• 대한구순구개열학회지
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• 제11권1호
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• pp.1-12
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• 2008

In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

• 음성과학
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• 제12권4호
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• pp.247-254
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• 2005

This study aimed at clarifing clinical effects of eight-step continuum treatment in a patient who showed apraxia of speech after stroke. The eight-step continuum treatment consisted of 8 steps and its clinical efficacy has been proven with American apraxic patients. However, it has not been clinically proven to be effective in Korean patients with apraxia of speech as of yet. Therefore, this study was conducted in an effort to provide preliminary clinical evidence regarding its effectiveness regardless of the linguistic differences between Korean and English. The therapy took place twice a week for 6 months, a total of 48 times. The results showed that the patient's receptive language was improved from 83% to 89% and 37% in accuracy, and expressive language from 15% to 37%. It seemed that spontaneous recovery did not playa role in his improvement since the study was conducted 2 years after the stroke. In addition, the improvement of expressive language was much greater(22%) than that of receptive language(6%), which implied that the therapy was effective in apraxia of speech because apraxia of speech is relatively confined to expressive ability, more specifically motor programming and sequencing.

• Clinical and Experimental Pediatrics
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• 제48권9호
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• pp.924-928
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• 2005

목 적 : 최근에 말 언어 지연 소아의 치료효과에 대해서는 논란의 여지가 있다. 본 연구는 말 언어 지연을 보인 소아의 임상적인 특징과 6개월 동안의 언어 치료 후 원인질환에 따른 예후를 알아보고자 시도하였다. 방 법 : 2000년 1월부터 2004년 3월까지 가톨릭대학교 의정부 성모병원 소아과에 말 언어 지연을 보여 내원한 환아 중 6개월 동안 말 언어 치료를 받은 56명의 소아를 대상으로 후향적으로 조사하였다. 결 과 : 대상 환아 56명의 질환별 분포는 발달성 언어 장애가 66.1%로 가장 많았고 구조적 이상 19.6%, 정신 지체 12.5%, 청력 이상 1.8% 순이었다. 남녀 비는 4.6 : 1이었으며, 환아의 연령별 분포는 47개월 이상이 가장 많았다. 의미 있는 첫 단어의 평균 출현 시기는 15.9개월이었다. 평균 재태기간은 39.8주로 만삭아 96.4%, 미숙아 3.6%으로 만삭아가 많았다. 형제 순서는 첫째 51.8%, 둘째 24명, 셋째 7.1%으로 첫째가 가장 많았다. 6개월간의 언어 치료 후 추적 검사 결과, 발달성 언어 장애아의 경우 32.4%가 정상적인 언어 발달을 보였다. 정신 지체의 경우 추적검사 결과 모두에서 언어 지연이 지속되었다. 구조적 이상 11명 중 5명이 정상적인 언어 발달을 보였다. 결 론 : 언어 지연을 주소로 내원한 소아의 연령이 늦은 것은 이 지역 언어 지연 소아를 대상으로 한 언어 발달 선별 검사가 필요함을 시사하는 것이다.

• 재활치료과학
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• 제12권4호
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• pp.39-51
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• 2023

목적 : 본 연구는 국내 학술지를 대상으로 아동의 작업과 관련된 연구주제어의 사회연결망 분석을 통해 아동의 작업과 관련된 연구들의 지적 구조를 규명하고자 한다. 연구방법 : 2003년 8월부터 2023년 8월까지 한국학술지인용색인(Korean Citation Index)에 "아동 and 작업" 키워드를 가진 270편의 연구에서 3,364개의 키워드를 추출하여 분석하였다. 분석도구는 넷마이너(NetMiner) 프로그램을 활용하였다. 결과 : 연구 시기별 아동의 작업 관련 연구주제어의 변화는 없었으며 다만 과거 10년에는 97편의 연구가 있었고 최근 10년에는 173편의 연구가 게재되어 양적 변화가 있었다. 아동의 작업 관련 주제어에서 가장 높은 연결 중심성(degree centrality)을 가진 단어는 Task (0.055), Group therapy (0.040), Working memory (0.037), Intervention (0.033), Performance (0.030), Language (0.026), Ability (0.026), Skill (0.024), Program (0.023) 순이었다. 단어동시 발생 네트워크(Word network)에서 가장 가중치가 높은 단어는 Evaluation-Tool (30), School-Student (15), Activity-Participation (15)이었고, topic modeling에서 각 주제들의 첫 번째 키워드는 Activity (0.295), Disability (0.604), Education (0.356), Skill (0.478), School (0.317), Function (0.462), Disorder (0.324), Language (0.310), Comprehension (0.412), Training (0.511)으로 나타났다. 결론 : 본 연구는 국내 아동의 작업 관련 연구 분야의 경향을 설명했다. 따라서 국외와 국내 연구 흐름을 비교하는 후속 연구가 뒤따라야 할 것이며, 이러한 노력은 국내 연구와 국외 연구의 격차를 해명함으로써 국내 아동의 작업관련 연구 분야에 대한 귀중한 통찰력을 제공할 것이다.

• 대한물리치료과학회지
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• 제19권1호
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• pp.17-25
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• 2012

Purpose : The aim of this study was from data collection to item development in the first study before developing a valid and reliable instrument reflecting Korean's own language expression and culture. Methods : The fist survey was 140 osteoarthritis(OA) patients in 2 Cites was studied from November to December 2009. Open-ended questionnaire was decided 39 items from the first open survey. Questionnaire on the Korean Osteoarthritis Impact Measurement Scale(KAIMS) was recruited 2 professors and 5 physical therapists. Second survey was applied to 133 OA patients. Results : OA patients's average age${\pm}$standard deviation was $66.08{\pm}11.10$ years. The internal consistency reliability of 3 items. As estimated by Cronbach's alpha coefficient(${\alpha}$), was high(range, 0.86~0.96). 0.43~0.91 ${\alpha}$ coefficient for the internal consistency reliability of item-each scale was also high. However, item-discriminant validity on 3 items was low(${\alpha}$, 0.92~0.97). The construct validity by factor analysis was a little low. Conclusion : This study revealed that we confirmed a generation for 39 items on KAIMS reflecting Korean's own language expression and culture. Also, those of reliability were a little high. And, we will have to study the last instrument development (3rd study) by more subjects in the future.

• Clinical and Experimental Pediatrics
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• 제51권9호
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• pp.922-934
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• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

• 대한한방소아과학회지
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• 제26권4호
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• pp.32-37
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• 2012

Objectives: The purpose of this study was to obtain some understanding about Korean medicine treatment on language disorder in cerebral palsy for future practice and the research, from the clinical studies. Methods: The literature was searched using the database-China Academic Journals (CAJ). Clinical studies of Korean medicine treatment for language disorder in cerebral palsy, including Randomized controlled trial (RCT), case control study, case series, case report were analyzed. Results: Fifteen Clinical studies met our inclusion criteria; One case study and six case series, one non-randomized controlled trial and seven RCTs. Acupuncture treatment, especially Head acupuncture, was the major treatment for language disorder of cerebral palsy in clinical studies, as it was used in fourteen studies. Acupoint massage, tuina, and acupoint injection were employed as treatment methods in the studies. Acupuncture treatment was used for language disorder of cerebral palsy combined with language therapy and other rehabilitation treatment in many studies. The effectiveness in the treatment groups, regardless of treatment methods, was higher than that of control group in all RCT studies. Conclusions: The results of this study could be used in the practice and the future study about language disorder of cerebral palsy.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제37권
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• pp.22.1-22.4
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• 2015

Velopharyngeal dysfunction in cleft palate patients following the primary palate repair may result in nasal air emission, hypernasality, articulation disorder and poor intelligibility of speech. Among conservative treatment methods, speech aid prosthesis combined with speech therapy is widely used method. However because of its long time of treatment more than a year and low predictability, some clinicians prefer a surgical intervention. Thus, the purpose of this report was to increase an attention on the effectiveness of speech aid prosthesis by introducing a case that was successfully treated. In this clinical report, speech bulb reduction program with intensive speech therapy was applied for a patient with velopharyngeal dysfunction and it was rapidly treated by 5months which was unusually short period for speech aid therapy. Furthermore, advantages of pre-operative speech aid therapy were discussed.

• 음성과학
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• 제8권4호
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• pp.119-129
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• 2001

Language is one aspect of cognition, along with attention and concentration, learning and memory, visuospatial abilities, and executive function. The purpose of this study was to determine the effect of language intervention by cognitive approach on language expressive performance in a patient with conduction aphasia. This study used several tasks such as Attention and concentration task, visual memory tasks, memory tasks, categorization, divergent thinking, self-monitoring and evaluate thinking. The effects of treatment were evaluated by periodic probing of both trained and untrained familiar words in three tasks; picture naming, answering to questions and telling stories. The results showed improvements both in trained and untrained words. Therefore, we concluded that expressive language performance of this aphasic patient is amenable to this intervention, and that cognitive therapy approach can be useful.

• 대한지역사회작업치료학회지
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• 제6권1호
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• pp.49-60
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• 2016

목적 : 본 연구는 국내에서 로봇치료가 중재도구로 사용된 연구 사례들을 PICO (Patient, Intervention, Comparison, Outcome) 형식에 따라 체계적으로 정리하여 국내 로봇치료의 연구 현황을 알아보고자 하였다. 연구방법 : 한국학술연구정보서비스(RISS)와 국가전자정보도서관(NDSL) 데이터베이스에서 최근 9년간의 연구를 주요 검색용어 '로봇치료'로 하여 국내 학술지와 학위논문 총 710개의 연구를 검색하였다. 로봇을 치료적 중재도구로 사용한 국내연구 중 원문을 구할 수 있는 연구를 기준으로 최종 15개를 선정하였다. 선정된 연구는 PICO 형식을 통해 체계적으로 정리하여 제시하였다. 결과 : 연구도구의 질적 수준은 근거기반 연구수준 5단계 분류 방법을 사용하였다. 그 중 질적 수준이 3단계 이상인 연구는 13개(86.6%)였다. 로봇치료를 사용한 연구를 중재 분야별로 나눈 결과 언어, 보행, 인지, 발달 그리고 상지의 다섯 가지 영역에 대한 연구가 진행되었음을 알 수 있었다. 결론 : 국내에서 로봇치료는 상지와 하지의 중재를 포함한 언어, 인지, 발달 등의 다양한 영역의 재활을 위해 사용되고 있었다. 본 연구가 국내 로봇치료와 관련된 다양한 영역의 적용에 필요한 기초자료로 활용되기를 바란다.