• Title/Summary/Keyword: Speech Disorder

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Speech Perception Ability of Schizophrenics - A Comparative Study with Depressives & Normal Control - (정신분열병환자의 언어지각 능력 - 우울증 환자군, 정상인과의 비교 연구 -)

  • Chung, Young-Cho;Lee, Soon Jeong;Lee, Seung-Hwan
    • Korean Journal of Biological Psychiatry
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    • v.9 no.2
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    • pp.112-119
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    • 2002
  • Object:This study was to investigate the difference of speech perception ability in schizophrenic patients, and depression patients in order to explore trait-dependent speech perception ability of each disorder. Methods:The speech perception ability was assessed with masked speech tracking test(MST) in schizophrenic patients(N=31), depression patients(N=25), and normal controls(N=21). The continuous performance test(CPT) and sentence repetition test(SRT) were also used for assessment of attention and working memory. Results:The schizophrenic patients showed significant impaired MST performance, compared with depressive patients and normal controls. The performances of CPT and SRT were also more impaired in schizophrenic patients. The difference of MST performances between two patient group was cancelled out after consideration of differences in CPT & SRT performances. Conclusions:These results imply that schizophrenic patients have the impaired speech perception ability compared with depressive patients and normal controls. But speech perception ability was significantly influenced with CPT and SRT. For evaluation of pure speech perception ability, the more elaborate controlled study that excluded factors such as attention, working memory and intelligence is needed.

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A STUDY ON SPEECH PROBLEMS IN PATIENTS WITH VELOPHARYNGEAL INCOMPETENCY (연구개(軟口蓋) 인두간(咽頭間) 폐쇄부전(閉鎖不全)(Velopharyngeal Incompetency) 환자(患者)에 있어서 발음(發音) 장애(障碍)에 관한 연구(硏究))

  • Choi, Jin-Young;Min, Byoung-il
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.1_2
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    • pp.22-39
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    • 1992
  • The purpose of this study was to evaluate hypernasality, nasal air emission, glottal stop, articulation disorder in patients with velopharyngeal incompetency(V.P.I.) and to analyze speech improvement after pharyngoplasty. In this study 61 patients with velopharyngeal incompetency were tested, and in patents with pharyngoplasty speech problems before pharyngoplasty were compared with those after pharyngoplasty. The results obtained are as follows : 1. There are few speech problems in pronouncing the vowel sounds. 2. There are many speech problems in pronouncing the pressure sounds and few speech problems in non-pressure sounds. 3. Speech problems in patients with cleft palate are influenced not by anatomical defect but by severity of velopharyngeal incompetence after palatorrhaphy. 4. Operation methods which decrease the velopharygeal incompetence must be considered for reducing the speech problems. 5. Among the 61 cases with V.P.I. 19 cases(31%) showed nasal air emission and 24 cases(39%) showed glottal stop. 6. Pharyngoplasty is of benefit to primary precipitating components such as hypernasality, nasal air emission but of no benefit to secondary compensating component such as glottal stop. 7. There as no significant difference in speech improvement between pre-and post-pharyngoplasty(p<0.05).

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A CLINICAL STUDY OF PALATAL LIFT FOR TREATMENT OF VELOPHARYNGEAL INCOMPETENCY (Palatal lift를 이용한 비인강폐쇄부전환자의 임상적 치험례)

  • Yoon, Bo-Keun;Ko, Seung-O;Shin, Hyo-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.1
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    • pp.92-96
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    • 2001
  • Velopharyngeal function refers to the combined activity of the soft palate and pharynx in closing and opening the velopharyngeal port to the required degree. In normal speech, various muscles of palate & pharynx function as sphincter and occlude the oropharynx from the nasopharynx during the production of oral consonant sounds. Inadequate velopharyngeal function caused by neurologic disorder - cerebral apoplexy, regressive diseases - disseminated sclerosis, Parkinson's disease, congenital deformity - cleft palate, cerebral palsy and etc. may result in abnormal speech characterized by hypernasality, nasal emission and decreased intelligibility of speech due to weak consonant production. In our study, we constructed speech aids prosthesis - Palatal lift in acquired idiophathic VPI patient and assessed velopharyngeal function with various diagnostic instruments which can evaluate the speech characteristics objectively.

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A Study on the Speech Intelligibility of Voice Disordered Patients according to the Severity and Utterance Level (음성장애의 중증도와 발화 수준에 따른 말 명료도의 변화 연구)

  • Pyo, Hwa-Young
    • Speech Sciences
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    • v.15 no.2
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    • pp.101-110
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    • 2008
  • The purpose of this study was to investigate the speech intelligibility of voice disordered patients when we consider the severity and utterance level as variables. Based on the severity level, 12 patients were divided into three groups, G1, G2, and G3 group, respectively. Words, phrases and sentences produced by the speakers were judged by four listeners with normal hearing, and we compared the intelligibility scores of the three groups. As a result, the speech intelligibility was decreased as the severity level was increased, and the difference was statistically significant. However, the mean difference among words, phrases and sentences was not significant, and the variation of intelligibility according to the utterance level was not under the regular rules.

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A VOWEL TRAJECTORY DISPLAY FOR SPEECH TRAINING

  • Kido, Ken'iti;Tanahashi, Kenji;Ohuchi, Yasuhiro
    • Proceedings of the Acoustical Society of Korea Conference
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    • 1994.06a
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    • pp.971-976
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    • 1994
  • A speech display system is developed for the evaluation and the training of speech utterance. The speech is analyzed by linear predictive technique every 5 ms and the frequencies of the lowest two spectral local peaks P1 and P2 are extracted. The vowel trakectory is displayed using those frequencies on th P1-P2 plane. In most cases, P1 and P2 correspond to the first and the second formants, but in the case of indistinct utterance, the correspondence between the local spectral peaks and the formants tends to fall into disorder. And the system is considered to be useful for the evaluation of speech quality. The examples of some words uttered by normal speakers and some patients with difficulty in utterance are compared each other for the discussion of the effectiveness of the system.

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Effects of Metaphon Intervention on a Phonological Ability of Preschool Children with Articulation-Phonological Disorders (상위음운 중재가 취학 전 조음음운장애 아동의 음운 능력에 미치는 효과)

  • Shin, Ju-Young;Seok, Dong-Il;Park, Hee-Jung
    • Speech Sciences
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    • v.13 no.3
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    • pp.169-183
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    • 2006
  • The purpose of this study was to find an effect of Metaphon Intervention on the improvement of speech intelligibility of preschool children with articulation-phonological disorders. Subjects were 4 preschool children with articulation-phonological disorders. A multiple baseline design across subjects was used to examine the effect of the program. The program consisted of 2 steps. The first step was composed of concept level, sound level, phoneme level, and word level. The second step was on sentence level. Results were as follows: First, metaphon ability of all subjects was improved after the Metaphon Intervention. Second, speech intelligibility of all subjects was improved after Metaphon Intervention. From the results above, Metaphon Intervention can be effective to improve not only phonological awareness and metaphon but also overall speech intelligibility of preschool children with articulation-phonological disorders.

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Report on Seven Cases on Patients with Autism Spectrum Disorder Treated by Kwakhyangjungkisanhapyukmijihwangtang-gamibang (곽향정기산합육미지황탕가미방(藿香正氣散合六味地黃湯加味方)을 처방한 자폐스펙트럼장애 환아 7례)

  • Lee, Ji Na;Kim, Deog Gon;Lee, Jin Yong
    • The Journal of Pediatrics of Korean Medicine
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    • v.29 no.1
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    • pp.50-59
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    • 2015
  • Objectives The purpose of this study is to report seven cases of autism spectrum disorder treated by oriental medicine. Methods Seven patients who are diagnosed with autism spectrum disorder were treated with herbal medicine (Kwakhyangjungkisanhapyukmijihwangtang-gamibang), and the effect was measured. Results After the treatment, cognitive skill, speech, motor function, communication skill, and the patients' general conditions have gotten better. Conclusions This study has shown that the oriental medical treatment for autism spectrum disorder was effective, but further studies are needed.

Speech Therapy for Functional Articulation Disorders Using the Dynamic Palatogram - improvement of lateralized /ㅅ/- (Dynamic Palatogram을 이용한 기능적 구음장애의 언어치료가 음성 지표에 미치는 영향)

  • 박혜숙;최홍식;김광문;신미성
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.5 no.1
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    • pp.29-37
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    • 1994
  • We report the clinical treatment experience of a case with severe lateralization articulation disorder especially in /ㅅ/, who was treated with using a dynamic palatogram. The patient was 16-year-old male patient and he was taken several attempts of traditional speech therapy without improvement The authors tried to treat him with newly designed dynamic palatogram for two period with good results. We are going to review brief clinical experience with the patient and discuss the effectiveness and indications of the dynamic palatogram. In this study, we can summarize the effect of treatment as follows; Lateralization of the /ㅅ/ was improved markedly with using the dynamic palatogram, and we thought the improvement was achieved mainly by visual feedback control.

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Screening of Voice Disorder using Source Parameter Model and Artificial Neural Network (음원 파라미터 모델과 인공신경망을 이용한 음성장애 검출)

  • Chytil, Pavel;Jo, Cheol-Woo;Pavel, Misha
    • Speech Sciences
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    • v.15 no.2
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    • pp.89-97
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    • 2008
  • There is a number of clinical conditions that affect directly or indirectly the physical properties of the vocal folds and thereby the pressure waveforms of elicited sounds. If the relationships between the clinical conditions and the voice quality are sufficiently reliable, it should be possible to detect these diseases or disorders. The focus of this paper is to determine the set of features and their values that would characterize the speaker's state of vocal folds. To the extent that these features can capture the anatomical, physiological, and neurological aspects of the speaker they can be potentially used to mediate an unobtrusive approach to diagnosis. We will show a new approach to this problem supported with results obtained from two disordered voice corpora.

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Phonological Analysis of Phonological Disorders and Normal Children by Whole-Word Approach (단어 단위 접근법을 이용한 음운장애 아동과 정상 아동의 음운 분석)

  • Kim, Young-Eun;Choi, Sung-Il;Park, Sang-Hee
    • Speech Sciences
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    • v.13 no.4
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    • pp.143-155
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    • 2006
  • Recently, many researchers have been interested in children with phonological disorders. The purpose of this study was to examine those children in comparison with normal children and to find better assessment criteria of the whole-word approach. Three children with phonological disorders and three normal children of 5 to 7 years old participated in the picture description tasks. Results of this study were as follows: there was a significant difference in the whole-word assessment between normal and phonological disorder children. Such criteria as whole-word correctness, whole-word complexity, whole-word intelligibility proved to be good for diagnosing children's phonological disorders. Further studies would be desirable to apply the approach to more children of various age groups.

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