Ability to solve riddles in patients with speech and language impairments after stroke
Introduction. Successful riddle solving requires recognition of the meaning of words, attention, concentration, memory, connectivity and analysis of riddle content, and sufficiently developed associative thinking. Objective. The aim of the study was to determine the ability to solve riddles...
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| Format: | Article |
| Language: | English |
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Serbian Medical Society
2016-01-01
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| Series: | Srpski Arhiv za Celokupno Lekarstvo |
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| Online Access: | http://www.doiserbia.nb.rs/img/doi/0370-8179/2016/0370-81791604158S.pdf |
| Summary: | Introduction. Successful riddle solving requires recognition of the meaning
of words, attention, concentration, memory, connectivity and analysis of
riddle content, and sufficiently developed associative thinking. Objective.
The aim of the study was to determine the ability to solve riddles in stroke
patients who do or do not have speech and language disorders (SLDs), to
determine the presence of SLDs in relation to the lesion localization, as
well as to define the relationship between riddle-solving and functional
impairment of a body side. Methods. The sample consisted of 88 patients. The
data used included age, sex, educational level, time of stroke onset,
presence of an SLD, lesion localization, and functional damage of the body
side. The patients were presented with a task of solving 10 riddles. Results.
A significant SLD was present in 38.60% of the patients. Brain lesions were
found distributed at 46 different brain sites. Patients with different lesion
localization had different success in solving riddles. Patients with
perisylvian cortex brain lesions, or patients with Wernicke and global
aphasia, had the poorest results. The group with SLDs had an average success
of solved riddles of 26.76% (p = 0.000). The group with right-sided
functional impairments had average success of 37.14%, and the group with
functional impairments of the left side of the body 56.88% (p = 0.002).
Conclusion. Most patients with SLDs had a low ability of solving riddles.
Most of the patients with left brain lesions and perisylvian cortex damage
demonstrated lower ability in solving riddles in relation to patients with
right hemisphere lesions. |
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| ISSN: | 0370-8179 2406-0895 |