Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
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A study of speaking rate on Parkinson's disease with palilalia

동어반복증을 동반한 파킨슨병 환자의 말속도 연구

  • Received : 2016.07.12
  • Accepted : 2016.08.23
  • Published : 2016.09.30
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Abstract

The purpose of this study is to examine the speaking rate(overall speaking rate and articulatory rate) of Parkinson's disease patients with palilalia(PDP). Palilalia is traditionally characterized by not only compulsive repetitions of words and phrases, but also by increased rate of speech based on auditory perception. Since Souques(1908) first characterized palilalia as fast speech rate from the perspective of auditory perception, few studies have evaluated PDP speech using acoustic methods. To compare the speech rate between PDP and normal subjects, we included five PDP and eight control subjects(age over 55), as well as the date acquired under reading tasks(standardized Korean paragraph). The difference in median of the overall speaking rate was not statically significant between the PDP group(median 5.25, IQR 1.30) and normal group(median 4.76, IQR 0.71). The PDP, however, had a significantly higher syllables per second on the articulatory rate(median 6.60, IQR 1.04) than normal subjects(median 5.60, IQR 0.52). Results indicated no differences in pause over 250msec and disfluency duration between the two groups. To provide useful insight into PDP speech, multiple levels of analysis should be employed.

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References

  1. Benke, T., Hohenstein, C., Poewe, W., & Butterworth, B. (2000). Repetitive speech phenomena in Parkinson's disease. Journal of Neurology, Neurosurgery, and Psychiatry, 69(3), 319-324. https://doi.org/10.1136/jnnp.69.3.319
  2. Caligiuri, M. P. (1988). Labial kinematics during speech in patients with Parkinsonian rigidity. Brain, 110, 1033-1044.
  3. Chon, H., Ko, D., & Shin, M. (2004). Disfluency characteristics and speech rate of stuttering and nonstuttering. Communication Sciences and Disorders, 9(2), 102-115. (전희정.고도흥.신문자 (2004). 유창성장애 아동과 정상 아동의 비유창성과 말속도에 관한 비교 연구. 언어청각장애연구, 9(2), 102-115.)
  4. Chon, H., Kraft, S. J., Zhang, J., Loucks, T., & Ambrose, N. G. (2013). Individual variability in delayed auditory feedback effects on speech fluency and rate in normally fluent adults. Journal of Speech, Language, and Hearing Research, 56(2), 489-504. https://doi.org/10.1044/1092-4388(2012/11-0303)
  5. Chon, H., Sawyer, J., & Ambrose, N. G. (2012). Differences of articulation rate and utterance length in fluent and disfluent utterances of preschool children who stutter. Journal of Communication Disorders, 45(6), 455-467. https://doi.org/10.1016/j.jcomdis.2012.08.003
  6. Cheon, S. (2007). Maximum phonation time and articulation diadochokinetic rate, speech rate of standardized passage in the healthy Korean elderly. M.A. Thesis, Yonsei University. (천사라 (2007). 노년층의 최대발성시간, 조음교대운동속도 및 표준문 구발화속도. 연세대학교 석사학위 논문.)
  7. Costello, J. M. & Ingham, R. J. (1984). Assessment strategies for stuttering. San Diego: College-Hill Press.
  8. Duffy, J. R. (2013). Motor speech disorders: substrates, differential diagnosis, and management (3rd edition). St. Louis: Mosby.
  9. Forrest, K., Weismer, G., & Turner, G. S. (1989). Kinematic, acoustic, and perceptual analyses of connected speech produced by parkinsonian and normal geriatric adults. The Journal of the Acoustical Society of America, 85(6), 2608-2622. https://doi.org/10.1121/1.397755
  10. Hall, K. D., Amir, O., & Yairi, E. (1999). A longitudinal investigation of speaking rate in preschool children who stutter. Journal of Speech, Language, and Hearing Research, 42(6), 1367-1377. https://doi.org/10.1044/jslhr.4206.1367
  11. Hertrich, I., Ackermann, H., Ziegler, W., & Kaschel, R. (1993). Speech iterations in Parkinsonism: A case study. Aphasiology, 7(4), 395-406. https://doi.org/10.1080/02687039308249518
  12. Hirose, H., Kiritani, S., & Sawashima, M. (1982). Velocity of articulatory movements in normal and dysarthric subjects. Folia Phoniatrica, 34(4), 210-215. https://doi.org/10.1159/000265651
  13. Ingham, J. C. & Riley, G. (1998). Guidelines for documentation of treatment efficacy for young children who stutter. Journal of Speech, Language, and Hearing Research, 41(4), 753-770. https://doi.org/10.1044/jslhr.4104.753
  14. Kang, Y., Yoon, K., Lee, H., & Seong, C. (2010). A comparison of parameters of acoustic vowel space in patients with Parkinson's disease. Phonetics and Speech Sciences, 2(4), 185-192. (강영애.윤규철.이학승.성철재 (2010). 파킨슨병 환자의 음향 모음 공간 파라미터 비교. 말소리와 음성과학, 2(4), 185-192.)
  15. Kim, H. (2012). Neurologic speech-language disorders. Seoul: Sigmapress. (김향희 (2012). 신경언어장애. 서울: 시그마프레스.)
  16. Kim, H., Cho, S., Lee, W., Na, D., & Lee, K. (1999). Two cases of palilalia. Journal of the Korean Neurological Association, 17(2), 303-308. (김향희.조수진.이원용.나덕렬.이광호 (1999). 동어반복증 2 예. 대한신경과학회지, 17(2), 303-308.)
  17. Kim, J. (2001). Development of speech rate in normal children of ages 3, 4, and 5years. M.A. Thesis, Ewha Womans University. (김지연 (2001). 3-5 세 정상 아동의 말속도 발달 연구. 이화여자대학교 석사학위 논문.)
  18. Kim, S., Yoon, J., Chang, S., Sohn, Y., Cho, S., & Kim, H. (2012). The role of subcortical regions in speech production. Journal of the Korean Neurological Association, 30(1), 1-9. (김선우.윤지혜.장수은.손영호.조성래.김향희 (2012). 말산출에서 피질하 구조의 역할. 대한신경과학회지, 30(1), 1-9.)
  19. Kim, S. & Kim, H. (2009). The senile neurodegenerative dysarthrias. Communication Sciences and Disorders, 14(1), 82-95. (김선우.김향희 (2009). 노인 퇴행성 신경질환의 마비말장애 특성. 언어청각장애연구, 14(1), 82-95.)
  20. Kim, T., Chang, K., & Lee, P. (2006). Increase in speaking rate by 3-8-year-old korean children. Speech Science, 13(3), 83-95. (김태경.장경희.이필영 (2006). 한국어 발화 속도의 연령별 증가에 관한 연구: 만 3-8 세 아동을 대상으로. 음성과학, 13(3), 83-95.)
  21. Ko, D., Kim, H., Kim, H., Yang, B., Jung, H., Yoo, J., Hwang, Y., Heo, S., Ahn, J., Lee, O., Ha, S., Lee, H., Han, J., Cheon, H., Park, H., Park, S., Jang H., Shim, H., & Shin H. (2015). Experimental phonetics for speech-language pathologists. Seoul: Hakjisa. (고도흥.김현기.김형순.양병곤.정훈.유재연.황영진.허승덕.안종복.이옥분.하승희.이현정.한지연.전희정.박희준.박소형.장효령.심희정.신희백 (2015). 음성언의 측정, 분석 및 평가. 서울: 학지사.)
  22. Ko, Y., Kim, D., Choi, Y., & Kim, H. (2010). Speech rate and pause characteristics in patients with Parkinson's disease. Phonetics and Speech Sciences, 2(4), 173-184. (고열매.김덕용.최예린.김향희 (2010). 파킨슨병 환자의 말속도와 쉼 특성. 말소리와 음성과학, 2(4), 173-184.)
  23. Koller, W. C. (1983). Dysfluency(stuttering) in extrapyramidal disease. Archives of Neurology, 40(3), 175-177. https://doi.org/10.1001/archneur.1983.04050030069014
  24. Lee, H. (2010). The comparison of reading rate and pausal behaviorbetween normal adults and stuttering adults. M.A. Thesis, EwhaWomans University. (이현경 (2010). 말더듬 성인과 정상 성인의 읽기속도와 쉼 특성 비교. 이화여자대학교 석사학위 논문.)
  25. Lee, S. (2011). The overall speaking rate and articulation rate ofnormal elderly people. M.A. Thesis, Yonsei University. (이상은 (2011). 정상 노인의 전체말속도와 조음속도. 연세대학교 석사학위 논문.)
  26. Lee, S., Bae, S., Shim, H., Kim, Y., Kim, H., Shin, M., Han, J., Kim, J., & Lee, J. (2001). Introduction to communication disorders. Seoul: Hanampc. (이승환.배소영.심현섭.김영태.김향희.신문자.한재순.김진숙.이정학 (2001). 의사소통장애개론. 서울: 하나의학사.)
  27. Netsell, R., Daniel, B., & Celesia, G. G. (1975). Acceleration and weakness in parkinsonian disarthria. The Journal of Speech and Hearing Disorders, 40(2), 170-178. https://doi.org/10.1044/jshd.4002.170
  28. Robb, M., Gilbert, H., Reed, V., & Bisson, A. (2003). A preliminary study of speech rates in young Australian English-speaking children. Contemporary Issues in Communication Science and Disorders, 30, 84-91.
  29. Shim, H., Park, W., & Ko, D. (2012). Characteristics of speech intelligibility and the vowel space in patient with Parkinson's disease. Phonetics and Speech Sciences, 4(3), 161-169. (심희정.박원경.고도흥 (2012). 파킨슨병 환자의 말 명료도와 모음 공간 특성. 말소리와 음성과학, 4(3), 161-169.) https://doi.org/10.13064/KSSS.2012.4.3.161
  30. Skodda, S. & Schlegel, U. (2008). Speech rate and rhythm in Parkinson's disease. Movement Disorders, 23(7), 985-992. https://doi.org/10.1002/mds.21996
  31. Weismer, G. (1984). Articulatory characteristics of Parkinsonian dysarthria: Segmental and phrase-level timing, spirantization, and glottal-supraglottal coordination. In M. R. McNeil, J. C. Rosenbek, & A. E. Aroson (Eds.), The dysarthrias: Physiology, acoustics, perception, management (pp. 101-130). San Diego: College-Hill Press.
  32. Weismenr, G., Kimmelman, M. D. Z., & Gorman, S. (1985). More on the speech production deficit associated with Parkinson' disease. Journal of Acoustical Society of America, suppl, 78(1), S55.
  33. Yaruss, J. S. (1997). Utterance timing and childhood stuttering. Journal of Fluency Disorders, 22(4), 263-286. https://doi.org/10.1016/S0094-730X(97)00023-5
  34. Yun, Y., Kim, H., Son, Y., & Choi, H. (2008). Validation of the Korean voice handicap index(K-VHI) and the clinical usefulness of Korean VHI-10. Communication Sciences and Disorders, 13(2), 1-26. (윤영선.김향희.손영익.최홍식 (2008). 한국어판 음성장애지수(Voice Handicap Index, VHI)의 타탕도 및 VHI-10 의 임상적 유용성. 언어청각장애연구, 13(2), 1-26.)
  35. Zebrowski, P. M. & Kelly, E. M. (2002). Manual of stuttering intervention. San Diego: Singular.