• Title/Summary/Keyword: Speech intervention

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Auditory brainstem response (ABR) results in NICU graduates (신생아 집중치료실 퇴원아의 청성뇌간반응(ABR) 결과에 미치는 위험인자 및 경과)

  • Choi, Hee-Joung;Lee, Tae-ho;Oh, Ki-Won;Kim, Heng-Mi
    • Clinical and Experimental Pediatrics
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    • v.49 no.12
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    • pp.1301-1307
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    • 2006
  • Purpose : Hearing loss is one of the most common birth defects, and early detection and intervention positively impact language/speech and cognitive development. It has been reported that NICU graduates have a high incidence of hearing loss. So we investigated the incidence, risk factors and clinical outcome of hearing loss in NICU graduates. Methods : This study involved neonatal auditory brainstem response (ABR) testing of newborn infants who graduated from the NICU of Kyungpook National University Hospital during a 3-year period (between July 2002 and June 2005) and subsequent follow-up of these infants. Results : ABR evaluations were performed on 474 infants. Of these infants, 64 showed abnormal ABR (13.5 percent). Of 128 ears from these 64 infants, two ears (1.6 percent) and 10 ears (7.8 percent) were classified as severe and profound hearing loss, respectively. The infants with abnormal ABR had higher incidence of prematurity, low birth weight, very low birth weight, neonatal asphyxia, cranio-facial malformation and amikacin treatment over 15 days (P<0.05). In infants with hyperbilirubinemia, the peak level of serum bilirubin, duration of phototherapy and exchange transfusion were not associated with the higher incidence of hearing loss. Follow-up ABR evaluation was performed on 15 infants with abnormal ABR at $8.8{\pm}4.4months$. In follow-up ABR, 80.0% showed improvement or normalization of threshold sensitivity. Conclusion : NICU graduates exhibit high risk for hearing loss. Systemic and effective hearing assessment program is needed for these high risk infants.

The Effects of Tongue Pressure Strength and Accuracy Training on Tongue Strength and Speech Function of Chronic Stroke Patients (혀 저항정확도훈련이 만성 뇌졸중 환자의 혀 근력과 구어기능에 미치는 영향)

  • Kim, Bo-Jung;Ma, Sung-Ryoung
    • The Journal of the Korea Contents Association
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    • v.17 no.11
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    • pp.156-166
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    • 2017
  • The purpose of this study was to evaluate the effect of the tongue's maximum resistance training program on the accuracy of the tongue training program using the Iowa Oral Performance Instrument (IOPI) and to compare the effects of tongue muscle strength and spoken language function on objective function. The experiment was diagnosed with stroke hemiplegia divided into tongue pressure strength and accuracy training therapy group and the oromotor exercise therapy group Anterior Tongue Pressure(ATP), Posterior Tongue Pressure (PTP), and Posterior Tongue Pressure (PTP) were measured before and after the intervention to evaluate changes in tongue strength and verbal ability. Maximum Phonation Time (MPT). The results of this study are as follows. There was no significant difference in tongue strength and verbal function between training group and oral facial exercise group. There was no significant difference between tongue strength training and oral facial exercise group. Therefore, it was shown that the tongue pressure strength and accuracy training therapy group was not effective to improve tongue muscle strength and spoken language ability than the oromotor exercise therapy group.

EFFECTS OF GROUP THERAPY ON SPEECH FLUENCY IN ELEMENTARY SCHOOL STUTTERING CHILDREN (학령기 말더듬 아동 치료에 있어 그룹지도의 효과)

  • Shin, Moon-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.102-115
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    • 1991
  • This study reviewed the stuttering literature and reported the clinical experiment in stuttering intervention. There is still no single answer as to the cause of stuttering or to the most effective therapy for stutterers despite the vast amount of research. One certain thing is that we have come closer to a better understanding of the stuttering and to more effective therapy. There have been three main statements about the origins of stuttering ; biologic origins ; psychodynamic origins ; environmental-learning origins. There also have been various methods of the treatment of stuttering. Broadly, two major treatment approaches are attentive ; stuttering modification therapy and fluency shaping therapy. In this experiment, the researcher attempted to investigate complex elements that each child might have and to use an integrative approach rather than to keep the specific one. Individual subjects were evaluated by a multidisciplinary team. Initially, the subjects received individual therapy. They then were placed in group therapy. The purpose of the group therapy was to raise their fluencies to the higher communicative situation and to maintain improved fluency over time. All three subjects improved their fluencies in reading and in conversation and showed the better(SSI)scores in total stuttering behaviors. It was also discussed that it is necessary to have sensitive assessment tools to investigate each element of stuttering ; and to develop a therapy program reflecting current advanced stuttering theories.

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A Case Study on the Professional Education Using SAFMEDS Teaching Strategy (SAFMEDS 교수전략을 적용한 전문가 교육 사례연구)

  • Jeong, Gyeong-Hee;Choi, Jinhyeok;Ahn, Sung-Woo;Shin, Chang-Suk
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.1
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    • pp.9-18
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    • 2016
  • This study reported a case study that showed educational usefulness of SAFMEDS (Say All Fast a Minute Every Day Shuffled) on the improvement of Fluency. The participants were 3 experts with special teacher and speech and pathology, who enrolled a graduate level course, Research in Children with Autism Spectrum Disorder. The SAFMEDS strategy was employed as a study tool for the participants to acquire fluent verbal repertoires related to the key terminologies of Skinner's (1957) analysis of verbal behavior, list 60 pairs of terms. The participants developed 60 term flash cards which presented a target term on the front of the card, and its definition on the back. During the intervention, the participants were required to see the definition and says its term. The results of this study indicated that the SAFMEDS was effective to improve participants' fluent verbal repertoires in terms of both accuracy and fluency. The results of this study would be able to contribute for education professionals to improve certain target operant's accuracy and fluency.

The Effect of Fumanet Exercise Program for Life care on Cognition Function, Depression in Dementia (라이프케어 증진을 위한 후마네트 운동프로그램이 치매노인의 인지기능, 우울기능에 미치는 영향)

  • Lee, Na Yun;Ahn, So Hyun;Yang, Yeong Ae
    • Journal of agricultural medicine and community health
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    • v.45 no.3
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    • pp.121-129
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    • 2020
  • Purpose: As dementia progresses, cognitive function decreasing leads to memory loss, speech degradation, time and space degradation and judgment degradation, which causes difficulties in carrying out tasks related to daily life. It was said that community-based non-drug intervention therapy for early dementia patients was important to participate in entertainment treatment, including activities such as awareness and exercise therapy, exercise rehabilitation, aerobic exercise, and art. Methods: This study conducted 15 experimental and 15 control groups(experimental group : Fumanet exercise, control group : general occupational therapy) for eight weeks at the Daycare Center in Gyeonggi-do to find out the impact of the Fumanet exercise program on cognitive and depression functions of the elderly. The pre-post evaluation used KGDS, MMSE. Results: There were significant differences between the two groups in the function of menopause, memory recall, attention concentration and calculation, and depression, and no significant results were obtatined in memory registration, language function, understanding and fracture. The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia. Conclisions: The Fumanet movement was judged to be effective in improving cognitive function and reducing depression for the elderly with dementia.

Correlation between Subjective and Objective Cognitive-Linguistic Tests in Older Adults (정상 노년층의 인지-언어 능력에 대한 주-객관적 평가 간 상관성)

  • Lee, Mi-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.5
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    • pp.548-556
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    • 2016
  • Cognitive-linguistic changes that normally accompany aging are often simply an annoyance, but in some instances they may herald a more perilous course of decline to a state of neurological disease. This study investigated the correlation between subjective and objective tests on cognitive-linguistic abilities in older adults and the predictors of objective performances. Healthy elders over 65 years of age (n=63) and their informants (n=63) completed the subjective and objective cognitive-linguistic tests (ISCOLE and CAPTBI) from July of 2015 to February of 2016. The main findings were as follows: performance on the self-report test was not significantly different from that on the informant-report test. Additionally, eight domains in older adults group and 15 domains in the informants group were significantly associated with performance on the objective test. Finally, language on the informant-report test was a predictor of several abilities including problem solving and memory on the informant-report test predicted executive function and language. The present study demonstrates that two groups have significant differences in correlation between subjective and objective tests on the cognitive-linguistic abilities, and there are more relevant domains in rating by informants. These findings have implications for the use of cognitive-linguistic evaluation and preventive intervention in clinical settings.

The Relation between Hand Function and Sleep Disturbance Factors According to Quality of Sleep among Elderly Patients in Geriatric Hospitals (요양병원 노인에서 수면의 질의 따른 손 기능과 수면 장애 요인 간 관련성 연구)

  • Kang, Eun-Yeong;Chong, Bok-Hee
    • Journal of Society of Occupational Therapy for the Aged and Dementia
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    • v.12 no.2
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    • pp.47-55
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    • 2018
  • Objective : The purpose of this study is to consider the change of hand function according to the quality of sleep and to find out a correlation among the quality of sleep and hand function, and sleep disturbing factors. Method : 23 patients who were hospitalized more than 6 months from Nov. 2017 to Jan. 2018 were tested for the quality of sleep used by sleep quality scale, for the grip strength used by a dynamometer, and for the coordination used by BBT and 9-Hole Peg test. The collected data were analyzed to implement the paired t-test and Pearson correlation coefficient. Result : In the high grade group of sleep score, the quality of sleep & BBT, and the grip strength & BBT have correlated each other; and in the medium group, only the latter has shown a correlation. In both groups, the quality of sleep and the sleep pattern have showed significant high correlation. Conclusion : When the elderly in geriatric hospitals show qualitative differences, BBT and the combination of treatment for the improvement of grip strength can improve the quality of sleep. And the sleep pattern intervention is considered to be effective to improve the quality of sleep.

A Study on the Semiotics and Poetic Meaning of Literature Content - at the Center of Moon Sam­seok's Children's Poetry - (문학콘텐츠의 기호학적 시적의미 연구 -문삼석의 동시(童詩)를 중심으로-)

  • Sung, Hyun-Ju
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.72-79
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    • 2019
  • This study tries to study the poetic beauty of the space deconstructed by the medium appearing in Moon Sam-seok's children's poetry to help with simultaneous education and guiding methodology. The research method is based on the assumption that semiotics spatial image is read. In other words, we intend to derive the poetic beauty of the space in which the great pole space built by is deconstructed by the intervention of by the medium term . Among Moon Sam-seok's series of works, the research text is "The Wind and the Fire," "The Wind and the Empty Bottle," "The Wind and Salt," "The Wind and the Rock." According to the study, the wind deconstructed a space that was differentiated by the presence or absence of matter into a "coexistence space." These poetic spaces symbolize poetic beauty as ideal places of life that coexist in a distinction but not discrimination. Second, the wind has eliminated the gap between alienation, suffering and solitude. In other words, the wind deconstructed poetic space produced poetic beauty with the 'space of communication' based on homogeneity of the nature of existence. In conclusion, Moon's poetic speech can be seen that he intended to express the discreteness of the poetic space as 'communication' and 'common life' by deconstructing it with deviation and convergence by introducing a medium.

A Study on Typology and the Casual factors of Elderly-abuse (노인학대 유형화 및 유형결정요인 연구)

  • Lee, Yun-Kyung;Kim, Mee-Hye
    • 한국노년학
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    • v.28 no.4
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    • pp.1165-1178
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    • 2008
  • The objectives of this study are developing the new types of elderly abuse and finding the variables affecting the new elderly abuse type. And This is at suggesting the intervention strategies preventing the elderly abuse. The 350 cases of elderly abuse reported in Elder Protection Agency was analysed. Data is analyzed by using statistical techniques including cluster analysis and logit-regression. New type of elderly abuse is "violent elderly abuse" and "avoiding elderly abuse". Violent elderly abuse is very connected with directly violence speech and behavior and avoiding elderly abuse is connected with neglect and abandonment, self-neglect. The elderly's instrumental activity of daily living and education, the offender's sex and education and living together type of the elderly - the offender, and the offender's care burden are the casual factors of the new type of elderly abuse. Based on the results, the various service programmes for the abused elderly is developed and implemented.

A Systematic Literature Review of School Readiness Programs for Children With Disabilities (장애아동의 학교준비도 프로그램(School Readiness Program)에 대한 체계적 문헌 고찰)

  • Kim, Eun Ji;Kwak, Bo-Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.3
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    • pp.7-18
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    • 2023
  • Objective : This study aimed to confirm the research characteristics by analyzing the literature that applied the school readiness programs for children with disabilities. Methods : Studies were collected from the PubMed, Embase, Web of Science, and Research Information Sharing Service databases. The key terms were "School readiness" AND ("Occupational Therapy" OR "Rehabilitation") in English and Korean. Total eight articles were selected through the selection and exclusion criteria. Results : The programs included multi-type training, motor skill training, parent training, and mobile application training. The providers were psychologists, occupational therapists, physical therapists, speech pathologists, community workers, educators, and the psychologists who conducted most of the research. The program factors can be classified into academic function, motor function, social function, parental training, and others. Academic and social functions accounted for the largest proportion of the respondents. The intervention improved multiple skills, literacy, parenting skills, and gross fine motor function. Conclusion : This study aimed to provide basic data for school-based occupational therapy by analyzing school readiness programs for children with disabilities. Recently, interest in and research on school readiness has increased. Occupational therapists should also establish their roles in the field of school-related rehabilitation and provide various school-based occupational therapies.