• Title/Summary/Keyword: Speech Therapy

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Fast ab/adduction Rate of Articulation Valves in Normal Adults (정상 성인의 조음밸브에 대한 내${\cdot}$외전 비율)

  • Park, Hee-Jun;Han, Ji-Yeon
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.149-151
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    • 2007
  • This study was designed to investigate fast ab/adduction rate of articulation valves in normal adults. The measurement of fast ab/aduction rate has traditionally been used for assessment, diagnosis and therapy in patients who suffered from dysarthria, functional articulation disorders or apraxia of speech. Fast ab/adduction rate shows the documented structural and physiological changes in the central nervous system and the peripheral components of oral and speech production mechanism. Fast ab/adduction rates were obtained from 20 normal subjects by producing the repetition of vocal function (/ihi/), tongue function (/t${\wedge}$/), velopharyngeal function (/m/), and labial function (/p${\wedge}$/). The Aerophone II was used for data recording. The results of finding as follows: average fast ab/adduction rates were vocal function(6.21cps), tongue function(7.42cps), velopharyngeal function(5.23cps), labial function (6.93cps). The results of this study are guidelines of normal diadochokinetic rates. In addition, they can indicate the severity of diseases and evaluation of treatment.

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Speech Evaluation Variables Related to Speech Intelligibility in Children with Spastic Cerebral Palsy (경직형 뇌성마비아동의 말명료도 및 말명료도와 관련된 말 평가 변인)

  • Park, Ji-Eun;Kim, Hyang-Hee;Shin, Ji-Cheol;Choi, Hong-Shik;Sim, Hyun-Sub;Park, Eun-Sook
    • Phonetics and Speech Sciences
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    • v.2 no.4
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    • pp.193-212
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    • 2010
  • The purpose of our study was to provide effective speech evaluation items examining the variables of speech that successfully predict the speech intelligibility in CP children. The subjects were 55 children with spastic type cerebral palsy. As for the speech evaluation, we performed a speech subsystem evaluation and a speech intelligibility test. The results of the study are as follows. The evaluation task for the speech subsystems consisted of 48 task items within an observational evaluation stage and three levels of severity. The levels showed correlations with gross motor functions, fine motor functions, and age. Second, the evaluation items for the speech subsystems were rearranged into seven factors. Third, 34 out of 48 task items that positively correlated with the syllable intelligibility rating were as follows. There were four items in the observational evaluation stage. Among the nonverbal articulatory function evaluation items, there were 11 items in level one. There were 12 items in level two. In level three there were eight items. Fourth, there were 23 items among the 48 evaluation tasks that correlated with the sentence intelligibility rating. There was one item in the observational evaluation stage which was in the articulatory structure evaluation task. In level one there were six items. In level two, there were eight items. In level three, there was a total number of eight items. Fifth, there was a total number of 14 items that influenced the syllable intelligibility rating. Sixth, there was a total number of 13 items that influenced the syllable intelligibility rating. According to the results above, the variables that influenced the speech intelligibility of CP children among the articulatory function tasks were in the respiratory function task, phonatory function task, and lip and chin related tasks. We did not find any correlation for the tongue function. The results of our study could be applied to speech evaluation, setting therapy goals, and evaluating the degree of progression in children with CP. We only studied children with the spastic type of cerebral palsy, and there were a small number of severe degree CP children compared to those with a moderate degree of CP. Therefore, when evaluating children with other degrees of severity, we may have to take their characteristics more into account. Further study on speech evaluation variables in relation to the severity of the speech intelligibility and different types of cerebral palsy may be necessary.

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Oriental Medical Therapy for Sudden Sensorineural Hearing Loss (돌발성 난청의 한방치료)

  • Nam, Hae-Jeong
    • The Journal of Korean Medicine
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    • v.30 no.4
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    • pp.169-178
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    • 2009
  • Objectives: Sudden sensorineural hearing loss (SSHL) is considered an ENT emergency. Despite being a well-recognized condition, SSHL remains one of the most controversial issues in otology. Nowadays, more and more patients have an interest in Oriental medicine for treatment of SSHL. So, to ascertain the therapeutic effect of Oriental Medicine on SSHL, nineteen cases of SSHL patients who had taken Oriental medical therapy in Kyung Hee Oriental Medical Hospital were examined and analyzed. Methods: Nineteen patients who received over 10 times acupuncture therapy and a minimum 2 weeks of herbal medicine from Sep. 1, 2007 to Aug. 31, 2008 were examined and analyzed. The patients who were in the categories below were excluded: - within 7 days after onset - didn't fulfill 10 times acupuncture therapy - failed to recheck hearing outcome after treatment - less than 30dB at mean dB from 250Hz${\sim}$4000Hz. Results: The patients consisted of 12 men and 7 women with a mean age of 45.63 years (19${\sim}$76). Before treatment, 17 patients had tinnitus, 16 patients had pressure in the ear and 6 patients had dizziness, and mean dB of all patients was 66.89 dB. After treatment, 9 patients still had tinnitus, 4 patients felt pressure in the ear and 2 patents felt dizziness, and mean dB of all patients was 54.57dB. After treatment, 9 patients showed effectiveness in improving both hearing level and speech discrimination, 6 patients showed effectiveness only on speech discrimination and 4 patients showed no therapeutic effect. Conclusion: Oriental medical therapy had some therapeutic effects on SSHL even it was started 7 days after onset of the disease.

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A Study of Nasalance Change in Submucosal Type Cleft Palate Patients by Surgery (점막하 구개열 환자의 수술 전후 비음도 변화에 대한 연구)

  • Choi, Ju-Seok;Leem, Dae-Ho;Baek, Jin-A;Kim, Oh-Hwan;Kim, Hyun-Ki;Shin, Hyo-Keun
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.2
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    • pp.53-62
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    • 2005
  • Submucosal type cleft palate is a kind of cleft palate. A submucosal cleft may result in shortening of the anteroposterior dimension of the hard or soft palates or both. The increased distance along with the lack of muscle connection in the soft palate usually accounts for the lack of palatopharyngeal function in patients with submucosal cleft. Resonance disorders which is found in cleft patients show hypernasality or hyponasality. Many cases of submucosal type cleft palate patients visit our clinics due to hypernasality. In this study, resonance disorders was evaluated through nasalance test. Experimental group was composed of submucosal type cleft palate patients. The patients were treated by a so-called combined therapy, i.e., operation and speech training. To observe the changing pattern by surgery, nasalance test was carried out one time before surgery and three times after surgery. Nasometer II was used as a examination. The questionaire was filled with single vowels & diphthongs. The mean nasalance score of the child was significantly lower than that of the adult at every vowel. An early age at operation (under 10 years) was that a better functional result was achieved with patients. The mean nasalance score of /i/ was highest and that of /a/ was the lowest. The result of corrective surgery in selected cases has achieved improvement in all cases. Hypernasality has been consistently diminished. he operation.

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Development of the video-based smart utterance deep analyser (SUDA) application (동영상 기반 자동 발화 심층 분석(SUDA) 어플리케이션 개발)

  • Lee, Soo-Bok;Kwak, Hyo-Jung;Yun, Jae-Min;Shin, Dong-Chun;Sim, Hyun-Sub
    • Phonetics and Speech Sciences
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    • v.12 no.2
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    • pp.63-72
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    • 2020
  • This study aims to develop a video-based smart utterance deep analyser (SUDA) application that analyzes semiautomatically the utterances that child and mother produce during interactions over time. SUDA runs on the platform of Android, iPhones, and tablet PCs, and allows video recording and uploading to server. In this device, user modes are divided into three modes: expert mode, general mode and manager mode. In the expert mode which is useful for speech and language evaluation, the subject's utterances are analyzed semi-automatically by measuring speech and language factors such as disfluency, morpheme, syllable, word, articulation rate and response time, etc. In the general mode, the outcome of utterance analysis is provided in a graph form, and the manger mode is accessed only to the administrator controlling the entire system, such as utterance analysis and video deletion. SUDA helps to reduce clinicians' and researchers' work burden by saving time for utterance analysis. It also helps parents to receive detailed information about speech and language development of their child easily. Further, this device will contribute to building a big longitudinal data enough to explore predictors of stuttering recovery and persistence.

A Study on the Necessity of Home Visit Rehabilitation Therapy by Rehabilitation Professionals Working at Social Welfare Facilities (사회복지시설에 종사하는 일부 재활전문가들의 방문재활에 대한 필요성 조사)

  • Lee, Jeong-Han;Kim, Gye-Yeop;Kim, Eun-Jung
    • The Journal of Korean Physical Therapy
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    • v.22 no.5
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    • pp.95-102
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    • 2010
  • Purpose: The purpose of this study was to analyze the necessity of home visit rehabilitation therapy by rehabilitation professionals working at social welfare facilities. Methods: The subjects of this study were 227 rehabilitation professionals (social worker, nurse, physical therapist, occupational therapist, speech-language therapist, special education teacher, and staff of institutions for the disabled who were working at community rehabilitation centers. The data were collected over 65 days (2008. 09. 10~11. 14). The results were analysed statistically by the Chi-square test. Results: The results are as follows: Long-term care service was established in Korea by the Ministry of Health in July, 2008. But there are limits to their being able to provide various rehabilitation services for chronic patients and old people. According to a recent survey, almost all rehabilitation professionals (N=227) stated that home visit rehabilitation therapy is necessary. Conclusion: In Korea, the long-term care service has a nursing service and a service supporting physical activities of daily living, but not physical therapy. So, home visit rehabilitation services should include physical therapy, rehabilitation exercise, and pain management.

A Durational Study of Vowels Followed by Voiced or Voiceless Consonants (후행하는 유.무성자음에 의한 모음의 지속시간 고찰)

  • Park, Hee-Jung;Shin, Hey-Jung;Yang, Byung-Gon
    • Speech Sciences
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    • v.9 no.4
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    • pp.175-185
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    • 2002
  • The purpose of this study was to investigate the acoustic durations of Korean vowels followed by either voiced or voiceless consonants. Six healthy adult speakers (2 females and 4 males) recorded nonsense syllables in which voiced (/b, d, g/) or voiceless (/p', t', k', $p^{h},t^{h},k^{h}$) consonants follow three different vowels (/i, a, u/) embedded in a carrier phrase. Results showed that vowels preceding voiced consonants (e.g., haba) were significantly longer in duration than those preceding voiceless consonants (e.g., hiP' a or $hip^{h}a$). Also vowels were longer in duration when occurring before velar-stops than before bilabial-stop and dental-stops. Finally, the duration of the low vowel (/a/) was substantially longer than that of the high vowels (/i, u/). These findings may be applicable to speech synthesis or therapy.

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Development of smartphone-based voice therapy program (스마트폰기반 음성치료 프로그램 개발연구)

  • Lee, Ha-Na;Park, Jun-Hee;Yoo, Jae-Yeon
    • Phonetics and Speech Sciences
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    • v.11 no.1
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    • pp.51-61
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    • 2019
  • The purpose of this study was to develop a smartphone based voice therapy program for patients with voice disorders. Contents of voice therapy were collected through analysis of mobile contents related to voice therapy in Korea, experts and users' demand survey, and the program was developed using Android Studio. Content needed for voice therapy was collected through analysis of mobile contents related to voice therapy. The user satisfaction evaluation for application was conducted for five patient with functional voice disorders. The results showed that the mobile contents related to voice therapy in Korea were mostly related to breathing, followed by voice and singing, but only 13 applications were practically practiced for voice therapy. Expert and user demand surveys showed that the patients and therapists both had a high need for content that could provide voice training in places other than the treatment room. Based on this analysis, 'Home Voice Trainer', an smartphone based voice therapy program, was developed. Home Voice Trainer is an application for voice therapy and management based on Android smartphones. It is designed to train voice therapy activities at home that have been trained offline. In addition, the records of voice training of patients were managed online so that patients can maintain voice improvement through continuous voice consulting even after the end of voice therapy. User evaluations show that patients are satisfied with the difficulty and content of voice therapy programs provided by home voice trainers, but lack of a portion of user interface, such as the portion of home button and interface between screens. Further study suggests the clinical application of home voice trainer to the patients with voice disorders. It is expected that the development study and the clinical application of smart contents related to voice therapy will be actively conducted.

Parent's Gestalt Speech Intervention for Fluency Development of Fluency Disorder he Subject of Essay (부모의 게슈탈트적 언어 중재가 유창성장애인의 유창성 개선에 미치는 영향)

  • Ko, Young-Ok
    • The Journal of the Korea Contents Association
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    • v.13 no.11
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    • pp.269-276
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    • 2013
  • This study was aimed of the effects of the Parent's Gestalt Speech Intervention for stuttering development of Fluency disorder Child. The Parent's Gestalt Speech Intervention was made up of a program understand phase, an awareness phase, a change phase and, finally, an arrangement and termination phase. The subjects 6 (female 2, male 4) of this research were developed a stuttering behavior without any apparent neurological damage or other speech or developmental impediments. To access their stuttering behaviors, I used methods for observing levels of behavioral in each phase. The results of the study are as follows: In regard to stuttering behavior, word repetition frequency decreased in the interim assessments, showing that the learning of fluent speech was acquired early in the therapy process. In conclusion, the results of the study show that Parent's Gestalt Speech Intervention for stuttering development of Fluency disorder Child.

A Convergence Study on the Relationship between Empathy Abilities and Job Satisfaction of Speech and Language Rehabilitation in Daegu and Gyeongbuk (대구·경북지역 언어재활사의 공감능력과 직무만족도 간의 관련성에 대한 융합 연구)

  • Kim, Sun-Hee
    • Journal of the Korea Convergence Society
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    • v.12 no.6
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    • pp.57-63
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    • 2021
  • The purpose of the convergence study is to provide basic data for improving job satisfaction of speech and language therapists by identifying the relationship between personal characteristics, empathy ability, and job satisfaction of speech and language therapists, especially between cognitive and emotional empathy ability and job satisfaction. The subjects of the study were 111 people of speech and language therapists working in Daegu and Gyeongbuk. For data analysis, t-test, ANOVA, and correlation analysis were performed using the SPSS/PC 21.0 statistical program according to the purpose of the study. As a result of the study, the relationship between empathy ability and job satisfaction was found to be high, and there was a high correlation between cognitive and emotional empathy ability, which is a sub-factor of empathy ability, and job satisfaction. Therefore, follow-up research is needed to identify the empathy and job satisfaction about nationwide speech and language therapists for implementing various education programs and improving empathy skills in the future.