• Title/Summary/Keyword: 조음장애

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Preliminary Study on Developing Test Items of Swallowing & Communication Screening Protocols for Patients with Head and Neck Burns (안면부 및 경부 화상 환자의 삼킴 및 의사소통능력 선별 프로토콜 개발을 위한 예비 연구)

  • Kim, JungWan;Lee, HyoJin;Lee, Hyun-Joung
    • 재활복지
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    • v.21 no.2
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    • pp.217-231
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    • 2017
  • We have to consider two parts of the evaluation and treatment for the patients with head and neck burns. The primary consideration is swallowing function for nutrition supply for them and the next is speech function for efficient communication and aesthetic impression of them. The purpose of this study is to summarize the preliminary questions of Communication Screening Protocols which can help understand comprehensively on swallowing disorder, motor speech disorder and voice disorder of patients with head and neck burns. We divided the evaluation into 4 evaluation areas including 'oral mechanism', 'respiration/voice', 'articulation', and 'swallowing' by referring to overseas studies dealing with various communication disorders caused by burns, and prepared the final questionnaires by conducting the content validity verification by five expert (speech & language pathologist). The range of Content Validity Index was shown relatively appropriate with .50~.84. There was a conflict of opinions in experts whether the items in the areas of respiration/voice and swallowing may be appropriate, whereas there was no different view of the oral mechanism and articulation area. Through the different characteristics of communication difficulties of patients with head and neck burns, we expect it will be modified appropriately according to the patients through evaluation of burn patients by type and severity.

A preliminary study on standardization of phoneme perception test for school-aged children : Focused on hearing impaired children (학령기용 음소지각검사 표준화를 위한 기초연구: 청각장애아동을 대상으로)

  • Shin, Eun-Yeong;Cho, Soo-Jin;Lee, HyoIn
    • The Journal of the Acoustical Society of Korea
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    • v.41 no.1
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    • pp.99-107
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    • 2022
  • This study attempted to analyze the consonant perception ability and errors and to verify compatibility items for hearing impaired children wearing hearing aids and cochlear implants using the Phoneme Perception Test for School-Aged children (PPT-S). As a result of the study, it was found that children with hearing impairments have more difficulty in perceiving final consonants than initial consonants. The hard type of PPT-S, in which the articulation method and articulation place of the target and foil words are similar, felt more difficult than the easy type. Among the initial consonants, the incorrect response rate for aspiration sound was higher. In the case of final consonants, the incorrect answer rate for 'ㄷ' and 'ㅁ' was relatively higher. There was no significant difference in the percentage of correct response rate according to the gender of the speaker. The above results can be usefully used as basic data for standardizing of PPT-S and evaluating the intervention effects before and after hearing rehabilitation with hearing impaired children.

The study of diadochokinetic (DDK) rate and accuracy in typically developing children (취학 전 정상구어발달 아동의 조음교대운동 특성)

  • Sehr, Kyoung-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.321-327
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    • 2013
  • This paper aimed to find out the differences of DDK performances of 37 normally developing children in the range of 4-6 years. DDK tasks included with the Consonant-Vowel(CV) syllables and with the Vowel-Vowel(VV) syllables. For DDK rate, all spoken AMR and SMR in one second were measured by Multi-Speech, and analyzed with Motor Speech Profile for DDK regularity. Error frequency and type in DDK performance were transcribed and auditorily judged by two professional speech pathologists. The findings in this study were follow as: First, DDK rate became faster as the age of children were increased. But there were no statistical differences between the groups for age. Second, there was no significant differences the CV and VV syllables of DDK tasks. Third, the frequency of articulatory error in DDK performance was significantly higher in the age of 4 than other two groups.

Some Clinical Aspects of Dysarthria (마비성 조음장애의 임상적 양상에 관한 고찰)

  • Kim, H.G.;Kim, W.H.;Seo, J.H.;Hong, K.H.;Shin, H.K.;Ko, D.H.
    • Speech Sciences
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    • v.3
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    • pp.38-49
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    • 1998
  • Dysarthrias are a sort of neuromotor disorders because of the weakness of neuromotor controls. They are classified in six types on the basis of Mayo clinic research: flaccid, spastic, ataxic, hypokinetic, hypekinetic and mixed types. Five dysarthria types are investigated in this study. MRI, EMG, neuropathological tests are essential diagnostic processing. Visi-Pitch and Spectrgraphy, CSL are used for assessing dysarthria speech. Maximum phonation time, diadochokinetic rate, Voice Onset Time and substitution rate are the speech evaluation parameters. Maximum phonation time and diadochokinetic rates are the lowest in case of spastic and ataxic dysarthrias. Spastic dysarthria shows the substituted glottalized consonants. However, flaccid, ataxic and hypokinetic dysarthrias show the substituted aspirated consonants. VOT is the longest for hypokinetic dysarthria and the shortest for ataxic dysarthria. Jitter shows higher percentage in comparison with control group. Speech evaluation using experimental phonetic instruments help create on international standardization of speech evaluation for speech disorders.

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A Study on the Phonological Errors of Children with Phonological Disorders in Korean-Vietnamese Multicultural Families (베트남 다문화 아동과 기능적 조음장애 아동의 말소리 오류 비교 연구)

  • Hwang, Sang-Shim;Lee, Sook-Hang
    • Phonetics and Speech Sciences
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    • v.3 no.3
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    • pp.181-189
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    • 2011
  • The present study aimed to determine the phonological errors of children in Korean-Vietnamese speaking multicultural families through comparison analyses with those of Korean monolingual peers with phonological disorders. The subjects were 38 children aged about 4-6 years. To examine phonological errors, the Urimal Test of Articulation and Phonation (words) was used. Performances were analyzed by frequency. The results showed some differences between the two groups. There was a tendency for children in Korean-Vietnamese speaking multicultural families to show a higher frequency of phonological errors than Korean monolingual children with phonological disorders. However, the former showed lower error percentages in a few error patterns than the latter such as syllable final consonant deletion, showing similar patterns to those of the normal children. They also showed very unique error patterns such as the highest error percentage in palatal affricates. It remains to be seen if these error patterns are just delay in acquisition or phonological disorders.

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Speech Rate and Pause Characteristics in Speaker with Flaccid Dysarthria (이완형 마비말장애 화자의 말속도와 쉼 특성)

  • Hong, Saemi;Byeon, Haewon
    • 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.

Acoustic Characteristics of Stop Consonant Production in the Motor Speech Disorders (운동성 조음장애에서 폐쇄자음 발성의 음향학적 특성)

  • Hong, Hee-Kyung;Kim, Moon-Jun;Yoon, Jin;Park, Hee-Taek;Hong, Ki-Hwan
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.23 no.1
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    • pp.33-42
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    • 2012
  • Background and Objectives : Dysarthria refers to speech disorder that causes difficulties in speech communication due to paralysis, muscle weakening, and incoordination of speech muscle mechanism caused by damaged central or peripheral nerve system. Pitch, strength and speed are influenced by dysarthria during detonation due to difficulties in muscle control. As evaluation items, alternate motion rate and diadochokinesis have been commonly used, and articulation is also an important evaluation items. The purpose of this study is to find acoustic characteristics on sound production of dysarthria patients. Materials and Methods : Research subjects have been selected as 20 dysarthria patients and 20 subjects for control group, and voice sample was composed of bilabial, alveolar sound, and velar sound in diadochokinetic rate, while consonant articulation test was composed of bilabial plosive, alveolar plosive, velar plosive. Analysis items were composed of 1) speaking rate, energy, articulation time of diadochokinesis, 2) voice onset time (VOT), total duration (TD), vowel duration (VD), hold of plosives. Results and Conclusions : The number of diadochokinetic rate of dysarthria was smaller than control group. Both control group and dysarthria group was highly presented in the order of /t/>/p/>/k/. Minimum energy range per cycle during diadochokinetic rate of dysarthria group was smaller than control group, and presented statistical significance in /p/, /k/, /ptk/. Maximum energy range was larger than control group, and presented statistical significance in /t/, /ptk/. Articulation time, gap, total articulation time during diadochokinetic rate of dysarthria group was longer than control group and presented statistical significance. The articulation time was presented in both control group and dysarthria group in the order of /k/>/t/>/p/, while Gap was presented in the order of /p/>/t/>/k/ for control group and /p/>/k/>/t/ for dysarthria group. VOT, TD, VD regarding plosives of dysarthria group were longer than control group. Hold showed large deviation compared to control group that had appeared due to declined larynx and articulation organ motility.

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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.

AN INTUITIONAL METHOD OF TRAINING THE DEAF IN POINTS OF ARTICULATION FOR THE CLARIFICATION OF THEIR SPEECH -HORITA'S WAFER METHOD-

  • Horita, Katsutoshi
    • MALSORI
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    • no.7_8
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    • pp.72-79
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    • 1984
  • 이 논문은 일본의 호리따씨가 1983년 8월 고베시에서 열린 제4차 세계음성학자 대회에서 발표한 내용의 영역본이다. "음성언어의 직감적 개발"이란 부제가 붙은 "위이훠 방법"이란 호리따씨가 개발해 낸 농아와 그 밖의 언어장애자의 발음 훈련 및 교정법인데, 혀의 감각이 둔한 장애자의 혀에 종이같이 얇은 고자 조각을 붙여서 발음하게 함으로써 정확한 조음 위치를 파악하여 올바른 발음을 익히도록 하는 방법이다. 대회에서도 상당한 관심을 끈 논문이므로 우리나라의 언어치료계를 위하여 소개한다. 이 방법은 음성훈련 및 외국어의 발음교육에도 이용될 수 있을 듯 하다.

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Personalized Speech Classification Scheme for the Smart Speaker Accessibility Improvement of the Speech-Impaired people (언어장애인의 스마트스피커 접근성 향상을 위한 개인화된 음성 분류 기법)

  • SeungKwon Lee;U-Jin Choe;Gwangil Jeon
    • Smart Media Journal
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    • v.11 no.11
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    • pp.17-24
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    • 2022
  • With the spread of smart speakers based on voice recognition technology and deep learning technology, not only non-disabled people, but also the blind or physically handicapped can easily control home appliances such as lights and TVs through voice by linking home network services. This has greatly improved the quality of life. However, in the case of speech-impaired people, it is impossible to use the useful services of the smart speaker because they have inaccurate pronunciation due to articulation or speech disorders. In this paper, we propose a personalized voice classification technique for the speech-impaired to use for some of the functions provided by the smart speaker. The goal of this paper is to increase the recognition rate and accuracy of sentences spoken by speech-impaired people even with a small amount of data and a short learning time so that the service provided by the smart speaker can be actually used. In this paper, data augmentation and one cycle learning rate optimization technique were applied while fine-tuning ResNet18 model. Through an experiment, after recording 10 times for each 30 smart speaker commands, and learning within 3 minutes, the speech classification recognition rate was about 95.2%.