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Effects of a singing program using self-voice monitoring on the intonation and pitch production change for children with cochlear implants

자가음성 모니터링을 응용한 가창 프로그램이 인공와우이식 아동의 억양과 음고 변화에 미치는 영향

  • Kim, Sung Keong (Department of Music Therapy, Soree Ear Clinic) ;
  • Kim, Soo Ji (Department of Music Therapy Education, Graduate School of Education, Ewha Womans University)
  • 김성경 (소리의원 소리와우재활실) ;
  • 김수지 (이화여자대학교 교육대학원 음악치료교육전공)
  • Received : 2020.02.03
  • Accepted : 2020.03.04
  • Published : 2020.03.31

Abstract

The purpose of this study was to examine how a singing program using self-voice monitoring for children with cochlear implants (CI) influences on the intonation and the accuracy of pitch production. To verify and estimate the effectiveness, a program was conducted with participants of 7 prelingual CI users, whose aged between 4 years and 7 years. The program adopted three stages from the self-voice monitoring: Listen, Explore, and Reproduce (LER stage). All participants received 8 singing sessions over 8 weeks, including pre-test, intervention, and post-test. For the pre and post-test, participants' singing of an excerpt of a song "happy birthday" and speaking three assertive sentences and three interrogative sentences were recorded and analyzed in terms of the intonation slopes at the end of the sentences and the melodic contour. From the sentence speeches, we found that the intonation slopes of the interrogative sentences significantly improved as they showed similar patterns with that of the average normal hearing group. Also, in regard to singing, we observed that the melody contour had progressed, as well as the range of pitch production had extended. The positive result from the intervention indicates that the singing program was effective for children with CI to develop the intonation skill and accuracy of pitch production.

본 연구는 인공와우아동을 대상으로 자가음성 모니터링(self-voice monitoring)을 응용한 가창 프로그램을 시행하여 억양의 개선과 음고 산출의 변화에 미치는 영향을 알아보기 위함이다. 연구대상자는 모집된 19명의 아동 중 참여기준을 충족하고 본인 및 보호자가 자발적인 참여 의사를 표현한 7명이 최종으로 선정되었다. 연구자는 CI 집단과 비교하기 위하여 같은 연령의 건청 아동 6명을 모집하였다. 자가음성 모니터링을 응용한 가창은 노래를 녹음하여 들어보고(listen), 음성의 음고 진행방향과 숨쉬기 구간 및 음질을 확인한(explore) 다음, 목소리를 수정하여 의도한 대로 재산출하는(reproduce) 세 단계로 구성되어 있다. 데이터는 문장과 노래로 나누어 측정하였다. 문장은 발화시간과 억양 기울기 및 산출 음고의 주파수 변화, 노래는 프레이즈(phrase) 구간 내 평균 음고의 주파수의 데이터를 수집하여 선율윤곽과 산출 주파수 범위를 측정한 후 건청집단과 비교하였다. 연구 결과 문장 분석에서 인공와우 아동 집단의 사후검사 시 의문문의 문미 2음절의 억양 기울기 및 패턴이 건청 아동과 같이 상행하는 윤곽으로 변화되었으며, 노래 데이터에서는 음고의 도약 및 산출 음고의 주파수 범위가 증가하였다. 이러한 결과는 인공와우 아동을 대상으로 한 자가음성 모니터링을 응용한 가창 프로그램이 억양의 개선과 음고 산출 정확도의 효과적인 중재방안이 될 수 있으며 이를 위한 지속적인 연구가 필요하다는 것을 시사한다.

Keywords

References

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