Béland R, Ska B
Laboratoire Théophile Alajouanine, Montréal, Québec, Canada.
Brain Lang. 1992 Oct;43(3):355-85. doi: 10.1016/0093-934x(92)90107-p.
The objective of this longitudinal study is to investigate the on-line interaction between praxis and linguistic abilities in a progressive aphasia case. During 3 years of evolution, procedural discourse of a progressive aphasic patient was videotaped five times, allowing us to analyze the progression of both language and gestural production as well as the interaction between these two. We anticipated that, in the absence of apraxia, the patient would compensate for her speech deficit by producing progressively more and more meaningful gestures. Our compensatory hypothesis was confirmed but the compensation was not as efficient as one would expect given the absence of apraxia. With the progression of the speech deficit, the patient could not replace some verbs by pantomimes that were otherwise accompanying her discourse in the preceding testing sessions. We suggest that such a compensatory ability may constitute one important characteristic of the progressive aphasia syndrome.
这项纵向研究的目的是调查一名进行性失语症患者实践能力与语言能力之间的在线互动。在3年的病程中,对一名进行性失语症患者的程序性话语进行了5次录像,使我们能够分析语言和手势表达的进展情况以及两者之间的互动。我们预计,在没有失用症的情况下,患者会通过越来越多地做出有意义的手势来弥补其言语缺陷。我们的代偿假说得到了证实,但代偿效果并不像在没有失用症的情况下预期的那样有效。随着言语缺陷的进展,患者无法用在前次测试中伴随其话语的手势来替代某些动词。我们认为,这种代偿能力可能是进行性失语症综合征的一个重要特征。