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Robert Dębski Speech Pathology Jagiellonian University |
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Paulina Wójcik-Topór Speech Pathology Jagiellonian University paula1.wojcik@uj.edu.pl |
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Ursula Malina Speech Pathology Jagiellonian University |
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Jędrzej Michalik PhD student University of Gdańsk jedmich2000@gmail.com |
| Participants: | 15 |
| Type of Study: | AphasiaBank Protocol -- Polish |
| Location: | Poland |
| Media type: | audio |
| DOI: | xxx |
In accordance with TalkBank rules, any use of data from this corpus must be accompanied by at least one of the above references.
Project Title: A multilevel investigation of the discourse of Polish language speakers diagnosed with mixed aphasia.
Aphasia, a language impairment caused by brain damage, is a pressing problem in our society due to its negative impact on quality of life. Linguistic-based research has aimed to explain the language impairment in aphasia, drawing on linguistic theory and research evidence. Recently, there has been an increase in the number of linguistic analyses of aphasic discourse. In line with the International Classification of Functioning, Disability and Health (ICF), research to date has addressed topics such as: description of aphasic discourse, discourse treatment, and methods of discourse measurement/analysis. This project addressed the urgent need for research examining the relationship between micro- and macrolinguistic approaches to discourse analysis and will contribute a new set of findings to the ongoing debate on the impact of lexical-grammatical impairment on the transfer of meaning. The project focused on mixed aphasia, the most common type of aphasia diagnosed in clinical settings, yet rarely studied in this context, and will draw on data from the Polish language. The issues of coherence and coherence in the discourse of Polish speakers with diagnosed aphasia have not been sufficiently discussed. Therefore, the project aimed to study the discourse of Polish speakers with mixed aphasia in order to: 1) describe and measure linguistic means and patterns of coherence; 2) develop a Polish adaptation of van Leer and Turkstra's (1999) local and global coherence scales; 3) examine the relationship between micro- and macrolinguistic aspects of discourse; 4) examine the influence of mixed aphasia on discourse coherence and coherence; and 5) examine the relationship between discourse genre and linguistic coherence and coherence.
The study participants included 20 patients diagnosed with mixed aphasia with a motor component, 14 patients with mixed aphasia with a sensory component, and 20 patients with healthy brains, acting as control participants. Aphasia patients were individually matched for age, gender, and education level to healthy controls to enable comparisons. The AphasiaBank data collection protocol (https://aphasia.talkbank.org) was used to collect recordings of different discourse genres. Audio recordings were orthographically transcribed and analyzed using lexical analysis, grammatical analysis, directed content analysis, quantitative content analysis, and local and global coherence analysis. Correlation analysis and general linear model were used to calculate relationships between the results of the quantitative analyses. Currently, language samples from 15 individuals were provided, five from each study group.
C02: A 65-year-old man, an electrician by education. He was examined 6 months after a neurological incident - ischemic stroke. A CT scan of the head described a hypodense zone in the left temporal lobe and the temporo-occipital border. The patient has alexia, moderate agraphia. In the first month, the patient had speech therapy 5 times a week, then once a week. He uses reading glasses, from the interview itself it is known that he has hearing loss in his right ear, but without documentation confirming the hearing loss.
C08: Female, 81 years old, 12 years of education. Examined a month after the incident. Office worker by education. CT of the head described ischemic stroke, area of acute and ischemic ischemic stroke, cortical-subcortical temporal-occipital region. The patient had slight agraphia. During this period, the patient had speech therapy 5 times a week. She wears reading glasses.
C09: A 76-year-old man, an electrician by education, 11 years of education. CT of the head described a non-homogeneous hyperdense focus measuring 34x20mm in the left frontal lobe with accompanying banded edema - intracerebral hematoma. Irregular periventricular zones of leukoaraiosis and subcortical areas of reduced density characteristic of chronic vascular changes. The patient had agraphia. Examination 2 months after the incident. Intensive therapy in the first month, 5 times a week. He wears reading glasses.
C10: Female, 59 years old, 12 years of education. CT described an intracerebral hematoma in the area of the main capsule and left thalamus measuring 36x21 mm with a puncture into the third ventricle. Additionally, patient was diagnosed with alexia and agraphia. Patient examined 7 months after the incident. She wears glasses.
C13: A 44-year-old man, IT specialist, 17 years of education. CT described a hypodense area of 60x38x28 of completed ischemia at the base of the parietal lobe of the left hemisphere of the brain. The brain sulci in the region of the ischemia area are tightened. Additionally, patient was diagnosed with alexia and agraphia. Patient examined 21 months after the incident.
R02: 70-year-old man, mariner, 12 years of education. CT described area of restricted diffusion on the left temporal lobe at the border with the frontal and parietal lobes and the area of the insula lobe. Changes of the periventricular leukaraiosis nature. Patient examined 18 months after the incident. He wears glasses to read.
R03: A 58-year-old woman with 12 years of education, a seamstress by profession. Examined 11 months after the stroke. CT of the head described an area of ischemic hypodendum in the left hemisphere of the brain on the frontal-parietal-temporal border with a may effect on the left lateral ventricle. The patient also has agraphia. She uses glasses for reading.
R04: A 69-year-old woman, a cook by profession, with 11 years of education. Examined one month after the stroke. CT of the head described a large hypodense area on the parietal-temporal-occipital border of the left hemisphere of the brain. No signs of bleeding were visualized. The ventricular system was not dilated, without displacements. The grooves on the cerebral vault and the basal cisterns were preserved. The patient also has alexia, agraphia of moderate intensity. During this time, she participated in therapy five times a week. She wears reading glasses.
R05: A 56-year-old woman, a cook by profession. 11 years of education. CT of the head described an ischemic stroke. Hypodensity in ischemic areas in the left hemisphere of the brain, in the frontal and temporal regions. Additionally, the patient has alexia and agraphia. Currently, the patient participates in speech therapy once a week. She uses reading glasses.
R07: A 42-year-old woman, a psychologist by education. She has 17 years of education behind her. She was diagnosed with an ischemic stroke. A CT scan of the head showed an extensive stroke in the left hemisphere of the brain on the parietal-temporal-occipital border and in the left deep structures. The patient has agraphia. She was examined 36 months after the stroke incident. She is currently undergoing therapy 3 times a week.
K03: Patient 59 years old, taking part in outpatient rehabilitation, after mastectomy. An economist by education, with 12 years of education. No diagnosed neurological disorders or cognitive processes. Uses glasses only for reading.
K13: Woman, 67 years old, trained as a duster, 11 years of education. Participates in rehabilitation as a person after mastectomy. No neurological disorders, uses glasses for seeing and reading.
K14: A 56-year-old woman, a seamstress by profession. She is undergoing therapy for post-mastectomy support. She uses reading glasses.
K15: 42-year-old male, computer scientist by education. 17 years of education. Participated in rehabilitation due to parasthesia. He has had cervical disc implants. No disorders affecting cognitive functioning. Wears glasses for seeing and reading.
K19: A 57-year-old woman is a plastic surgeon by education. 12 years of study. She participated in rehabilitation aft