Formal language assessment in low-educated persons with aphasia: can the lesion effect be distinguished from the education effect?

对低教育程度失语症患者进行正式语言评估:能否区分病变效应和教育效应?

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Abstract

BACKGROUND: Language tests are important in the assessment and follow up of people with aphasia (PWA). However, language assessment in the low literacy population is still a challenge. OBJECTIVE: To investigate whether a formal evaluation of aphasia is able to distinguish the neurological effect from the effect of low educational level in people with post-stroke aphasia. METHODS: The sample consisted of a group of 30 aphasic subjects (AG) and a control group (CG) of 36 individuals, both with an educational level of 1-4 years. The Brazilian Montreal-Toulouse Language Assessment battery was applied to all subjects. RESULTS: There were statistically significant differences between the groups in 19 out of the 20 tasks analyzed. CONCLUSIONS: These results suggest that formal evaluation procedures are able to detect language disorders resulting from stroke, even in subjects with low educational level.

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