• Title/Summary/Keyword: Speech and language disorders

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Assessment and Treatment of the Cleft Palate Speech Disorder by Use of the Nasometer (비음측정기를 사용한 구개열 언어의 평가 및 치료)

  • Shin, Hyo-Keun;Leem, Dae-Ho;Whang, Sang-Jun;Kim, Dong-Chil;Kim, Hyun-Gi
    • Korean Journal of Cleft Lip And Palate
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    • v.11 no.1
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    • pp.1-12
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    • 2008
  • In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

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The Role of Speech Factors in Speech Intelligibility: A Review (언어장애인의 명료도에 영향을 미치는 말요인: 문헌연구)

  • Kim Soo-Jin
    • MALSORI
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    • no.43
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    • pp.25-44
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    • 2002
  • The intelligibility of a spoken message is influenced by a number of factors. Intelligibility is a joint product of a speaker and a listener. In addition, intelligibility varies with the nature of the language context and the context of communication. Thus a single intelligibility score can not be ascribed to a given individual apart from listener and listening situation. But there is a clinical and research need to develop assessment measures of intelligibility that are quantitative and analytic. Before developing the index of intelligibility, the crucial factors need to be examined. Among them, the most significant in intelligibility is the speech factors of speakers. The following section reviews the literature dealing with the contribution of segmental and suprasegmental factors in speech intelligibility regarding the hearing impaired, alaryngeal, and motor disorders.

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Comparison of Self-Reporting Voice Evaluations between Professional and Non-Professional Voice Users with Voice Disorders by Severity and Type (음성장애가 있는 직업적 음성사용자와 비직업적 음성사용자의 음성장애 중증도와 유형에 따른 자기보고식 음성평가 차이)

  • Kim, Jaeock
    • Phonetics and Speech Sciences
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    • v.7 no.4
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    • pp.67-76
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    • 2015
  • The purpose of this study was to compare professional (Pro) and non-professional (Non-pro) voice users with voice disorders in self-reporting voice evaluation using Korean-Voice Handicap Index (K-VHI) and Korean-Voice Related Quality of Life (K-VRQOL). In addition, those were compared by voice quality and voice disorder type. 94 Pro and 106 Non-pro were asked to fill out the K-VHI and K-VRQOL, perceptually evaluated on GRBAS scales, and divided into three types of voice disorders (functional, organic and neurologic) by an experienced speech-language pathologist and an otolaryngologist. The results showed that the functional (F) and physical (P) scores of K-VHI in Pro group were significantly higher than those in Non-pro group. As the voice quality evaluated by G scale got worse, the scores of all aspects except emotional (E) of K-VHI and social-emotional (SE) of K-VRQOL were higher. All scores of K-VHI and K-VRQOL in neurologic voice disorders were significantly higher than those in functional and organic voice disorders. In conclusion, professional voice users are more sensitive to their functional and physical handicap resulted by their voice problems and that goes double for the patients with severe and neurologic voice disorders.

Perceptions on Evaluation and Treatment of Swallowing Disorders in Speech-Language Pathologists (삼킴장애 진단과 치료에 대한 언어치료전공자의 인식 및 현황)

  • Yoon, Ji Hye;Lee, Hyun-Joung
    • Phonetics and Speech Sciences
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    • v.5 no.4
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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.

Analysis of domestic research trends related to the development of digital therapeutics (DTx) in the field of communication disorders (의사소통장애 분야에서 디지털 치료제(DTx) 개발과 관련된 국내 연구동향 분석)

  • Eunmi Yun;Ikjae Im
    • Phonetics and Speech Sciences
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    • v.14 no.4
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    • pp.57-66
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    • 2022
  • In this study, the definition of "digital therapeutics" was clarified by examining related studies, and the development trend of digital therapeutics at the domestic level was investigated. Further, research data and technologies applied to various communication disorders since 2015 were analyzed. From all these, digital therapeutics can be defined as software that can support evidence-based treatment when used on patients to prevent, manage, and treat disorders With huge investments and research efforts increasingly made in the field of digital therapeutics, 17 of the 22 studies examined were on digital therapeutics applied in the treatment of language disorders. In the research papers examined, the technologies applied were virtual reality and augmented reality, with augmented reality used in most cases. The effects of applying digital treatment were positive, and most studies focused on content development in relation to the development of digital treatment, although one study was conducted for app development. Future studies could examine the application of digital therapeutics to more diverse communication disorder subjects. Active government support is expected in developing more sophisticated software that can be applied using a wider range of technologies in the field of digital therapeutics to treat more communication disorders.

Prosody of cerebral palsic adults' speech (뇌성마비 성인 발화의 운율 특징)

  • Lee, Sook-Hyang;Ko, Hyun-Ju;Kim, Soo-Jin
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.49-51
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    • 2007
  • The purpose of this study is to investigate prosodic characteristics of cerebral palsic adults' speech. The results showed some correlations between their articulation scores and prosodic properties of their speech: speakers with low articulation scores showed slower speech rate, larger number of IPs and pauses, and longer duration of pauses. They also showed steeper slopes of [L +H] in their APs.

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Working Memory and Language Disorders : Literature Review (작업기억과 언어발달장애: 문헌연구)

  • Kim Soo-Jin;Kim Jung-Yeon;Lee Hye-Ran
    • MALSORI
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    • no.51
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    • pp.39-55
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    • 2004
  • Working memory is the term used to refer to the mental workplace in which information can be temporarily stored and manipulated during complex everyday activities such as understanding language. The studies on language and working memory are based on Baddeley's phonological working memory and Daneman and Carpenter's functional working memory. This article reviews two working memory models and the studies on language and working memory based on each model. These are described in the implication of working memory in language development and specific language impairment-evaluation and treatment.

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Speech pathologic evaluation of children with ankyloglossia (설유착증 환자의 언어병리학적 평가)

  • Lee, Ju-Kyung
    • Proceedings of the KSPS conference
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    • 2007.05a
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    • pp.155-157
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    • 2007
  • Objective : There are close relationship between intraoral abnormal structure and speech-functional problem. Patients with cleft palate & ankyloglossia are typical examples. Patients with abnormal structure can be repaired toward normal structure by operation. Ankyloglossia may cause functional limitation - for example, speech disorder - even if adequate surgical treatment were done. And, each individuals have each speech disorders. The objective of this study is to evaluate the speechs of childrens with ankyloglossia, and to determine whether ankyloglossia is associated with articulation problem. We wanted to present criteria for indication of frenectomy. Study design The experimental group is composed of 10 childrens who visited our department of oral and maxillofacial surgery, dental hospital, Chonbuk university, due to ankyloglossia and articulation problem,. The average age is 5 Y 7M, M : F ratio is 4 : 1 at the time of speech test. The VPI consonant discrimination degree, PPVT, PCAT, Nasometer II, Visi-Pitch test result were obtained from each group. Result : There was significant difference for 'language development' through PPVT. Except 3 members of experimental group, all remainder showed retardation for 'language development'. For 'errored consonant rate', data showed more higher scores in alveolar consonant. There 'consonant error' in experimental group, mostly showed 'alveolar consonant', also a major modality of 'consonant error' was mostly distortion. Conclusion : We can judge the severity of ankyloglossia patient by examinig language development degree & speech test of 'alveolar consonant' . And we can make a decision for frenulotomy using these results.

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A Case Report of a Patient with ADHD and Learning Disorders Treated with Hyperbaric Oxygen Therapy and the Oriental Medical Therapy (고압산소요법(Hyperbaric Oxygen Therapy)를 병행한 한방치료로 호전된 주의력결핍-과잉행동장애(ADHD)를 동반한 학습장애 아동의 치험 1례에 대한 고찰)

  • Lee, Su-Bin;Lee, Ru-Da;Lee, Sang-Won;Park, Se-Jin
    • Journal of Oriental Neuropsychiatry
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    • v.24 no.4
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    • pp.393-402
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    • 2013
  • Objectives: This study is a clinical report of a patient with ADHD and learning disorders who is being treated with hyperbaric oxygen, scalp acupuncture, cognitive enhancement therapy and speech-language therapy. Methods: The BASA-R, BASA-M and REVT tests were used for the diagnosis of learning disorders. For the treatment, hyperbaric oxygen therapy, scalp acupuncture, cognitive enhancement therapy and speech-language therapy were all being used. The Raven's matrix tests were compared for between before and after the abovementioned therapies. Results: After the treatment, Raven's matrix test grade improved from 4 to 5. The improvement of the patient's concentration, communication, motion, confidence, and sleep conditions were observed. Conclusions: These therapies including the hyperbaric oxygen therapy are efficient for the treatment of ADHD and learning disorders.

Survey on the Status and Perceptions, Needs of Non-verbal Autism Spectrum Disorders Intervention of Speech-Language Pathologists (무발화 자폐스펙트럼장애 중재에 대한 언어재활사의 현황과 인식, 요구 조사)

  • Son, So-Yee
    • The Journal of the Korea Contents Association
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    • v.22 no.9
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    • pp.520-530
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    • 2022
  • The purpose of this study is to examine the status and perceptions, needs of speech language pathologists(SLPs) for the intervention of non-verbal autism spectrum disorders(ASD) through a survey. Among SLPs registered in the Korean Association of Speech-Language Pathologists (KSLP), 116 SLPs participated in this survey. The result is as follows. First, 96.6% of SLP reported that they had been referred for non-verbal ASD, and it was found that SELSI was the most used evaluation tool, and communication ability and social interaction were the most frequently used intervention goals. Second, 86.2% of the SLP said that speech therapy had difficulties, and the reason for the burden was the lack of speech therapy methods. Also, the level of knowledge of speech therapy for non-verbal ASD was low in the treatment area, and the level of confidence responded positively only in communication ability and social interaction. Third, education that was considered necessary within the curriculum was education on treatment methods, and it was found that the improvement points of education other than regular courses were increased education such as expert courses and workshops and activation of supervision. From the results of this study, it is expected that the related curriculum will be expanded and improved in the future.