• 디지털융복합연구
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• 제19권2호
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• pp.447-456
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• 2021

본 연구는 1984년부터 2020년까지 국내·외 프롬프트(Prompts for Restructuring Oral Muscular Phonetic Targets, PROMPT) 관련 연구를 분석하여 우리말에 적합한 프롬프트 프로그램 개발에 필요한 기초자료를 마련하고자 한다. 연구 대상은 1984년부터 2020년까지의 프롬프트 치료기법과 관련된 국외 연구 27편과 국내 연구 1편을 분석하였다. 분석한 결과, 프롬프트 연구가 처음 시작된 1984년부터 지속적으로 연구가 이루어지고 있으며, 연구방법은 중재연구가 16편으로, 말소리장애가 가장 많았으며 대상 연령은 3-5세로 유아기를 대상으로 가장 많이 실시되었다. 중재프로그램은 16회기가 가장 많았으며, 중재프로그램 활동은 무발화 자폐스펙트럼장애 대상을 제외하고 운동구어계층(Motor Speech Hierarchy, MSH)을 토대로 이루어졌다. 종속변인을 분석한 결과, '구어산출'이 가장 많았으며, '말 운동제어', '조음', '구어명료도' 순으로 높게 나타났다. 지금까지의 연구를 종합해보면 국외에서는 구어산출에 직접적인 도움을 주는 운동 구어 치료법인 프롬프트가 효과적으로 쓰이고 있다. 그러나 국내에서는 현재까지 우리말에 알맞은 프롬프트 프로그램 개발 및 연구가 부족한 실정이다. 그러므로 본 연구를 통해서 국내 말·언어장애 아동에게 프롬프트를 적용하여 구어산출 및 조음에 도움을 줄 수 있는 우리말 프롬프트 프로그램 개발이 필요하다는 것을 시사한다고 볼 수 있다.

• Archives of Plastic Surgery
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• 제38권2호
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• pp.203-206
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• 2011

Purpose: Kabuki syndrome is a multiple malformation syndrome that was first reported in Japan. It is characterized by distinctive Kabuki-like facial features, skeletal anomalies, dermatoglyphic abnormalities, short stature, and mental retardation. We report two cases of Kabuki syndrome with the surgical intervention and speech evaluation. Methods: Both patients had velopharyngeal insufficiency and had a superior based pharyngeal flap operation. The preoperative and postoperative speech evaluations were performed by a speech language pathologist. Results: In case 1, hypernasality was reduced in spontaneous speech, and the nasalance scores in syllable repetitions were reduced to be within normal ranges. In case 2, hypernasality in spontaneous speech was reduced from severe level to moderate level and the nasalance scores in syllable repetitions were also reduced to be within normal ranges. Conclusion: The goal of this article is to raise awareness among plastic surgeons who may encounter such patients with unique facial features. This study shows that pharyngeal flap operation can successfully correct the velopharyngeal insufficiency in Kabuki syndrome and post operative speech therapy plays a role in reinforcing surgical result.

• 재활복지공학회논문지
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• 제11권1호
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• pp.9-14
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• 2017

학령 전기 아동은 옹알이 단계부터 8세까지 모국어의 음운 체계를 습득하고 정상적으로 산출한다. 이 시기 청력손실은 외부 소리 자극을 수용하는데 어려움이 따른다. 청각적 수용의 문제는 언어 습득 및 발달을 지체시키고, 의사소통 장애를 일으킬 수 있다. 이외에도 학습, 사회성, 정서 발달 등에도 영향을 준다. 청력 손실은 조기 선별과 진단 및 중재가 중요하다. 그러나 그 정도가 낮거나 특정 음역에 국한된 경우 발견이 어려울 수 있고, 발견하더라도 재활 중재로 연결되기 어려운 경우가 많다. 이 연구는 학령 전기 아동에서 나타난 경도 및 중등고도 대칭성 고음급추형 감각신경성 난청의 사례를 청각학적 평가 결과 해석과 함께 의사소통 관련 문제를 분석하고, 청각 언어병리학적 재활 방향 등을 고찰하고자 한다.

• Clinical and Experimental Pediatrics
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• 제50권1호
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• pp.7-13
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• 2007

Hearing loss in newborns is the most frequently occurring birth defect. If hearing impaired children are not identified and managed early, it is difficult for many of them to acquire the fundamental language, social and cognitive skills that provide the foundation for later schooling and success in society. All newborns, both high and low risk, should be screened for hearing loss in the birth hospital prior discharge (Universal Newborn Heaing Screening, UNHS). Objective physiologic measures must be used to detect newborns and very young infants with hearing loss. Recent technological developments have produced screening methods and both evoked otoacoustic emission (EOAE) and auditory brainstem response (ABR) have been successfully implemented for UNHS. Audiologic evaluation should be carried out before 3 months of age and infants with confirmed hearing loss should receive intervention before 6 months of age. All infants who pass newborn hearing screening but who have risk indicators for other auditory disorders and/or speech and language delay receive ongoing audiologic surveillance and monitoring for communication development. Infants with sensorineural hearing loss are managed with hearing aids and receive auditory and speech-language rehabilitation therapies. Cochlear implants can be an outstanding option for certain children aged 12 months and older with severe to profound hearing loss who show limited benefit from conventional amplifications.

• 대한음성학회지:말소리
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• 제56호
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• pp.127-134
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• 2005

Although the narrative development and the acquisition of the Korean grammatical morphemes by monolingual Korean-speaking children have been studied extensively, little is known about the narrative characteristics and the processes through which native speakers of other languages (L2 speakers) use the Korean grammatical morphemes. To understand the similarities and differences between L1 and L2 narrative skills and Korean grammatical morpheme use, 13 native Chinese-speaking college students who are learning Korean as a second language were studied. L2 participants used significantly fewer words, subordinate clauses, connective morphological endings, and pronouns per T-unit. Their speech also illustrated significantly more omission and confusion (substitution) errors in the use of auxiliary words and verb endings. Some of the syntactic and morphological factors need to be considered for the intervention of speakers with limited Korean proficiency.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권1호
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• pp.2-15
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• 2022

Objectives: Children with attention-deficit/hyperactivity disorder (ADHD) tend to be noisy and violate rules with their disruptive behaviors, resulting in greater difficulties with off-task behaviors and being at risk for social refusal. The visual activity schedule (VAS) intervention program is a frequently used method to teach multiple skills involving on-task, use of schedules, transition behaviors, social initiation, independent play skills, classroom skills, and academic skills. The current systematic review aimed to examine the efficacy of using VAS intervention in reducing problem behaviors in children with ADHD between 5 and 12 years of age. Methods: Systematic searches were conducted using two electronic databases (PubMed and Scopus) to identify relevant studies published in English between 2010 and 2020. Four studies met the inclusion criteria: two studies examined the effect of schedule-based tasks and the use of an iPad on classroom skills, while the other two examined randomized clinical trials (RCTs) of psychosocial treatment for ADHD inattentive type and a cross-sectional study examined the impact of the group size on task behavior and work productivity in children with ADHD. Results: The findings indicate that the interventions used in all four studies could lead to increased satisfaction among participants and parents, as well as a reduction in problem behavior. In terms of the research indicators, the RCT had low quality, while the others were of high quality. Conclusion: A larger number of studies and the ADHD clinical population would help to increase the generalizability of future reviews of treatments in this context.

• 말소리와 음성과학
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• 제9권2호
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• pp.125-135
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• 2017

The current study examines PCC (percentage of correct consonant), speech intelligibility, and oral motor function between the group of typically developing children and the group of children with Down's syndrome. To 15 children with Down's syndrome (mean CA: 9;7) and 15 typically developing children on receptive language age, the following tests were administered: K-WPPSI (2001), Picture Vocabulary Test (Kim et al., 1995), Oral and Speech Motor Control Protocol for total oral functional score (Robbins et al., 1987), DDK and Assessment of Phonology and Articulation for Children (APAC, Kim et al., 2007) for PCC and speech intelligibility. Pearson correlation coefficients were computed for the total oral functional score, PCC and DDK of each group. The statistical analysis showed that there is no significant difference in total functional score and DDK when IQ was controlled. There was a significant correlation between total oral functional score and PCC in the Down's syndrome group and a significant correlation between total oral functional score and intelligibility in the Down's syndrome group whether IQ was controlled or not. The findings suggest that both cognitive ability and overall oral motor function need to be considered for the intervention to enhance PCC or speech intelligibility of children with Down's syndrome.

• 문화기술의 융합
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• 제9권4호
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• pp.201-210
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• 2023

본 연구는 국내 학술 등재지 및 학위논문에 게재된 발달장애인의 자기옹호 연구의 일반적 특성 및 효과 크기, 질적 지표를 분석하는 데 그 목적이 있다. 이를 위하여 2000년부터 2023년까지 발표된 자기옹호 관련 논문 총 2153 편 중 발달장애인을 키워드로 한 연구 41편을 선정하여 구체적인 연구 결과는 다음과 같다. 본 연구의 결과를 바탕으로 발달장애인의 자기옹호 관련 언어중재 프로그램을 개발할 때에는 청소년 및 성인, 또는 전환기 시기에 20-30명이 있는 학습상황에서 10-19회기수를 기준으로 중재프로그램이 개발되기를 권고하며, 특수교육, 통합교육 등 교육적 차원에서만 국한된 연구가 많은데 이를 적용하여 의사소통에 어려움을 겪고 자기주장, 자기권리를 효과적이고 세련되게 주장할 수 있는 언어재활 차원에서의 자기옹호 언어 중재 프로그램이 개발되기를 기대한다.

• 말소리와 음성과학
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• 제7권2호
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• pp.63-73
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• 2015

This study investigated longitudinally early vocalization and phonological developments of typically developing children. Ten typically developing children participated in the study from 9 months to 18 months of age. Spontaneous utterance samples were collected at 9, 12, 15, 18 months of age and phonetically transcribed and analyzed. Utterance samples were classified into 5 levels using Stark Assessment of Early Vocal Development-Revised(SAEVD-R). The data analysis focused on 4 and 5 levels of vocalizations classified by SAEVD-R and word productions. The percentage of each vocalization level, vocalization length, syllable structures, and consonant inventory were obtained. The results showed that the percentages of level 4 and 5 vocalizations and word significantly increased with age and the production of syllable structures containing consonants significantly increased around 12 and 15 months of age. On average, the children produced 4 types of syllable structure and 5.4 consonants at 9 months and they produced 5 types of syllable structure and 9.8 consonants at 18 months. The phonological development patterns in this study were consistent with those analyzed from children's meaningful utterances in previous studies. The results support the perspective on the continuity between babbling and early speech. This study has clinical implications in early identification and speech-language intervention for young children with speech delays or at risk.

• 음성과학
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• 제8권4호
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• pp.99-107
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• 2001

The purpose of this study was to investigate the syllable and phoneme frequencies in the spontaneous speech of some Korean children. Sixty four normally developing children aged from 2 to 5 were involved (male: female=1 : 1, 16 children in each age group). Fifty connected utterances were analyzed using the KCLA (Korean Computerized Language Analysis) 2.0 and Exel. The findings were as follows: 1) /i/ was the most frequently used syllable and was followed by /yo/, /k/, /s'/, /nen/ and so on. 2) The most frequently used Korean phonemes were syllable-initial consonant /k/, syllable- medial vowel /a/ and syllable-final consonant /n/. 3) All seven syllable final consonants (/p,t,k,m,n,n,l/) were used more frequently in the word-medial position than in the word-final position. Three syllable initial consonants(/k, I, s'/) were used more frequently in the word-medial position than in the word-initial position. The syllable and phoneme frequencies in the Korean children's spontaneous speech will provide valuable information in interpreting the severity of phonological disorder and in developing tools for the Korean phonological assessment and intervention.