• 제목/요약/키워드: 뇌성마비 성인

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뇌성마비 성인 발화의 운율특성 (Prosodic Properties in the Speech of Adults with Cerebral Palsy)

  • 이숙향;고현주;김수진
    • 대한음성학회지:말소리
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    • 제64호
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    • pp.39-51
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    • 2007
  • The purpose of this study is to investigate prosodic characteristics in the speech of adults with cerebral palsy through a comparison with the speech of normal speakers. Ten speakers with cerebral palsy (6 males, 4 females) and 6 normal speakers (3 males, 3 females) served as subjects. The results revealed that, compared to normal speakers, speakers with cerebral palsy showed a slower speech rate, a larger number of intonational phrases(IPs) and pauses, a larger number of accentual phrases(APs) per IP, a longer duration of pauses, and more gradual slopes of [L +H] in APs. However, the two groups showed similar tone patterns in their APs. The results also showed mild to moderate correlations between speech intelligibility and the prosodic properties which showed significant differences between the two groups, suggesting that they could be important prosodic factors to predict speech intelligibility in the speech of adults with cerebral palsy.

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뇌성마비 성인의 음소대조 낱말명료도와 문장명료도 (A comparison of techniques for measuring intelligibility of dysarthric speech : toward phonetic intelligibility testing in dysarthria.)

  • 김수진
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2002년도 11월 학술대회지
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    • pp.141-144
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    • 2002
  • The relations between words intelligibility and sentences intelligibility were tested on adults with cerebral palsy(athetoid type). Intelligibility is used as an important evaluation value in the field of diagnosis and therapy of dysarthric patients. In order to develop one syllable phonetic contrast intelligibility test using specific phonetic contrasts, the correlation with sentences intelligibility was tested to find out the validity. Pearson's simple correlation coefficient was .83 that shows a high correlation. Also, comparing the range and standard deviation given by seven evaluators on each subject, it was shown that when evaluating patients of moderate intelligibility, words intelligibility was more reliable than sentences intelligibility.

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뇌성마비 성인의 발화유형에 따른 명료도 (The Effects of Speaking Mode on Intelligibility of Dysarthric Speech)

  • 김수진;고현주
    • 말소리와 음성과학
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    • 제1권4호
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    • pp.171-176
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    • 2009
  • Intelligibility measurement is one criterion for the assessment of the severity of speech disorders especially of dysarthric persons. Rate control, usually rate reduction, is used with many dysarthric speakers to improve their intelligibility. The purpose of this study is to compare how change intelligibility of speech produced by cerebral palsic speakers according to three speaking conditions. Speech samples were collected from 10 adults with cerebral palsy were asked to speak under three speaking conditions-(1) naturally(control), (2) more slowly(rate control), (3) louder and accurately(clear speech). In a perception test, after listening to the speech samples, a group of three judges were to write down whatever they heard. The result showed that total cerebral palsic subjects were divided into two subgroups according to their intelligibility according to three speaking conditions. Some subjects showed that speech intelligibility increased greatly if asked to speak 'louder and more accurately'. and the others showed no difference of intelligibility according to the speaking conditions. This study suggested that it would be useful clinically to find out the best instruction to improve intelligibility suitable for each speaker with cerebral palsy.

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그룹운동프로그램에 의한 뇌성마비 아동의 대동작 기능, 자아존중감 및 사회성의 변화 : 사례연구 (Changes in the Gross Motor Function, Self-esteem and Social Ability of Children with Spastic diplegia from Group Exercise : Case Study)

  • 이은정;송주민
    • 대한물리의학회지
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    • 제5권4호
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    • pp.645-654
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    • 2010
  • Purpose : The purpose of this study was to investigate changes in the gross motor function, self-esteem and social ability of children with cerebral palsy from group exercise program for physical and emotional interaction. Methods : Five cerebral palsy children who live in U city were recruited this study. Exercise sessions were held for 1 hour per session, once per week, for 12 consecutive weeks. At pre-treatment and post-treatment, subject were tested gross motor function measure, self-esteem and social ability. Results : After 12 weeks of paticipation in the group exercise program for physical and emotional interaction, there were improvements for gross motor function measure, self-esteem and social ability. Conclusion : Group exercise program for physical and emotional interaction can improve gross motor function, self-esteem and social ability.

뇌성마비로 인한 양측성 첨내반족 변형의 수술적 치료 후 발생한 종외반족 변형의 치료(1예 보고) (Treatment of Calcaneovalgus Deformity Following Operative Treatment of Diplegic Equinovarus Deformity in Cerebral Palsy Patient (A Case Report))

  • 김유미;이우천;정웅서
    • 대한족부족관절학회지
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    • 제13권2호
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    • pp.197-202
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    • 2009
  • Calcaneal or calcaneovalgus deformity can occur after surgical treatment of equinus or eguinovarus deformity in cerebral palsy patient. It is a serious complication and the results of many conservative and operative treatments are reported unsatisfactory. We experienced one case of both calcaneovalgus deformity following operative treatment of diplegic equinovarus deformity in a spastic cerebral palsy patient and report about the result of the treatment.

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뇌성마비 성인의 일상발화와 명료한 발화에서의 모음의 음향적 특성 (Acoustic properties of vowels produced by cerebral palsic adults in conversational and clear speech)

  • 고현주;김수진
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2006년도 춘계 학술대회 발표논문집
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    • pp.101-104
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    • 2006
  • The present study examined two acoustic characteristics(duration and intensity) of vowels produced by 4 cerebral palsic adults and 4 nondisabled adults in conversational and clear speech. In this study, clear speech means: (1) slow one's speech rate just a little, (2) articulate all phonemes accurately and increase vocal volume. Speech material included 10 bisyllabic real words in the frame sentences. Temporal-acoustic analysis showed that vowels produced by two speaker groups in clear speech(in this case, more accurate and louder speech) were significantly longer than vowels in conversational speech. In addition, intensity of vowels produced by cerebral palsic speakers in clear speech(in this case, more accurate and louder speech) was higher than in conversational speech.

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뇌의 수직단면에 대한 MR 영상에서 영역 분할에 대한 연구 (A Study of Region Segmentation on the Brain MR Image of Coronal Section)

  • 성윤창;김신홍;한기선;송창준;노승무;박종원
    • 한국정보과학회:학술대회논문집
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    • 한국정보과학회 2000년도 봄 학술발표논문집 Vol.27 No.1 (B)
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    • pp.517-519
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    • 2000
  • 본 논문은 뇌의 수직단면에 대하여 촬영된 자기공명영상에서 뇌 영역을 분리한 후 백질과 회백질 및 뇌척수액을 분리하고 각각의 체적을 산출하기 위한 것이다. 본 연구는 먼저 뇌의 자기공명영상에서 영상의 배경 및 뇌 내부를 둘러싸고 있는 외피 및 지방층으로부터 뇌 영역 전체를 분리하였으며, 부분체적의 문제(partial volume artifact)에 의해 명암값의 번짐 현상을 보이는 뇌의내부 영역에서 각 성분의 부분체적을 산출하여 각 조직을 분리하기 위한 명암 값을 결정한 후 백질과 회백질 및 뇌척수액의 영역을 분리하였다. 본 연구는 뇌의 위축을 보이지 않은 정상인의 자기공명영상을 대상으로 하였으며, 향후, 이러한 연구 결과는 알쯔하이머 병이나 뇌성마비 등과 같은 퇴행성 뇌질환 환자의 뇌 위축정도를 객관적으로 진단하는 방법으로 사용될 수 있도록 하는데 있다.

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Toe Spreader가 경직성 뇌성마비 아동의 동적 족압 특성에 미치는 영향 (The Effect of Toe Spreader on Characteristics of Dynamic Foot Pressure in Children With Spastic Cerebral Palsy)

  • 신화경;태기식
    • The Journal of Korean Physical Therapy
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    • 제22권1호
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    • pp.47-51
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    • 2010
  • Purpose: The purpose of this study was to determine whether there are any differences, with and without a toe spreader (TS), in dynamic foot pressure distribution in children with spastic diplegic cerebral palsy. Methods: Dynamic foot pressure recording using the RSscan system were obtained during walking in 12 participants (male=7, female=5) with and without TS. Mean force was measured for four different plantar regions; great toe, forefoot, midfoot, hindfoot. Displacement of center of pressure (COP), velocity of COP displacement and stance time were also measured during gait. Results: TS walking exhibited statistically significant decrease of mean force under great toe and forefoot (p<0.05), compared with a barefoot walking. Also, TS walking exhibited statistically significant increase of antero-posterior displacement of COP (p>0.05). Conclusion: These findings indicate the potential clinical utility of toe spreader to correct dynamic foot pressure during stance phase in children with spastic diplegic cerebral palsy.

경직형과 불수의운동형 뇌성마비 성인의 파열음 산출의 음향음성학적 특성 (Acoustic Properties Associated with the Plosive Production of Adults with Cerebral Palsy)

  • 김정연;황민아;박창일;지민제
    • 음성과학
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    • 제8권3호
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    • pp.209-224
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    • 2001
  • The purpose of this study was to identify the acoustic properties of 9 word initial Korean plosives in the speech of adults with cerebral palsy. Normal adults and two groups of adults with cerebral palsy (athetoid group and spastic group) participated in this study. Speech material included monosyllabic CVC real word pairs. Among the various acoustic properties of plosives, the aspiration duration was measured. Adults with cerebral palsy exhibited different patterns of aspiration duration for triplets of Korean plosives compared to normal adults. In addition, the plosive production of spastic group was distinguished from that of athetoid group. Such acoustic characteristics of plosives of adults with cerebral palsy may negatively affect the intelligibility of their speech.

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정보소외계층 위한 웹접근성 기법에 관한 연구 (A Study on Methodology of Web Accessibility for Underprivileged Groups)

  • 장영현;박대우;윤경배;정정민
    • 한국컴퓨터정보학회:학술대회논문집
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    • 한국컴퓨터정보학회 2011년도 제44차 하계학술발표논문집 19권2호
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    • pp.179-182
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    • 2011
  • 본 논문의 정보소외계층 위한 웹 접근성 기법에 관한 연구에서는 웹 접근성(web accessibility)의 세부항목을 준수하는 웹사이트를 구축하여 신체적 장애를 가진 사람이 일반 사람과 동일하게 웹사이트를 편리하고 쉽게 이용할 수 있게 구현하고 운영하였다. 웹 사이트가 웹 접근성 규칙을 준수하여 올바르게 설계되어 개발되고 편집되어 있을 때 모든 사용자들은 정보와 기능에 동등하게 접근할 수 있다. 본 논문에서 실험 사이트로 구축하며 준수한 웹 접근성은 시각에 대하여 실명, 색각 이상, 다양한 형태의 저 시력을 포함한 시각 장애와 이동성에 대하여는 파킨슨병, 근육병, 뇌성마비, 뇌졸중과 같은 조건으로 인한 근육 속도 저하, 근육 제어 손실로 말미암아 손을 쓰기 어렵거나 쓸 수 없는 상태와 청각에 대하여는 귀머거리, 청각 장애와 발작에 대하여는 깜박이는 효과나 시각적인 스트로보스코프를 통해 일어나는 간질성 발작과 인지능력에 대하여는 문제 해결과 논리 능력, 집중력, 기억력에 문제가 있는 정신 지체 및 발달 장애, 학습 장애 (난독증, 난산증 등)에 대한 지침 규정이다.

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