• 한국콘텐츠학회논문지
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• 제19권4호
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• pp.207-217
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• 2019

본 연구는 3~6세의 언어장애아동을 대상으로 일상적 스크립트를 활용한 언어중재에서 양육자와 언어재활사가 인식하는 우선적 중재가 필요한 주요 의사소통 상황을 분석하는데 목적이 있었다. 예비조사와 본 설문조사를 거쳐 수집한 데이터를 계층분석 (AHP)을 사용하여 분석하였다. 그 결과, 3개의 상위 상황 중에서 양육자는 '교육사회생활' 그리고 언어재활사는 '가정생활'을 가장 우선적인 상황으로 선택하였다. 상위별 하위상황의 경우, '가정생활'에서는 '식사', '교육사회생활'에서는 '친구와 놀기'가, 그리고 '여가문화생활'에서는 '놀이터'가 중요한 의사소통 상황으로 인식되었다. 전체 35개의 하위 상황에서 양육자는 '친구와 놀기' 그리고 언어재활사는 '식사'를 선택하였으며, 상위 5순위의 상황을 살펴보면 양육자와 언어재활사 모두 '가정생활'의 상황들이 높은 중요도 비율을 보였다. 아동연령별로 양육자 인식을 분석한 결과, 3세와 6세의 각 양육자 집단은 '가정생활' 그리고 4세와 5세의 각 양육자 집단은 '교육사회생활'을 가장 중요한 상위 상황으로 보았다. 전체 하위상황에서도 아동의 연령별로 양육자의 주요 상황에 대한 우선순위 인식에서 약간의 차이를 보였다. 본 연구결과는 언어재활사가 스크립트를 활용한 언어중재를 실시할 때 아동의 연령과 발달수준 뿐만 아니라 양육자의 요구를 고려한 의사소통 상황의 선정이 필요함을 시사한다.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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• pp.270-273
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• 2007

The purpose of this study was to evaluate the effects of multisensory(AVK: Auditory, Visual and Kinethetic) treatment on reading pronunciation with phonological prcessing - tensification, palatalization, and lateralization for the middle school students with delayed language development caused by mental retarded. Participants were three children with reading pronunciation difficulties in phonological processing. The following conclusions were arrived. First, three children are improved on tensifiication, palatalization, and lateralization by multisensory treatment program. Second, multisensory treatment was effective in facilitating generalization. Three children presented prominent generalization effcects in lateralization. Third, they were found to maintain partially their performance rates of the later phase of the reading with phonological processing intervention three weeks after the termination of the intervention.

• 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.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.23.1-23.6
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• 2018

Background: Velopharyngeal insufficiency that accompanies speech resonance and articulation disorders can be managed through several intervention methods such as speech-language therapy, prosthetic aids, and surgery. However, for patients with severe hypernasality, surgical interventions are highly recommended. Among available surgical techniques, the posterior pharyngeal flap is most common. Case presentation: Two adult males with high nasalance scores underwent superiorly based posterior pharyngeal flap surgery, followed by speech testing by an expert speech-language therapist. Nasalance scores and articulation accuracy were assessed up until 1 year after the surgery. Nasalance scores were measured five times using a nasometer, after which the average value was calculated. Conclusions: Consistent declines in hypernasality over time are not easy to explain since the pedicled pharyngeal flap narrowed over time, secondary to cicatrization. However, scar tethering of the soft palate in a posterior direction could reduce the velopharyngeal port size over time. Therefore, long-term follow-up with intensive speech therapy is suggested for patients with severe hypernasality.

• 말소리와 음성과학
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• 제13권2호
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• pp.77-90
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• 2021

본 연구는 국외에서 개발된 비단어 중재접근법을 수정 및 보완하여 한국어 비단어 중재접근법을 확립하고, 아동기 말실행증 아동에게 직접 적용하여 그 효과를 확인하기 위해 실시되었다. 궁극적인 목적은 비단어를 이용한 중재가 아동기 말실행증의 말운동프로그래밍 능력을 개선시켜 비단어 산출 및 단어로의 일반화에 효과적인지 알아보기 위함에 있다. 중재는 아동기 말실행증의 진단 특성을 보이는 5세 6개월의 남아를 대상으로, ABA설계를 사용한 단일대상연구를 실시하였다. 중재에 사용된 비단어는 아동 맞춤형으로 제작하였으며, 한 회기당 60분씩 주 2회로, 총 12회기를 실시하였다. 그 결과 중재한 3음절 비단어의 모든 지표가 향상되었으며, 중재하지 않은 3음절, 4음절 비단어 및 단어로의 일반화를 확인하였다. 단, 단어로의 일반화 효과는 비단어로의 일반화 효과에 비해 미비하였다. 비단어 중재는 대상 아동의 말운동프로그래밍 능력을 개선시키는데 효과적이었다. 그 결과 운동프로그래밍 손상에 기인한 전환 오류가 크게 감소하였고, 중재하지 않은 비단어의 산출 능력이 큰 폭으로 증가하였다. 그러나 강력하게 습관화된 단어 오류를 완전히 개선시키는 데에는 한계가 있었으며, 이는 보다 집중적이고 반복적인 중재 일정을 제공했을 때 기대할 수 있는 결과일 것이다.

• 말소리와 음성과학
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• 제6권2호
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• pp.65-71
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• 2014

The purpose of this study was to investigate whether young children with cleft palate differ from those of noncleft typically developing children in terms of expressive vocabulary size, phonological characteristics and lexical selectivity. A total of 12 children with cleft palate and 12 noncleft children who were matched by age and gender participated in the study. The groups were compared by size of expressive vocabulary reported on Korean version of MacArthur-Bates Communicative Development Inventories and the number of different words, consonant inventory, the percentage of words beginning with obstruents and vowels, nasal, and glottal sounds, and the percentage of words which do not include obstruents in a language sample. Also, correlation analysis were performed to examine the relationship between measures on size of expressive vocabulary and phonological characteristics. The results showed that expressive vocabulary size and consonant inventory for children with cleft palate produced significantly smaller than those for noncleft children. Children with cleft palate produced significantly more words beginning with vowel or which do not include obstruents, and fewer words beginning with obstruents than noncleft children. The two groups showed different results on significant correlations between measures on size of expressive vocabulary and phonological characteristics indicating that children with cleft palate show different lexical selectivity from their noncleft peers. The results suggest that children with cleft palate aged 18-30 months demonstrate a slower rate of lexical and phonological development compared with their noncleft peers and they develop lexical selectivity reflecting cleft palate speech. The results will have a clinical implication on speech-language intervention for young children with cleft palates.

• 말소리와 음성과학
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• 제5권1호
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• pp.27-38
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• 2013

Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2003년도 10월 학술대회지
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• pp.169-172
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• 2003

The purpose of this study was to provide preliminary data on the acoustical differences of one syllable words spoken by speakers with different language backgrounds. 20 native speakers of Korean and English were asked to read 7 one-syllable words written in their native language. The phonetic and phonemic characteristics of 7 words were similar between two languages. The ratio of duration of the body (onset+nucleus) and the rhyme(nucleus+coda) relative to the duration of each syllable were calculated using CSL (Computerized Speech Laboratory). The results corresponds to the body-coda structure of the Korean syllable which is supported by the recent experimental psychological studies. More acoustic studies on the Korean syllable structure are required to establish clinical foundation for the phonological awareness and the reading intervention programs.

• 말소리와 음성과학
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• 제7권3호
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• pp.175-181
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• 2015

This study aims to compare the differences between 'consonant inventory size' and 'phonological variability' in order to examine the phonological development and characteristics of the late-talkers and typically developing expressive language agematched children and to consider the correlations between them. The study participants included fifteen late-talkers and fifteen typically developing expressive language age-matched children(TED group). The results are as follows. First, as regards consonant inventory size, there was a significant difference between late-talkers and TED group. The late-talkers' consonant inventory size was less than TED group. Second, as regards phonological variability, there was a significant difference between late-talkers and TED group. The late-talkers' phonological variability was higher than TED group. Third, in the case of late-talkers, there was no significant correlation between consonant inventory size and phonological variability; however in the case of TED group, there was a significant negative correlation between consonant inventory size and phonological variability. Therefore, phonological ability should be considered in evaluation and intervention of late-talkers.

• 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.