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2018
|
vol. 32
|
issue 1
47-55
EN
The occurrence of problems linked to cognitive-linguistic and auditory processing may lead to serious phonological disorders such as an incorrect use of sounds by a child. Early diagnosis of auditory processing disorders makes it possible to start the therapy quickly and enhances the child’s chances of proper development. In the cerebral cortex, there is a physiological connection between auditory processing and speech production. Auditory processing disorders lead to improper development of speech and language communication. Auditory processing disorders in older children are assessed with the use of behavioural tests such as a binaural integration test, Staggered Spondaic Word (SSW) test, Dichotic Digit Test and Speech-in-noise (SIN) test. The drawbacks of these tests are that they are applied when speech production disorders already occur. They cannot be used in newborns due to the fact that they are incapable of cooperating. The NBAS scale used in physiotherapeutic diagnosis may be employed to assess processing disorders in the youngest children. This procedure is very simple and results provide early information regarding the child’s auditory integration. Foreign research points to a significant correlation between auditory processing disorders and phonological disorders mainly in terms of distinguishing phonemes.
EN
Background: It has been evidenced that the outcome of a CVA patient differs as a function of the cerebral hemisphere that is damaged by the stroke, especially in terms of emotional changes. In contrast, the Bi-Hemispheric Model of Emotion posits that each hemisphere has its own emotional specialization. The current experiment tested the competing predictions of the two theoretical perspectives in a mixed sample of left cerebrovascular accident (LCVA) patients and right cerebrovascular accident (RCVA) patients using a Dichotic Listening task and the Affective Auditory Verbal Learning Test (AAVLT). Heart Rate (HR) and Pulse Oxygen Saturation (SpO2) were recorded as sympathetic measures. It was expected that the predictions of the Bi-Hemispheric Model would be supported. A series of mixed design ANOVAs were used to analyze the data. Material/Methods: Participants consisted of 21 patients grouped into either post-acute status left cerebrovascular accident (LCVA) or right cerebrovascular accident (RCVA). Tests included the The Dichotic Listening test, The Affective Auditory Verbal Learning Test (AAVLT), HR and Sp02 measurement using a Fingertip Pulse Oximeter and the Mood Assessment Scale for depression. Results: Results revealed that both groups exhibited decreased auditory detection abilities in the ear contralateral to CVA location. Additionally, CVA patients recalled significantly more positive words than negative or neutral words and exhibited a significant learning curve. LCVA patients exhibited a recency effect, while RCVA patients exhibited a heigh tened primacy effect. Findings from the HR and Sp02 measures suggested a parasympathetic response to emotionally neutral information as well as an impaired sympathetic response to emotionally negative information in RCVA patients. Conclusions: The results lend partial support to the hypothesis drawn from the Bi-Hemispheric Model of Emotion, as evidenced by the diametrically opposite effects in these groups, which reflects opposing cerebral processes.
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