Sentence comprehension in Slovak-speak­­ing patients with Parkinson dis­ease

Authors: J. Marková 1;  M. Hajdúk 2,3;  Z. Košutzká 4;  A. Kušnírová 4;  M. Pápayová 4;  M. Egryová 5;  P. Valkovič 4;  Z. Cséfalvay 1
Authors‘ workplace: Katedra logopédie, Ústav psychologických a logopedických štúdií, Pedagogická fakulta UK Bratislava 1;  Katedra psychológie, Filozofická fakulta UK Bratislava 2;  Psychiatrická klinika LF a UN, Bratislava 3;  II. neurologická klinika LF UK a UN, Nemocnica akad. L. Dérera, Bratislava 4;  Logopedická ambulancia, UN, Nemocnica akad. L. Dérera, Bratislava 5
Published in: Cesk Slov Neurol N 2018; 81(1): 60-65
Category: Original Paper


To map the sentence comprehension in Slovak-speaking patients with Parkinson disease.

We assessed the comprehension of reversible sentences (sentences in which the participants of the action can change their roles) with the Test of sentence comprehension and cognitive functions with a standard neuropsychological battery.

37 patients with idiopathic Parkinson disease and 37 healthy controls participated in the research. Groups did not differ regarding age, education and sex. The diagnosis of Parkinson disease in patients was established by a neurologist.

The statistical comparison of data using the Mann-Whitney U test revealed that patients had a significantly lower score only in one out of six sentence types (p = 0.016), namely in comprehension of center-embedded object relative clauses (e. g. Mother, which the daughter kissed, has the light dress.). They were significantly worse also in decoding sentences with non-canonical order of thematic roles (first patient, then agent; p = 0.013). Significant correlations of individual syntactic constructions appeared in three tests: Rey Complex Figure Test, Semantic fluency and Letter-Number sequencing.

According to our results, there are sentence comprehension deficits in Slovak-speaking patients with Parkinson disease, while sentence comprehension ability is correlated with cognitive test performance.

Key words:
Parkinson disease – sentence comprehension – neurocognition

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

Chinese summary - 摘要






37名特发性帕金森病患者和37名健康对照者参与了该研究。 两组人在年龄,教育和性别方面没有差异。患有帕金森病的患者由神经科医生确诊。


使用Mann-Whitney U检验的数据统计分析显示患者仅在六种句子类型中的一种中具有显着较低的分数(p = 0.016),即在理解中心嵌入的对象相关从句(例如母亲 ,女儿亲吻的那件衣服是轻的。)。 他们在解读具有非规范顺序的主题角色的句子时(第一名患者,然后是代理人; p = 0.013)表现也更差。 在Rey复数图测试,语义流畅性和字母数字测序三个测试中出现了单个句法结构的显着相关性。




帕金森病 - 句子理解 - 神经认知


1. Mil­ler N. Speech, voice and language in Parkinson‘s dis­ease: changes and interventions. Neurodegen Dis Manage 2012; 2(3): 279– 289.

2. Pell MD, Monetta L. How Parkinson‘s dis­ease af­fects non-verbal com­munication and language proces­sing. Language and Linguistic Compass 2008; 2(5): 739– 759. doi: 10.1111/ j.1749-818x.2008.00074.x.

3. Rektorova I, Mikl M, Bar­rett J et al. Functional neuroanatomy of vocalization in patients with Parkinson‘s dis­ease. J Neurol Sci 2012; 313(1– 2): 7– 12. doi: 10.1016/ j.jns.2011.10.020.

4. Colman K, Bastiaanse R. Language proces­s­­ing in Parkinson‘s dis­ease patients without dementia. Available from URL: https:/ / books/ dia­gnostics-and-rehabilitation-ofparkinson-s-dis­ease/ lang-uage-proces­sing-in-parkinson-s-dis­ease-patients-without-dementia.

5. Gros­sman M. Sentence proces­s­­ing in Parkinson’s dis­ease. Brain Cogn 1999; 40(2): 387– 413. doi: 10.1006/ brcg. 1999.1087.

6. Goldman JG, Litvan I. Mild cognitive impairment in Parkinson’s dis­ease. Minerva Med 2011; 102(6): 441– 459.

7. Litvan I, Aarsland D, Adler CH et al. MDS task force on mild cognitive impairment in Parkinson’s dis­ease: critical review of PD-MCI. Mov Disord 2011; 26(10): 1814– 1824. doi: 10.1002/ mds.23823.

8. Bezdíček O, Michalec J, Nikolai T et al. Validita montrealského kognitivního testu pro detekci mírne kognitívní poruchy u Parkinsonovy nemoci. Cesk Slov Neurol N 2014; 77/ 110(1): 47– 53.

9. Skeel RL, Cros­son B, Nadeau SE et al. Basal ganglia dysfunction, work­­ing memory, and sentence comprehension in patients with Parkinson’s dis­ease. Neuropsychologia 2001; 39(9): 962– 971.

10. Lee C, Gros­sman M, Mor­ris J et al. Attentional resource and proces­s­­ing speed limitations dur­­ing sentence proces­s­­ing in Parkinson‘s dis­ease. Brain Lang 2003; 85(3): 347– 356.

11. Colman K, Koerts J, Stowe L et al. Sentence comprehension and its as­sociation with executive functions in patients with Parkinson‘s dis­ease. Parkinsons Dis 2011; 2011: 213983. doi: 10.4061/ 2011/ 213983.

12. Hochstadt J, Nakano H, Lieberman P et al. The roles of sequenc­­ing and verbal work­­ing memory in sentence comprehension deficits in Parkinson’s dis­ease. Brain Lang 2006; 97(3): 243– 257.

13. Angwin AJ, Chenery HJ, Copland DA et al. Self-paced read­­ing and sentence comprehension in Parkinson’s dis­ease. J Neurol­­ing 2006; 19: 239– 252. doi: 10.1016/ j.jneuroling.2005.11.004

14. Levelt W. The architecture of normal spoken language use. In: Blanken G, Dittman H, Grimm H (eds). Linguistic disorders and pathologies. 1st ed. Berlin: de Gruy­ter 1993: 1– 15.

15. Oravec J, Bajzíková E. Súčasný slovenský spisovný jazyk. Syntax. 1. vyd. Bratislava: Slovenské pedagogické nakladateľstvo 1982.

16. Oravec J, Bajzíková E, Furdík J. Súčasný slovenský spisovný jazyk. Morfológia. 1. vyd. Bratislava: Slovenské pedagogické nakladateľstvo 1984.

17. Goetz CG, Til­ley BC, Shaftman SR et al. Movement disorder society-sponsored revision of the unified Parkinson‘s dis­ease rat­­ing scale (MDS-UPDRS): scale presentation and clinimetric test­­ing results. Mov Disord 2008; 23(15): 2129– 2170. doi: 10.1002/ mds.22340.

18. Marková J, Cséfalvay Z, Mikulajová M et al. Analýza porozumenia viet v slovenčine: test porozumenia viet s normami. 1. vyd. Bratislava: Univerzita Komenského 2015.

19. Meyers J, Meyers, K. Rey Complex Figure test and recognition trial. Profes­sional manual. Florida: PAR Psychological As­ses­sment Resources, Inc. 1995.

20. Wechsler D. WAIS-III administration and scor­­ing manual. 3rd ed. San Antonio: The Psychological Corporation 1997.

21. Krivá Ľ. Stroopův test. 1. vyd. Praha: Hogrefe –  Testcentrum 2013.

22. Reitan RM. The relation of the trail mak­­ing test to organic brain damage. J Consult Psychol 1955; 19(5): 393– 394.

23. Lezak MD, Howieson DB, Bigler ED et al. Neuropsychological As­ses­sment. 5th ed. New York: Oxford University Press 2012.

24. Preiss M. Pamäťový test učenia. Príručka pre dospelých a deti. Bratislava: Psychodia­gnostika a. s. 1999.

25. Prieto F, Radanovic M, Schmitt C et al. Sentence comprehension in Parkinson’s dis­ease. Dement Neuropsychol 2007; 1(4): 386– 391. doi: 10.1590/ S1980-57642008DN10 400010.

26. Terzi A, Papapetropoulos P, Kouvelas ED. Past tense formation and comprehension of pas­sive sentences in Parkinson’s dis­ease: Evidence from Greek. Brain Lang 2005; 94(3): 297– 303.

27. Friederici AD, Kotz SA, Werheid K et al. Syntactic comprehension in Parkinson’s dis­ease: investigat­­ing early automatic and late integrational proces­ses us­­ing event-related brain potentials. Neuropsychology 2003; 17(1): 133– 142.

28. Friederici AD, Hahne A, von Cramon DY. First-pass versus second-pass pars­­ing proces­ses in a Broca‘s and Wernicke’s aphasic: electrophysiological evidence for a double dis­sociation. Brain Lang 1998; 62(3): 311– 341.

29. Friederici AD. The neurobio­logy of language proces­sing. In: Friederici AD (eds). Language comprehension: a bio­logical perspective. 1st ed. Berlin: Springer 1998: 263– 302.

30. Friederici AD. The time course of syntactic activation dur­­ing language proces­sing: a model based on neuropsychological and neurophysiological data. Brain Lang 1995; 50(3): 259– 281.

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