• 재활복지
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• v.20 no.3
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• pp.67-82
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• 2016

The purpose of this study was to investigate relation and effect of PCC(Percentage of Correct Consonant) and nasalance score on the speech intelligibility and acceptability in adults with dysarthria by reading task of standardized passage. Ten adults with dysarthria and sixteen normal adults were participated in this study. PCC and nasalance score were measured through reading task of standardized passage. And, speech intelligibility and acceptability were examined using visual analogue criteria. The result of the study was as follows. First, the nasalance score of adults with dysarthria group is significantly higher than normal adults group in reading sample by standardized passage. Second, the PCC, speech intelligibility and acceptability shows significant correlation. However, the nasalance score doesn't show significant corelation with speech intelligibility and acceptability. These results suggest that PCC is closely related to speech intelligibility and speech acceptability, but nasalance score is not related to speech intelligibility and speech acceptability.

• Therapeutic Science for Rehabilitation
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• v.9 no.1
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• pp.91-99
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• 2020

Objective : The purpose of this study was to investigate the effects of the IOPI articulator strength training program on articulator(tongue and lip) muscle strength, numbers of /l, s, ʨ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates, and sequential motion rate changes in patients with spastic dysarthria. Methods : Three cases of patients with spastic dysarthria living in Jeju, Korea, were included in this study. A single subject design was selected to study changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy in the alternate motion rates and sequential motion rates. Results : After the articulator strength training program was conducted on patients with spastic dysarthria, there were positive changes in articulator(tongue and lip) muscle strength, numbers of /ㄹ, ㅅ, ㅈ/ articulation accuracy, articulatory numbers, articulation regularity and accuracy on the alternate motion rates and sequential motion rates. Conclusion : Our findings suggest that IOPI articulator strength training program could be very useful for the most representative childeren with cerebral palsy if conducted in various subtypes of dysarthric patients and linked with articulatory function training with IOPI at home.

• Phonetics and Speech Sciences
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• v.13 no.2
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• pp.57-66
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• 2021

This study focuses on the issue of automatic severity classification of dysarthric speakers based on speech intelligibility. Speech intelligibility is a complex measure that is affected by the features of multiple speech dimensions. However, most previous studies are restricted to using features from a single speech dimension. To effectively capture the characteristics of the speech disorder, we extracted features of multiple speech dimensions: voice quality, prosody, and pronunciation. Voice quality consists of jitter, shimmer, Harmonic to Noise Ratio (HNR), number of voice breaks, and degree of voice breaks. Prosody includes speech rate (total duration, speech duration, speaking rate, articulation rate), pitch (F0 mean/std/min/max/med/25quartile/75 quartile), and rhythm (%V, deltas, Varcos, rPVIs, nPVIs). Pronunciation contains Percentage of Correct Phonemes (Percentage of Correct Consonants/Vowels/Total phonemes) and degree of vowel distortion (Vowel Space Area, Formant Centralized Ratio, Vowel Articulatory Index, F2-Ratio). Experiments were conducted using various feature combinations. The experimental results indicate that using features from all three speech dimensions gives the best result, with a 80.15 F1-score, compared to using features from just one or two speech dimensions. The result implies voice quality, prosody, and pronunciation features should all be considered in automatic severity classification of dysarthria.

• Phonetics and Speech Sciences
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• v.13 no.2
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• pp.45-55
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• 2021

This study aims to analyze the acoustic characteristics of Korean affricates produced by dysarthric speakers with cerebral palsy. Korean fricatives and affricates are the consonants that are prone to errors in dysarthric speech, but previous studies have focused only on fricatives. For this study, three affricates /tɕ, tɕ^h, ͈tɕ/ appearing at word initial and intervocalic positions produced by six mild-moderate male speakers of spastic dysarthria are selected from a QOLT database constructed in 2014. The parameters representing the acoustic characteristics of Korean affricates were extracted by using Praat: frication duration, closure duration, center of gravity, variance, skewness, kurtosis, and central moment. The results are as follows: 1) frication duration of the intervocalic affricates produced by dysarthric speakers was significantly longer than that of the non-disordered speakers; 2) the closure duration of dysarthric speakers was significantly longer; 3) in the case of the center of gravity, there was no significant difference between the two groups; 4) the skewness of the dysarthric speakers was significantly larger; and 5) the central moment of dysarthric speakers was significantly larger. This study investigated the characteristics of the affricates produced by dysarthric speakers and differences with non-disordered speakers.

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.5 no.1
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• pp.1-4
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• 2009

뇌성마비(Cerebral Palsy)는 임신 중이나 출산, 또는 신생아기에 발생된 뇌손상에 의해 발생하는 중추성 자세 및 운동 장애를 말한다. 뇌성마비는 여러 가지 합병증 및 동반증상을 가지게 되는데, 그 증상들에는 지적장애, 언어장애, 간질, 시각장애, 자폐, 이갈이 및 섭식연하장애 등이 있다. 뇌성마비 장애인에서 나타나는 치과적 특징과 고려사항, 그리고 이들의 구강건강관리에 대해 알아보고자 한다.

• The Journal of the Acoustical Society of Korea
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• v.22 no.8
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• pp.694-702
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• 2003

The word intelligibility test for dysarthric speakers was designed to examine phonetic contrasts that are likely (1) to be sensitive to intelligibility impairment and (2) to contribute significantly to speech intelligibility. These phonetically contrasting word pairs were tested and proved to be reliable and to be valid, The results showed that in Korean dysarthric patients, the percentage of error in final position contrast was higher than in any other position. Unlike the results of previous studies, the initial-position contrasts were crucial in predicting the overall intelligibility among Korean patients.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.5
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• pp.2930-2936
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• 2014

The purposes of this study were to investigate the characteristics of speech rate and pause in patients with flaccid dysarthria. For this purpose, 15 patients with flaccid dysarthria and 15 normal speakers matched in gender and age participated as subjects. The overall speech rate, the articulation rate, the inter-sentence and the intra-sentence pause duration and pause frequency were measured during reading the standardized passage "Autumn"(Kim, 1996). As a result, the overall speech rate and articulation rate of patients with flaccid dysarthria were significantly slower than normal speakers and intra-sentence pause duration and frequency of patients with flaccid dysarthria were significantly higher than normal speakers, but those of inter-sentence weren't. The results from this study provides the speech rate index of flaccid dysarthria and indicates that to control the speech rate of flaccid dysarthria have regard to not only the overall speech rate and the articulation rate but also the intra-sentence pause duration and the frequency.

• The Journal of the Korea Contents Association
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• v.18 no.11
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• pp.634-642
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• 2018

People with spinocerebellar ataxia, a hereditary and progressive neurogenic disorder, suffer from ataxic dysarthria due to cerebellar dystrophy. This study was designed to examine if intensive motor speech treatment yields improvement in progressive ataxic dysarthria and if then, to investigate magnitude of therapeutic effect. SPEAK $OUT!^{(R)}$ was provided to a 55-year old female diagnosed with SCA for improving motor speech functions. Magnitude of therapeutic effect was large in changes of MPT and vocal intensity across speech tasks. Small effect size was found in changes of fundamental frequency, however, large therapeutic effect was observed in changes of frequency range. In addition, improvement of vocal quality based on jitter, shimmer, and HNR was observed with large therapeutic effect size and vowel space was expanded, particularly, due to F1. Lastly, VHI scores were decreased. Intensive motor speech treatment, called as SPEAK $OUT!^{(R)}$ was effective enough to observe improvement in vocal intensity, frequency range, and vocal quality, expanding vowel space and lowering VHI scores. Based on the results of this case study, further efficacy evaluation of SPEAK $OUT!^{(R)}$ for improving progressive ataxic dysarthria in people with SCA is required.

• The Journal of the Korea institute of electronic communication sciences
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• v.12 no.2
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• pp.391-400
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• 2017

The purpose of this study was investigated the effect of orofacial training video program using smart device on oral cavity structure and function, diadochokinetic rate in acute stroke patients with dysarthria. Present study participated in fourteen acute stroke patients with dysarthria. All subjects assigned that randomized each seven patients in experimental and control group. Subjects of two groups received conventional rehabilitation therapy for 4 weeks. Experimental group performed additionally that orofacial training video program using smart device, supervised under caregivers, during 30 min/day. The outcome measures were the oral cavity structure and function of subscale for KOMSE(: Korean Oro-motor Mechanism Screening Examination), AMR(: Alternating Motion Rate), SMR(: Sequential Motion Rate). In results, Both group showed significant improvements after intervention in all assessments(p<.05). In comparison of change between two groups, experimental group showed significant improvements than control group in oral cavity function, /p ə/ and /tə/ of AMR(p<.05). We suggested that orofacial training video program using smart device expected to positive effects the improvements of oral cavity and articulator function in acute stroke patients with dysarthria.

• Journal of the Korea Convergence Society
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• v.13 no.1
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• pp.313-323
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• 2022

The purpose of this study was to explore ways a digital therapeutics-based community care plans for the rehabilitation in dysarthria in a situation where non-face-to-face services are expanding in the COVID-19 era. To this end, a qualitative study was conducted on experts working in hospitals, speech-language pathology centers, and social welfare centers, and as a result of the study, 3 topics, 9 sub-themes, and 18 content units were derived. Based on the analysis results, the digital therapeutics-based community care model consisted of 9 types: remote diagnosis, telepractice, rehabilitation training program, peer supporters, clinical support, communication, psychosocial intervention, and care plan services. This study will be able to provide basic data for health care & welfare services using digital therapeutics and guidelines for establishing shared care plans based on multidisciplinary cooperation.