• 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.

• 음성과학
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• 제10권3호
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• pp.65-77
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• 2003

This study was aimed at clarifying the effects of sibling-involved .language intervention in children with language disorders. Ten subjects were selected and assigned into two groups (language intervention group with sibling-involvement, and language intervention without sibling-involvement). Group 1 consisted of 5 children with language disorders. Group 2 consisted of 5 children with language disorders without sibling-involvement. To investigate the language and communication ability, Picture Vocabulary Test and the subjects's spontaneous speech sample were analyzed. To compare pre-treatment with post-treatment between two the groups, repeated-measures ANOVA and t-test were used. The results were as follows; First, the language intervention with sibling-involvement was not effective compared to without sibling-involvement in improving the picture vocabulary ability of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the picture vocabulary ability of the two .groups. However, there was no significant difference in the post-treatment between the two groups. Second, the language intervention with sibling-involvement was more effective compared to without sibling-involvement in improving the semantic aspects of language of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the number of semantic relations between the two groups in that group 1 showed a higher improvement than group 2. Third, the language intervention with sibling involvement was more effective in improving pragmatic aspects of language of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the number of communicative intentions of the two groups. And there was a significant difference in the post-treatment between the groups in that group 1 showed a higher improvement than group 2.

• International Journal of Computer Science & Network Security
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• 제22권8호
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• pp.55-60
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• 2022

Specific Language Impairment is one of the serious disorders that interferes with spontaneous communication skills in children. Children suffering from this disorder may have reading, speaking, or listening impairments, and such type of disorders are also termed Autism Speech Disorder (ASD) in medical terminology. The aim of the article is to define specific language impairment in children and the problems it can cause. The different methods adopted by speech pathologists to diagnose language impairment. Finally implementing machine learning models to automate the process and help speech pathologists and pediatricians/ in diagnosing the specific language impairment.

• 대한구순구개열학회지
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• 제8권2호
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• pp.95-105
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• 2005

Cleft lip and palate is a congenital deformity which needs a professional and consistent management from the birth and along with the physical growth of patients. The patients with cleft lip and palate can have general speech problems with resonance disorders, voice disorders and articulation disorders after the successful primary surgical management and the physical growth. Speech problems of Cleft lip and palate are characterized hypernasality, nasal air emission, increased nasal air flow, and aberrant speech marks which decrease intelligibility. These speech problems of cleft lip and palate can be treated with the secondary surgical procedure, the application of temporary prosthesis and the effective and well-timed speech therapy. The speech and language problems of cleft lip and palate, the general procedures and schedules of the speech assessment and therapy based on the multidisciplinary approach are introduced for the patients with cleft lip and palate, their family and the other members of the cleft palate treatment team.

• 대한통합의학회지
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• 제6권4호
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• pp.191-206
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• 2018

Purpose : This study investigated the correlation between speech intelligibility and acoustic measurements of speech sounds produced by the children with speech sound disorders and children without any diagnosed speech sound disorder. Methods : A total of 60 children with and without speech sound disorders were the subjects of this study. Speech samples were obtained by having the subjects? speak meaningful words. Acoustic measurements were analyzed on a spectrogram using the Multi-speech 3700 program. Speech intelligibility was determined according to a listener's perceptual judgment. Results : Children with speech sound disorders had significantly lower speech intelligibility than those without speech sound disorders. The intensity of the vowel /u/, the duration of the vowel /${\omega}$/, and the second formant of the vowel /${\omega}$/ were significantly different between both groups. There was no difference in voice onset time between the groups. There was a correlation between acoustic measurements and speech intelligibility. Conclusion : The results of this study showed that the speech intelligibility of children with speech sound disorders was affected by intensity, word duration, and formant frequency. It is necessary to complement clinical setting results using acoustic measurements in addition to evaluation of speech intelligibility.

• 말소리와 음성과학
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• 제2권2호
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• pp.123-133
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• 2010

Speech language pathologists depend on their voice for livelihood and are high risk group of voice disorders. But there are few studies on their prevalence of voice symptoms and voice handicap index. This study aimed to evaluate prevalence of voice symptoms and Korean voice handicap index with 86 speech language pathologists and 90 individuals employed in other occupations. We analyzed self-reported voice symptoms and voice handicap index using a questionnaire for this study. The results showed that the prevalence of voice symptoms of speech language pathologists is 60.5% and voice handicap index scores of speech language pathologists group are significantly higher than those of control group in physical and total score. And we found that alcohol history was a risk factor for voice symptoms. These findings indicate that special vocal hygiene program for speech language pathologists and follow up studies for comparisons of prevalence of voice symptoms and voice handicap index with other professional voice users are necessary.

• 말소리와 음성과학
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• 제9권4호
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• pp.115-122
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• 2017

This study attempts to determine the extent to which late talkers are at the risk of delayed phonological development, in order to identify groups at risk and to find factors affecting delayed phonological development. A group of 1,452 children (51% boys, 49% girls) were recruited from the nationwide Panel Study on Korean Children. The current study collected data from 418 children who were previously identified as late-talkers (LT) at their age of three on average (Time 1: expressive vocabulary test) and three years later (Time 2: phonological test). Their phonological outcomes of the Time 2 were analyzed and then compared to those of a group of 1,056 children with typical language development (NLT: no late-talkers) at the age of three in terms of the number of incorrect consonants, and the speech sound disorders rating scores. LT showed a lower articulation score than NLT, and boys showed a lower score than girls. These findings indicate that the late onset of speech and the gender of young children could be potential risk factors of speech sound disorders.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.249-258
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• 2019

보건의료서비스는 장애인을 포함한 국민의 건강을 위해 제공되는 가장 기초적인 사회제도이다. 그러나 언어장애가 있는 사람 중 언어치료 이용여부에 따른 보건의료서비스의 차이를 알아본 연구는 미흡하였다. 본 연구는 언어장애가 있는 장애인을 대상으로 언어치료 이용여부에 따른 특성과 보건의료서비스의 인식을 비교하고자 하였다. 연구자는 2017년 장애인 실태조사의 원시자료를 이용하여 언어장애를 가진 사람 229명을 선정하였다. 이 중 언어치료를 이용하는 자와 이용하지 않는 자를 구분하여 그들의 특성(사회인구학적 특성, 장애특성)과 보건의료서비스 인식(미충족 의료, 정부 또는 사회에서 강화해야할 보건의료 서비스)을 비교하였다. 229명의 언어장애가 있는 사람 중 언어치료를 이용하고 있는 사람은 37명(16.2%)이었다. 언어치료 이용자는 비이용자와 비교하여 나이가 젊었고, 미취학인 아동이 많았으며, 월평균 총 가구 소득이 높았으며, 장애등록유형에서 지적장애와 자폐성장애가 더 높은 비중을 차지했다. 언어치료 이용자는 비이용자에 비해 미충족 의료 경험의 비율이 낮았다. 미충족 의료 이유에서 언어치료 비이용자 49명의 분포를 살펴보면 '경제적인 이유'와 '의사소통에 어려움'이 13명(6.8%)과 12명(6.3%)로 1순위와 2순위를 차지하였다. 언어치료 비이용자와 이용자 모두는 정부(사회)에서 강화해야 할 보건의료서비스로 '장애관리'를 요구하였다. 본 연구의 결과는 언어장애가 있는 사람의 언어치료 이용의 장벽을 낮추기 위해서 보건의료서비스의 접근성을 증대시킬 필요가 있음을 시사한다.

• 대한한방내과학회지
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• 제25권3호
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• pp.662-668
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• 2004

Cerebrovascular accident(CVA) is a leading cause of death, and severe sequelae, like motor disturbance, mental disorder, dysphagia, recognition disorder, speech disorder(aphasia) often occur. Most of medical cure about CVA sequelae lay emphasis on motor disturbance, so speech disorder(aphasia) has been neglected. But speech disorder therapy is essential for social rehabiltation. Recently, inside and outside South Korea, various clinical approaches and potential medical cures for speech disorder (aphasia) have been researched. In Korean Medicine, papers pertaining to speech disorders have been but a few. In this study two cases of aphasic stroke patients who were treated for speech and language disorders through Korean medical therapy are reported.

• Clinical and Experimental Pediatrics
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• 제45권10호
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• pp.1199-1203
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• 2002

목 적: 언어발달장애를 주소로 내원하는 소아들을 대상으로 청성뇌간반응(ABR)을 선별검사로 시행함으로써 그 원인을 조기 발견하고 조기 치료함으로써 이들의 장애를 최소화하고 언어발달 과정에 도움을 주고자 본 연구를 시행하였다. 방 법 : 1999년 1월부터 2001년 12월까지 3년 동안 경북대학교병원 소아과에 언어발달장애를 주소로 내원한 18개월 이상 소아 139례를 대상으로 하여 청성뇌간반응(ABR)을 시행하였으며 이들의 임상진단과 ABR 이상에 따라 분류하였다. 결 과 : 전체 139례 중 ABR 검사상 이상소견을 보인 환아는 15례(10.8%)였으며 전반적 발달장애 7례, 발달성 언어장애 4례, 기타 4례로 나타났으며 이상소견을 보인 환아 중 7례는 전음성 난청이었으며 8례는 감각신경성 난청이었다. 또한 ABR 검사상 정상을 보인 18개월에서 7세 사이의 I파 및 V파의 평균잠복기 및 표준편차는 각각 $1.40{\pm}0.13$, $5.57{\pm}0.26$이었으며, I-V의 정점간 잠복기는 $4.18{\pm}0.24$였다. 중등도 이상의 감각신경성 난청환아의 4례에서 보청기를 착용하였으며 이들을 추적 관찰하였다. 결 론: 언어발달장애를 주소로 내원하는 소아들에게 선별검사로서의 ABR은 반드시 필요한 것으로 생각되며 이것을 통해 감각신경성 난청을 조기 발견하고 감각 신경성 난청의 경우 보청기를 사용하여 조기 치료함으로써 이들의 신경학적 발달 및 사회적 적응에 도움을 줄 수 있을 것이다.