• 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.

• 재활치료과학
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• 제8권2호
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• pp.67-78
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• 2019

목적 : 본 연구에서는 말소리장애 아동과 일반 아동을 대상으로 어휘인출 시 단순 손동작(hand tapping)을 반복하게 하는 것이 조음정확도와 유창성에 어떠한 영향을 미치는지에 대해 알아보았다. 손동작을 반복하면서 어휘를 산출하는 것은 주의를 분산시키는 이중과제에 해당하기 때문에, 주의력 저하가 보고된 말소리장애 아동의 경우 일반 아동과 다른 행동 양상을 보이는지를 파악하고자 하였다. 연구방법 : 4, 5, 6세의 말소리장애 아동 15명과 일반 아동 15명이 본 연구에 참여하였다. 조음복잡성이 높은 어휘와 낮은 어휘를 각각 15개씩, 총 30개를 선정하여, 이에 대한 대면이름대기 과제를 실시하였다. 첫 번째 실험조건에서는 단순 손동작을 반복하지 않고, 두 번째 실험조건에서는 손바닥으로 책상을 두드리면서 그림 이름을 말하도록 하였다. 대상자의 반응에 대해 자음정확도, 비유창성 정도, 정확성 변화와 유창성 변화의 상관관계를 측정하여, 두 실험조건에 따른 두 집단 간 수행력을 비교하였다. 결과 : 첫째, 말소리장애 집단과 일반 집단 모두 손동작 반복 과제와 손동작 비반복 과제 간 자음정확도에는 유의한 차이가 없었다. 둘째, 일반 집단은 손동작 반복 과제에서 비유창성이 유의하게 증가하였으나, 말소리장애 집단은 차이가 없었다. 셋째 손동작 반복에 따른 자음정확도 변화와 비유창성 변화는 일반집단의 경우 유의한 양의 상관관계가 있었으나 말소리장애 집단은 아무런 상관을 보이지 않았다. 결론 : 본 연구에서 주의력 분산을 위해 사용한 단순 손동작 반복은 결과적으로 집단에 따라 대상자의 목표행동에 방해가 될 수도, 혹은 그 반대로 도움이 될 수도 있었다. 어휘인출에 대한 손동작 반복의 영향이 두 집단 간 다른 양상으로 나타난 만큼 이에 대한 심층적 논의가 필요할 것이다.

• 감성과학
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• 제7권4호
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• pp.43-49
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• 2004

본 연구는 중학생을 대상으로 지속적인 음악청취가 발표불안에 미치는 영향을 밝히고자 하였다. 실험 참여자는 여중생 두 개 반을 대상으로 통제집단 33명, 실험집단 33명씩 총 66명이고, 음악처치를 받는 집단과 아무런 처치가 주어지지 않는 집단으로 나누었다. 처치 전, 처치 1주 후 및 2주 후에 자기보고식으로 이루어진 발표불안척도(SAS)와 교사의 평가로 이루어진 발표행동 평가척도(SBES)를 통하여 발표불안을 측정하였다. 결과는 음악처치를 받은 실험집단에서 발표불안이 의미 있게 감소하는 것으로 나타났다. 따라서 음악에 의한 감성 유발이 발표상황에서 받는 스트레스에 긍정적인 효과가 있었다.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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• pp.152-154
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• 2007

Submucosal type cleft palate is subdivision of cleft palate. Because of late detection, the treatment - for example, the operation or the speech therapy - for the submucosal type cleft palate patient usually late. In this study, we want to find the objective characteristics of submucosal type cleft palate patient, comparing with the normal and the complete cleft palate patient. Experimental groups are 10 submucosal type cleft palate patients who got the operation in our hospital, 10 complete cleft palate patients. And, 10 normals as control group. The sentence patterns using in this study is simple 5 vowels. Using CSL program we evaluate the Formant, Bandwidth. We analized the spectral characteristics of speech signals of 3 groups, before and after the operation.

• 한국콘텐츠학회논문지
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• 제18권8호
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• pp.561-572
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• 2018

본 연구는 발달장애 청소년 보호자를 대상으로 의사소통 영역 별 수준 인식과 사회적 의사소통 요구 정도를 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어 치료 기간에 따라 알아보아 발달장애 청소년을 대상으로 한 사회적 의사소통 지도의 효율적인 방안을 모색하고자 하였다. 자료들은 18.0 SPSS 통계 패키지를 사용하여 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어치료기간에 따라 비 모수 검정 Mann-Whitney test와 Kruskal-Willis test 등 비모수 검정과 Scheffe 사후검정을 실시하였다. 본 연구의 결과는 다음과 같다. 발달장애 청소년의 의사소통 수준 인식과 요구도는 발달장애 청소년의 연령, 장애 발견 시기, 장애 등급, 장애 유형, 언어치료의 기간 모두에서 집단 간 유의미한 차이가 나타났다. 본 연구의 결과와 앞으로 다양한 분석과 표집을 통한 차후 연구로 사회적 의사소통 재활 서비스에 대한 구체적이고 현실적인 문제들을 개선하고 서비스 시행의 효과적인 방법을 마련해야 할 것이다.

• 음성과학
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• 제9권3호
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• pp.77-86
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• 2002

The purpose of this study was to investigate the effects of Sea Dong-Il's technique on voice quality in patients with vocal nodules and phonasthenia (vocal fatigue). Ten patients (4 nodules and 6 vocal fatigue) participated in the study. Each subject was assessed acoustically (Fo, Jitter, Shimmer, NNE) in the first and last session. Dr. Speech (version 3.4, Tiger-DRS) was used to compare acoustic parameters of pre-and post-treatment. Sea Dong-Il's technique consisted of breathing exercise, relaxation exercise, and phonation exercise. The results were as follows: First, Sea Dong- Il's technique tended to be effective on improving voice quality in patients with phonasthenia and vocal nodules. Second, the nature of improvements were as follows: there was a significant difference between pre-and post-treatment in shimmer (p < .01) and NNE (p < .001), while there was no significant difference between pre-and post-treatment in Fo and Jitter. Finally, given the fact that the number of subjects was only 10, the jitter might have shown a significant difference if more subjects participated in the experiment.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제18권4호
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• pp.555-562
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• 1996

A competent velopharyngeal sphincter is essential for intelligible speech. If the velopharyngeal incompetence exist, the seal will not be complete during speech, with a resultant hypernasal speech quality. The patient with velopharyngeal incompetence(VPI) may develope other compensatory speech problems. There are many approaches available to correct velopharyngeal incompetence, which include speech therapy, push back palatorrhaphy, pharyngeal wall implants and pharyngoplasty. This is cases report of velopharyngeal incompetence, which were successfully treated by superiorly based pharyngeal flap, covered with splitted hinge flap of nasal lining mucosa of the soft palate, named modified Hogan method. The advantages of this method are precision in the approximation of the flap due to pentagonal shaped flap design, good blood supply due to omission of the midsagittal incision on nasal lining mucosa, and simplicity than Hogan method.

• 말소리와 음성과학
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• 제5권4호
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• pp.71-78
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• 2013

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.

• 말소리와 음성과학
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• 제5권4호
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• pp.43-51
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• 2013

The purpose of this study is to survey Speech-Language Pathologists' perception on evaluation and treatment of "swallowing disorders". An online questionnaire was sent to the 279 subjects attending undergraduate/graduate programs in speech therapy department and/or SLPs who work in various settings. The survey consisted of three parts: 1) background information and educational/clinical experiences that are associated with dysphagia (swallowing disorder), 2) the current state of diagnosis and treatment of dysphagia of clinical practice (certified SLPs only), 3) the recognition of diagnosis, treatment, education for dysphagia. Each item of the survey was scaled by the participants on a five-point Likert scale of 1 to 5 (1 being not at all and 5 being extremely) or self-reported answers. The results of the survey showed that SLPs have high interest in "swallowing disorder", but most of them regarded them very difficult to diagnose and treat. The reason is that they have not been trained as a swallowing specialist. Therefore it is necessary to provide more opportunities for education and practice to establish the expertise of SLPs.

• Clinical and Experimental Pediatrics
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• 제51권9호
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• pp.922-934
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• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.