Clustering e switching na fluência verbal: comparação entre controles e indivíduos com prejuízo cerebral
Karina Carlesso Pagliarin; Eduarda Giovelli Fernandes; Maryndia Diehl Muller; Caroline Rodrigues Portalete; Rochele Paz Fonseca; Raira Fernanda Altmann
Abstract
Purpose: The aim of this study is to analyze and compare the performance and strategies used by control subjects and patients with unilateral brain damage on phonemic and semantic Verbal Fluency tasks. Methods: The sample consisted of 104 participants divided into four groups (26 with left hemisphere damage and aphasia- LHDa, 28 with left hemisphere damage and no aphasia- LHDna, 25 with right hemisphere damage- RHD and 25 neurologically healthy control subjects). All participants were administered the phonemic (“M” letter-based) and semantic (animals) verbal fluency tasks from the Montreal-Toulouse Language Assessment Battery (MTL-BR). Results: Patients in the LHDa group showed the worst performance (fewer words produced, fewer clusters and switches) in both types of fluency task. RHD group showed fewer switching productions when compared with controls and LHDna had fewer words productions than controls in the first 30 seconds block. Conclusion: Our findings suggest that the LHDa group obtained lower scores in most measures of SVF and PVF when compared to the other groups
Keywords
Referências
Joanette Y, Ansaldo AI, Kahlaoui K, Côté H, Abusamra V, Ferreres A, et al. Impacto de las lesiones del hemisferio derecho sobre las habilidades linguísticas: perspectivas teórica y clínica. Rev Neurol. 2008;46(8):481-8. http://dx.doi.org/10.33588/rn.4608.2008079 PMid:18428106. » http://dx.doi.org/10.33588/rn.4608.2008079
Joanette Y, Goulet P, Daoust H. Incidence et profils des troubles de la communication verbale chez les cérébrolé sés droits. Rééduc Orthoph. 1991;1(1):3-27.
Ardila A, Bernal B, Rosselli M. Área cerebral del lenguaje: una reconsideración funcional. Rev Neurol. 2016;62(3):97-106. http://dx.doi.org/10.33588/rn.6203.2015286 PMid:26815846. » http://dx.doi.org/10.33588/rn.6203.2015286
Parente MAMP, Fonseca RP, Pagliarin KC, Barreto SS, Soares ECS, Scherer LC, et al. Bateria Montreal-Toulouse de avaliação da linguagem – Bateria MTL-Brasil. São Paulo: Vetor Editora; 2016.
Shao Z, Janse E, Visser K, Meyer AS. What do verbal fluency tasks measure? Predictors of verbal fluency performance in older adults. Front Psychol. 2014;5:772. http://dx.doi.org/10.3389/fpsyg.2014.00772 PMid:25101034. » http://dx.doi.org/10.3389/fpsyg.2014.00772
Troyer AK. Normative data for clustering and switching on verbal fluency task. J Clin Exp Neuropsychol. 2000;22(3):370-8. http://dx.doi.org/10.1076/1380-3395(200006)22:3;1-V;FT370 PMid:10855044. » http://dx.doi.org/10.1076/1380-3395(200006)22:3;1-V;FT370
Lezak MD. Neuropsychological assessment. 3rd ed. Oxford: Oxford University Press; 1995.
Troyer AK, Moscovitch M, Winocur G, Alexander MO, Stuss D. Clustering and switching on verbal fluency: the effects of focal frontal- and temporal-lobe lesions. Neuropsychologia. 1998;36(6):499-504. http://dx.doi.org/10.1016/S0028-3932(97)00152-8 PMid:9705059. » http://dx.doi.org/10.1016/S0028-3932(97)00152-8
Batty R, Francis A, Thomas N, Hopwood M, Ponsford J, Johnston L, et al. Verbal fluency, clustering, and switching in patients with psychosis following traumatic brain injury (PFTBI). Psychiatry Res. 2015;227(2-3):152-9. http://dx.doi.org/10.1016/j.psychres.2015.03.040 PMid:25910419. » http://dx.doi.org/10.1016/j.psychres.2015.03.040
Bose A, Wood R, Kiran S. Semantic fluency in aphasia: clustering and switching in the course of 1 minute. Int J Lang Commun Disord. 2017;52(3):334-45. http://dx.doi.org/10.1111/1460-6984.12276 PMid:27767243. » http://dx.doi.org/10.1111/1460-6984.12276
Oh SJ, Sung JE, Choi SJ, Jeong JH. Clustering and switching patterns in semantic fluency and their relationship to working memory in mild cognitive impairment. Dement Neurocogn Disord. 2019;18(2):47-61. http://dx.doi.org/10.12779/dnd.2019.18.2.47 PMid:31297135. » http://dx.doi.org/10.12779/dnd.2019.18.2.47
Gonçalves HA, Fonseca FP, Cargnin C, Fonseca RP. Análise quantitativa-qualitativa das estratégias de evocação de palavras em tarefas de fluência verbal para crianças. In: Fonseca RP, Prando ML, Zimmermann N, editor. Avaliação de linguagem e funções executivas em crianças. São Paulo: Memnon; 2016. p. 46-65.
Kim H, Kim J, Kim DY, Heo J. Differentiating between aphasic and nonaphasic stroke patients using semantic verbal fluency measures with administration time of 30 seconds. Eur Neurol. 2011;65(2):113-7. http://dx.doi.org/10.1159/000324036 PMid:21304251. » http://dx.doi.org/10.1159/000324036
Zakzanis KK, McDonald K, Troyer AK. Component analysis of verbal fluency in patients with mild traumatic brain injury. J Clin Exp Neuropsychol. 2011;33(7):785-92. http://dx.doi.org/10.1080/13803395.2011.558496 PMid:21480023. » http://dx.doi.org/10.1080/13803395.2011.558496
Shiffrin RM, Schneider W. Controlled and automatic human information processing: II perceptual learning, automatic attenting, and a general theory. Psychol Rev. 1977;84(2):127-90. http://dx.doi.org/10.1037/0033-295X.84.2.127 » http://dx.doi.org/10.1037/0033-295X.84.2.127
Oldfield RC. The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia. 1971;9(1):97-113. http://dx.doi.org/10.1016/0028-3932(71)90067-4 PMid:5146491. » http://dx.doi.org/10.1016/0028-3932(71)90067-4
Fonseca RP, Zimmermann N, Pawlowski J, Oliveira CR, Gindri G, Scherer LC, et al. Métodos em avaliação neuropsicológica: pressupostos gerais, neurocognitivos, neuropsicolinguísticos e psicométricos no uso e desenvolvimento de instrumentos. In: Fukushima SS, editor. Métodos em psicobiologia, neurociêcias e comportamento. São Paulo: ANPEPP; 2012.
Pagliarin KC, Ortiz KZ, Barreto SS, Pimenta Parente MA, Nespoulous JL, Joanette Y, et al. Montreal–Toulouse Language Assessment Battery: evidence of criterion validity from patients with aphasia. J Neurol Sci. 2015;357(1-2):246-51. http://dx.doi.org/10.1016/j.jns.2015.07.045 PMid:26256126. » http://dx.doi.org/10.1016/j.jns.2015.07.045
Pagliarin KC, Ortiz KZ, Parente MAMP, Arteche A, Joanette Y, Nespoulous JL, et al. Montreal-Toulouse Language Assessment Battery for aphasia: validity and reliability evidence. NeuroRehabilitation. 2014;34(3):463-71. http://dx.doi.org/10.3233/NRE-141057 PMid:24473247. » http://dx.doi.org/10.3233/NRE-141057
Troyer AK, Moscovitch M, Winocur G. Clustering and switching as two components of verbal fluency: evidence from younger and older healthy adults. Neuropsychology. 1997;11(1):138-46. http://dx.doi.org/10.1037/0894-4105.11.1.138 PMid:9055277. » http://dx.doi.org/10.1037/0894-4105.11.1.138
Beckenkamp CL, Becker N, Rodrigues JC, Salles JF. Estratégias de clustering e switching na evocação lexical de adultos após acidente vascular cerebral nos hemisférios direito e esquerdo. Avances en Psicologia Latinoamericana. 2019;37(2):375-90. http://dx.doi.org/10.12804/revistas.urosario.edu.co/apl/a.6073
» http://dx.doi.org/10.12804/revistas.urosario.edu.co/apl/a.6073
Bonini MV, Radanovic M. Déficits cognitivos na afasia pós-derrame. Arq Neuropsiquiatr. 2015;73(10):840-7. http://dx.doi.org/10.1590/0004-282X20150133 PMid:26465401.
» http://dx.doi.org/10.1590/0004-282X20150133
Fridriksson J, Nettles C, Davis M, Morrow L, Montgomery A. Functional communication and executive function in aphasia. Clin Linguist Phon. 2006;20(6):401-10. http://dx.doi.org/10.1080/02699200500075781 PMid:16815787. » http://dx.doi.org/10.1080/02699200500075781
Côté H, Payer M, Giroux F, Joanette Y. Towards a description of clinical communication impairment profiles following right-hemisphere damage. Aphasiology. 2007;21(6-8):739-49. http://dx.doi.org/10.1080/02687030701192331 » http://dx.doi.org/10.1080/02687030701192331
Vigneau M, Beaucousin V, Hervé PY, Jobard G, Petit L, Crivello F, et al. What is right-hemisphere contribution to phonological, lexico-semantic, and sentence processing?. Neuroimage. 2011;54(1):577-93. http://dx.doi.org/10.1016/j.neuroimage.2010.07.036 PMid:20656040. » http://dx.doi.org/10.1016/j.neuroimage.2010.07.036
Rosselli M, Ardila A, Salvatierra J, Marquez M, Luis M, Weekes VA. A cross-linguistic comparison of verbal fluency tests. Int J Neurosci. 2002;112(6):759-76. http://dx.doi.org/10.1080/00207450290025752 PMid:12325314. » http://dx.doi.org/10.1080/00207450290025752
Hurks PP, Vles JS, Hendriksen JG, Kalff AC, Feron FJ, Kroes M, et al. Semantic category fluency versus initial letter fluency over 60 seconds as a measure of automatic and controlled processing in healthy school-aged children. J Clin Exp Neuropsychol. 2006;28(5):684-95. http://dx.doi.org/10.1080/13803390590954191 PMid:16723317. » http://dx.doi.org/10.1080/13803390590954191
Hurks PPM, Schrans D, Meijs C, Wassenberg R, Feron FJM, Jolles J. Developmental changes in semantic verbal fluency: analyses of word productivity as a function of time, clustering, and switching. Child Neuropsychol. 2010;16(4):366-87. http://dx.doi.org/10.1080/09297041003671184 PMid:20373180. » http://dx.doi.org/10.1080/09297041003671184
Fonseca RP, Ferreira GD, Liedtke FV, Muller J, Sarmento T, Parente MAMP. Alterações cognitivas, comunicativas e emocionais após lesão hemisférica direita: em busca de uma caracterização da Síndrome do Hemisfério Direito. Psicol USP. 2006;17(4):241-62. http://dx.doi.org/10.1590/S0103-65642006000400013
» http://dx.doi.org/10.1590/S0103-65642006000400013
Van der Elst W, Hurks P, Wassenberg R, Meijs C, Jolles J. Animal verbal fluency and design fluency in school-aged children: effects of age, sex, and mean level of parental education, and regression-based normative data. J Clin Exp Neuropsychol. 2011;33(9):1005-15. http://dx.doi.org/10.1080/13803395.2011.589509 PMid:21942563. » http://dx.doi.org/10.1080/13803395.2011.589509
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email