• 제목/요약/키워드: Speech clinic

검색결과 91건 처리시간 0.022초

Images of Benign Vocal Fold Lesions Using Videokymogram

  • Ahn, Cheol-Min;Yoon, Seon-Young;Chung, Duk-Hee
    • 음성과학
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    • 제7권1호
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    • pp.89-96
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    • 2000
  • Examination of the vibrations of the vocal fold is very important in patients with voice changes. The newly developed videokymography (VKG) takes images in real time and records irregular vibrations of the vocal fold. However, there are few data on VKG findings. We studied VKG to evaluate the vibratory characteristics of the vocal fold in benign vocal fold lesions. Unique vibratory patterns, blurred demarcation of the mucosal propagation, decreased margin amplitudes, asymmetry in phase or amplitude, and a level difference of the contact site were observed in each benign vocal-fold lesion. We conclude that each type of laryngeal lesion has specific characteristic which are revealed by VKG examination, these parameters can be quantified and used to objectively evaluate VKG findings. Based on these results, VKG can be used as a supplementary diagnostic tool.

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Longitudinal music perception performance of postlingual deaf adults with cochlear implants using acoustic and/or electrical stimulation

  • Chang, Son A;Shin, Sujin;Kim, Sungkeong;Lee, Yeabitna;Lee, Eun Young;Kim, Hanee;Shin, You-Ree;Chun, Young-Myoung
    • 말소리와 음성과학
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    • 제13권2호
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    • pp.103-109
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    • 2021
  • In this study, we investigated longitudinal music perception of adult cochlear implant (CI) users and how acoustic stimulation with CI affects their music performance. A total of 163 participants' data were analyzed retrospectively. 96 participants were using acoustic stimulation with CI and 67 participants were using electrical stimulation only via CI. The music performance (melody identification, appreciation, and satisfaction) data were collected pre-implantation, 1-year, and 2-year post-implantation. Mixed repeated measures of ANOVA and pairwise analysis adjusted by Tukey were used for the statistics. As result, in both groups, there were significant improvements in melody identification, music appreciation, and music satisfaction at 1-year, and 2-year post-implantation than a pre-implantation, but there was no significant difference between 1 and 2 years in any of the variables. Also, the group of acoustic stimulation with CI showed better perception skill of melody identification than the CI-only group. However, no differences found in music appreciation and satisfaction between the two groups, and possible explanations were discussed. In conclusion, acoustic and/or electrical hearing devices benefit the recipients in music performance over time. Although acoustic stimulation accompanied with electrical stimulation could benefit the recipients in terms of listening skills, those benefits may not extend to the subjective acceptance of music. These results suggest the need for improved sound processing mechanisms and music rehabilitation.

Disfluencies and Speech Rates of Standard Korean Speakers in Story-telling and Reading Contexts

  • Shim, Hong-Im;Chon, Hee-Cheong;Ko, Do-Heung
    • 음성과학
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    • 제12권1호
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    • pp.45-51
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    • 2005
  • The purpose of this study is to compare disfluencies and speech rates (overall speech rate and articulation rate) of normal adult speakers who use the standard Korean according to dissimilar speech tasks (story-telling and text-reading). Participants were 100 Korean adult speakers. The results are summarized as follows: First, the most frequent type of disfluency in the story-telling task was 'interjection', whereas that in the text-reading task was 'revision'. Second, the overall speech rates (syllables per second and syllables per minute) showed significant differences depending on the speech tasks. Third, the articulation rates (syllables per second and syllables per minute) showed significant differences depending on the speech tasks.

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한국어판 말장애지수(The Korean Version of Speech Handicap Index)에 대한 예비연구 (A Pilot Study of the Korean Version of Speech Handicap Index (SHI))

  • 박성신;최성희;차원재;홍영혜;정년기;성명훈;하정훈
    • 대한후두음성언어의학회지
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    • 제24권1호
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    • pp.41-46
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    • 2013
  • Background & Objectives : The Speech Handicap Index (SHI) is used to assess speech problem of head and neck cancer patients. The aim of this preliminary study was to evaluate the reliability and validity the Korean version SHI. Materials and Methods : Sixteen patients with oral cavity cancer and 26 normal control were participated in the study. Test-retest reliability of the Korean version of SHI was completed by 20 out of 42 subjects after 2weeks. Mann-Whitney U test was used to compare the Korean version of SHI scores between normal population and patients group. The relationship between the Korean version of SHI and diadochokinesis (DDK) was investigated using Spearman correlation coefficients. Results : The Korean version of SHI provided a high internal consistency (${\alpha}$=0.99) and test-retest reliability (Spearman rho 0.98). The mean SHI scores [total (T), speech (S), and psychosocial (P)] in normal population were 0.8 (T), 0.2 (S) and 0.4 (P), whereas those in patients group were 58.1 (T), 27.9 (S) and 27.0 (P) respectively. There were significant differences in total SHI score as well as in all of the sub-SHI scores between two groups. Moreover, significant correlation between the Korean version of SHI parameters (T, S, P) and sequential motion rate (SMR) were yielded in patients group. Conclusion : The Korean version of SHIwas reliable and valid. It can be useful as a supplementary clinical tool for diagnosing and measuring treatment efficacy of speech problems related to oral cavity cancer.

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성대주입술을 결합한 음성치료의 효과 연구 (The Study of Combined Voice Therapy with Intralaryngeal Injection)

  • 안철민;정화원;신정은
    • 대한후두음성언어의학회지
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    • 제28권1호
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    • pp.25-31
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    • 2017
  • Background and Objectives : Though voice therapy is proven to be effective in academia, treatment results and satisfaction level are inconsistent in clinics. The inconsistency may rise from diverse vocal cords misuse patterns in patient population as they suffer from different diseases or have bad phonation habits. In order to overcome the limitation, we uniformized patients' vocal cords with injection laryngoplasty prior to voice therapy. The efficacy of voice therapy and consistency in treatment results after injection laryngoplasty were assessed. Materials and Methods : Patients diagnosed with vocal nodules were either treated with injection laryngoplasty followed by voice therapy (combined treatment group) or voice therapy only (voice therapy group). Each group consisted of 15 patients. Acoustic measures (jitter, shimmer, NHR), aerodynamic measures (MPT, Psub, MAFR), and subjective auditory conscious measures (K-VHI, K-VRQOL) between two groups were analyzed. Results : After treatments, both groups improved in terms of acoustic, aerodynamic, and subjective auditory conscious measures compared to pre-treatment. Combined treatment group had statistically significantly greater improvement in shimmer, P in K-VHI, and PF in K-VRQOL compared to voice therapy group. Conclusion : Injection laryngoplasty treatment prior to voice therapy synergizes in treating patients compared to voice therapy only.

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다학문적 접근법의 구개열 말-언어 관리 (Cleft Palate Speech - Language Management based on the Multidisciplinary Approach)

  • 양지형
    • 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.

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유창성장애 성인의 주관적 말더듬 평가도구들의 비교 (Comparison of Stuttering Self-Rating Scales in Adults with Stuttering)

  • 김재옥;신문자
    • 대한음성학회:학술대회논문집
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    • 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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    • pp.257-260
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    • 2007
  • This study was designed to compare the self-rating scales (SSS, S-24, P-FA, and PSI) translated into Korean in adults with stuttering. Eighteen adults with stuttering were participated. Each scale was divided into two sub-categories, avoidance and locus of control. The correlations among the scales and among the sub-categories were evaluated. Objective stuttering severity and self-rated stuttering severity were compared. Results indicated that those scales were significantly correlated. Total score in each scale and each sub-category were also significantly correlated. There were no significant differences in total score nor subjective stuttering severity with objective stuttering severity. The self-rating scales in adults with stuttering currently used in clinics and research areas in Korea are suitable tools that adults with stuttering can evaluate the characteristics of and attitudes for stuttering subjectively.

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영어 강세 교정을 위한 주변 음 특징 차를 고려한 강조점 검출 (Prominence Detection Using Feature Differences of Neighboring Syllables for English Speech Clinics)

  • 심성건;유기선;성원용
    • 말소리와 음성과학
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    • 제1권2호
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    • pp.15-22
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    • 2009
  • Prominence of speech, which is often called 'accent,' affects the fluency of speaking American English greatly. In this paper, we present an accurate prominence detection method that can be utilized in computer-aided language learning (CALL) systems. We employed pitch movement, overall syllable energy, 300-2200 Hz band energy, syllable duration, and spectral and temporal correlation as features to model the prominence of speech. After the features for vowel syllables of speech were extracted, prominent syllables were classified by SVM (Support Vector Machine). To further improve accuracy, the differences in characteristics of neighboring syllables were added as additional features. We also applied a speech recognizer to extract more precise syllable boundaries. The performance of our prominence detector was measured based on the Intonational Variation in English (IViE) speech corpus. We obtained 84.9% accuracy which is about 10% higher than previous research.

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