia. Specifically, we investigated whether genre or external support affected the number of words, sentences, and novel ideas produced, compared to healthy controls (N = 27). Results showed that discourse genre was not associated with differential performances. By contrast, speech quantity increased without external support although, for stroke patients, speech novelty decreased. Overall, the novelty deficit in unselected stroke patients highlights the importance of assessing cognition and propositional speech. Our findings suggest that for stroke patients with mild cognitive deficits, including executive dysfunction, introducing external support improved speech quality but not quantity. Implications for both assessment and rehabilitation of social communication are discussed. |
| Databáze: | OpenAIRE |
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