• Title/Summary/Keyword: 중재언어

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Aerodynamic Features and Voice Therapy Interventions of Functional Voice Disorder after Thyroidectomy (갑상선 절제 술 후 기능적 음성장애의 공기역학적 특징과 음성치료 중재)

  • Lee, Chang-Yoon;An, Soo-Youn;Chang, Hyun;Jeong, Hee Seok;Son, Hee Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.26 no.1
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    • pp.25-33
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    • 2015
  • Background and Objectives:The objective of this study was to investigate the features of post-thyroidectomy subjective voice disorder by Voice Handicap Index (VHI) and Voice Symptom Scale (VOISS) through aerodynamic analysis and to investigate the appropriate voice therapy intervention. Materials and Methods:Twenty post-thyroidectomy patients who had no recurrent laryngeal nerve paralysis through laryngeal stroboscopy were enrolled for this study. Acoustic and aerodynamic evaluations were performed before operation, 2 weeks and 3 months after operation. Subjective voice evaluation was performed by VHI and VOISS. Aerodynamic evaluation was compared and analysed by maximum phonation time(MPT), phonation threshold pressure(PTP), mean air flow rate(MFR), etc. Subjective voice evaluation was surveyed through VHI and VOISS. To evaluate patients' symptoms related to functional voice disorder, scores on physical domain in VHI and VOISS were selected to be compared for each session. Results: The 10 out of 20 participants who complained of voice symptoms had no significant difference with pre-operation in acoustic evaluation, but all showed higher scores on 2 weeks and 3 months after operation compared to pre-operation, in VHI-physical domain and selected questionnaires in VOISS. They reduced MPT and increased PTP value simultaneously. Laryngeal massage and breathing training were simultaneously treated to them, 5 participants resulting in improvement in MPT and PTP compared to pre-treatment. Conclusion:Patients who complained voice change with no organic damage after thyroidectomy were all shown to have reduced MPT and increased PTP in some by aerodynamic evaluations. Reduced MPT may imply some problem in air flow beneath glottis. Increased PTP suggests much more effort in vocalization mechanism than pre-operation. Comparing aerodynamic evaluations in post-thyroidectomy may provide information on behavioral interventions. Additionally, study on laryngeal massage and breathing training simultaneously treated to patients with such voice disorder is needed to be conducted with larger number of participants.

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The Effect of Fumanet Exercise Program for Life care on Cognition Function, Depression in Dementia (라이프케어 증진을 위한 후마네트 운동프로그램이 치매노인의 인지기능, 우울기능에 미치는 영향)

  • Lee, Na Yun;Ahn, So Hyun;Yang, Yeong Ae
    • Journal of agricultural medicine and community health
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    • v.45 no.3
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    • pp.121-129
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    • 2020
  • Purpose: As dementia progresses, cognitive function decreasing leads to memory loss, speech degradation, time and space degradation and judgment degradation, which causes difficulties in carrying out tasks related to daily life. It was said that community-based non-drug intervention therapy for early dementia patients was important to participate in entertainment treatment, including activities such as awareness and exercise therapy, exercise rehabilitation, aerobic exercise, and art. Methods: This study conducted 15 experimental and 15 control groups(experimental group : Fumanet exercise, control group : general occupational therapy) for eight weeks at the Daycare Center in Gyeonggi-do to find out the impact of the Fumanet exercise program on cognitive and depression functions of the elderly. The pre-post evaluation used KGDS, MMSE. Results: There were significant differences between the two groups in the function of menopause, memory recall, attention concentration and calculation, and depression, and no significant results were obtatined in memory registration, language function, understanding and fracture. The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia. Conclisions: The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia.

A Case Study of Group Music Psychotherapy for Improving Adolescents' Awareness of the Motivation Behind Their Excessive Online Gaming (게임 과몰입 청소년의 게임 이용동기 인식을 위한 그룹 음악심리치료 사례)

  • Song, Jisun
    • Journal of Music and Human Behavior
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    • v.17 no.2
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    • pp.1-28
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    • 2020
  • This case study aimed to investigate changes in adolescents' awareness of the motivation behind their excessive internet gaming after group music psychotherapy. Five middle school students participated in six 60-minute group sessions over 4 weeks. The group music psychotherapy program was developed to help participants understand their implicit reasons for excessive internet gaming. Verbal responses were obtained from pre-program and post-program interviews and original lyrics created by participants during program were collected for analysis. Obtained data were analyzed in terms of emotional and cognitive aspects in relation to the participants' awareness of the motivation behind their excessive gaming. The results showed that song writing as creative musical process allowed participants to be aware of positive and negative influence of gaming on themselves and express their motivation to change their perception on gaming behavior. Also, the participants reported that the use of musical product for their daily lives could be an effective coping strategy to manage their gaming behaviors and an alternative for gaming. The findings from this study support that group music psychotherapy can be an effective approach to promote awareness of adolescents' motives for excessive internet gaming and to help adolescents better manage their gaming behaviors.

A Study on the interracially Married Female Immigrant's Adaptation of Multi-cultural Families : Qualitative Methods (여성결혼이민자가 경험하는 다문화가족 적응에 관한 연구 -T시를 중심으로-)

  • Han, Sang-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.11
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    • pp.5066-5075
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    • 2012
  • The purpose of this study was to offer a foundation of developing the more qualitative and individual nursing-intervention strategy for allowing married female immigrants and their children of multi-cultural families to possibly grow and develop as a Korean without discrimination and prejudice in Korean society. Period of data collection in this study was from April 2010 to May 2011. Subjects of this study are totally 13 married female immigrants of multi-cultural families who have preschool children of dwelling in T city. Data analysis is qualitative research that applied Spradley(1990)'s culture-descriptive method. The results were as follows : The common elements, which are shown in married female immigrants, children, and family members of multi-cultural families, were indicated to "social prejudice", "exclusive family atmosphere", "economic difficulty", "coexistent different culture".

Effects of swallowing training of high viscosity bolus on swallow function based on videofluoroscopic swallowing examination in stroke patients with dysphagia (비디오 투시조영 검사를 통한 높은 점도의 음식 삼킴 훈련이 삼킴 장애가 있는 뇌졸중 환자의 삼킴 기능에 미치는 효과)

  • Moon, Jong-Hoon;Kim, Hee-Jin;Seo, Jin-Young;Hong, Deok-Gi
    • The Journal of the Korea institute of electronic communication sciences
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    • v.11 no.9
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    • pp.909-916
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    • 2016
  • The purpose of this study is to investigate the effect of swallowing training of high viscosity bolus for swallow function of stroke patients with dysphagia. This study subjects, acute stroke 18 patients, which were recruited to receive treatment in inpatient at general hospital, located in Kyunggido. Subjects were randomly allocated in experimental group and control group. Experimental group performed swallowing training of high viscosity bolus, while control group conducted Traditional dysphagia therapy. Both groups received treatment 30 minutes a day five times a week for four weeks. The assessment was conducted FDS(: Functional Dysphagia Scale), PAS(: Penetration Aspiration Scale), ASHA NOMS(: American Speech-language-hearing Association National Outcomes Measurements System Swallowing Scale) to compare swallow function for both group. Both groups showed significant improvements after intervention in all measures(p<.05). Change score between the two groups showed a significant improvement on experimental group than control group in FDS(p<.05). Swallowing training of high viscosity bolus could have a positive impact on swallow function for acute stroke patients with dysphagia.

Factors Affecting the Upper Limb Function in Stroke Patients (뇌졸증 환자의 상지기능에 영향을 미치는 요인)

  • Bang, Yoo-Soon;Kim, Hee-Young;Lee, Moon-Kyu
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.202-210
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    • 2009
  • This study was carried out to identify the factors which correlated with upper limb function after stroke and to analyze the effect of related factors on upper limb function. The 100 stroke patients(MMSE-K>24) were participated. The upper limb function according to gender, hand dominance, stroke type, affected location, site of paralysis, speech disorder showed no significant difference, and show significant difference according to shoulder subluxation. The upper limb muscle strength(Manual Muscle Testing), proprioception, muscle tone(Modified Ashworth Scale), grip strength(Dynamometer), paint (Visual Analog Scale) showed significant correlations with upper limb function. These predictors explained 77.6% of the upper limb function and the most significant affecting factor of upper limb function was upper limb muscle strength. In conclusion, the upper limb muscle strengthening will be effective strategy to improving the upper limb function and considering the proprioception, muscle tone, grip strength, pain, subluxation will be helpful to develop the strategies.

The impact of recognition of spouse's conflict-coping behavior on self-esteem and depression (자신이 인지한 배우자의 갈등대처행동이 자존감과 우울에 미치는 영향)

  • Kang, Li-Ly;Lee, Jin-Ah
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.3
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    • pp.1061-1068
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    • 2012
  • This study was a descriptive survey to examine the impact of spouse's conflict-coping behavior on self-esteem and depression among couples married within 5 years, in order to provide data for education and intervention program of improving their relationships for early marriage couples. Participants were 176 persons who were family members or neighborhood of S college students in Seoul and they were asked to complete questionnaires. Findings showed that there were differences in conflict-coping behavior of withdrawal type according to sex while differences in conflict-coping behavior of physical type and withdrawal type and depression according to age. Differences were found in conflict-coping behavior of language type and depression according to occupation. There were significant differences in self-esteem and depression according to couples' conversation time. Perceived their spouses cope with the conflict in the relationship between behavior and depression, self-esteem appeared to represent an indirect effect.

Study of Lyric Analysis Using a Mind-map on Parenting Stress in Mothers of Children with Disability (마인드맵을 활용한 노래가사분석(Lyric Analysis) 활동을 통한 장애아동 어머니의 양육스트레스 감소에 관한 연구)

  • Kim, Jin
    • Journal of Music and Human Behavior
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    • v.7 no.2
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    • pp.23-45
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    • 2010
  • The purpose of this study is to determine the effects of lyric analysis using the mind-map technique on parenting stress of mothers with disabled children. Six mothers performed psychological tests to confirm the level of parenting stress. Participants attended a total of fourteen lyric-analysis using mind-map programs and the Questionnaire on Resource and Stress (QRS) was administered before the first session and after the last session. Results showed a significant difference (p<.05) in perceived parenting stress. Also positive changes were observed from video analysis of each session. Overall, this study suggests that the lyric analysis based on the application of mind-map may have the positive influence on the parenting stress of mothers raising disabled children.

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Effects of Group Piano Playing on International Marriage Immigrant Women's Self-Efficacy; A Case Study (국제결혼 이주여성의 자기효능감 증진을 위한 집단 피아노 연주 활동 사례 연구)

  • Woo, Hyun Jung
    • Journal of Music and Human Behavior
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    • v.7 no.2
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    • pp.1-22
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    • 2010
  • The purpose of this study is to examine the effectiveness of the group piano playing program, which was a part of psycho-emotional support program, on international marriage immigrant women's self-efficacy. For this case study, five international marriage immigrant women from "N Multi-culture Supporting Agency" were agreed to participate in the study. The group piano playing program was implemented for ten sessions. Each session took place once a week for ten weeks. In order to examine the effects of self-efficacy on the participants, both quantitative and qualitative methods were used as a mixed methods research design. As a result, the participants' self-efficacy average score was statistically significant (p< .05). Also, qualitative analysis of participants' verbal and behavioral response showed positive changes in their level of self-efficacy. Therefore, the results of this study suggest that the group piano playing can facilitate as an effective intervention to promote the self-efficacy on international marriage immigrant women.

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The Effect of Vocal Improvisation in Decreasing Musical Performance Anxiety of College Students Majoring in Music (목소리 즉흥을 통한 음대생의 연주불안 감소 연구)

  • Song, Ji Ae
    • Journal of Music and Human Behavior
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    • v.6 no.2
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    • pp.43-70
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    • 2009
  • The purpose of this study was to find out how a vocal improvisation program can improve performance anxiety of students who are majoring in music. Four students participated in the vocal improvisation program for 8 weeks, and Spielberger's State-Trait Anxiety Inventory was administered prior to and after the completion of program. The following are results from this study. First, participants' anxiety score as measured by STAI-S significantly decreased 16.5 (p < .068) average. Second, a decrease in the subjects' practical anxiety level was quantitatively shown following this program the participants' anxiety score decreased on average by 25.5 (p < .068). Third, the subjects reported a positive musical experience as an outcome of this study. The results of the research as described above support priority researches that the music therapy program influences to decrease musical performance anxiety. The vocal improvisation program used in this study proved effective for decreasing general anxiety and releasing musical performance anxiety. This study indicates future uses of music therapy and music psychotherapy for college students who experience musical performance anxiety.

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