• 재활치료과학
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• 제9권4호
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• pp.21-31
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• 2020

목적: 회상하기는 알츠하이머 치매 환자에게 심리적 측면에서 안정을 찾는 방안이면서 동시에 자신의 과거를 기억하면서 자신에 대해서 정확하게 표현하면서 의사소통에 대해 접근하는 방법이다. 따라서, 이 연구는 알츠하이머 치매노인에게 회상하기 프로그램에 적응하여 의사소통 능력의 효과를 알아보고자 한다. 연구방법: 본 연구는 70세 노인 중 알츠하이머 치매(Alzheimer's dementia; AD) 노인 4명을 대상으로 사전-치료-사후 평가 단계를 구성하여 실시하였다. 결과: 첫째, 의사소통 요소 중 회화항목 영역에서 중재 후에 향상되었다. 둘째, 의사소통 요소 중 인지력 인식 영역에서 중재 후에 향상되었다. 셋째, 의사소통 요소 중 커뮤니케이션 영역에서 중재 후에 향상되었다. 결론: 이 연구에서는 회상하기 프로그램이 알츠하이머 치매 노인이 의사소통능력의 향상에 긍정적 영향을 미쳤다. 회상하기 프로그램을 바탕으로 추후 치매 노인의 의사소통 능력을 향상시키는데 많은 도움이 될 것으로 사료된다.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.123-131
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• 1999

The purpose of is study deals with the physical therapy and the delivery system of public health center, as a center, in community based rehabilitation and delivery system. We hope that the system of physical therapy of public health center in community based rehabilitation spreads all over the country and contributes to the promotion of national health and social welfare. There are many public health center in the country because it can serve inhabitants with the medical benefits in the Erst line. public health center continuously provides poor inhabitants who cant pay medical expenses care of health. It has the public health center branches that take care of inhabitants who live a remote village and hiterland. Additionally, many people want to receive physical therapy. Therefore, the physical therapy of public health center becomes the central paint in community based rehabilitation so that we supply the inhabitants with superior rehabilitation service. We can approach them as a team that be constituted with physical therapist speech therapist, psychologist, nurse, social work. Also the role of physical therapist is divided into two parts, which are home visiting part that individually takes can of patients nod public health part that takes care of patient, family, home, community. We connect with both self-governing body and the government so that we may receive government subsidies. Also, we must prepare regular school education for community based rehabilitation

• 말소리와 음성과학
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• 제9권4호
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• pp.99-106
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• 2017

Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.

• 음성과학
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• 제5권1호
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• pp.141-149
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• 1999

Parental speaking rates reduction is frequently recommended by speech-language pathologists as a way to facilitate the fluency of preschool children who stutter. However, this clinical notion is in need of empirical support. For this reason, Sim & Zebrowski (1995) examined the ability of young children imitating different speaking rates. However, Sim & Zebrwoski's study was not made in a natural context but in the laboratory, so the findings are limited to apply to the clinical situation. The current study aimed to examine the ability of three different speaking rates(baseline, 10% slower, and 24% slower) in a natural situation both with instruction and without instruction. The results show that (1) all children were able to imitate the stimulus speaking rates adequately, (2) instruction about speaking rates for each child influenced the ability to imitate slower speaking rates. These clinical implications of findings in this study are that 4-5 year-old children are able to imitate different speaking rates with instruction and can be candidates for the parental speaking rates reduction program in the stutter therapy.

• 음성과학
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• 제13권3호
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• pp.133-149
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• 2006

This study attempted to compare acoustic parameters, physiological observation and perceptual evaluation values obtained from the treatment and control groups in order to find out which of the self voice feedback therapies was better and which methods to train them were more effective. The experimental group carried out various self voice feedback therapies while the control group did only vocal hygiene. The acoustic measurement and voice manipulation for providing the patients visual, auditory feedback were done by a speech analysis software, Praat. The authors designed vocal hygiene, abdominal respiration and Praat self voice feedback therapies and applied them to 15 patients while applying only one vocal hygiene to 15 of the control group. For the purpose of examining the degree of their voice improvement after the treatment, pre- mid- and final evaluations were made for the two groups at the beginning, the 6th week and immediately after the 8th treatment session. Results of this study were as follows: The treatment group showed much improvement after receiving the voice treatment. In particular, acoustical and physiological indices from the optical endoscopy, pitch variation(Jitter), amplitude variation (Shimmer), maximum phonation time(MPT), and psychoacoustic evaluation showed statistically significant improvements over the control groups.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2002년도 11월 학술대회지
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• pp.141-144
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• 2002

The relations between words intelligibility and sentences intelligibility were tested on adults with cerebral palsy(athetoid type). Intelligibility is used as an important evaluation value in the field of diagnosis and therapy of dysarthric patients. In order to develop one syllable phonetic contrast intelligibility test using specific phonetic contrasts, the correlation with sentences intelligibility was tested to find out the validity. Pearson's simple correlation coefficient was .83 that shows a high correlation. Also, comparing the range and standard deviation given by seven evaluators on each subject, it was shown that when evaluating patients of moderate intelligibility, words intelligibility was more reliable than sentences intelligibility.

• 음성과학
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• 제11권3호
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• pp.175-180
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• 2004

In case of the hearing impairment with tinnitus and increased sound sensitivity, it is known that the patients tend to appeal the psychologically oriented social handicap rather than communication disability. The audiologist who is responsible for such patients in aural rehabilitation should pay special attention to the counseling techniques including tinnitus retain therapy (TRT), ear protector, noise generator, or specific acoustic training based on close cooperation and rapport. And then the audiologist should try to lessen their reaction to the tinnitus by using a hearing aid. This therapies tries to focus not a. total approach but a treatment to lessen the severity of tinnitus. This paper as a case report that a unilateral sharply slopped sensorineural hearing impaired person with tinnitus and increased sound sensitivity by using four channel digital signal processing (DSP) hearing aid with programming increment at low level (PILL).

• 말소리와 음성과학
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• 제2권1호
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• pp.99-112
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• 2010

This study attempted to review the recent, high-quality evidence-based practical research related to the treatment effectiveness of voice disorders which focus on randomized controlled trials (RCTs) and translational research of vocal fold tissue engineering for vocal fold regeneration. Methodology including PICO (P; Populations or Patients, I; Interventions, C; Comparison group (control, placebo, gold standard), O; Outcomes or measures made) information for RCTs and animal models (species), regenerative therapy method, and outcomes of translational research for clinical application was summarized and discussed for future voice disorder research.

• 말소리와 음성과학
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• 제7권2호
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• pp.39-45
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• 2015

This research was conducted to investigate the voice related needs of occupational voice users. The data collected from teachers(379), tele-marketers(156), therapists(50) was classified according to its content, by colaizzi's inductive categorical analysis. The voice related needs are classified into 3 big categories, 1) how to use, 2) how to care, 3) how to be healthy. Again the category 'how to use' my voice was into 6 sub-categories: (1) efficiently, (2) as I desired, (3) without pain(discomfort), (4) expressively, (5) phonation (methods) and (6) clear articulation. The result showed that the needs from 3 groups of occupational voice users reflect their own environment which they have to use their voice as well as the voice characteristics wanted from their specific listeners.

• 음성과학
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• 제8권4호
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• pp.119-129
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• 2001

Language is one aspect of cognition, along with attention and concentration, learning and memory, visuospatial abilities, and executive function. The purpose of this study was to determine the effect of language intervention by cognitive approach on language expressive performance in a patient with conduction aphasia. This study used several tasks such as Attention and concentration task, visual memory tasks, memory tasks, categorization, divergent thinking, self-monitoring and evaluate thinking. The effects of treatment were evaluated by periodic probing of both trained and untrained familiar words in three tasks; picture naming, answering to questions and telling stories. The results showed improvements both in trained and untrained words. Therefore, we concluded that expressive language performance of this aphasic patient is amenable to this intervention, and that cognitive therapy approach can be useful.