• 한국융합학회논문지
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• 제13권1호
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• pp.313-323
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• 2022

본 연구에서는 COVID-19시대에 비대면 서비스가 확대되고 있는 상황에서 마비말장애의 재활을 위한 디지털 치료제 기반의 커뮤니티케어 방안을 모색하고자 하였다. 이를 위하여 병원, 언어치료기관, 사회복지기관에서 근무하는 전문가들을 대상으로 질적연구를 수행하였고, 연구 결과 3개의 주제와 9개의 하위주제, 18개의 의미단위가 도출되었다. 분석결과에 근거한 디지털 치료제 기반의 커뮤니티케어 모델은 원격진단, 원격치료, 재활훈련 프로그램 제공, 동료지원가들의 지지, 임상적 지원, 의사소통 지원, 심리사회적 중재, 케어플랜 서비스 등 9가지 유형으로구성되었다. 본 연구는 디지털 치료제를 활용한 보건-복지 연계서비스를 위한 기초자료와 다학제간 협력에 기반한 공유케어 계획 수립의 가이드라인을 제공할 수 있을 것이다.

• Journal of Acupuncture Research
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• 제20권6호
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• pp.160-167
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• 2003

Objective : The study was designed to evaluate the possibility of treatment of stroke patients with dysarthia by the sa-am acupuncture. Methods: From March 1st 2003 to June 30th 2003, the clinical comparison studies were carried out 20 cases of stroke patients with dysarthria treated by Sa-Am acupuncture(Group I) & general acupuncture(Group II), who had been treated in Dept. of acupuncture and Moxibustion, Dae-jeon Oriental Medical Hospital, Dae-jeon University. Results : The results obtained as follows; 1. The Articuration of Group I and Group II was improved significantly. Group I is more effective than Group II significantly(p<0.05). 2. The Vowel of Group I and Group II was improved but there was no signification(p>0.05). 3. The Alternation of Group I and Group II was improved significantly. Group I is more effective than Group II significantly(p<0.05). 4. The Speed of reading the sentence of Group I and Group II was improved but only Group I was improved significantly(p<0.05). Conclusions: This result suggest that sa-am acupuncture was effective treatment of stroke patients with dysarthria. So further research is needed continuously.

• 대한한방내과학회지
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• 제26권3호
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• pp.660-669
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• 2005

Objectives : The aim of this study is to find the acoustic characteristics of acupuncture therapy effects on post-stroke dysarthria. Methods : Acupuncture therapy was applied for four to six weeks by inserting needles into eight acupuncture points, CV23, CV24, bilateral 'Sheyu' and ipsilateral ST4, ST6 and contralateral LI4, ST36 on facial palsy side. All the speech samples were collected, pre-treatment and post-treatment, using Computerized Speech Lab. VOT and TD of each speech sample and vowel formant(F1&F2) were analyzed on spectrogram. Result : VOT and TD were decreased after treatment. F1 was decreased, and F2 was increased after treatment. Conclusions : This suggests that acupuncture therapy improves symptoms of post-stroke dysarthria by stimulating articulation organs such as tongue, lips, cheeks, larynx and pharynx.

• 재활치료과학
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• 제9권1호
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• pp.91-99
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• 2020

목적 : 본 연구의 목적은 IOPI 조음 근력 강화 훈련 프로그램이 경직형 마비말장애 환자들의 조음기관(혀, 입술) 근력 상승, 조음 정확도, 조음 교대운동 속도, 규칙성 및 정확도 변화에 끼치는 효과에 대해 연구하고자 하였다. 연구 방법 : 본 연구는 제주에 거주하는 경직형 마비말장애 환자 3명을 대상으로 제주 소재의 대학병원 언어치료실에서 기초선 단계, 7주간 주3회씩 1회기당 30분씩 중재를 한 후에 사후 평가를 실시하여 혀와 입술의 근력, SMST 조음선별검사 중 /ㄹ, ㅅ, ㅈ/ 조음 정확도, 조음 교대운동 속도, 규칙성 및 정확도 변화를 연구하는 단일대상연구를 실시하였다. 결과 : IOPI 조음 근력 강화 훈련 프로그램을 경직형 마비말장애 환자들에게 실시한 이후에 조음기관 근력, /ㄹ, ㅅ, ㅈ/ 조음동안 정조음 산출 수, 조음 교대운동 검사 결과 초당 /퍼/, /터/, /커/, /러/, /긍/, /아/, /퍼터커/ 산출 횟수의 증가와 조음 규칙성과 조음 규칙성 및 정확성에서 긍정적인 변화가 나타났다. 결론 : 본 연구 결과, IOPI 조음 근력 강화 훈련 프로그램이 경직형 마비말장애 환자들의 조음 정확도, 조음 교대운동 속도, 규칙성 및 정확도 향상을 도모하였으며, 추후 IOPI를 다양한 하위 유형의 마비말장애 환자에게 실시하여 각 하위 유형 간 차이를 비교하고, 마비말장애의 가장 대표적인 뇌성마비 아동들에게 가정에서 IOPI를 활용한 조음기관 기능 훈련을 연계한 프로그램 적용 이후 조음 능력의 변화에 대해 연구한다면 매우 유용할 것으로 사료된다.

• 한국콘텐츠학회논문지
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• 제18권11호
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• pp.634-642
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• 2018

소뇌운동실조증(SCA)은 유전성, 진행성 신경장애로 SCA 환자는 소뇌위축으로 인한 실조형 마비말장애를 보인다. 본 연구는 집중 말운동치료를 통해 SCA환자의 진행성 실조형 마비말장애의 개선의 유무를 확인하고, 개선이 있는 경우, 치료전후의 변화의 정도를 보고하고자 한다. 55세의 SCA 여성 환자를 대상으로 말운동 기능 개선을 위한 SPEAK $OUT!^{(R)}$ 치료프로그램을 시행 후, 큰 효과크기 수준에서 MPT와 과제별 음량의 개선이 관찰되었고, 음도의 경우 적은 효과크기의 변화를 보였다. 그러나 음도의 폭은 큰 효과크기의 변화를 보였다. 음질은 jitter, shimmer, HNR 모두에서 큰 효과크기 수준에서 긍정적 개선을 보였고, 모음면적도 넓어졌는데 이때 F1의 변화가 두드러졌다. 또한 심도 수준의 VHI점수는 치료 후 경도 수준으로 낮아졌다. 집중 말운동치료 프로그램인 SPEAK $OUT!^{(R)}$의 시행을 통해 SCA 환자의 음량, 음도, 음도의 폭, 음질, 모음면적의 증가를 관찰하였고, 음성장애에 관한 주관적 인식의 변화도 긍정적으로 감소하였다. 기초연구로서의 본 결과를 바탕으로 SCA환자의 진행성 실조형 마비말장애 개선을 위한 SPEAK $OUT!^{(R)}$에 대한 좀 더 체계적인 검증을 위한 후속 연구가 필요하다.

• 동의신경정신과학회지
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• 제22권2호
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• pp.49-59
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• 2011

Objectives : This study was performed to report the effect of Giungoroen-therapy based on song psychotherapy in the treatment resistant patient with psychosomatic disease. Methods : A 43 year-old female patient suffered from headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort, dysarthria without identifiable physical cause. We diagnosed her as psychosomatic disease, and tried to apply Giungoroen-therapy with Korean traditional medical treatment. But she was resistant to Giungoroen-therapy. So we applied Giungoroen-therapy based on song psychotherapy. Results : After the Giungoroen-therapy based on song psychotherapy, the patient revealed her unrecognized hidden issues and got some insights about herself. Then the symptoms, such as headache, facial numbness, right upper and lower limb's numbness, ptosis, chest discomfort and dysarthria were reduced considerably. Conclusions : These results suggest that Giungoroen-therapy based on song psychotherapy can be effective on improvement of resistant psychosomatic disease.

• The Journal of the Acoustical Society of Korea
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• 제24권1E호
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• pp.28-33
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• 2005

This study was designed to suggest an assessment tool for analyzing the characteristics of Korean phonetic contrast intelligibility among dysarthric individuals. The intelligibility deficit factors of phonetic contrast in Korean dysarthric patients were analyzed through stepwise regression analysis. The 19 acoustic-phonetic contrasts proposed by Kent et al. (1999) have been claimed to be useful for clinical assessment and research on dysarthria. However, the test cannot be directly applied to Korean patients due to linguistic differences between English and Korean. Thus, it is necessary to devise a Korean word intelligibility test that reflects the distinct characteristics of the Korean language. To identify the speech error characteristics of a Korean dysarthric group, a Korean word list was audio-recorded by 3 spastic, 4 flaccid, and 5 mixed type of dysarthric patients. The word list consisted of monosyllabic consonant-vowel-consonant (CVC) real word pairs. Stimulus words included 41 phonemic contrast pairs and six triplets. The results showed that the percentage of errors in final position contrast was higher than in any other position. Unlike the results of previous studies, the initial-position contrasts were crucial in predicting the overall intelligibility among Korean patients.

• 동의생리병리학회지
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• 제23권5호
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• pp.1183-1187
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• 2009

We presented an ataxia patient who was difficult to diagnose and treated her by oriental medical treatment. We applied various methods of oriental medicine including herb medicine, acupunture, moxibustion and so on. After that, we checked the extent of dysarthria, pruritus, finger to nose and rapid alternative movement and measured the progress of general condition with Modified Barthel Index(MBI). After the oriental medical treatment was applied to her, ataxia, dysarthria, pruritus, finger to nose and rapid alternative movement were improved. The score of MBI was improved from 45 to 71, too. Even though there is no exact pattern identification about ataxia in oriental medicine, the oriental medicine can have an effect on the ataxia patient. In addition, more clinical study and observation should be needed.

• 대한한방종양학회지
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• 제9권1호
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• pp.47-52
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• 2003

방사선 촬영 및 임상증상을 토대로 수막종 진단을 받은 환자의 증상을 침치료(동씨기혈(董氏奇穴))로 호전시켰기에 이를 보고하는 바이다.

• 말소리와 음성과학
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• 제7권2호
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• pp.55-62
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• 2015

It is widely accepted that Parkinson's disease(PD) is the most common cause of hypokinetic dysarthria, and its characteristics of 'short rushes of speech' have become more evident along with the severity of motor disorders. Speech alternate motion rates (AMRs) are particularly useful for observing not only rate abnormalities but also deviant speech. However, relatively little is known about the characteristics of 'short rushes of speech' in terms of AMRs of PD except for the perceptual characteristics. The purpose of this study was to examine which acoustic features of 'short rushes of speech' in terms of AMRs are a robust indicator of Parkinsonian speech. Numbers of syllabic repetitions (/pə/, /tə/, /kə/) in AMR tasks were analyzed through acoustic methods observing a spectrogram of the Computerized Speech Lab in 9 patients with PD. Acoustically, we found three characteristics of 'short rushes of speech': 1) Vocalized consonants without closure duration(VC) 76.3%; 2) No consonant segmentation(NC) 18.6%; 3) No vowel formant frequency(NV) 5.1%. Based on these results, 'short rushes of speech' may affect the failure to reach and maintain the phonatory targets. In order to best achieve the therapeutic goals, and to make the treatment most efficacious, it is important to incorporate training methods which are based on both phonation and articulation.