• 대한후두음성언어의학회지
• /
• 제20권1호
• /
• pp.57-62
• /
• 2009

Background and Objectives : There are few studies reported that specifically examine the laryngeal function in patients with profound hearing loss or deafness, This study was designed to examine videostroboscopic findings and phonetic characteristics in adult patients with prelingually deaf. Materials and Method: Sixteen patients (seven males, nine females) diagnosed as prelingually deaf aged from 19 to 54 years, and were compared with a 20 normal control group with no laryngeal pathology and normal hearing group, Videostroboscopic evaluations were rated by experienced judges on various parameters describing the structure and function of the laryngeal mechanism during comfortable pitch and loudness phonations. Acoustic analysis test were done, and a nasalance test performed to measure rabbit, baby, and mother passage. CSL were measured to determine the first and two formant frequencies of vowels /a/, /i/, /u/, Statistical analysis was done using Mann-Whitney U or Wilcoxon signed ranks test. Results: Videostroboscopic findings showed phase symmetry but significantly more occurrences decrement in the amplitude of vibration, mucosal wave, irregularity of the vibration and increased glottal gap size during the closed phase of phonation, In addition, group of prelingually deaf patients were observed to have significantly more occurrences of abnormal supraglottic activities during phonation. The percentage of shimmer in the group of prelingually deaf patients were higher than in the control group. Characteristics of vowels were lower of the second formant of the vowel /i/. Nasalance in prelingually deaf patients showed normal nasality for all passages, Conclusion: Prelingually deaf patients show stroboscopic abnormal findings without any mucosal lesion, suggesting that they have considerable functional voice disorder. We suggest that prelingually deaf adults should perform vocal training for normalized laryngeal function after cochlear implantation.

• 음성과학
• /
• 제8권4호
• /
• pp.109-118
• /
• 2001

This study was designed to evaluate the phonological characteristics in profound hearing-impaired children. 10 males and 10 females participated in this study and all were prelingually hearing impaired. 7 children were educated at deaf school and 13 children at general elementary school with private clinic. Their hearing levels were more than 95dB HL and did not appear any wave by ABR. The results can be summarized as following: The articulation accuracy of hearing impaired children was 54.19% and most distinguished phonological patterns of the hearing impaired children were alveolarization and stop assimilation. The accurate articulation phonation was significantly different from education system between deaf school and general school. The error articulation degrees in profound hearing impaired children at general school seemed meaningfully smaller than those in hearing impaired children at deaf school.

• 대한후두음성언어의학회지
• /
• 제7권1호
• /
• pp.39-42
• /
• 1996

본 연구는 농자의 음성의 주파수 변동율(jitter) 진폭 변동율(shimmer)을 4가지 발성 상황에서 분석하였다. 32명의 남자 피험자와 27명의 여자 피험자가 자진하여 실험에 참여하였다. 남자 피험자의 연령 범위는 6세-18세, 여자 피험자의 연령 범위는 8세-21세였다. 피험자들은 선천적인 농이거나 언어발달 이전에 농자가 되었다 4가지의 발성 상황이란 /a/를 연장발성 하는 것, 수를 1에서 10까지 헤아리는 것, '산책'이라는 문단을 낭독하는 것, 대화 시 발성 등을 말한다. 실험에 사용된 기구는 CSL Visi-Pitch Model 6095(Kay Elemetrics Corp.)이었다. 주파수 변동율 평균치와 진폭 변동을 평균치 모두 보고된 역치(표준 자료)보다 높았다 또한 본 연구는 주파수 변동율과 진폭 변동율이 성별과 발성상황에 따라 변하는지 규정하기 위하여, 2가지의 2원 변량분석 (2-factor ANOVA)을 실시하였다. 결과는 다음과 같다. 첫째 성별은 주파수 변동율에는 영향을 미치지 않지만 진폭 변동율에는 영향을 미쳤다. 남자 피험자의 진폭 변동율이 여자 피험자의 진폭 변동율에 비해 높았다. 둘째, 발성상황은 주파수 변동율과 진폭 변동율 모두에 영향을 주었다. /a/ 연장발성과 낭독에서는 수 헤아리기와 대화상황에서보다 주파수 변동율이 낮았다. /a/ 연장발성에서는 나머지 상황에 비하여 진폭 변동율이 낮았다. 마지막으로, 성별과 발성상황간의 상호작용(interaction)은 발견되지 않았다.