Search PubMed⌕ Search

Biomedical subjects

R T Wertz

Publications and source records attributed to R T Wertz.

32 records · Page 2Linked to original sources
PubMed1981

Veterans Administration cooperative study on aphasia: a comparison of individual and group treatment.

Five Veterans Administration Medical Centers participated in an investigation designed to compare individual with group treatment for aphasic patients who had suffered a left hemisphere cerebral vascular accident. Patients who met selection criteria were assigned randomly to either traditional, individual, stimulus-response type treatment of specific language deficits or group therapy designed to improve communication through group interaction and discussion with no direct treatment of specific language deficits. All patients received eight hours of therapy each week beginning at four weeks postonset and continuing until 48 weeks postonset or until they dropped out of the study. A battery of language measures and a clinical neurologic evaluation were administered at intake and every 11 weeks a patient was in the study. Results show both individually and group-treated patients made significant improvement in language abilities. Individual treatment resulted in significantly better overall performance on the Porch Index of Communicative Ability; however, no significant differences were observed between groups on the other language measures. If the traditional belief is correct that significant spontaneous recovery is complete by three to six months postonset, significant improvement in both groups beyond 26 weeks postonset indicates both individual and group treatment are efficacious methods for managing aphasic patients.

Adult↗
PubMed1980

Statistical prediction of change in aphasia.

We reviewed speech, language, and biographical data on 144 asphasic patients who had suffered left hemisphere cerebral vascular accidents. Using a step-wise multiple regression procedure, we attempted to predict change in severity of aphasia at three, six, and 12 months postonset based on performance at one, three, and six months postonset. Our results suggest statistical prediction of change is feasible. Multiple correlation coefficients ranged from 0.74 to 0.94.

Adolescent↗
PubMed1977

Right-hemisphere language dominance in a case of left-hemisphere arteriovenous malformation.

This paper reports a case of surgical removal of a left-hemisphere arteriovenous malformation (AVM) in a left-handed adult without subsequent speech or language deficit. Preoperative intracarotid amobarbital testing indicated right-hemisphere language dominance. Our patient demonstrated no language involvement prior to or following surgery. We speculate the congenital nature of a left-hemisphere AVM may dictate right-hemisphere language dominance, thereby explaining the lack of residuals following removal of AVMs in left-hemisphere speech and motor areas.

Adult↗
PubMed1976

Interhemispheric EEG activity in normal and aphasic adults.

EEG recordings were obtained from 10 normal and 10 aphasic adults while they participated in behavioral tasks and a no performance condition. Interhemispheric asymmetry and average activity at 5 to 15 Hz in each hemisphere were compared between groups and among tasks. Asymmetry during behavioral tasks did not differ significantly between groups or among tasks, however, aphasic patients showed a significant decrease in average activity at 5 to 15 Hz on the behavioral tasks compared with the level for a non performance condition. Test-retest reliability was poor for asymmetry but acceptable for average activity at 5 to 15 Hz. Finally, asymmetry was significantly related with severity of aphasia.

Aged↗
PubMedDate not supplied

Sensitivity and specificity of clinical/bedside examination signs for detecting aspiration in adults subsequent to stroke.

UNLABELLED: While detecting the presence of aspiration is only one aspect of a noninstrumented examination of swallowing function, it is an important component due to its potential health status consequences. The purpose of this investigation was to investigate the sensitivity and specificity of clinical/bedside examination signs for predicting aspiration on videofluoroscopic examination of swallowing. Sixty consecutive, acute stroke patients were investigated with clinical/bedside and videofluoroscopic exams. Clinical signs consisted of history, oral motor/speech praxis, voice, and trial swallow ratings. Results confirm that more work needs to be done if data collected from noninstrumented examinations are to be strongly predictive of aspiration on VFSE. However, comparisons of the current results with previous investigations provides a promising framework for future research. EDUCATIONAL OBJECTIVES: (1) To understand the use of sensitivity and specificity in detecting disease; (2) To understand the current evidence regarding clinical signs of aspiration.

Adult↗
PubMedDate not supplied

Possible demographic influences on differentiating normal from aphasic performance.

UNLABELLED: To determine the psychometric validity of current language impairment, communication activity limitation, and quality of life measures for differentiating normal from chronically aphasic adults, we examined possible threats to test accuracy by the demographic variables age, educational level, and gender. A total of 18 chronically aphasic and 18 nonaphasic adults were evaluated with six measures. The results of correlational analyses indicated that, within the normal adult and aphasic adult groups, there exist significant relationships between some, but not all, demographic variables and performance on language impairment, communication activity limitation, and quality of life measures. Moreover, for certain variables, the strengths of these relationships differ significantly between normal and aphasic groups. Thus, adjustments in test scores or norms may be necessary to diagnose the presence or absence of aphasia. Otherwise, the tests' ability to differentiate between normal and aphasic adults may be compromised. EDUCATIONAL OBJECTIVES: Readers will be able to: (1) explain the relationship between test accuracy and psychometric validity; (2) state the direction of significant relationships (i.e., positive or negative) among demographic variables and test performance, within normal and aphasic adult groups; (3) explain necessary considerations in the adjustment of general test norms or scores based on a particular subject's age, education, or gender.

Adult↗