Влияние давности постинсультной афазии и объема очага поражения мозга на вектор слухоречевой латеральности при дихотическом прослушивании односложных слов
Ключевые слова:
дихотическое прослушивание, ведущее ухо, игнорирование правого уха, постинсультная афазия, межполушарное взаимодействие, нейропластичность, нейропсихологическая реабилитация, восстановление речи, доминантное полушарие, эффект очага
Аннотация
Обоснование. Афазические расстройства являются частыми последствиями сосудистых поражений мозга. Изучение путей и закономерностей компенсации речевых нарушений, механизмов внутри- и межполушарных перестроек при афазии помогает разработке научно обоснованной методологии восстановления афазии. Цель. Определение преимущественного вектора слухоречевой асимметрии в задаче дихотического прослушивания односложных слов у пациентов с постинсультной акустико-мнестической и эфферентной моторной афазией разной давности и объемом локального поражения мозга. Материалы и методы. Методика дихотического прослушивания состояла в предъявлении 16 парных серий из 4 односложных слов в каждой. Выборка: 110 пациентов – с афазией с различным объемом очага поражения мозга и давностью речевого дефекта, 57 пациентов – с эфферентной моторной афазией и 53 пациента – с акустико-мнестической афазией. Давность афазии – 31,5 мес. ± 28,5 мес. Оценивался знак и коэффициент правого уха (Кпу), соотношение ответов с преимуществом левого и правого уха. Статистические методы анализа: критерий Манна – Уитни,
rs-критерий, φ-критерий, критерий Фишера. Уровень значимости p < 0,05. Результаты. При акустико-мнестической (АМ) и эфферентной моторной (ЭМ) афазиях отмечается разная картина ответа в зависимости от давности речевого дефекта и объема очага поражения. Для АМ характерен «эффект очага» (–Кпу) независимо от давности афазии и исходного объема очага. При ЭМ знак Кпу зависит от срока давности дефекта. При давности менее года отмечается «–Кпу». При давности более года независимо от объема очага отмечается высокая частота «+Кпу». Заключение. Полученные результаты целесообразно использовать при разработке релевантной методологии реабилитации афазии, учитывающей важную роль правого полушария в восстановлении речи.
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Литература
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15. Westerhausen R. A primer on dichotic listening as a paradigm for the assessment of hemispheric asymmetry. Laterality: Asymmetries of Body, Brain and Cognition. 2019;24(6):740–771. DOI: https://doi.org/10.1080/1357650X.2019. 1598426.
16. Costa M.J., Santos S.N.D., Schochat E. Dichotic sentence identification test in Portuguese:
a study in young adults. Brazilian journal of otorhinolaryngology. 2021;87(4):478–485. DOI: https://doi.org/10.1016/j.bjorl.2020.11.018.
17. Tzourio-Mazoyer N., Crivello F., Mazoyer B. Is the planum temporale surface area a marker of hemispheric or regional language lateralization? Brain Structure and Function. 2018;223:1217–1228. DOI: https://doi.org/10.1007/s00429-017-1551-7.
18. Linebaugh C. Dichotic ear preference in aphasia: another view. Journal of Speech and Hearing Research. 1978;21(3):598–600. DOI: https://doi.org/10.1044/jshr.2103.5 98.
19. Xing S., Lacey E.H., Skipper-Kallal L.M. et al. Right hemisphere grey matter structure and language outcomes in chronic left hemisphere stroke Brain. 2016;139:227–241. DOI: https://doi.org/10.1093/brain/awv323.
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21. Lukic S., Barbieri E., Wang X. et al. Right hemisphere grey matter volume and language functions in stroke aphasia. Neural Plastisity. 2017:5601509. DOI: https://doi.org/10.1155/2017/5601509.
Hartwigsen G., Saur D. Neuroimaging of stroke recovery from aphasia-insights into plasticity of the human language. Neuroimage. 2019;190:14–31. DOI: https://doi.org/10.1016/j.neuroimage.2017.11.056.
23. Шипкова К.М. Изменение профиля сухоречевой асимметрии при афазии // Вестник Московского университета. Серия 14. Психология. 2013. № 4. С. 65–75.
24. Purdy M., McCullagh J. Dichotic listening training following neurological injury in adults: a pilot study. Hearing, Balance and Communication. 2020;18(1):16–28. DOI: https://doi.org/10.1080/2169 5717.2019.1692591.
25. Gorecka M.M., Vasylenko O., Rodríguez-Aranda C. Dichotic listening while walking: a dual-task paradigm examining gait asymmetries in healthy older and younger adults. Journal of Clinical and Experimental Neuropsychology. 2020;42:794–810. DOI: https://doi.org/10.1080/13803395.2020.1811207.
26. Цветкова Л.С., Ахутина Т.В., Пылаева Н.М. Методика оценки речи при афазии. М.: МГУ, 1981. 68 с. [Tsvetkova L.S., Akhutina T.V., Pylaeva N.M. Metodika ocenki rechi pri afazii [Method of speech assessment in aphasia]. Moscow. MGU. 1981:68. (in Russ.).]
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28. Bruckert L., Thompson P.A., Watkins K.E. et al. Investigating the effects of handedness on the consistency of lateralization for speech production and semantic processing tasks using functional transcranial Doppler sonography. Laterality: Asymmetries of Brain, Behaviour, and Cognition. 2021;26(6):680–705. DOI: https://doi.org/10.1080/1357650X.2021.1898416.
29. Karbe H., Thiel A., Weber-Luxenburger G. et al. Brain plasticity in poststroke aphasia: What is the contribution of the right hemisphere? Brain and Language. 1998;64(2):215–230. DOI: https://doi.org/10.1006/brln.1998.1961.
30. Guadalupe T., Kong X.-Z., Akkermans S.E.A. et al. Relations between hemispheric asymmetries of grey matter and auditory processing of spoken syllables in 281 healthy adults. Brain Structure and Function. 2022;227(2):561–572. DOI: https://doi.org/10.1007/s00429-021-02220-z.
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5. Sparks R., Goodglass H., Nickel B. Ipsilateral versus contralateral extinction in dichotic listening resulting from hemisphere lesions. Cortex. 1970;3:249–260. DOI: https://doi.org/10.1016/s0010-9452(70)80014-4.
6. Crosson B., Warren L. Dichotic ear preference for C-V-C words in Wernikes and Brocas aphasias. Cortex. 1981;17:249–258. DOI: https://doi.org/10.1016/s0010-9452 (81)80045-7.
7. Johnson J., Sommers R., Weidner W. Dichotic ear preference in aphasia. Journal of Hearing Research. 1977;20:116–129. DOI: https://doi.org/10.1044/jshr.2001.116.
8. Hugdahl K., Westerhausen R. Speech processing asymmetry revealed by dichotic listening and functional brain imaging. Neuropsychologia. 2016;93(B):466–481. DOI: https://doi.org/10.1016/j.neuropsychologia.2015.12.011.
9. DAnselmo A., Marzoli D., Brancucci A. The influence of memory and attention on the ear advantage in dichotic listening. Hearing Research. 2016; 342:144–149. DOI: https://doi.org/10.1016/j.heares.2016.10.012.
10. Voyer D., Hearn N. Auditory semantic priming and the dichotic right ear advantage. Brain and Cognition. 2019;135:103575. DOI: https://doi.org/10.1016/j.bandc.2 019.05.013.
11. Cameron S., Glyde H., Dillon H. et al. The dichotic digits difference test (DDdT): development, normative data, and test-retest reliability studies. Part 1. Journal of the American Academy of Audiology. 2016;27(6):458–469. DOI: https://doi.org/10.3766/jaaa.15084.
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13. Prete G., DAnselmo A., Tommasi L. et al. Modulation of the dichotic right ear advantage during bilateral but not unilateral transcranial random noise stimulation. Brain and Cognition. 2018;123:81–88. DOI: https://doi.org/10.1016/j.bandc.20 18.03.003.
14. Studer-Luethi B. Is Training with the N-back task more effective than with other tasks? N-Back vs. dichotic listening vs. simple listening. Journal of Cognitive Enhancement. 2021;5:434–448. DOI: https://doi.org/10.1007/s41465-020-00202-3.
15. Westerhausen R. A primer on dichotic listening as a paradigm for the assessment of hemispheric asymmetry. Laterality: Asymmetries of Body, Brain and Cognition. 2019;24(6):740–771. DOI: https://doi.org/10.1080/1357650X.2019. 1598426.
16. Costa M.J., Santos S.N.D., Schochat E. Dichotic sentence identification test in Portuguese:
a study in young adults. Brazilian journal of otorhinolaryngology. 2021;87(4):478–485. DOI: https://doi.org/10.1016/j.bjorl.2020.11.018.
17. Tzourio-Mazoyer N., Crivello F., Mazoyer B. Is the planum temporale surface area a marker of hemispheric or regional language lateralization? Brain Structure and Function. 2018;223:1217–1228. DOI: https://doi.org/10.1007/s00429-017-1551-7.
18. Linebaugh C. Dichotic ear preference in aphasia: another view. Journal of Speech and Hearing Research. 1978;21(3):598–600. DOI: https://doi.org/10.1044/jshr.2103.5 98.
19. Xing S., Lacey E.H., Skipper-Kallal L.M. et al. Right hemisphere grey matter structure and language outcomes in chronic left hemisphere stroke Brain. 2016;139:227–241. DOI: https://doi.org/10.1093/brain/awv323.
20. Kourtidou E., Kasselimis D., Angelopoulou G. et al. The role of the right hemisphere white matter tracts in chronic aphasic patients after damage of the language tracts in the left hemisphere. Frontiers in Human Neurosience. 2021;15:635750d. DOI: https://doi.org/10.3389/fnhum.2021.635750.
21. Lukic S., Barbieri E., Wang X. et al. Right hemisphere grey matter volume and language functions in stroke aphasia. Neural Plastisity. 2017:5601509. DOI: https://doi.org/10.1155/2017/5601509.
Hartwigsen G., Saur D. Neuroimaging of stroke recovery from aphasia-insights into plasticity of the human language. Neuroimage. 2019;190:14–31. DOI: https://doi.org/10.1016/j.neuroimage.2017.11.056.
23. Shipkova K.M. Changing of the profile of auditory-speech asymmetry in aphasia. Vestnik Moskovskogo universiteta. Seriya 14. Psikhologiya = Bulletin of the Moscow University. Psychology. 2013;4:65–75. (in Russ.).
24. Purdy M., McCullagh J. Dichotic listening training following neurological injury in adults: a pilot study. Hearing, Balance and Communication. 2020;18(1):16–28. DOI: https://doi.org/10.1080/2169 5717.2019.1692591.
25. Gorecka M.M., Vasylenko O., Rodríguez-Aranda C. Dichotic listening while walking: a dual-task paradigm examining gait asymmetries in healthy older and younger adults. Journal of Clinical and Experimental Neuropsychology. 2020;42:794–810. DOI: https://doi.org/10.1080/13803395.2020.1811207.
26. Цветкова Л.С., Ахутина Т.В., Пылаева Н.М. Методика оценки речи при афазии. М.: МГУ, 1981. 68 с. [Tsvetkova L.S., Akhutina T.V., Pylaeva N.M. Metodika ocenki rechi pri afazii [Method of speech assessment in aphasia]. Moscow. MGU. 1981:68. (in Russ.).]
27. Richter M., Miltner W.H.R., Straube Th. Association between therapy outcome and right-hemispheric activation in chronic aphasia. Brain. 2008;131:1391–1401. DOI: https://doi.org/10.1093/ brain/awn043.
28. Bruckert L., Thompson P.A., Watkins K.E. et al. Investigating the effects of handedness on the consistency of lateralization for speech production and semantic processing tasks using functional transcranial Doppler sonography. Laterality: Asymmetries of Brain, Behaviour, and Cognition. 2021;26(6):680–705. DOI: https://doi.org/10.1080/1357650X.2021.1898416.
29. Karbe H., Thiel A., Weber-Luxenburger G. et al. Brain plasticity in poststroke aphasia: What is the contribution of the right hemisphere? Brain and Language. 1998;64(2):215–230. DOI: https://doi.org/10.1006/brln.1998.1961.
30. Guadalupe T., Kong X.-Z., Akkermans S.E.A. et al. Relations between hemispheric asymmetries of grey matter and auditory processing of spoken syllables in 281 healthy adults. Brain Structure and Function. 2022;227(2):561–572. DOI: https://doi.org/10.1007/s00429-021-02220-z.
31. Moulton E., Magno S., Valabregue R. et al. Acute diffusivity biomarkers for prediction of motor and language outcome in mild-to-severe stroke patients. Stroke. 2019;50:2050–2056. DOI: https://doi.org/10.1161/STROKEAHA.119.024.
32. Martin P.I., Naeser M.A, Theoret H. et al. Transcranial magnetic stimulation as a complementary treatment for aphasia. Seminars in Speech and Language. 2004;25(2):181–191. DOI: https://doi.org/10.1055/s-2004-825654.
2. Шипкова К.М. Качество жизни, личностные ожидания и потребности больных с афазией // Актуальные проблемы психологического знания. 2015. № 3 (35). С. 114–125.
3. Broadbent D.E. The role of auditory localization in attention and memory span. Journal of Experimental Psychology. 1954;47:191–196. DOI: https://doi.org/10.1037/ h0054182.
4. Kimoura D. Cerebral dominance and the perception of verbal stimuli. Canadian Journal of Psychology. 1961;15:156–165. DOI: https://doi.org/10.1037/h0083219.
5. Sparks R., Goodglass H., Nickel B. Ipsilateral versus contralateral extinction in dichotic listening resulting from hemisphere lesions. Cortex. 1970;3:249–260. DOI: https://doi.org/10.1016/s0010-9452(70)80014-4.
6. Crosson B., Warren L. Dichotic ear preference for C-V-C words in Wernikes and Brocas aphasias. Cortex. 1981;17:249–258. DOI: https://doi.org/10.1016/s0010-9452 (81)80045-7.
7. Johnson J., Sommers R., Weidner W. Dichotic ear preference in aphasia. Journal of Hearing Research. 1977;20:116–129. DOI: https://doi.org/10.1044/jshr.2001.116.
8. Hugdahl K., Westerhausen R. Speech processing asymmetry revealed by dichotic listening and functional brain imaging. Neuropsychologia. 2016;93(B):466–481. DOI: https://doi.org/10.1016/j.neuropsychologia.2015.12.011.
9. DAnselmo A., Marzoli D., Brancucci A. The influence of memory and attention on the ear advantage in dichotic listening. Hearing Research. 2016; 342:144–149. DOI: https://doi.org/10.1016/j.heares.2016.10.012.
10. Voyer D., Hearn N. Auditory semantic priming and the dichotic right ear advantage. Brain and Cognition. 2019;135:103575. DOI: https://doi.org/10.1016/j.bandc.2 019.05.013.
11. Cameron S., Glyde H., Dillon H. et al. The dichotic digits difference test (DDdT): development, normative data, and test-retest reliability studies. Part 1. Journal of the American Academy of Audiology. 2016;27(6):458–469. DOI: https://doi.org/10.3766/jaaa.15084.
12. Котик Б.С. Нейропсихологический анализ межполушарного взаимодействия. Ростов н/Д.: Изд-во Ростовского ун-та, 1988. 192 с.
13. Prete G., DAnselmo A., Tommasi L. et al. Modulation of the dichotic right ear advantage during bilateral but not unilateral transcranial random noise stimulation. Brain and Cognition. 2018;123:81–88. DOI: https://doi.org/10.1016/j.bandc.20 18.03.003.
14. Studer-Luethi B. Is Training with the N-back task more effective than with other tasks? N-Back vs. dichotic listening vs. simple listening. Journal of Cognitive Enhancement. 2021;5:434–448. DOI: https://doi.org/10.1007/s41465-020-00202-3.
15. Westerhausen R. A primer on dichotic listening as a paradigm for the assessment of hemispheric asymmetry. Laterality: Asymmetries of Body, Brain and Cognition. 2019;24(6):740–771. DOI: https://doi.org/10.1080/1357650X.2019. 1598426.
16. Costa M.J., Santos S.N.D., Schochat E. Dichotic sentence identification test in Portuguese:
a study in young adults. Brazilian journal of otorhinolaryngology. 2021;87(4):478–485. DOI: https://doi.org/10.1016/j.bjorl.2020.11.018.
17. Tzourio-Mazoyer N., Crivello F., Mazoyer B. Is the planum temporale surface area a marker of hemispheric or regional language lateralization? Brain Structure and Function. 2018;223:1217–1228. DOI: https://doi.org/10.1007/s00429-017-1551-7.
18. Linebaugh C. Dichotic ear preference in aphasia: another view. Journal of Speech and Hearing Research. 1978;21(3):598–600. DOI: https://doi.org/10.1044/jshr.2103.5 98.
19. Xing S., Lacey E.H., Skipper-Kallal L.M. et al. Right hemisphere grey matter structure and language outcomes in chronic left hemisphere stroke Brain. 2016;139:227–241. DOI: https://doi.org/10.1093/brain/awv323.
20. Kourtidou E., Kasselimis D., Angelopoulou G. et al. The role of the right hemisphere white matter tracts in chronic aphasic patients after damage of the language tracts in the left hemisphere. Frontiers in Human Neurosience. 2021;15:635750d. DOI: https://doi.org/10.3389/fnhum.2021.635750.
21. Lukic S., Barbieri E., Wang X. et al. Right hemisphere grey matter volume and language functions in stroke aphasia. Neural Plastisity. 2017:5601509. DOI: https://doi.org/10.1155/2017/5601509.
Hartwigsen G., Saur D. Neuroimaging of stroke recovery from aphasia-insights into plasticity of the human language. Neuroimage. 2019;190:14–31. DOI: https://doi.org/10.1016/j.neuroimage.2017.11.056.
23. Шипкова К.М. Изменение профиля сухоречевой асимметрии при афазии // Вестник Московского университета. Серия 14. Психология. 2013. № 4. С. 65–75.
24. Purdy M., McCullagh J. Dichotic listening training following neurological injury in adults: a pilot study. Hearing, Balance and Communication. 2020;18(1):16–28. DOI: https://doi.org/10.1080/2169 5717.2019.1692591.
25. Gorecka M.M., Vasylenko O., Rodríguez-Aranda C. Dichotic listening while walking: a dual-task paradigm examining gait asymmetries in healthy older and younger adults. Journal of Clinical and Experimental Neuropsychology. 2020;42:794–810. DOI: https://doi.org/10.1080/13803395.2020.1811207.
26. Цветкова Л.С., Ахутина Т.В., Пылаева Н.М. Методика оценки речи при афазии. М.: МГУ, 1981. 68 с. [Tsvetkova L.S., Akhutina T.V., Pylaeva N.M. Metodika ocenki rechi pri afazii [Method of speech assessment in aphasia]. Moscow. MGU. 1981:68. (in Russ.).]
27. Richter M., Miltner W.H.R., Straube Th. Association between therapy outcome and right-hemispheric activation in chronic aphasia. Brain. 2008;131:1391–1401. DOI: https://doi.org/10.1093/ brain/awn043.
28. Bruckert L., Thompson P.A., Watkins K.E. et al. Investigating the effects of handedness on the consistency of lateralization for speech production and semantic processing tasks using functional transcranial Doppler sonography. Laterality: Asymmetries of Brain, Behaviour, and Cognition. 2021;26(6):680–705. DOI: https://doi.org/10.1080/1357650X.2021.1898416.
29. Karbe H., Thiel A., Weber-Luxenburger G. et al. Brain plasticity in poststroke aphasia: What is the contribution of the right hemisphere? Brain and Language. 1998;64(2):215–230. DOI: https://doi.org/10.1006/brln.1998.1961.
30. Guadalupe T., Kong X.-Z., Akkermans S.E.A. et al. Relations between hemispheric asymmetries of grey matter and auditory processing of spoken syllables in 281 healthy adults. Brain Structure and Function. 2022;227(2):561–572. DOI: https://doi.org/10.1007/s00429-021-02220-z.
31. Moulton E., Magno S., Valabregue R. et al. Acute diffusivity biomarkers for prediction of motor and language outcome in mild-to-severe stroke patients. Stroke. 2019;50:2050–2056. DOI: https://doi.org/10.1161/STROKEAHA.119.024.
32. Martin P.I., Naeser M.A, Theoret H. et al. Transcranial magnetic stimulation as a complementary treatment for aphasia. Seminars in Speech and Language. 2004;25(2):181–191. DOI: https://doi.org/10.1055/s-2004-825654.
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Опубликован
2022-07-05
Как цитировать
Шипкова, К. (2022). Влияние давности постинсультной афазии и объема очага поражения мозга на вектор слухоречевой латеральности при дихотическом прослушивании односложных слов. Психология. Психофизиология, 15(2), 63-72. https://doi.org/10.14529/jpps220206
Выпуск
Раздел
Медицинская (клиническая) психология
Copyright (c) 2022 Психология. Психофизиология
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