• 제목/요약/키워드: Dysarthric Speech

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

  • 문지현;김선희;정민화
    • 말소리와 음성과학
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    • 제13권2호
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    • pp.45-55
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    • 2021
  • 본 연구는 경직형 경도-중등도 뇌성마비 마비말장애 성인이 산출한 한국어 파찰음의 음향학적인 특징을 분석한다. 한국어의 마찰음과 파찰음은 조음오류가 빈번하게 발생하는 자음인데, 기존 연구들은 마찰음에만 집중했다. 따라서 본 연구에서는 마비말장애 화자가 산출한 파찰음을 음향학적으로 분석하고자 한다. QoLT_SPEECH_2014 데이터베이스 내에서 파찰음 /tɕ, tɕh, ͈tɕ/이 어두 초성 및 어중 초성에 위치하는 단어를 선정하여 경도-중등도 경직형 장애 남성 화자 6명과 비장애 남성 화자 5명의 발화 데이터를 분석에 사용하였다. 한국어의 파찰음의 특성을 고려하여 파찰음의 음향학적 특징을 나타내는 매개변수를 선정하여 분석을 시행하였다: 마찰구간의 길이, 묵음 구간의 길이, 무게중심, 분산, 왜도, 첨도, 중심적률. 분석 결과는 다음과 같다: 1) 어중 초성 파찰음에서 마비말장애인이 유의하게 긴 마찰구간의 길이를 보였다, 2) 마비말장애인이 유의하게 긴 묵음 구간의 길이를 보였다, 3) 무게중심의 경우 두 집단 간의 유의한 차이가 존재하지 않았다, 4) 마비말장애인이 유의하게 큰 왜도 값을 보였다, 5) 마비말장애인이 유의하게 큰 중심적률 값을 보였다. 본 연구는 마비말장애인이 산출한 파찰음의 특성을 분석하고, 비장애인이 산출한 파찰음과의 차이를 밝혔다.

CPAP 치료 프로그램이 이완형 마비성구어장애자의 과대비성 개선에 미치는 효과 (The Effects of CPAP Therapy on Hypernasality in a Flaccid Dysarthric Patient: A Case Study)

  • 황영진;김하경;정옥란;예미경
    • 음성과학
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    • 제12권2호
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    • pp.129-138
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    • 2005
  • This study aimed at investigating the effects of CPAP therapy on hypernasality in flaccid dysarthria. The subject was a flaccid dysarthric patient with hypernasality. An A-B-A experimental research design was used. The therapy program was conducted 16 sessions. During CPAP therapy, the subjects was required to repeat single-word utterances in the form VNCV. The results showed some improvement in decreasing hypernasality.

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음소대조 검사방법을 이용한 마비말장애인의 말소리 명료도 특성 (The Speech Characteristics of Korean Dysarthria: An Experimental Study with the Use of a Phonetic Contrast Intelligibility Test)

  • Kim Soo Jin;Kim Young Tae;Kim Gi Na
    • 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.

뇌성마비로 인한 마비말장애의 음소대조 낱말명료도와 문장명료도 (Perceptual-phonemic Contrasts of Single-word Intelligibility for Testing Korean Dysarthric Speech)

  • 김수진
    • 한국음향학회지
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    • 제22권8호
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    • pp.694-702
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    • 2003
  • 이 연구는 말장애의 진단에 유용한 일음절 낱말대조 명료도 검사 (낱말명료도)의 타당도와 신뢰도를 얻기 위한 것이다. 첫번째로 낱말명료도의 타당성을 확인하기 위하여 문장명료도와의 상관을 구한 결과 상관은 .83으로 비교적 높았다. 두 번째로는 평가자들 간의 일치도를 분석하였다. 낱말명료도는 명료도 손상의 수준에 상관없이 평가자들간에 일정한 변산을 보였다. 마지막으로 낱말명료도 평가도구를 이용하여 마비말장애인의 명료도를 떨어뜨리는데 주요한 역할을 하는 음소대조 요인을 살펴본 결과 종성이 가장 오류가 많았으며 다음으로 초성, 중성의 순서였으나, 회귀분석 결과 초성이 전체 명료도에 미치는 영향이 가장 컸다.

뇌성마비 성인의 음소대조 낱말명료도와 문장명료도 (A comparison of techniques for measuring intelligibility of dysarthric speech : toward phonetic intelligibility testing in dysarthria.)

  • 김수진
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2002년도 11월 학술대회지
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    • pp.141-144
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    • 2002
  • The relations between words intelligibility and sentences intelligibility were tested on adults with cerebral palsy(athetoid type). Intelligibility is used as an important evaluation value in the field of diagnosis and therapy of dysarthric patients. In order to develop one syllable phonetic contrast intelligibility test using specific phonetic contrasts, the correlation with sentences intelligibility was tested to find out the validity. Pearson's simple correlation coefficient was .83 that shows a high correlation. Also, comparing the range and standard deviation given by seven evaluators on each subject, it was shown that when evaluating patients of moderate intelligibility, words intelligibility was more reliable than sentences intelligibility.

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말속도와 강도 변조에 따른 경도 마비말장애 환자의 말 용인도 변화 (The Change of Acceptability for the Mild Dysarthric Speakers' Speech due to Speech Rate and Loudness Manipulation)

  • 김지연;성철재
    • 말소리와 음성과학
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    • 제7권1호
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    • pp.47-55
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    • 2015
  • This study examined whether speech acceptability was changed under various conditions of prosodic manipulations. Both speech rate and voice loudness reportedly are associated with acceptability and intelligibility. Speech samples by twelve speakers with mild dysarthria were recorded. Speech rate and loudness changes were made by digitally manipulating habitual sentences. 3 different loudness levels (70, 75, & 80dB) and 4 different speech rates (normal, 20% rapidly, 20% slowly, & 40% slowly) were presented to 12 SLPs (speech language pathologists). SLPs evaluated sentence acceptability by 7-point Likert scale. Repeated ANOVA were conducted to determine if the prosodic type of resynthesized cue resulted in a significant change in speech acceptability. A faster speech rate (20% rapidly) rather than habitual and slower rates (20%, 40% slowly) resulted in significant improvement in acceptability ratings (p <.001). An increased vocal loudness (up to 80dB) resulted in significant improvement in acceptability ratings (p <.05). Speech rate and loudness changes in the prosodic properties of speech may contribute to improved acceptability.

파킨슨증으로 인한 마비말장애에 대한 청지각적 평가척도 (An Auditory-perceptual Rating Scale of Dysarthric Speech of Patients with Parkinsonism)

  • 김향희;이미숙;김선우;최성희;이원용
    • 음성과학
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    • 제11권2호
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    • pp.39-49
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    • 2004
  • An auditory-perceptual rating scale has long been utilized in an evaluation procedure of Parkinsonian speech. This study attempted to investigate various variables and appropriate equal-interval rating scale for each variable. We collected speech samples from 27 patients with Parkinsonian speech disorders. A total of 25 variables and descriptions for each variable across phonatory, resonatory, and articulatory dimensions were included in the rating scale. The descriptive parts of each variable could increase the objectivity of the rating scale.

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마비말장애 연구문헌에서 살펴본 말평가의 청지각적 요소 (Auditory-Perceptual Variables of Speech Evaluation in Dysarthria Literature)

  • 서미경;김향희
    • 음성과학
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    • 제13권3호
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    • pp.197-206
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    • 2006
  • Perceptual judgement method is frequently used in evaluating dysarthric speech. Although most of speech pathologists and researchers focus on the 38 perceptual features provided by Darley, Aronson & Brown(1969) during evaluation, there are additional characteristics that may be useful to describe dysarthria in literature. We reviewed previous dysarthria literature and selected 46 perceptual characteristics that could be examined at various subsystems of speech production. We also provided explanations and rationale for the rating method for each of the perceptual characteristics. This attempt might aid to offer a basic ground for developing a diagnostic tool of dysarthria.

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파킨슨병과 다계통위축증 환자군 간의 말속도 비교평가 (Speech Rate Analysis of Dysarthric Patients with Parkinson's Disease and Multiple System Atrophy)

  • 김향희;이미숙;김선우;이원용
    • 음성과학
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    • 제10권4호
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    • pp.221-227
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    • 2003
  • Diadochokinetic (DDK) speech task has been utilized as an evaluating tool for speakers with dysarthria for many years. This study attempted to differently diagnose multiple system atrophy (MSA) from idiopathic Parkinson's disease (PD) using patients' performance of DDK (i.e., alternate motion rate (AMR)). The subjects included 11 cases of pathologically confirmed MSA and 16 IPD patients who commonly presented with parkinsonian syndrome. The speech sample of each patient was analyzed acoustically using the MSPTM(Motor Speech Profile, a module of CSL). The results showed that the average DDK rate was significantly faster in the IPD than the MSA groups in all three syllables (i.e., /puh/, /tuh/. and /kuh/). We propose the average DDK rate variable as a core clinical trait in differentiating the two pathological conditions.

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The Effects of Pitch Increasing Training (PIT) on Voice and Speech of a Patient with Parkinson's Disease: A Pilot Study

  • Lee, Ok-Bun;Jeong, Ok-Ran;Shim, Hong-Im;Jeong, Han-Jin
    • 음성과학
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    • 제13권1호
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    • pp.95-105
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    • 2006
  • The primary goal of therapeutic intervention in dysarthric speakers is to increase the speech intelligibility. Decision of critical features to increase the intelligibility is very important in speech therapy. The purpose of this study is to know the effects of pitch increasing training (PIT) on speech of a subject with Parkinson's disease (PD). The PIT program is focused on increasing pitch while a vowel is sustained with the same loudness. The loudness level is somewhat higher than that of the habitual loudness. A 67-year-old female with PD participated in the study. Speech therapy was conducted for 4 sessions (200 minutes) for one week. Before and after the treatment, acoustic, perceptual and speech naturalness evaluation was peformed for data analysis. Speech and voice satisfaction index (SVSI) was obtained after the treatment. Results showed Improvements in voice quality and speech naturalness. In addition, the patient's satisfaction ratings (SVSI) indicated a positive relationship between improved speech production and their (the patient and care-givers) satisfaction.

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