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Micro- and Macrostructural Language Features in Vertebrobasilar or Carotid System Stroke Without Diagnosis of Aphasia.

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Title: Micro- and Macrostructural Language Features in Vertebrobasilar or Carotid System Stroke Without Diagnosis of Aphasia.
Authors: Canlı, Burçak1, Savaş, Merve2 merve.savas@atlas.edu.tr, Beğen, Senanur Kahraman2,3
Source: American Journal of Speech-Language Pathology. Nov2024, Vol. 33 Issue 6, p3040-3050. 11p.
Subject Terms: *Language & languages, *Reading, *Comparative grammar, *Communicative competence, *Computer software, *Data analysis, *Speech evaluation, *Evaluation, *Written communication, *Educational attainment, Diagnosis of aphasia, Arterial injuries, Carotid artery injuries, Anomia, Kruskal-Wallis Test, Narratives, Uncertainty, Descriptive statistics, Mann Whitney U Test, Sound recordings, Ischemic stroke, Mean length of utterance, Publishing, Statistics, Judgment (Psychology), Data analysis software, Disease risk factors
Abstract: Purpose: This study aimed to investigate the macro- and microstructural features of language in patients with ischemic stroke without aphasia. Method: Participants were grouped according to arterial system damage and given the Aphasia Language Assessment Test (ADD) to detect aphasia. A narrative sample was obtained and analyzed for macrostructural and microstructural features of the language. The study sample consisted of 31 participants with ischemic stroke (15 vertebrobasilar system [VBS] involvement and 16 carotid system [CS] involvement) and 31 healthy participants, totaling 62 individuals. Results: The healthy control group scored higher than the stroke group on the microstructural feature type–token ratio and mean length of utterance in the narrative analysis and on the auditory comprehension, repetition, naming, grammar, speech act, and writing subtests in ADD. Effort behavior, errors, edits, repetitions, and pauses among microstructural features and uncertainty, filler expression, and anomia among macrostructural features were significantly higher in the vertebrobasilar and CS groups than in the healthy control group. The total ADD score and speech fluency and reading subtest scores were significantly higher in individuals with VBS damage than in individuals with CS lesions (p < .05). Conclusions: Language components may be impaired differently in patients with carotid and vertebrobasilar lesions. Speech and language disorders in individuals who have experienced cerebrovascular accidents should be evaluated in the subacute and chronic phases, and the therapeutic needs of patients with ischemic stroke should be determined, regardless of the presence of a clinical aphasia diagnosis. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Micro- and Macrostructural Language Features in Vertebrobasilar or Carotid System Stroke Without Diagnosis of Aphasia.
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– Name: Abstract
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  Data: Purpose: This study aimed to investigate the macro- and microstructural features of language in patients with ischemic stroke without aphasia. Method: Participants were grouped according to arterial system damage and given the Aphasia Language Assessment Test (ADD) to detect aphasia. A narrative sample was obtained and analyzed for macrostructural and microstructural features of the language. The study sample consisted of 31 participants with ischemic stroke (15 vertebrobasilar system [VBS] involvement and 16 carotid system [CS] involvement) and 31 healthy participants, totaling 62 individuals. Results: The healthy control group scored higher than the stroke group on the microstructural feature type–token ratio and mean length of utterance in the narrative analysis and on the auditory comprehension, repetition, naming, grammar, speech act, and writing subtests in ADD. Effort behavior, errors, edits, repetitions, and pauses among microstructural features and uncertainty, filler expression, and anomia among macrostructural features were significantly higher in the vertebrobasilar and CS groups than in the healthy control group. The total ADD score and speech fluency and reading subtest scores were significantly higher in individuals with VBS damage than in individuals with CS lesions (p &lt; .05). Conclusions: Language components may be impaired differently in patients with carotid and vertebrobasilar lesions. Speech and language disorders in individuals who have experienced cerebrovascular accidents should be evaluated in the subacute and chronic phases, and the therapeutic needs of patients with ischemic stroke should be determined, regardless of the presence of a clinical aphasia diagnosis. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Speech-Language Pathology is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1044/2024_AJSLP-24-00201
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      – Code: eng
        Text: English
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        PageCount: 11
        StartPage: 3040
    Subjects:
      – SubjectFull: Language & languages
        Type: general
      – SubjectFull: Reading
        Type: general
      – SubjectFull: Comparative grammar
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      – SubjectFull: Communicative competence
        Type: general
      – SubjectFull: Computer software
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Speech evaluation
        Type: general
      – SubjectFull: Evaluation
        Type: general
      – SubjectFull: Written communication
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      – SubjectFull: Educational attainment
        Type: general
      – SubjectFull: Diagnosis of aphasia
        Type: general
      – SubjectFull: Arterial injuries
        Type: general
      – SubjectFull: Carotid artery injuries
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      – SubjectFull: Anomia
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      – SubjectFull: Kruskal-Wallis Test
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      – SubjectFull: Sound recordings
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      – SubjectFull: Ischemic stroke
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      – SubjectFull: Mean length of utterance
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      – SubjectFull: Publishing
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      – SubjectFull: Statistics
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      – SubjectFull: Judgment (Psychology)
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      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Disease risk factors
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    Titles:
      – TitleFull: Micro- and Macrostructural Language Features in Vertebrobasilar or Carotid System Stroke Without Diagnosis of Aphasia.
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              Text: Nov2024
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