• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.16 no.2
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• pp.118-122
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• 2005

Background and Objectives The compensatory articulation not only influences general speech intelligibility, but also prevents precise assessment of the velopharyngeal function. This study was performed to investigate frequently affected phonemes, prevalence and the characteristics of compensatory articulation in the patients with cleft palate having velopharyngeal insufficiency. Material and Method An archival review was taken on 103 cleft palate subjects. Their age ranged from 2.6 to 63 years (mean age of 9.8 years). They were grouped into two : preschool group (n=71) and older patient group (n=32). The prevalence and patterns of compensatory articulation were examined on oral high pressure consonants such as plosives, fricatives and affricates. Results : Compensatory errors were observed in $49.5\%$ of the subjects and were mostly glottal stops with the exception of 4cases who had pharyngeal fricatives in addition to glottal stops. The most frequently substituted phonemes were velar plosives and tense sound. There was no significant difference of prevalence in both groups. However, errors for bilabial and alveolar plosives were more frequently observed in preschool group. Conclusion High prevalence of compensatory articulation observed in both preschool and older age group indicates that their articulation errors tend to remain unless appropriate speech therapy is provided. To improve speech intelligibility of the patients with cleft palate having velopharyngeal insufficiency, it is advisable to address and correct the compensatory articulation errors in their earlier ages.

• Clinical and Experimental Pediatrics
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• v.48 no.9
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• pp.924-928
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• 2005

Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.

• Phonetics and Speech Sciences
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• v.3 no.4
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• pp.103-108
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• 2011

The purpose of this study was to investigate the effects of the Bel canto singing technique on voice quality in patients with vocal bowing and sulcus vocalis. Five patients with vocal bowing, and five patients with sulcus vocalis participated in the study. Each subject was assessed acoustically (Jitter, Shimmer, NNE) in the first and last session. Dr. Speech (version 4.0, Tiger-DRS) was used to compare acoustic parameters of pre- and post-treatment. The Bel canto singing technique consisted of breathing exercises, relaxation exercises, and phonation exercises. The results showed that the Bel canto singing technique tended to be effective on improving voice quality in patients with organic voice disorders.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• v.26 no.4
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• pp.414-421
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• 2000

The objective evaluation of velopharyngeal closure function is the key to diagnosis and therapy control of velopharyngeal incompetency. The aim of this study is to evaluate the aerodynamic and acoustic characteristics of the velopharyngeal closure function of patients who have developed velopharyngeal incompetency after management with speech aids. The test words were composed of sustained vowels /a/, /i/, /e/, /u/, /ja/, /je/, /wi/ and polysyllabic words /p'ap'i/, /siso/, /mami/ for measuring nasalance, The data was collected before the placement of the speech aids and one to three months after. The results were as follows: The nasalance score of the velopharyngeal incompetency speakers was higher than that of the normal control group, except for nasal sounds, and was decreased after placement of the speech aids, especially in high vowels /i/ (P<.01) and /wi/ (P<.05).

• Speech Sciences
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• v.3
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• pp.5-17
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• 1998

Botulinum toxin, a neurotoxin derived from Clostridia Botulinum, has been injected into the target muscle(s) for the treatment of several kinds of voice and speech disorders at the Voice Clinic, Yonsei Institute of Logopedics and Phoniatrics since December 1995. Criteria for the diagnosis and method of injection for spasmodic dysphonia, mutational dysphonia, muscle tension dysphonia, dysphonia after total laryngectomy, and stuttering were summarized. Among 144 patients with adductor type spasmodic dysphonia, who were injected one time to maximum 8 times during the 27 months, 90% were recognized as having better than slight improvement. Even though the injected cases were small, not only the abductor type spasmodic dysphonia, but also the intractable mutational dysphonia or muscle tension dysphonia resistant to voice therapy revealed that botulinum toxin injection would be another options for treatment. Patients who cannot phonate after total laryngectomy and some forms of adulthood stutterers can also be candidates for the injection of botulinum toxin.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.39
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• pp.9.1-9.5
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• 2017

Background: Nasalance is used to evaluate the velopharyngeal incompetence in clinical diagnoses using a nasometer. The aim of this study is to find the nasalance differences between Vietnamese cleft palate children and Korean cleft palate children by measuring the nasalance of five oral vowels. Methods: Ten Vietnamese cleft palate children after surgery, three Vietnamese children for the control group, and ten Korean cleft palate children after surgery with the same age participated in this experimentation. Instead of Korean control, the standard value of Korean version of the simplified nasometric assessment procedures (kSNAP) was used. Result: The results are as follows: (1) the highest nasalance score among the Vietnamese normal vowels is the low vowel /a/; however, that of Korean normal vowels is the high vowel /i/. (2) The average nasalance score of Korean cleft palate vowels is 18% higher than that of Vietnamese cleft palate vowels. There was a nasalance score of over 45% among the vowels /e/ and /i/ in Vietnamese cleft palate patients and /i/, /o/, and /u/ in Korean cleft palate patients. Conclusion: These different nasalance scores of the same vowels seem to cause an ethnic difference between Vietnamese and Korean cleft palate children.

• Journal of Biomedical Engineering Research
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• v.29 no.4
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• pp.307-315
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• 2008

In this paper, we developed a visual-auditory cue software for reading training of motor speech disorder patients. Motor speech disorder patients can use the visual and/or auditory cues for reading training and improving their symptom. The software provides some sentences with visual-auditory cues. Our sentences used for reading training are adequately comprised on modulation training according to a professional advice in speech therapy field. To ameliorate reading skills we developed two algorithms, first one is automatically searching the starting time of speech spoken by patients and the other one is removing auditory-cue from the recorded speech that recorded at the same time. The searching of speech starting time was experimented by 10 sentences per 6 subjects in four kinds of noisy environments thus the results is that $7.042{\pm}8.99[ms]$ error was detected. The experiment of the cancellation algorithm of auditory-cue was executed from 6 subjects with 1 syllable speech. The result takes improved the speech recognition rate $25{\pm}9.547[%]$ between before and after cancellation of auditory-cue in speech. User satisfaction index of the developed program was estimated as good.

• Journal of the Korea Convergence Society
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• v.9 no.6
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• pp.125-132
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• 2018

This study was to investigate the speech sound production characteristics and evaluation aspects of preschool children through word test and connected speech test. For this, the authors conducted Assessment of Phonology and Articulation for Children(APAC) to 72 normal children(24 three-, four-, and five-year-olds each) and analyzed difference in percent of correct consonant(PCC) and intelligibility according to age and sex, correlation between PCC and intelligibility, and speech sound error patterns. PCC and intelligibility increased with age but there was no difference according to sex. The correlation was statistically significant in 5-year-old group. Speech sound error patterns were different in the two tests. This study showed that children's speech sound production varied according to language unit. Therefore, both types of tests should be done to grasp their speech sound production ability properly. This suggests that current standard to identify language impairment only by PCC of word level requires review and further studies.

• Phonetics and Speech Sciences
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• v.4 no.3
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• pp.129-136
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• 2012

Korean alveolar fricatives are late-developing speech sounds. Most previous research on phonemes used individual words or pseudo words to produce sounds, but word-level phonological analysis does not always reflect a child's practical articulation ability. Also, there has been limited research on articulation development looking at speech production by grammatical morphemes despite its importance in Korean language. Therefore, this research examines the articulation development and phonological patterns of the /s/ phoneme in terms of morphological types produced in children's spontaneous conversational speech. The subjects were twenty-two typically developing 3- and 4-year-old Koreans. All children showed normal levels in three screening tests: hearing, vocabulary, and articulation. Spontaneous conversational samples were recorded at the children's homes. The results are as follows. The error rates decreased with increasing age in all morphological contexts. Also, error percentages within an age group were significantly lower in lexical morphemes than in grammatical morphemes. The stopping of fricative sounds was the main error pattern in all morphological contexts and reduced as age increased. This research shows that articulation performance can differ significantly by morphological contexts. The present study provides data that can be used to identify the difficult context for articulatory evaluation and therapy of alveolar fricative sounds.

• 한국어정보학회:학술대회논문집
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• 2016.10a
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• pp.226-230
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• 2016

본 연구는 초등 저학년 읽기부진아동을 위한 한글 파닉스 교육의 기반을 확립하고자 1-2학년 교과서 고빈도 어절 531개를 기반으로 자소 및 음운규칙을 분석하였다. 연구결과, 자소-음소 일치 어절을 기반으로 하였을 때 초성에서 50번 이상 나타난 자소는 /ㄱ/, /ㄹ/, /ㄴ/, /ㅅ/, /ㅎ/, /ㅈ/이다. 중성에서 50번 이상 나타난 자소는 /ㅏ/, /ㅣ/, /ㅗ/, /ㅡ/, /ㅜ/이다. 종성에서 50번 이상 나타난 자소는 /ㄹ/, /ㄴ/, /ㅇ/이다. 자소와 음소가 불일치 된 어절을 기반으로 하였을 때 가장 많이 출현하는 음운규칙은 연음화 규칙이었다. 본 연구결과를 바탕으로 교과서를 기반으로 한 한글 파닉스 교육에 유용하게 사용될 수 있을 것이다.