• Title/Summary/Keyword: 마비말장애

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비인강폐쇄부전(VPI) 환자 음성언어의 실험적 연구

  • 김현기;신효근
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.193-194
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    • 2003
  • 목젖은 신체의 아주 조그만 부분에 불과하나 음성 언어적인 측면에서는 아주 중요한 기능을 담당하고 있다. 임상적으로 목젖의 기능이 저하되어 언어에 장애가 나타날 비인강폐쇄부전이라 말하며 일반적으로 구개열 환자들에게서 발견되나 마비성조음장애 및 뇌 손상에 의한 언어 장애 등에서도 발견되어 언어 생활 속에서 언어 장애의 벽으로 나타난다. (중략)

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Speech Evaluation Tasks Related to Subthalamic Nucleus Deep Brain Stimulation in Idiopathic Parkinson's Disease: A Review (특발성 파킨슨병의 시상밑부핵 심부뇌자극술 관련 말 평가 과제에 대한 문헌연구)

  • Kim, Sun Woo;Kim, Hyang Hee
    • 재활복지
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    • v.18 no.4
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    • pp.237-255
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    • 2014
  • Idiopathic Parkinson disease(IPD) is an neurodegenerative disease caused by the loss of dopamine cells in the substantia nigra, a region of midbrain. Its major symptoms are muscular rigidity, bradykinesia, resting tremor, and postural instability. An estimated 70~90% of patients with IPD also have hypokinetic dysarthria. Subthalamic nucleus deep brain stimulation (STN-DBS) has been reported to be successful in relieving the core motor symptoms of IPD in the advanced stages of the disease. However, data on the effects of STN-DBS on speech performance are inconsistent. A medline literature search was done to retrieve articles published from 1987 to 2012. The results were narrowed down to focus on speech performance under STN-DBS based perceptual, acoustic, and/or aerodynamic analyses. Among the 32 publications which dealt with speech performance after STN-DBS indicated improvement(42%), deterioration(29%), mixed results(26%), or no change(3%). The most favorite method was found to be based upon acoustic analysis by using a vowel prolongation and Unified Parkinson's Disease Rating Scale(UPDRS). For the purpose of verifying the effect of the STN-DBS, speech evaluation should be undertaken on all speech components such as articulation, resonance, phonation, respiration, and prosody by using a contextual speech task.

Machine Learning based Speech Disorder Detection System (기계학습 기반의 장애 음성 검출 시스템)

  • Jung, Junyoung;Kim, Gibak
    • Journal of Broadcast Engineering
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    • v.22 no.2
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    • pp.253-256
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    • 2017
  • This paper deals with the implementation of speech disorder detection system based on machine learning classification. Problems with speech are a common early symptom of a stroke or other brain injuries. Therefore, detection of speech disorder may lead to correction and fast medical treatment of strokes or cerebrovascular accidents. The speech disorder system can be implemented by extracting features from the input speech and classifying the features using machine learning algorithms. Ten machine learning algorithms with various scaling methods were used to discriminate speech disorder from normal speech. The detection system was evaluated by the TORGO database which contains dysarthric speech collected from speakers with either cerebral palsy or amyotrophic lateral sclerosis.

The Change of Acceptability for the Mild Dysarthric Speakers' Speech due to Speech Rate and Loudness Manipulation (말속도와 강도 변조에 따른 경도 마비말장애 환자의 말 용인도 변화)

  • Kim, Jiyoun;Seong, Cheoljae
    • Phonetics and Speech Sciences
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    • v.7 no.1
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    • pp.47-55
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    • 2015
  • This study examined whether speech acceptability was changed under various conditions of prosodic manipulations. Both speech rate and voice loudness reportedly are associated with acceptability and intelligibility. Speech samples by twelve speakers with mild dysarthria were recorded. Speech rate and loudness changes were made by digitally manipulating habitual sentences. 3 different loudness levels (70, 75, & 80dB) and 4 different speech rates (normal, 20% rapidly, 20% slowly, & 40% slowly) were presented to 12 SLPs (speech language pathologists). SLPs evaluated sentence acceptability by 7-point Likert scale. Repeated ANOVA were conducted to determine if the prosodic type of resynthesized cue resulted in a significant change in speech acceptability. A faster speech rate (20% rapidly) rather than habitual and slower rates (20%, 40% slowly) resulted in significant improvement in acceptability ratings (p <.001). An increased vocal loudness (up to 80dB) resulted in significant improvement in acceptability ratings (p <.05). Speech rate and loudness changes in the prosodic properties of speech may contribute to improved acceptability.

산욕기 질병관리(유열)

  • Kim, Hyeong-Jong
    • Feed Journal
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    • v.4 no.10 s.38
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    • pp.132-137
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    • 2006
  • 목장 경영의 성공과 실패에는 여러 가지 요인이 작용하지만 연중 얼마나 적은 소가 도태되는가 하는 것 또한 아주 중요하게 생각해 보아야 할 사항이다. 낙농에 있어 거의 대부분의 질병이 산욕기에 발병하는데 산욕기(産褥期)란 분만으로 인한 상처가 완전히 낫고, 자궁이 평상시 상태가 되며 신체의 각기관이 임신 전의 상태로 회복되기까지의 기간으로 대개 분만 후 6~8주간을 말한다. 산욕기에 주로 발생할 수 있는 다양한 질병(산욕기 부전마비, 난산, 급성유방염, 제4위 전위증 등)들이 조기에 발견되어 적절히 치료되지 못하고 만성화되면서 전해질불균형, 에너지와 단백질의 섭취부족에 의한 영양장애로 허약과 지방간 및 케토시스 등으로 진행되어 결국 도태됨으로서 목장 경영에 있어 막대한 영향을 끼치는 것이다. 이러한 산욕기 질병의 주 원인은 건유기 사양관리에 있다. 건유기간 동안 체점수(BCS)의 변화를 최대한 줄이면서 분만전의 스트레스를 얼마만큼 줄일 수 있도록 관리하는가에 달려있다. 다시말해 분만 전 마지막 한달간에 건유에서 분만으로의 이행과정을 얼마나 매끄럽게 연결 지어주는가에 따라 산욕기 질병의 발생률이 결정되는 것이다. 본 고에서는 건유기 사양관리 소홀로 발생되는 산욕기 부전마비에 관해서 자세히 설명해 보고자 한다.

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Auditory-Perceptual Variables of Speech Evaluation in Dysarthria Literature (마비말장애 연구문헌에서 살펴본 말평가의 청지각적 요소)

  • Suh, Mee-Kyung;Kim, Hyang-Hee
    • Speech Sciences
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    • v.13 no.3
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    • pp.197-206
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    • 2006
  • Perceptual judgement method is frequently used in evaluating dysarthric speech. Although most of speech pathologists and researchers focus on the 38 perceptual features provided by Darley, Aronson & Brown(1969) during evaluation, there are additional characteristics that may be useful to describe dysarthria in literature. We reviewed previous dysarthria literature and selected 46 perceptual characteristics that could be examined at various subsystems of speech production. We also provided explanations and rationale for the rating method for each of the perceptual characteristics. This attempt might aid to offer a basic ground for developing a diagnostic tool of dysarthria.

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Neurodegenerative Disease and Speech Rehabilitation (퇴행성질환과 말언어장애 재활)

  • Yoon, Ji Hye
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.28 no.2
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    • pp.79-83
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    • 2017
  • Neurodegenerative diseases such as Parkinson's disease and amyotrophic lateral sclerosis may induce impairment of speech motor system. This review discusses the characteristics of dysarthria and symptom management for these conditions. Given the progressive nature of the neurodegenerative diseases, speech-language pathologists must be aware of appropriate augmentative and alternative communication equipment at the early stage of the disease course. Patients with neurodegenerative diseases can maintain functional communication with augmentative and alternative communication supports.

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Consonant Confusions Matrices in Adults with Dysarthria Associated with Cerebral Palsy (뇌성마비로 인한 마비말장애 성인의 자음 오류 분석)

  • Lee, Youngmee;Sung, JeeEun;Sim, HyunSub
    • Phonetics and Speech Sciences
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    • v.5 no.1
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    • pp.47-54
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    • 2013
  • The aim of this study was to analyze consonant articulation errors produced by 90 speakers with cerebral palsy (CP). Phonetic transcriptions were made for 37 single-word utterances containing 70 phonemes: 48 initial consonants and 22 final consonants. Errors of substitution, omission, and distortion were analyzed using a confusion matrix paradigm showing the visualization of error patterns. Results showed that substitution errors in initial and final consonants were most frequent, followed by omission and distortion. Consonant omission occurred more frequently on final consonants. In both initial and final consonants, the within-place errors were more prominent than the within-manner errors. The current results suggest that consonant confusion matrices for dysarthric speech may provide useful information for evaluating speech intelligibility and developing automatic speech recognition system of adults with CP associated dysarthria.

Tongue Strength, Range of Motion, and Speech Intelligibility in Dysarthric Speakers (마비말장애 환자의 혀의 강도.운동범위와 말명료도에 관한 연구)

  • Lee, Kyung-Ha;Sim, Hyun-Sub;Kim, Hyang-Hee
    • Speech Sciences
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    • v.12 no.2
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    • pp.89-99
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    • 2005
  • The purpose of the present study were (1) to assess differences in tongue performances and speech intelligibility between normal and dysarthric speakers; and (2) to analyze the possible interrelationships between tongue strength, range of motion, and speech intelligibility in dysarthric patients. In order to measure maximum strength of anterior and lateral tongue strength, a force transducer has been designed. And a ruler was used for guaging range of motion. 'Word intelligibility test' was administered to each group. The results were analyzed by a quantitative statistical method(t test, Pearson product- moment correlation, and one-way ANOVA). The results were as follows; (1) dysarthric speakers showed significantly poorer performance than the normal in the tongue strength, range of motion, and speech intelligibility tasks; (2) the correlation between speech intelligibility and instrumental tongue performance was high in the dysarthric group; and (3) instrumental assessment was coincide with perceptual judgement of dysarthric tongue performance. The present investigation demonstrated that tongue weakness is causally related to articulation deficits in dysarthric. The clinical use of the force transducer would help a speech pathologist to quantify the degree of tongue weakness.

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Speech Intelligibility in Syllables and Vowel Space according to Dysarthric Severity (마비말장애 심각도에 따른 음절단위 말명료도와 모음공간)

  • Lee, Ok-Bun;Han, Ji-Yeon;Park, Sang-Hee
    • Phonetics and Speech Sciences
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    • v.2 no.2
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    • pp.85-92
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    • 2010
  • The purpose of this study was to know the differences in perceptual judgement for speech intelligibility in monosyllables by inexperienced listeners and vowel space area according to different dysarthric severity. Three dysarthric speakers with different severity(mild, moderate and severe) screened by 3 clinicians' screening tests before the experiment were conducted. Corner vowels (i, u, ae, a) in monosyllable level (CVC, 'p_p') and carrier phrases ('종이에_써') were chosen and analyzed for vowel space. Inexperience listeners (n=20) performed the intelligibility test for spoken syllables and carrier phrases by dysarthric speakers. The results show that there is a significant differences in both F1 and F2 values among 4 corner vowels. Vowel space area in the data of mildly impaired speakers was significantly higher than two others. In the scores of speech intelligibility judged by inexperienced listeners, the scores by a moderately impaired speaker were more higher than two other speakers. The discrepancy between perceptual judgement by inexperienced listeners and vowel space area will be discussed in this area.

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