The Japan Journal of Logopedics and Phoniatrics
Online ISSN : 1884-3646
Print ISSN : 0030-2813
ISSN-L : 0030-2813
Volume 31, Issue 2
Displaying 1-10 of 10 articles from this issue
  • -using a key one-syllable word and a cue to retrieve its meaning-
    Tsutomu Suzuki, Hisako Monoi, Yoko Fukusako
    1990 Volume 31 Issue 2 Pages 159-171
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    We developed a training program to improve writing and reading of Kana characters for aphasic patients. The program employed a key one-syllable word written in Kanji coupled with a cue word for retrieving the semantic aspect of the key word. The cue word consists of a complex word which has a key one-syllable word in the first syllable.
    This program was administered to three aphasic patients : two severe to moderate Broca's aphasic patients, and a severe Wernicke's aphasic patient. The results indicated that all patients showed improvement in writing to dictation and reading aloud one-syllable Kana characters. However, the degree of improvement in writing and reading differed among patients, ranging from word to sentence level. The program was seen to be beneficial for severe aphasic patients who showed no improvement with methods using multi-syllabic key words.
    Candidates for this program must satisfy the following three conditions : (1) preservation of ability to learn word writing in Kanji, (2) preservation of ability to repeat words, Q3 high motivation for therapy.
    Download PDF (2843K)
  • Ritsuko Yamane, Yoshiaki Mito, Keiko Hanasawa, Midori Matsuzaki, Yoshi ...
    1990 Volume 31 Issue 2 Pages 172-185
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    We revised the Developmental Voluntary Movement Test which was developed by Nishiyama & Tanaka (1971) . The present study established norms for voluntary and motor coordination of young children on the revised test and investigated developmental change in performance of the test items.
    The 40-item test consisted of three categories : finger movement, face and oral movement, and movement of upper and lower extremities. It was administered to 723 normal children aged two to six years old. Result indicated that all tested motor skills except tongue movement are acquired gradually as children grow. The age at which 90% of the children acquired each tested movement was calculated to determine normal range of performance. Based on these data, clinical battery has been established.
    Download PDF (1370K)
  • Shinobu Masaki, Itaru F. Tatsumi, Sumiko Sasanuma
    1990 Volume 31 Issue 2 Pages 186-194
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    The possibility of disturbance of temporal coordination between articulators and vocal organ was examined in apraxic speech. Speech samples consisted of Japanese words beginning with [ai] or [amV] (V=a, e, or i) and having a low-high type accent pattern, uttered by a patient with pure apraxia of speech and normal controls. For words beginning with [ai], the accent command and articulatory command for the second vowel [i] were estimated from fundamental and formant frequencies, respectively, based on the functional model for realization of Japanese word accent and articulation. The results showed that delay of onset of the accent command relative to that of the articulatory command was markedly larger in apraxic speech than that in normal speech at a slow speaking rate. For words beginning with [amV], the delay of onset of the accent command relative to lip closure for [m] was larger in apraxic speech than that in normal speech.
    Several previous studies have reported on abnormalities of temporal coordination among different articulators in apraxic speech. However, our results in the present study suggest that abnormalities of temporal coordination exist between articulators and vocal organ as well.
    Download PDF (1140K)
  • -Propose of educational theory for overcoming “The stagnation of development at age 9”-
    Toshiko Mori
    1990 Volume 31 Issue 2 Pages 195-208
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    147 (38 %) of 391 hearing-impaired preschoolers who had been provided early language education by auditory training method for 15 years succeeded in overcoming “The stagnation of development at age 9”.
    The following conditions were essential in order to achieve this purpose by auditory training method:
    1) Auditory-oral channels of communication and auditory receptive ability of speech had to be acquired by the age of 3.
    2) The same level of speech ability as normal children had to be acquired by about 6 years of age.
    3) Assessment of the precise conditions and educational means for achieving speech had to be properly completed.
    4) If the results of the above were favorable and verbal IQ and speech ability were acquired as a normal child by age 6, then “The stagnation of development at age 9” can be overcome without special training at school.
    Download PDF (1745K)
  • Yoko Fukusako, Kyoko Endo, Kanae Konno, Kazuko Hasegawa, Itaru F. Tats ...
    1990 Volume 31 Issue 2 Pages 209-217
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    This study examined changes in the speech of spastic dysarthric patients after treatment using perceptual analysis. The twenty-four dysarthric subjects (mean age : 61.6 years) secondary to cerebrovascular accident had enrolled in individual speech therapy for more than two months. The results are summarized as follows:
    (1) The dimensions showing greatest decrease (improvement), with a scale value of more than 0.6 after treatment, were Intelligibility, Distorted vowels, Imprecise consonants, Bizarreness, Rate--slow, Loudness decay, and Monopitch and monoloudness.
    (2) Improvement in severity (sum of the scale values of Bizarreness and Intelligibility) after treatment was observed for 16 of 24 patients (70%), and a prominent improvement was noted for 7 patients.
    (3) The more profoundly speech performance was impaired before treatment, the more improvement was obtained.
    (4) On the other hand, a gain (deterioration), with a scale value of 0.6 after treatment, was seen in dimensions of Prolonged intervals, Strange-strangled voice, Pitch level--High, etc.
    (5) The dimensions in which improvement was shown and degree of improvement varied from patient to patient.
    (6) Implications of perceptual analysis of dysarthric speech on measurement of efficacy of treatment were discussed.
    Download PDF (1134K)
  • Noriko Ainoda
    1990 Volume 31 Issue 2 Pages 218-225
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    The paper summarized how to handle the acquired articulation disorders in adults, focused on articulation problems caused by glossectomy, dysarthria, and speech apraxia. It also presented three up-to-date subjects in clinical approach to these articulation disorders : 1. necessity of clinical research, 2. role of speech pathologists for the management of patients with degenerative diseases and those with recurrent tumors, 3. management procedures to maintain therapy effects and to perform successful carryover for the elderly patients.
    Download PDF (843K)
  • Toshiroh Kawaguchi, Kazuo Senoo, Osamu Shiromoto
    1990 Volume 31 Issue 2 Pages 226-234
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    The utterance intelligibility test was investigated by a list of 25 monosillables in 70 carcinomas of the oral cavity (59 cases of tongue carcinoma and 11 cases of mouth floor carcinoma) . This investigation was done for each factors ; the way of treatment, the size of removal, and the portion of removal. The results are summarized as follows ;
    1) In case of partial glossectomy by laser, postoperative utterance intelligibility was good. There were no problems in the everyday coversation.
    2) There was a correlation between the removal size and the utterance intelligibility. The increase in removal size of carcinoma is correlated with the decrease in utterance intelligibility.
    3) In cases of partial glossectomy, less than 44mm in anteroposterior length and 15mm in width, there were no problems in everyday conversation.
    4) Partial glossectomy including the mouth floor made utterance intelligibility decreased.
    Download PDF (5563K)
  • —Disorder of speech due to a lesion around Broca's area—
    Mitsuru Kawamura, Jun-ichi Shiota, Keizo Hirayama
    1990 Volume 31 Issue 2 Pages 235-241
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    We proposed a definition and a classification of dysarthria from neurological point of view. It attempted to correlate the symptomatology and the lesions of 8 cases. CT scan and MRI findings revealed the circumscribed infarction around Broca's area (pars triangularis and pars opercularis of the left inferior frontal gyrus) in these cases. (1) All 8 cases exhibited various degree of dysarthria due to different lesions. (2) The characteristics of dysarthria of these cases varied and did not correspond with the site of lesions. (3) Cases who had a lesion in the left inferior precentral gyrus which is posterior of Broca's area showed clear long lasting dysarthria. (4) Cases whose lesions extended from the left inferior precental gyrus to Broca's area had long lasting aphasic symptoms.
    Download PDF (5630K)
  • Motonobu Itoh
    1990 Volume 31 Issue 2 Pages 242-252
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    Articulatory and prosodic abnormalities due to the damage to the Broca's area of the left hemisphere have been called as apraxia of speech (AOS) .
    This disorder is distinct from both aphasia which is a disorder of linguistic functions and dysarthria which is an articulatory disorder due to nerves and muscles impairments.
    This paper provides a review of the nature of AOS, looking at the research findings in the field and offers some suggestions concerning clinical management of this disorder.
    Download PDF (1131K)
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    1990 Volume 31 Issue 2 Pages 253-254
    Published: April 25, 1990
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    Download PDF (275K)
feedback
Top