• 제목/요약/키워드: 말소리장애

검색결과 122건 처리시간 0.024초

경직형과 이완형 마비말장애아동에서 조음속도와 말명료도 및 작업기억능력 간의 관계 (The relationship among articulation rate, intelligibility and working memory in children with spastic and flaccid dysarthria)

  • 정필연;심현섭;정숙회;임동선
    • 말소리와 음성과학
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    • 제8권2호
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    • pp.41-48
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    • 2016
  • The purpose of this study is to evaluate the association among articulation rate, speech intelligibility and working memory in children with dysarthria. Two subject groups of 11 spastic and 11 flaccid dysarthria, respectively, aged between 8 and 17 years of age participated in this study. All participants were administered the following tests: K-WISC III PIQ test, speech intelligibility, working memory and articulation rate. Group differences were compared by an independent t-test. Pearson correlation were computed between all measures. The results of this study are as follows: First, articulation rate and intelligibility were significantly lower for the spastic dysarthria than for the flaccid dysarthria. Second, there was a significant correlation between articulation rate and intelligibility in children with flaccid dysarthria. Lastly, there was no significant correlation between articulation rate and working memory in both groups. The results suggest that articulation rate is not necessarily accompanied by working memory capacity in children with dysarthria, and there are differences in the effect of articulation rate on intelligibility depending on the type of dysarthria.

심도 청각장애 아동의 발성특성: 강도, 음도 및 그 변동률을 중심으로 (The Phonatory Characteristics of Voice in Profoundly Hearing-Impaired Children: with Reference to F0, Intensity, and their Perturbations)

  • 최은아;박한상;성철재
    • 말소리와 음성과학
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    • 제2권1호
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    • pp.135-145
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    • 2010
  • This study investigates the differences in mean F0, intensity, jitter, and shimmer across hearing aid, gender, and vowels. For this study, 18 hearing-impaired children, 18 cochlear implanted children, and 18 normal hearing children as a control group were asked to read seven Korean vowels (/$\alpha$, $\wedge$, o, u, w, i, $\varepsilon$/). Subjects' readings were recorded by NasalView and analyzed by Praat. Results showed that the means of F0 were significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in high vowels than in low vowels. Second, intensity was significantly higher in the hearing impaired group than in the normal hearing group; in the female group than in the male group; and in low vowels than in high vowels. Third, jitter was significantly higher in the normal hearing group than in the hearing impaired group; in the female group than in the male group; and in back vowels than in front vowels. Finally, shimmer was significantly higher in the CI group than in the normal hearing group or the hearing aided group; in the male group than in the female group; and in low vowels than in high vowels.

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한국어 장애음의 강도 특성 (Intensity Characteristics of Korean Obstruents)

  • 박한상
    • 대한음성학회지:말소리
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    • 제47호
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    • pp.73-84
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    • 2003
  • This study investigates differences in intensity across the three different Korean obstruent types in terms of the RMS amplitude of both the entire section and the first 512 samples of the immediately following vowel in two positions. The results showed that for the utterance initial position the RMS amplitude of both the entire section and the first 512 samples of the vowel was greatest for fortis obstruents, intermediate for aspirated ones, and weakest for lenis ones, with a significant difference between each pair of them. For the intervocalic position, in contrast, the intensity of the entire vowel was greatest for fortis obstruents, intermediate for lenis ones, and weakest for aspirated ones, with no significant difference between the last two groups, whereas the intensity of the first 512 samples of the vowel was greatest for fortis obstruents, intermediate for lenis ones, and weakest for aspirated ones, with a significant difference between each pair of the three groups. This means that the intensity of the earlier part of the vowel functions as a discriminator of Korean obstruents. The positional difference is due to the different behavior of the lenis obstruents in the intervocalic position, such that the intensity build-up is already on its way with voice lead.

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비주얼파닉스를 활용한 조음중재가 청각장애아동의 말 명료도와 모음공간에 미치는 영향 (The effect of articulation therapy using visual phonics to improve the speech intelligibility and vowel space of children with impaired hearing)

  • 심희정;이효주;서창원
    • 말소리와 음성과학
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    • 제10권2호
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    • pp.85-96
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    • 2018
  • The purpose of this study was to investigate the effect of articulatory intervention using visual phonics to improve the speech intelligibility of children with impaired hearing. The subjects of the study were five hearing impaired children. As per the results of the UTAP articulation tests, five phonemes with the most frequent errors were selected for each child and a total of 10 sessions were provided. The methodology involved analyzing vowel space and related measures (vowel space area, vowel articulatory index, formant centralization ratio, and F2i/F2u ratio) before and after the visual phonics intervention. After the articulation intervention, every child's speech intelligibility improved, their vowel space area was widened, the FCR value decreased, and the F2ratio value increased. These results show that the use of visual phonics through symbolic images and hand clues has a positive effect in terms of improving the speech intelligibility of children with impaired hearing.

음성장애환자에게서의 우울감 연구 (A Study of depression symptom in patients with voice disorders)

  • 강영애;구본석
    • 말소리와 음성과학
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    • 제7권2호
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    • pp.47-54
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    • 2015
  • The objectives of this study are to research the frequency of depression symptom in patients with voice disorders and to investigate parameters associated with depression from voice evaluation. A hundred ninety six patients(106 males and 90 females) who had been diagnosed with voice disorders first in their lifetime were selected. All the patients were examined by laryngeal stroboscopy. For depression and voice study, personal interview, acoustic and aerodynamic analysis, voice handicap index(VHI), reflux symptom index(RSI), and beck depression index(BDI) were done respectively. Mild to severe BDI were seen in 26.2%(52 patients) of the whole patients. A BDI mean score of female patients was $8.8{\pm}7.5$ which was higher than that of male patients($5.6{\pm}6.6$), the difference observed being statistically significant(p<0.001). In the acoustic analysis, the score of sent_duration parameter was increasing in the patients with depression, which was significantly higher than the score of the patients without depression(p<0.05). In the addition, the scores of VHI and RSI were higher in the patients with depression(p<0.001). Our findings suggest that the prevalence of depression in patients with voice disorders is related to female, speaking velocity, and self-questionnaire. This result can be used for psychologically based approach to therapy.

음성장애와 샘플유형에 따른 GRBAS 측정치 및 shimmer 비교 (Differences in GRBAS scales and shimmer according to vocal sample types in people with vocal disorders)

  • 신유정;홍기환;심현섭
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.149-155
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    • 2011
  • The purpose of the present study was to identify the differences in GRBAS scales between vocal sample types (sustained vowels and connected speech) for specific laryngeal conditions (vocal nodules, vocal polyps and vocal paralysis) and the relations between GRBAS scale and Shimmer value in each vocal sample type. In this study, the total of 60 voice samples of 30 patients (10 vocal nodules, 10 vocal polyps, 10 vocal paralysis) were examined and MDVP (Multi-dimensional Voice Program) was used to analyze Shimmer value. Three listeners rated two types of samples which were sorted randomly based on GRBAS scale. Three-way ANOVA, one-way ANOVA and paired t-test were used. The outcome of this study was as follow. 1) GRBAS scales varied in vocal sample types. Listeners tended to assess voices as better quality when they listened connected speech rather than sustained vowels. 2) G score of GRBAS and Shimmer were positively correlated with statistical significance. This results show that 1) vocal specialists should consider the sample types in evaluating the severity of voice problem and 2) G score could be a simple and clear method.

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음성장애인의 자가음성평가와 정상음성인의 청자음성평가 특성 비교 (Comparative Studies on the Self Voice Assessment of Voice Disorder Patients and the Hearer Voice Assessment of a Comparative Group of normal subjects)

  • 이유진;황영진
    • 말소리와 음성과학
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    • 제4권2호
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    • pp.105-114
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    • 2012
  • This paper will discuss the difference between self assessment of voice disorders and the hearer voice assessment of a comparative group of normal subjects. The study was conducted on 25 voice disorder subjects and 32 hearers of a comparative group of normal subjects. The results are as follows. Firstly, in K-VHI and VHI-H, the hearers of the comparative group of normal subjects perceived more serious voice disorders than the voice disorder group in all sub-domains. Likewise, in K-VQOL and VRQOL-H, the hearers of the comparative group of normal subjects perceived more serious voice disorders than the voice disorder group in all sub-domains. Secondly, the hearer voice assessment of the comparative group of normal subjects showed no difference in gender regarding the perception of the severity of voice disorder issues. Thirdly, the hearer voice assessment of the comparative group of normal subjects states that in the emotional aspects of VHI-H, professional voice users perceive more serious voice disorders than others. Accordingly, in VRQOL-H, there was no difference in use of the voice between professionals and others.

음성장애 주관적 평가와 객관적 평가 간의 상관성 연구 (A Study of the Correlation between Subjective and Objective Evaluation of Voice Disorders)

  • 이옥분;김소연
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.167-172
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    • 2011
  • The purpose of this study was to examine the relationship between subjective and objective evaluation in speakers with voice disorders. Subjective evaluation indicates the self-reports of voice problems by dysphonic speakers. The relating protocol is the Voice Handicap Index (VHI) and the self-awareness index of voice problems (SAIVP-14). A total of 48 individuals with voice disorders replied to the questionnaire and participated in a voice assessment. Objective evaluations included the perceptual judgement of G grade in GRBAS, acoustic measurements (jitter, shimmer, NHR) by MDVP (CSL 4400), and aerodynamic measurements (MPT, MFR, psub) by PAS (Phonatory Aerodynamic System, KayPentax, USA). Pearson and Spearman correlations were used for the analysis. In the correlation with perceptual judgement (G grade) and VHI-Total, VHI-Physical, and SAIVP-14, there was a significant correlation, but the overall correlation was poor. NHR, jitter, and shimmer were significantly correlated with overall VHI and SAIVP-14. Specifically, the correlation with shimmer was stronger compared to the other measurements. In aerodynamic measures, MFR and MPT showed a significant correlation with VHI-Total, VHI-Emotional, and SAIVP-14, but their correlation was poor. The results of this study suggested that subjective evaluation of self voice problems is meaningfully correlated with objective evaluations, but more data in the multidimensional voice assessment should be collected and analyzed for the reliability and validity of the voice handicap questionnaire.

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내전형 연축성 발성장애의 연속 발화 특성 (Characteristics of Connected Speech in ADSD)

  • 황연신;김재옥;최홍식
    • 말소리와 음성과학
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    • 제1권1호
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    • pp.93-98
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    • 2009
  • The aim of this study was to investigate voice characteristics of adductive spasmodic dysphonia(ADSD) by measuring electroglottal and acoustic examination at the sentence level. The clinical records of 86 ADSD female patients (age group of $20{\sim}50$ years) and the control records of 86 normal females (age group of $20{\sim}40$ years) were recorded by speech studio(Laryngograph Ltd., UK). An independent t-test was used to compare ADSD and normal group. Results were as follows. (1) Fundamental frequency($F_0$) was significantly decreased in ADSD compared with normal group. (2) Irregularity of frequency and closed quotient(CQ) was significantly increased in ADSD compared with normal group. (3) Voiceless duration increased and voiced duration was significantly decreased in ADSD compared with normal group. (4) Fricative duration was increased in ADSD compared with normal group but it wasn't significant. In conclusion, strained, tight and choked voice shows an increase of CQ, tremor voice shows an increase of irregularity of frequency and less feminine voice shows decrease of $F_0$. Increase of voiceless duration and fricative duration and decrease of voiced duration related with diminution speech intelligibility.

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어휘적 중의성 문장 발화 시 신경언어장애인의 운율 특성 (The Prosodic Characteristics of Utterance of Sentences with Ambiguous Word in Patients with Neurogenic Communication Disorders)

  • 이명순;권도하
    • 말소리와 음성과학
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    • 제1권1호
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    • pp.87-91
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    • 2009
  • The purpose of this study was to examine the characteristics of prosody of utterance of ambiguous sentences in patients with neurogenic communication disorders. Ambiguous words on which prosody may have an impact were used to investigate this matter. The characteristics of tone duration, pitch and intensity were analyzed to examine the characteristics of prosody in patients with lesions in the left or right hemisphere and normal controls. The whole process was recorded using a Praat 4.3.14 and for statistical analyses, two-way Anova and multiple comparative analyses were carried out using SPSS10.0 for Windows. The conclusions of this study are as follows: The length of vowel in homograph in Korean was different depending on the meaning and the duration of vowel was the longest in patients with lesions in the left hemisphere. There was agreed that they had problem of timing of prosody(Danly & Shapiro, 1982). On the other hand, there found that patients with lesions in the right hemisphere had deficiency of changeability in pitch. Among various acoustic parameters, this study focused on the duration which are closely related to suprasegmental characteristics of prosody. More acoustic parameters should be taken into account in future studies.

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