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对失语症成年人和非脑损伤成年人在双耳分听CV音节听力任务上的比较。

A comparison of aphasic and non-brain-injured adults on a dichotic CV-syllable listening task.

作者信息

Shanks J, Ryan W

出版信息

Cortex. 1976 Jun;12(2):100-12. doi: 10.1016/s0010-9452(76)80014-7.

DOI:10.1016/s0010-9452(76)80014-7
PMID:954446
Abstract

A dichotic CV-syllable listening task was administered to a group of eleven non-brain-injured adults and to a group of eleven adult aphasics. The results of this study may be summarized as follows: 1)The group of non-brain-injured adults showed a slight right ear advantage for dichotically presented CV-syllables. 2)In comparison with the control group the asphasic group showed a bilateral deficit in response to the dichotic CV-syllables, superimposed on a non-significant right ear advantage. 3) The asphasic group demonstrated a great deal of intersubject variability on the dichotic task with six aphasics showing a right ear preference for the stimuli. The non-brain-injured subjects performed more homogeneously on the task. 4) The two subgroups of aphasics, a right ear advantage group and a left ear advantage group, performed significantly different on the dichotic listening task. 5) Single correct data analysis proved valuable by deleting accuracy of report for an examination of trials in which there was true competition for the single left hemispheric speech processor. These results were analyzed in terms of a functional model of auditory processing. In view of this model, the bilateral deficit in dichotic performance of the asphasic group was accounted for by the presence of a lesion within the dominant left hemisphere, where the speech signals from both ears converge for final processing. The right ear advantage shown by one asphasic subgroup was explained by a lesion interfering with the corpus callosal pathways from the left hemisphere; the left ear advantage observed within the other subgroup was explained by a lesion in the area of the auditory processor of the left hemisphere.

摘要

对一组11名无脑损伤的成年人和一组11名成年失语症患者进行了双耳CV音节听力任务测试。本研究结果可总结如下:1)无脑损伤的成年人群体在双耳呈现CV音节时表现出轻微的右耳优势。2)与对照组相比,失语症组在对双耳CV音节的反应中表现出双侧缺陷,叠加在不显著的右耳优势之上。3)失语症组在双耳任务中表现出很大的个体间差异,6名失语症患者对刺激表现出右耳偏好。无脑损伤的受试者在该任务上表现得更为一致。4)失语症患者的两个亚组,即右耳优势组和左耳优势组,在双耳听力任务中的表现有显著差异。5)通过删除报告准确性数据来分析单次正确数据,以检查对单个左半球言语处理器存在真正竞争的试验。根据听觉处理的功能模型对这些结果进行了分析。鉴于该模型,失语症组双耳表现的双侧缺陷是由优势左半球内的病变引起的,来自双耳的言语信号在此汇聚进行最终处理。一个失语症亚组表现出右耳优势,这是由干扰来自左半球的胼胝体通路的病变所解释;在另一个亚组中观察到的左耳优势是由左半球听觉处理器区域的病变所解释。

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