• Title/Summary/Keyword: MDVP parameters

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Characteristics of Phoniatrics in Patients with Spastic Dysarthria (경직형 마비말장애의 음성언어의학적 특성)

  • Kim, Sook-Hee;Kim, Hyun-Gi
    • Speech Sciences
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    • v.15 no.4
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    • pp.159-170
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    • 2008
  • The purpose of this study was to find out the ability of coordination of the articulatory motor and the ability of control of the respiration and laryngeal for spastic dysarthria by acoustic analysis. The sustained of vowel /a/ and repetition of syllable /pa/ in 15 normal and 10 spastic dysarthria were measured. Multi-Speech, MDVP, and MSP were used for data recording and analysis. As a result, the mean DDK rate in the spastic group was significantly slower than in the normal. The maximum phonation time in the spastic group ($4.80{\pm}1.94$) was shorter than in the normal ($11.20{\pm}3.72$). The DDKjit in the spastic group was significantly higher than in the normal. The DDKsla was reduced in the spastic group. The mean syllable duration in the spastic group (146.2ms) was significantly longer than in the normal (75.8ms). The mean energy was reduced in the spastic group. The range of Fo was greater than in the normal. The frequency perturbation (jitter, vFo) and amplitude perturbation (shimmer, vAm) were higher than in the normal group. The NHR was higher than in the normal group. The parameters of this were significantly difference between the spastic dysarthria and the normal (p<0.05). Finally, the spastic dysarthria has short respiration, slow speech rate, and voice quality problem. The these results will help to establish a plan and the intervention of treatment.

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Voice Analysis and Videostroboscopic Findings before and after Laryngomicrosurgery of Intracordal Cysts (성대낭종환자에서의 후두미세수술전후의 음성언어분석비교)

  • 고윤우;배정호;윤현철;정태영;김광문;최홍식
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.11 no.1
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    • pp.12-19
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    • 2000
  • Background and Objectives : Dysphonia may be secondary to many different type of benign vocal cord lesions such as vocal polyp, vocal nodule, Reinke's edema, and intracordal cyst. Diagnosis and treatment of intracordal cysts are more difficult than other benign vocal cord lesions. But postoperative voice analysis of intracordal cyst have rarely been reported in the literature. The purpose of this study is to analyze aerodynamic and acoustic results and videostroboscopic findings before and after laryngomicrosurgery. Materials and Methods : We reviewed the pre and post-operative voice analysis results and videostroboscopic findings of 15 surgically treated patients of intracordal cysts at Severance hospital from Jun. 1997 to Nov. 1999 retrospectively. They were diagnosed with videostroboscopic findings, surgical findings, and pathologic reports. Their pre and post-operative speech were analyzed with MDVP(Multi Dimension Voice Analysis Program) of CSL(Computerized Speech Lab) and Aerophone II. Their pre and post-operative mucosal wave of true vocal cord was analyzed with videostroboscopy. In order to compare this results with normal group, 10 of normal persons were evaluated with same methods. Results : After the operation, mucosal wave of true vocal cord was improved in all patients. Postoperative acoustic and aerodynamic results were improved in almost parameters, but they did not reach the normal value. Conclusions : Videostroboscopy was essential in diagnosing intracordal cysts. By comparing the acoustic and aerodynamic results and video-stroboscopic findings before and after the laryngomicrosurgery, postoperative vocal function was defined more accurately and objectively. Almost parameters may be useful in assessing the quantitative changes in vocal quality before and after the laryngomicrosurgery.

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The Effect of Accent Method in Treating Vocal Nodule Patients (성대결절 환자에서 액센트 치료법의 효과)

  • Kwon, Soon-Bok;Kim, Yong-Ju;Jo, Cheol-Woo;Jun, Kye-Rok;Lee, Byung-Joo;Wang, Soo-Geun
    • Speech Sciences
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    • v.8 no.4
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    • pp.87-98
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    • 2001
  • Vocal nodule is one of the representative chronic diseases of vocal folds, and it can be cured by surgical removal or voice therapy. The aim of this study is to evaluate the effect of the accent method, one of the popular effective voice therapy, in the patients with vocal nodule. Authors executed the accent method in 17 patients with vocal nodule who visited the Voice & Speech Therapy Clinic, Pusan National University Hospital analysed the voice before and after treatment using the local findings, acoustic analysis and aerodynamic analysis MPT. The voice was analysed with MDVP of CSL and MPT was checked using stop watch. The parameters included Fo, Jitter, Shimmer and noise to harmonic ratio(NHR) as acoustic analysis. The results were obtained as follows. In the evaluation by the local findings, it was improved to 77% in the patients of vocal nodule. Jitter and Shimmer were shown to be improved significantly. In particular, it was shown to be improved significantly in patients with vocal nodule. As the result of this study, the improvement of aerodynamic aspect was more statistically significant than that of acoustic parameters. When I generalized the above mentioned results, we suggest that it is a useful voice therapy which can be helpful to the improvement of voice, applying the accent method to the vocal nodule patients, and there are currently many methods to be used in the voice therapy, but it is thought which the accent method is the good treatment as the alternatives of keeping the continuous medical treatment.

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The Acoustic Study on the Voices of Korean Normal Adults (한국 성인의 정상 음성에 관한 기본 음성 측정치 연구)

  • Pyo, H.Y.;Sim, H.S.;Song, Y.K.;Yoon, Y.S.;Lee, E.K.;Lim, S.E.;Hah, H.R.;Choi, H.S.
    • Speech Sciences
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    • v.9 no.2
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    • pp.179-192
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    • 2002
  • Our present study was performed to investigate acoustically the Korean normal adults' voices, with enough large number of subjects to be reliable. 120 Korean normal adults (60 males and 60 females) of the age of 20 to 39 years produced sustained three vowels, /a/, /i/, and /u/ and read a part of 'Taking a Walk' paragraph, and by analyzing them acoustically with MDVP of CSL, we could get the fundamental frequency ($F_{0}$), jitter, shimmer and NHR of sustained vowels: speaking fundamental frequency ($SF_{0}$), highest speaking frequency (SFhi), lowest speaking frequency (SFlo) of continuous speech. As results, on the average, male voices showed 118.1$\sim$122.6 Hz in $F_{0}$, 0.467$\sim$0.659% in jitter, 1.538$\sim$2.674% in shimmer, 0.117$\sim$0.114 in NHR, 120.8 Hz in $SF_{0}$, 183.2 Hz in SFhi, 82.6 Hz in SFlo. And, female voices showed 211.6∼220.3 Hz in F0, 0.678∼0.935% in jitter, 1.478∼2.582% in shimmer, 0.098∼0.114 in NHR, 217.1 Hz in $SF_{0}$, 340.9 Hz in SFhi, 136.0 Hz in SFlo. Among the 7 parameters, every parameters except shimmer showed the significant difference between male and female voices. And, when we compared the three vowels, they showed significant differences one another in shimmer and NHR of both genders, but not in $F_{0}$ of males and jitter of females.

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A Basic Study on the Differential Diagnostic System of Laryngeal Diseases using Hierarchical Neural Networks (다단계 신경회로망을 이용한 후두질환 감별진단 시스템의 개발)

  • 전계록;김기련;권순복;예수영;이승진;왕수건
    • Journal of Biomedical Engineering Research
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    • v.23 no.3
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    • pp.197-205
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    • 2002
  • The objectives of this Paper is to implement a diagnostic classifier of differential laryngeal diseases from acoustic signals acquired in a noisy room. For this Purpose, the voice signals of the vowel /a/ were collected from Patients in a soundproof chamber and got mixed with noise. Then, the acoustic Parameters were analyzed, and hierarchical neural networks were applied to the data classification. The classifier had a structure of five-step hierarchical neural networks. The first neural network classified the group into normal and benign or malign laryngeal disease cases. The second network classified the group into normal or benign laryngeal disease cases The following network distinguished polyp. nodule. Palsy from the benign laryngeal cases. Glottic cancer cases were discriminated into T1, T2. T3, T4 by the fourth and fifth networks All the neural networks were based on multilayer perceptron model which classified non-linear Patterns effectively and learned by an error back-propagation algorithm. We chose some acoustic Parameters for classification by investigating the distribution of laryngeal diseases and Pilot classification results of those Parameters derived from MDVP. The classifier was tested by using the chosen parameters to find the optimum ones. Then the networks were improved by including such Pre-Processing steps as linear and z-score transformation. Results showed that 90% of T1, 100% of T2-4 were correctly distinguished. On the other hand. 88.23% of vocal Polyps, 100% of normal cases. vocal nodules. and vocal cord Paralysis were classified from the data collected in a noisy room.

The Effect of the Treatment on the Pre- and Post Respiration and the Oral Motor for Children with Cerebral Palsy by Acoustic Analysis (음향학적 분석을 통한 뇌성마비 아동의 호흡 및 구강 운동 전.후 치료 효과)

  • Kim, Sook-Hee;Kim, Hyun-Gi;Shin, Yong-Il
    • Speech Sciences
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    • v.15 no.2
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    • pp.131-141
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    • 2008
  • The purpose of this study was to find out the acoustic variation on the pre-and post respiration and oral motor for children with cerebral palsy. Five children with spastic CP at the age of 6 in average were practiced by a caregiver at home each for 25 minutes, in total, 45 times. The sustained of vowel /a/ and vowels /a/, /i/, /u/, /e/, /o/ were recorded on CSL and MDVP and analyzed by acoustic parameters. As a result, the maximum phonation time(MPT) was increased from 2.06 to 6.31 and the formant of vowels(F1, F2, F3) had significant differences in F1(/a, i/), F2(/i.u.o/), and F3(/a/) between the controls and the children with CP in pre-treatment. The total average value of vowels had significant differences between the pre-and post-treatment (p< .05). The energy of vowels had significant differences in the vowels /i, u, e, o/ and the total average value between the pre-and post-treatment(p< .001). The jitter percent, shimmer percent, and noise to harmonic ratio had significant differences between the pre-and post-treatment(p< .05). As the respiration and the oral motor improved MPT, voice quality, and articulation of vowel, and the variation of the formant(F1, F2, F3) showed the changes in the shape of lips, the place and the height of the tongue, the various development of therapy programs and the consistent intervention of treatment is needed for the children with cerebral palsy.

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