• Journal of Digital Convergence
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• v.12 no.5
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• pp.281-293
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• 2014

This study is to help fine some factors of how the Initial food consumption ability affects articulation production and intelligibility in children at aged 4-15 with cerebral palsy. According to the factor analysis of articulation production, here are some positive articulation productions; the ability of mumbling and swallowing food, biting and swallowing and liquid diet, the experience of food consumption therapy, the use of specific methods or tools for food consumption, the behavior-problem during a meal and the beginning of the neck control. Therefore, the study finds that the Initial food consumption ability in children with spastic cerebral palsy may affect articulation production and intelligibility.

• The Journal of the Acoustical Society of Korea
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• v.26 no.5
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• pp.182-187
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• 2007

The present study was to investigate the speech intelligibility of esophageal speech, which is the way that the laryngectomized people who lost their voices by total laryngectomy can phonate by using the airstream driven into esophagus, not trachea. Three normal listeners transcribed the CVVand VCV syllables produced by 10 esophageal speakers. As a result, overall intelligibility of esophageal speech was 27%. Affricates showed the highest intelligibility, and fricatives, the lowest. In the aspect of the place of articulation, palatals were the most intelligble, and alveolars, the least. Most of the aspirated consonants showed a low intelligibility. The consonants in VCV syllables were more intelligible than the ones in CVV syllables. The low intelligibility of esophageal speakers is due to insufficient airflow intake into esophagus. Therefore, training to increase airflow intake, as well as correct articulation training, will improve their low intelligibility.

• The Journal of the Acoustical Society of Korea
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• v.35 no.4
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• pp.319-329
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• 2016

The present study was to test if breathing training in melodic intonation therapy (MIT) ameliorated the articulation intelligibility of Broca's aphasics or not. The experimental group did breathing training (2 stages) that preceded the MIT. In order to evaluate the efficacy of the MIT intervention, the VOT (Voice Onset Time), the TD (Total Delay), the voice sound intensity and the expiratory volume of the subjects, closely associated with articulation intelligibility were measured before and after the intervention. It was shown that, in the experimental group after the MIT intervention, the VOT and TD were increased on bilabial/p/, alveolar consonant /t/, and soft palatal /k/(p < 0.05), but no significant differences were found on affricate /c/ and fricative /s/(p > 0.05). In the control group, no significant increases in the VOT and TD were observed on all articulation points(p > 0.05). The voice sound intensity which influences the verbal articulation increased in the experimental group after the intervention(p < 0.05), whereas no significant changes were observed in the control group. In conclusion, the breathing training in the MIT was found to result in improving the articulation intelligibility of Broca's aphasiacs.

• Therapeutic Science for Rehabilitation
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• v.9 no.1
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• pp.79-90
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• 2020

Objective : The purpose of this study was to investigate the age, motor function, and characteristics of feeding and articulation in children with spastic cerebral palsy. Methods : This study included 34 boys and 27 girls who lived in Seoul, Gyeonggi, Daegu, Daejeon, or Busan, and were diagnosed with cerebral palsy by rehabilitation doctors. A total of 61 children with cerebral palsy were identified as dependent variables for verbal intelligibility, diadochokinesis speed and intelligibility. Multiple regression analysis was performed. Results : Verbal intelligibility among the articulating abilities of children with spastic cerebral palsy was significantly associated with the non-speech mechanisms of cup drinking, and spoon feeding. Diadochokinesis speed was significantly associated with the speech mechanism of porridge feeding, the non-speech mechanism of cup drinking, and motor function. Diadochokinesis intelligibility also showed significant results with regards to the speech mechanism of porridge feeding and the non-speech mechanism of cup drinking. Conclusion : It is useful to evaluate and treat eating function by considering speech and non-speech mechanisms and motor function, according to eating function, among the variables related to articulation ability in children with spastic cerebral palsy. In addition, it would be very useful to study the improvement of articulation abilities after developing and applying a feeding program for children with cerebral palsy.

• Proceedings of the KSLP Conference
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• 2003.11a
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• pp.146-146
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• 2003

연인두 폐쇄 부전으로 보상조음이 있을 때, 말 명료도를 저하시킬 뿐 아니라 실제의 연인두 기능이 과소평가 될 수 있으므로 이에 대한 감별 및 언어치료가 필수적이다. 본 연구에서는 연인두 폐쇄 부전 환자들에서 보상조음의 출현율을 알아보고 어떤 음소들이 영향을 받는지 살펴보고자 하였다. 또한 연령과 과비성의 정도에 따른 차이도 살펴보았다. 1998년 3월부터 2003년 6월까지 삼성서울병원에서 연인두 폐쇄 부전으로 진단 받고 언어치료를 받지 않았거나 언어치료 경험은 있지만 일반화되지 않고 중단된 환자 105명의 조음 및 공명 평가 자료를 분석하였다. 연령은 평균 11.3세(2.1세부터 63세)였고 7세 이하의 아동집단이 65명, 성인집단이 40명이었다. 조음은 구강압력자음인 파열음, 마찰음, 파찰음에서의 보상조음의 유무 및 종류를 분석하였다. 과비성의 정도는 경도, 중도, 심도로 평가하였다. (중략)

• Phonetics and Speech Sciences
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• v.12 no.3
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• pp.95-103
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• 2020

The current study aimed to identify the characteristics of speech rate and pause in children with spastic cerebral palsy (CP) and their relationships with speech intelligibility. In all, 26 children with CP, 4 with no speech motor involvement and age-appropriate language ability (NSMI-LCT), 6 with no speech motor involvement and impaired language ability (NSMI-LCI), 6 with speech motor involvement and age-appropriate language ability (SMI- LCT), and 10 with speech motor involvement and impaired language ability (SMI-LCI) participated in the study. Speech samples for the speech rate and pause analysis were extracted using a sentence repetition task. Acoustic analysis were made in Praat. First, it was found that regardless of the presence of language impairment, significant group differences between the NSMI and SMI groups were found in speech rate and articulation rate. Second, the SMI groups showed a higher ratio of pause time to sentence production time, more frequent pauses, and longer durations of pauses than the NSMI groups. Lastly, there were significant correlations among speech rate, articulation rate, and intelligibility. These findings suggest that slow speech rate is the main feature in SMI groups, and that both speech rate and articulation rate play important roles in the intelligibility of children with spastic CP.

• Proceedings of the Acoustical Society of Korea Conference
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• 1998.08a
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• pp.201-208
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• 1998

구음마비환자의 특징적 문제로는 조음 명료성의 저하오 kdns율의 장애등이 논의되어왔다. 지금까지 조음 명료성을 진단하고 치료하기 위한 연구는 활발히 진행되어 왔으나 운율 장애를 측정, 치료하기 위한 연구는 극히 소수이며 특히, 우리나라의 경우는 전무한 상태이다. 이에 본 연구자는 정상군과 이완성 구음마비환자군의 운율적 차이를 음폭, 음도차, 지속시간, 강도의 측면에서 기술하여 진단과 치료를 위한 기초 자료를 제시하고자 한다. 실험 대상은 이완성 구음마비환자군 6명과 정상군 6명이다. 정상군은 환자군과 성별, 나이, 학력, 방언을 맞추어 선정한다. 본 연구는 억양 대비가 분명히 나타나는 의문형 어미와 서술형 어미를 선택한다. 예문은 억양 곡선을 잘 나타내기 위해 유성 자음과 모음으로 구성된 것으로 한다. 종결형 어미가 분석 목표이나 예문의 길이가 너무 짧은 경우 경도환자의 특징이 잘 나타나지 않을 수 있으므로, 주어+목적어+서술어로 구성된 3어절로 구성된 예문을 사용한다.

• Phonetics and Speech Sciences
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• v.16 no.1
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• pp.57-65
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• 2024

Normal pressure hydrocephalus (NPH) is a condition wherein the cerebrospinal pressure in the brain is within the normal range, but the cerebrospinal fluid increases above the normal level, causing ventriculomegaly. In patients with NPH, the articulatory system exhibits reduced mobility and range, which may affect diadochokinesis (DDK) and speech intelligibility. In this study, we investigated the characteristics of DDK, including accurate-token DDK and all-token DDK including inaccurate tokens, in patients with NPH and healthy elderly adults (HE). We also examined the classification accuracy of DDK between the two groups. Finally, we investigated whether there was a correlation between speech intelligibility and DDKs in the NPH group. The results showed that NPH and HE groups differed significantly in both accurate-token DDK and all-token DDK, and their classification accuracy was relatively high. However, there was no correlation between speech intelligibility and DDK. The findings suggest that the DDK is a useful method for sensitively assessing speech motor performance in patients with NPH.

• Journal of Digital Convergence
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• v.14 no.7
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• pp.213-223
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• 2016

The research mainly focused on how the nasagastric tube used to solve feeding troubles developed by 30 children with CP(Cerebral Palsy) affects the post-childhood feeding development right after their birth. It tested an articulation skill of the children and surveyed their feeding ability with their care-givers from 1st in July to 30th in August, 2015. This study conducted an investigation of the way a feeding ability affects an articulation skill. It suggested that an articulation accuracy significantly depends on whether or not the nasagastric tube is used. Also, the findings showed that the post-articulation accuracy is quite related with the problems for the liquid intake, the use of special feeding methods and tools, and biting and chewing among the evaluating problems for the childhood feeding ability. The research concluded that some areas in the early childhood feeding ability have an apparent influence on the post-articulation skill for children with CP.

• Journal of the Korea Convergence Society
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• v.9 no.6
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• pp.125-132
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• 2018

This study was to investigate the speech sound production characteristics and evaluation aspects of preschool children through word test and connected speech test. For this, the authors conducted Assessment of Phonology and Articulation for Children(APAC) to 72 normal children(24 three-, four-, and five-year-olds each) and analyzed difference in percent of correct consonant(PCC) and intelligibility according to age and sex, correlation between PCC and intelligibility, and speech sound error patterns. PCC and intelligibility increased with age but there was no difference according to sex. The correlation was statistically significant in 5-year-old group. Speech sound error patterns were different in the two tests. This study showed that children's speech sound production varied according to language unit. Therefore, both types of tests should be done to grasp their speech sound production ability properly. This suggests that current standard to identify language impairment only by PCC of word level requires review and further studies.