脳卒中後失語症者の言語症状の統計学的分析

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  • STATISTICAL ANALYSIS OF LANGUAGE IMPAIRMENTS IN POSTSTROKE APHASIC PATIENTS

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SLTA (Standard language test of aphasia), a battery of tests for language impairment, has been widely used in Japan since 1974. In order to compare the classification of aphasia by the classical method with that calculated by SLTA profile, 341 poststroke patients with aphasia who had been admitted to Nanasawa Hospital, Kanagawa Rehabilitation Center, from 1975 to 1981 were studied. The SLTA profile of these patients were analysed by means of factor analysis.<br>“Word fluency” was characteristically disturbed in the patients with amnesic aphasia. “Repetition” were decreased in conduction aphasia, whereas in transcortical aphasia only “repetition” remained intact. On the other hand, discrimination of Broca's aphasia from Wernicke's aphasia was not possible on the SLTA profile, even with the discriminant analysis or cluster analysis.<br>Factor analysis was executed with the correlation matrix of the 28 items of SLTA, and seven factors were extracted: (1) oral expression and phonological processing; (2) writing; (3) word recognition; (4) comprehension of complex sentences; (5) calculation; (6) writing of Kanjiwords; (7) word fluency.

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