Scientific Committee: Stefania Capizzuto, Paola Orlando, Paola Steffani.
Founded by
Adriana De Filippis
Periodicity: january, may, october

Vol. 14, n. 2, 2018

Table of Contents

Stefania Capizzuto Paola Orlando Paola Steffani

Editoriale

Ricerca internazionale

Sajad Haghshenas Motahare S. Hosseini Azin S. Aminjan

A possible correlation between vestibular stimulation and auditory comprehension in children with attention-deficit/hyperactivity disorder

DOI: 10.14605/LOG1421801

Twenty children, aged 10 to 12 years with attention-deficit/hyperactivity disorder (ADHD), were selected to study the effect of vestibular stimulation on auditory perception and sensitivity using the Integrated Visual and Auditory Continuous Performance Test (IVA CPT; a neuropsychological test that is applied in occupational therapy clinics). The present study examined children based on the criteria of the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision. After obtaining guardian and parental consent, the children were enrolled in the study and randomly matched according to age across intervention and control groups. The IVA CPT was applied as a pre-test. The children in the intervention group then received vestibular stimulation during therapy sessions twice per week for 10 weeks. The IVA CPT assessment (post-test) was then applied in both groups. The mean pre- and post-test scores were compared across groups. The statistical analyses revealed a significant difference in improvement in auditory comprehension. In conclusion, the present findings suggest that vestibular training is a reliable and powerful treatment option for ADHD, especially when combined with other training. Stimulating the sense of balance highlights the important interaction between inhibition and cognition.

Ricerca italiana

Cristina Flosi Patrizia Consolmagno

Aphasia: The text content of ISO-SPREAD Guidelines

DOI: 10.14605/LOG1421802

The Stroke Prevention and Educational Awareness Diffusion (SPREAD) Guidelines for stroke were among the first Italian guidelines on the subject to be nationally and internationally recognised. For more than two decades, these guidelines have been the reference point for every stakeholder. From 2013, after a transition period, the SPREAD group has been reconstituted as the Italian Stroke Organization (ISO). Currently, the SPREAD Guidelines are organised in 21 chapters, one of which is entirely focused on intervention. For a number of years, even after the revisions every 2 years, only the key recommendations have been favoured at the publishing stage, without the full content and occasionally without key summaries due to editorial reasons. Since these omitted sections are core to understanding and guiding good practice with patients, we would like to offer our colleagues and those interested in the subject, the opportunity to examine the unpublished sections, which have already been approved at ISO-SPREAD.

Ricerca italiana

Carlo Tognonato, Luigi Santilio, Riccardo Enrini, Bruno Conti Franco Cosignani Luigi Romito

Swallowing and nutrition in parkinsonian syndromes. Proposal for a joint SLT-nutritionist approach

DOI: 10.14605/LOG1421803

In parkinsonian syndromes swallowing and nutrition dysfunctions cause several complications in the whole healing process. We are proposing an approach based on the precautionary evaluation of possible deficiencies. We analysed data from 26 patients with primary parkinsonisms, evaluating both fields, irrespective of the stage of illness and overt presence of dysphagia or malnutrition. Results: age 64±11; disease duration 7±4; H&Y 2.5±0.4; SDQ 34.6% failed; V-VST 26.9% failed; NDPCS 3.1±3.6; DOSS <5 34.6%; MNA-SF 15.4% pt. at risk; BMI 24.7±2.7; nobody showed blood anomalies; bioimpedentiometry pathological phase angle and biavector 19.2%, abnormal biagram 23.1%. No significant relations were found. A precautionary approach, especially screening tests, seems to be effective in flagging subjects with possible risks of dysphagia and malnutrition and its use should be promoted in everyday clinical practice. Long-term monitoring with further studies should be provided in order to examine the issues in depth.

Studi

Sonia Boria Emanuela Mastroprimiano Erika Benassi Maria Teresa Berghenti

Linguistic trajectories in children with cochlear implants. A longitudinal analysis of two cases with morpho-syntactic disorder

DOI: 10.14605/LOG1421804

Prelingually deaf children who receive a cochlear implant (CI) display a large variability in linguistic proficiency. In this study we analyse the linguistic trajectories among three deaf children with CI, comparing them with an age-matched control group. The findings show that two cases present a language deficit and one case, although receiving the CI late, presents typical language development. These data indicate that post-implant individual linguistic trajectories in deaf children cannot only be accounted for by auditory perception and/or by age of implant. The two cases with language disorder were evaluated 10 years later and the clinical assessment highlights a persistent morpho-syntactic deficit. Qualitative analyses of this disorder were made due to the fact that there are few longitudinal data available in literature. In summary, in this study of individual cases, we can hypothesise that persistent language impairment in implanted children may be the final outcome of concomitant damage to the linguistic system, combined with profound congenital deafness.

Although literature about linguistic ambiguity in children is rather limited, several studies have underlined the role of EF in ambiguity resolution (Novick, Trueswell and Thompson-Schill, 2005). The comprehension of ambiguous sentences (e.g. garden-path sentences) is generally difficult for children and results in a higher number of misinterpretations. This study aimed to identify the role of both linguistic processes and EF in the resolution of morphosyntactic ambiguity and to verify if different strategies are used by typical children and children with SLI. For this purpose, a battery of receptive and expressive language tests, EF tasks and an experimental measure assessing morphosyntactic ambiguity were administered to all the children. This is the first attempt at analysing this aspect in the Italian language.