• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.23 no.1
• /
• pp.33-42
• /
• 2012

Background and Objectives : Dysarthria refers to speech disorder that causes difficulties in speech communication due to paralysis, muscle weakening, and incoordination of speech muscle mechanism caused by damaged central or peripheral nerve system. Pitch, strength and speed are influenced by dysarthria during detonation due to difficulties in muscle control. As evaluation items, alternate motion rate and diadochokinesis have been commonly used, and articulation is also an important evaluation items. The purpose of this study is to find acoustic characteristics on sound production of dysarthria patients. Materials and Methods : Research subjects have been selected as 20 dysarthria patients and 20 subjects for control group, and voice sample was composed of bilabial, alveolar sound, and velar sound in diadochokinetic rate, while consonant articulation test was composed of bilabial plosive, alveolar plosive, velar plosive. Analysis items were composed of 1) speaking rate, energy, articulation time of diadochokinesis, 2) voice onset time (VOT), total duration (TD), vowel duration (VD), hold of plosives. Results and Conclusions : The number of diadochokinetic rate of dysarthria was smaller than control group. Both control group and dysarthria group was highly presented in the order of /t/>/p/>/k/. Minimum energy range per cycle during diadochokinetic rate of dysarthria group was smaller than control group, and presented statistical significance in /p/, /k/, /ptk/. Maximum energy range was larger than control group, and presented statistical significance in /t/, /ptk/. Articulation time, gap, total articulation time during diadochokinetic rate of dysarthria group was longer than control group and presented statistical significance. The articulation time was presented in both control group and dysarthria group in the order of /k/>/t/>/p/, while Gap was presented in the order of /p/>/t/>/k/ for control group and /p/>/k/>/t/ for dysarthria group. VOT, TD, VD regarding plosives of dysarthria group were longer than control group. Hold showed large deviation compared to control group that had appeared due to declined larynx and articulation organ motility.

• Phonetics and Speech Sciences
• /
• v.6 no.4
• /
• pp.171-179
• /
• 2014

Purposes: Speech acceptability means the subjective judgement of listeners regarding the naturalness and normality of the speech. The purpose of this study was to determine the predicting variables for speech acceptabilities of children with cochlear implants. Methods: Twenty seven children with CI participated. They had profound pre-lingual hearing loss without any additional disabilities. The mean of chronological ages was 8;9, and mean of age of implantation was 2;11. Speech samples of reading and spontaneous speech were recorded separately. Twenty college students who were not familiar to the speech of deaf children evaluated the speech acceptabilities using visual analog scale. 1 segmental (articulation) and 6 suprasegmental features (pitch, loudness, quality, resonance, intonation, and speaking rate) of speech were perceptually evaluated by 3 SLPs. Correlation and multiple regression analysis were performed to evaluate the predicting variables. Results: The means of speech acceptability for reading and spontaneous speech were 73.47 and 71.96, respectively. Speech acceptability of reading was predicated by the severity of intonation and articulation. Speech acceptability of spontaneous speech was predicated by the severity of intonation and loudness. Discussion and conclusion: Severity of intonation was the most effective variable to predict the speech acceptabilities of both reading and spontaneous speech. A further study would be necessary to generalize the result and to apply this result to intervention in clinical settings.

• Journal of Digital Convergence
• /
• v.14 no.7
• /
• pp.213-223
• /
• 2016

The research mainly focused on how the nasagastric tube used to solve feeding troubles developed by 30 children with CP(Cerebral Palsy) affects the post-childhood feeding development right after their birth. It tested an articulation skill of the children and surveyed their feeding ability with their care-givers from 1st in July to 30th in August, 2015. This study conducted an investigation of the way a feeding ability affects an articulation skill. It suggested that an articulation accuracy significantly depends on whether or not the nasagastric tube is used. Also, the findings showed that the post-articulation accuracy is quite related with the problems for the liquid intake, the use of special feeding methods and tools, and biting and chewing among the evaluating problems for the childhood feeding ability. The research concluded that some areas in the early childhood feeding ability have an apparent influence on the post-articulation skill for children with CP.

• Archives of Plastic Surgery
• /
• v.47 no.6
• /
• pp.542-550
• /
• 2020

Background This study aimed to identify the initial diagnostic characteristics and treatment status of children with submucous cleft palate (SMCP) and to examine the relationship between the timing of surgical correction and the degree of articulation and resonance improvement. Methods This retrospective study included 72 children diagnosed with SMCP between 2008 and 2016. The evaluation criteria were the age of the initial visit, total number of visits, age at the end of treatment, speech problems, resonance problems, and speech therapy. Results Children with SMCP first visited the hospital at an average age of 34.32 months, and speech problems were identified at an average age of 48.53 months. Out of 72 children, 46 underwent surgery at an average age of 49.74 months. Four of these children required secondary surgery at an average age of 83.5 months. Among the children who underwent surgery before 3 years of age, 70% exhibited articulation improvements, with mild-to-moderate hypernasality. Articulation improvements showed no statistically significant differences according to age at the time of surgery. However, children who underwent surgery before 4 years had a better hypernasality rating than those who underwent surgery after 4 years of age. Conclusions Children with SMCP tend to undergo delayed treatment because the anatomical symptoms in some children with SMCP are unclear, and surgical interventions are considered only after speech problems are clarified. Starting interventions as early as possible reduces the likelihood of receiving secondary surgery and speech therapy, while increasing expectations for positive speech function at the end.

• Phonetics and Speech Sciences
• /
• v.3 no.1
• /
• pp.125-134
• /
• 2011

The current study investigated the effects of experience of deaf speech, severity of speaker's articulation, and linguistic cues on speech intelligibility of congenitally deafened adults with cochlear implants. Speech intelligibility was judged by 28 experienced listeners and 40 inexperienced listeners using a word transcription task. A three-way (2 $\times$ 2 $\times$ 4) mixed design was used with the experience of deaf speech (experienced/inexperienced listener) as a between-subject factor, the severity of speaker's articulation (mild to moderate/moderate to severe), and linguistic cues (no/phonetic/semantic/combined) as within-subject factors. The dependent measure was the number of correctly transcribed words. Results revealed that three main effects were statistically significant. Experienced listeners showed better performance on the transcription than inexperienced listeners, and listeners were better in transcribing speakers who were mild to moderate than moderate to severe. There were significant differences in speech intelligibility among the four different types of cues, showing that the combined cues provided the greatest enhancement of the intelligibility scores (combined > semantic > phonological > no). Three two-way interactions were statistically significant, indicating that the type of cues and severity of speakers differentiated experienced listeners from inexperienced listeners. The current results suggested that the use of a combination of linguistic cues increased the speech intelligibility of congenitally deafened adults with cochlear implants, and the experience of deaf speech was critical especially in evaluating speech intelligibility of severe speakers compared to that of mild speakers.

• Proceedings of the KOR-BRONCHOESO Conference
• /
• 1972.03a
• /
• pp.1.1-1
• /
• 1972

It is well known that speech signals are the most riliable materials for the hearing test and there are various difficult problems in the selection of these materials. Because of these difficulties, there is not a confirmed test material of Korean speech sound up to date. For the basis of the test materials, author had studied articulation scores and confusion patterns of 100 monosyllable korean speech sounds in normal listners, in normal listners under various noisy (white noise and speech noise) circumstances, and in patients with hearing loss, The results reveal as follows. 1. Except for perceptive deafness with poor articulation score, Confusion was occured among initial consonants, vowels and final consonants respectively according to their distinctive features under above various test conditions. 2. There is remarkable differences in articulation scores between different kindes of noise under some intensity levels.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.30 no.2
• /
• pp.87-94
• /
• 2019

The purpose of this study was to investigate the speech characteristics and speech therapy of Parkinson disease (PD). This study selected 28 papers published in Korea from 1998 to 2018 after searching the terms 'Parkinson voice' and 'Parkinson speech therapy.' Literature review had been conducted in the two aspects of speech characteristics and speech therapy. The speech characteristics were divided into respiration, phonation, articulation, prosody, vowel production, and voice questionnaire. Speech therapy was divided into Lee Sliverman voice treatment (LSVT) and other voice therapy. PD patients did not differ in respiration function compared to normal elderly people, but their speech and articulation function were poorer. There was also a difference in the speech rate, frequency of pause, and accuracy of vowel production compared with normal elderly people. PD had a lower VHI score and their voice related quality of life was a little poorer. The LSVT was typically used in speech therapy for PD. The methods of speech therapy for PD have been shown to improve respiration and phonation. It is necessary to establish voice norms in PD patients and develop effective speech therapy in the following study.

• Proceedings of the KSPS conference
• /
• 2007.05a
• /
• pp.149-151
• /
• 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.

• Proceedings of the KSPS conference
• /
• 2007.05a
• /
• pp.247-250
• /
• 2007

The affricates of the Korean were alveolar sounds in the 15th century. Alveolar sounds have changed to post-alveolar or alveo-palatal sounds since the 18th century, at least in Southern Korean. These days, the advanced articulation of the affricates are observed, especially in the speech of young generations. The aim of this paper is to show the differences of the affricates when they are pronounced in alveo-palatal and in a more advanced position than in alveo-palatal by their cut-off frequencies. We have recorded speeches of freshmen(in their early twenties) at Seoul National University. The result was that the cut-off frequency of the advanced articulation in auditory observations was higher than that of the others. We have found in particular, that women have tendency to advance their place of articulation of the affricates.

• Phonetics and Speech Sciences
• /
• v.2 no.4
• /
• pp.239-244
• /
• 2010

The purpose of this study is to investigate two phonological error patterns on coronal feature of children with functional articulation disorders and to compare them with those of general children. We tested 120 children with functional articulation disorders and 100 general children from 2~4 years of age with 'Assessment of Phonology & Articulation for Chidren(APAC)'. The results were as follows: (1) 37 disordered children substituted [+coronal] consonants for [-coronal] consonants (fronting of velars) and 9 disordered children substituted [-coronal] consonants for [+coronal] consonants (backing to velars). (2) Theses two phonological patterns were affected by the articulatory place of following phoneme. (3) The fronting pattern of children with articulation disorders was similar with that of general children, but their backing pattern was different with that of general children. These results show the clinical usefulness of coronal feature in phonological pattern analysis, the need of articulatory assessment with various phonetic context, and the importance of error contexts in clinical judgment.