Influence of time post-onset of post-stroke aphasia and lesion size on the shift of auditory speech laterality in dichotic listening of c-v-c words

  • K. M. Shipkova Serbsky National Medical Research Center of Psychiatry and Narcology (23 Kropotkinskiy alleyway, Moscow, 119034, Russia) https://orcid.org/0000-0001-8235-6155 karina.shipkova@gmail.com
Keywords: dichotic listening task, ear advantage, right ear extinction, post-stroke aphasia, interhemispheric interaction, neuroplasticity, neuropsychological rehabilitation, speech recovery, dominant hemisphere, lesion effect

Abstract

Introduction. Aphasia disorders are frequent consequences of vascular lesions of the brain. The study of ways and patterns of compensation for speech disorders, mechanisms of intra- and interhemispheric reorganization in speech disorders helps to develop a scientifically based methodology for aphasia rehabilitation. Aims. This study aims to identify the predominant vector of auditory-speech asymmetry in the dichotic listening task with c-v-c words among patients with post-stroke acoustic mnestic and efferent motor aphasia with different time post-onset and lesion size. Materials and methods. The dichotic listening task: 16 paired series of 4 c-v-c words in each series. Subjects: 110 post-stroke aphasia patients with different lesion sizes and time post-onset. Efferent motor aphasia (EM) – 57 patients, acoustic mnestic aphasia (AM) – 53 patients. Time post-onset: 31.5 months ± 28.5 months. The sign and the right ear scores (RES), the ratio of responses with the left and right ear advantage were employed. Statistical analysis: Mann–Whitney U-tests, Spearman's rank correlation, φ-criteria, ANOVA. All results were quoted as 2-tailed p-values with statistical significance set at p < 0.05. Results.There are different response patterns in AM and EM aphasia, depending on the aphasia post-onset and the lesion size. For AM, the lesion effect (“–RES”) is characteristic for different time post-onset and lesion size. In EM, the RES sign depends on the time post-onset. In the case of fewer than 12 months, “–RES” is noted. For more than a year, regardless of the lesion size, a high frequency of “+RES” is registered. Conclusion. The data allow developing a relevant methodology for aphasia rehabilitation taking into account the importance of right hemisphere participation in speech recovery.

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Author Biography

K. M. Shipkova , Serbsky National Medical Research Center of Psychiatry and Narcology (23 Kropotkinskiy alleyway, Moscow, 119034, Russia)

PhD (Psychology), associate professor, leading researcher

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References on translit

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Published
2022-07-05
How to Cite
Shipkova, K. (2022). Influence of time post-onset of post-stroke aphasia and lesion size on the shift of auditory speech laterality in dichotic listening of c-v-c words. Psychology. Psychophysiology, 15(2), 63-72. https://doi.org/10.14529/jpps220206
Section
Medical (clinical) psychology