• Title/Summary/Keyword: 말장애

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Effect of Percentage of Correct Consonants and Nasalance Score on the Speech Intelligibility and Acceptability in Adults with Dysarthria (마비말장애 성인의 자음정확도와 비음치가 말명료도 및 말용인도에 미치는 영향)

  • Jang, Seon Jeong;Choi, Hyun Joo
    • 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.

뇌졸중이란 어떤 병인가-뇌졸중은 사망원인 제1위

  • Lee, Gwon-Jeon
    • 건강소식
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    • v.9 no.12 s.85
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    • pp.10-12
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    • 1985
  • 뇌혈관 장애로 인한 질환을 일컫는 총칭으로서 뇌혈관에 순환장애가 일어나 갑자기 의식장애와 함께 반신불수를 초래하는 급격한 뇌혈관병을 뇌졸중이라고 말하며, 구미에서는 ‘벼락같은 강타’를 받았다는 ‘Stroke나 Apoplexy'라하고 한국에서는 옛날부터 ’바람 맞았다‘는 뜻으로 중풍이라고도 말한다.

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Automatic severity classification of dysarthria using voice quality, prosody, and pronunciation features (음질, 운율, 발음 특징을 이용한 마비말장애 중증도 자동 분류)

  • Yeo, Eun Jung;Kim, Sunhee;Chung, Minhwa
    • 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.

Analysis of domestic research trends related to the development of digital therapeutics (DTx) in the field of communication disorders (의사소통장애 분야에서 디지털 치료제(DTx) 개발과 관련된 국내 연구동향 분석)

  • Eunmi Yun;Ikjae Im
    • Phonetics and Speech Sciences
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    • v.14 no.4
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    • pp.57-66
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    • 2022
  • In this study, the definition of "digital therapeutics" was clarified by examining related studies, and the development trend of digital therapeutics at the domestic level was investigated. Further, research data and technologies applied to various communication disorders since 2015 were analyzed. From all these, digital therapeutics can be defined as software that can support evidence-based treatment when used on patients to prevent, manage, and treat disorders With huge investments and research efforts increasingly made in the field of digital therapeutics, 17 of the 22 studies examined were on digital therapeutics applied in the treatment of language disorders. In the research papers examined, the technologies applied were virtual reality and augmented reality, with augmented reality used in most cases. The effects of applying digital treatment were positive, and most studies focused on content development in relation to the development of digital treatment, although one study was conducted for app development. Future studies could examine the application of digital therapeutics to more diverse communication disorder subjects. Active government support is expected in developing more sophisticated software that can be applied using a wider range of technologies in the field of digital therapeutics to treat more communication disorders.

Effect of Articulation Abilities on the Articulator Strength Training by IOPI of Spasticity Dysarthric Speech (IOPI를 활용한 조음기관 훈련 프로그램이 경직형 마비말장애의 조음 능력에 미치는 영향)

  • Lee, Jang-Shin;Lee, Ji-Yun;Kim, Sun-Hee
    • 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.

Improving Speech and Swallowing Functions in Patients with Stroke (뇌졸중 환자의 말장애와 삼킴장애 치료)

  • Kwon, Miseon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.27 no.1
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    • pp.11-13
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    • 2016
  • Dysphagia incidence can be up to 90% of patients after CVA disease and most of the patients demonstrate speech problems as well as dysphagia. The term of swallowing includes the entire process of deglutition from the placement of food in the mouth until the food enters to the esophagus through the oral and pharyngeal cavities. Swallowing functions share common anatomic structures and characteristics of physiology with speech in many aspects. Therefore, speech-language pathologists can help people with swallowing disorders. Herein the approaches and rationales for improving speech and swallowing functions in patients with stroke need to be discussed depending on the lesion sites of the brain.

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A Case of Fence Entrapment Associated with Anti-Welfare in a Thoroughbred Colt with Misbehavior at a Paddock (행동장애를 가진 Thoroughbred 수망아지에서 반동물복지와 연관된 펜스함정 1례)

  • Yang, Jae-Hyuk;Park, Yong-Soo
    • Journal of Practical Agriculture & Fisheries Research
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    • v.18 no.1
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    • pp.25-28
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    • 2016
  • The welfare of horses depends on satisfying both the physiological and psychological needs of the animal. The object of this study was to evaluate fence safety at the horse farm. A Thoroughbred colt with cribbing was found dead in a paddock. The fence of paddock is a four-pipe fencing. He cribbed the 2nd pipe from the top. But he couldn't pull his face because his incisors acted as hooks and two ramuses of the mandible was entrapped in a top pipe. So he was embarrassed and went down while he terribly struggled to get out his face. Finally, he was strangulated to death. Safe fencing is essential on a horse farm. The function of these fences are to protect the horses but it was more of a hazard. In order to safe management of horses, facial length of the horse and the pipe interval of the fence should be considered. Further research is needed to put a muzzle on the horses while they are at a paddock. This study provides important benchmarks for the equine industry to consider fence type and evaluate fence safety.

Inter-rater Reliability and Training Effect of the Differential Diagnosis of Speech and Language Disorder for Stroke Patients (뇌졸중 환자의 말, 언어장애 선별에 대한 검사자간 신뢰도 및 훈련효과)

  • Kim, Jung-Wan
    • The Journal of the Korea Contents Association
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    • v.11 no.9
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    • pp.407-413
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    • 2011
  • Distinguishing aphasia in stroke patients and observing the subtle linguistic characteristics associated with it primarily requires the use of instruments that provide reliable assessment results. Additionally, examiners should be fully aware of how to use those instruments. This study examined 46 stroke patients for aphasia and assessed the reliability of their diagnoses according to examiners whose medical fields were different from each other. Furthermore, a comparison was made between the reliability before training and that after training. To this end, 46 stroke patients were tested for aphasia and in terms of their speech disorder degree by 3 groups, each of which consisted of 12 professionals (3 SLP, 3 neurologist, and 3 nurse). In the result, a rating of 'acceptable' was given for speech intelligibility tasks and the voice quality of /ah-/ prolongation, and other sub-tests were marked as 'good-excellent' by the experts with different areas of medical expertise. For the tasks marked as 'acceptable', the subjects were video-trained for 3 weeks and the differences were compared before and after their training. Consequently, the differences in the examiners' ratings in the speech intelligibility tasks showed a significant decrease and the accuracy of their voice quality ratings showed a significant increase. In the result of research on the correlation between the accuracy of the sub-test ratings and the amount of clinic experience, speech therapists developed more accuracy in rating a picture description task and a speech intelligibility task as their experience accumulated. Meanwhile, doctors and nurses showed more accurate ratings in picture description tasks with greater clinical experience. The results of this study suggest that assessing the neurologic-communicative disorders of stroke patients requires ongoing training and experience, especially for speech disorders. It was also found that the rating reliability in this case could be improved by training.

Acoustic analysis of Korean affricates produced by dysarthric speakers with cerebral palsy (뇌성마비 마비말장애 성인의 파찰음 실현 양상 분석)

  • Mun, Jihyun;Kim, Sunhee;Chung, Minhwa
    • 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, tɕh, ͈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.

청각장애 아동과 건청아동의 이중모음 산출에 대한 음향음성학적 특징 비교

  • 배남주;고도흥
    • Proceedings of the KSLP Conference
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    • 2003.11a
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    • pp.244-244
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    • 2003
  • 말소리의 생성 및 전달에서 화자의 청각적 피드백은 말소리 발달에 중요한 부분을 차지한다(고도흥 외, 2000). 그러나 청각장애 아동의 경우, 청각적인 피드백이 부족하여 말소리 발달과 언어발달에서 지체를 보이게 된다. 특히 이러한 말소리 발달은 아동의 말명료도에 큰 영향을 미치게 되고, 국내외 여러 학자들은 청각장애 아동의 말 산출에 대한 연구를 활발하게 하고 있다. 그러나 현재 국내의 연구 중 이중모음에 대한 연구는 거의 없는 실정이다. 국내의 청각장애 성인이나 아동을 대상으로 한 연구들은 대부분 연구자의 지각적이고 주관적인 입장에서 이루어지고 있다. 좀더 객관적인 연구 자료는 임상적인 목적뿐만 아니라 말소리 발달의 연구에서 필요하다. 따라서 이 연구는 청각장애 아동의 이중모음의 특징을 음향음성학적인 방법으로 객관적으로 분석하여 그 자료를 제시하고, 건청 아동과의 비교를 통해 임상적인 자료를 제시하고자 한다. (중략)

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