• 대한청각학회지
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• 제23권3호
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• pp.129-134
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• 2019

Background and Objectives: Sine a self-reported questionnaire for hearing-impaired listeners is not available by Malay language yet, it is important to develop or translate any available existing questionnaires. The aim of this study was to translate, adapt and validate the Hearing Handicap Inventory for Adult (HHIA) to be used by the audiologist among the hearing-impaired population in Malaysia. Subjects and Methods: The HHIAs was translated to Malay language using forward-backward translation techniques by four-panellists (two for each level). The translated HHIA was then reconciled and harmonized for cultural aspects and content of the questionnaire by the researchers and two expert panels before being pilot-tested among 10 hearing-impaired patients. Questionnaire validation was conducted among 80 adults with a hearing loss to calculate for Cronbach's α (internal reliability), Spearman's correlation (inter-item correlation) and factor analysis. Results: None of the translated items were removed from the scale. The overall Cronbach's α was 0.964; 0.927 and 0.934 for both social and emotional subscales, respectively. The factor analysis (force-concept inventory) demonstrated a two-structure with a strong correlation between all items in either component 1 or 2, that resembled the original scale. The Mann-Whitney test revealed significantly higher scores for those adults with a hearing loss than those adults with normal hearing. Conclusions: The Malay HHIA has been successfully translated and validated for the purpose of determining the psychosocial aspects of adults with hearing loss in the local population.

• 한국융합학회논문지
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• 제11권2호
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• pp.161-165
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• 2020

재활과학분야에서 메타분석을 이용한 연구가 증가하는 추세이지만 모든 메타분석 논문의 질적 수준이 동일한 것은 아니다. 특히, 메타분석이 가장 상위의 근거수준을 가진 연구방법임에도 불구하고, 개별 연구들 간의 이질성을 고려하지 않고 단순히 대푯값만을 통합할 경우 결과를 왜곡시킬 뿐만 아니라 잘못된 대안을 도출할 가능성이 높다. 본 연구는 2010년 1월부터 2019년 6월까지 우리나라에서 출판된 언어중재를 주제로 한 메타분석 논문을 대상으로 현황을 파악하고, A Measurement Tool to Assess the Methodological Quality of Systematic Review(AMSTAR)를 이용하여 방법론적 질을 평가하였다. 검색된 논문 98편 중 최종 5편 논문의 방법론적 질을 평가한 결과 총점 11점 중에서 평균 7.4점이 산출되어 보통 이상의 수준으로 확인되었다. 향후 언어병리학 메타연구의 질적 수준을 높이기 위해서는 출판편향에 대한 검증과 이해상충에 대한 명시를 포함해야 할 것으로 사료된다.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2006년도 추계학술대회 발표논문집
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• pp.127-130
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• 2006

The purpose of this study is to examine the difference in acoustic features between Young Voices and Aged Voices, which are actually come from the same age group. The 12 female subjects in their thirties were participated and recorded their sustained vowel /a/, connected speech, and reading. Their voices were divided into Younger Voices and Aged Voices, which means voices sound like younger person and sound like in their age or more aged ones. Praat 4.4.22 was used to record and analyze their acoustic features like Fo, SFF, Jitter, Shimmer, HNR, Pitch-range. And the six female listeners guessed the subjects' age and judged whether they sound younger or as like their actual age. We used the Independent t-Test to find the significant difference between those two groups' acoustic features. The result shows a significant difference in Fo, SFF. The above and the previous studies tell us the group who sounds like younger or baby like voice has the similar acoustic features of actually young people.

• 말소리와 음성과학
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• 제16권2호
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• pp.29-36
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• 2024

심리언어학적 접근에 기반한 말처리 모델은 다양한 경로를 통해 말소리장애아동의 구체적인 말처리 결함을 한눈에 파악할 수 있는 모델이다. 말소리장애아동이 보이는 말산출 결함은 원인을 알 수 없는 경우가 대부분이기 때문에 개별화된 중재를 위해서는 기저의 강약점을 파악하는 것이 중요하다. 또한 말소리장애 아동의 모국어 결함은 외국어 산출에도 영향을 미칠 수 있기 때문에 모국어와 외국어라는 두 언어 간 말처리 능력을 함께 살펴볼 필요가 있다. 본 연구는 한국어-영어 말처리 평가시스템 개발을 위한 예비연구로, 말소리장애아동(SSD) 10명과 일반아동(NSA) 20명을 대상으로 말산출 과제와 말처리 과제(변별, 음운표상판단, 비단어따라말하기)를 한국어와 영어로 각각 실시하여 언어종류에 따른 집단 간 비교를 시도하였다. 연구 결과, SSD 집단은 두 언어에서 모두 NSA 집단에 비해 유의하게 낮은 산출능력을 보였다. 말처리 과제 결과, 변별과제에서는 유의한 차이를 보이지 않은 반면, 음운표상판단과제의 경우 언어 종류 간, 비단어따라말하기과제의 경우 언어종류와 집단 간에서도 그 차이가 유의하였다. 본 연구의 결과를 통해 아동의 모국어와 외국어 처리능력은 상이할 수 있으며, 추후 말처리 평가 프로그램 개발을 위해 하위과제를 보다 세분화하고 난이도를 조절할 필요가 있음을 확인하였다.

• Archives of Plastic Surgery
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• 제44권3호
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• pp.202-209
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• 2017

Background No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP). Methods This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Patients ${\geq}17$ years of age were invited for a final speech assessment. Their medical history was obtained from their medical files, and speech outcomes were assessed by a speech pathologist during the follow-up consultation. Results Forty-eight patients were included in the analysis, with a mean age of 21 years (standard deviation, 3.4 years). Their mean age at the time of hard and soft palate closure was 3 years and 8.0 months, respectively. In 40% of the patients, a pharyngoplasty was performed. On a 5-point intelligibility scale, 84.4% received a score of 1 or 2; meaning that their speech was intelligible. We observed a significant correlation between intelligibility scores and the incidence of articulation errors (P<0.001). In total, 36% showed mild to moderate hypernasality during the speech assessment, and 11%-17% of the patients exhibited increased nasalance scores, assessed through nasometry. Conclusions The present study describes long-term speech outcomes after two-stage palatoplasty with hard palate closure at a mean age of 3 years old. We observed moderate long-term intelligibility scores, a relatively high incidence of persistent hypernasality, and a high pharyngoplasty incidence.

• 음성과학
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• 제10권2호
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• pp.259-280
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• 2003

The paper discusses the way in which speech sounds are being evaluated and transcribed in various fields of speech sciences, and suggests ways for a more accurate transcription. The academic fields explored are of phonetics, speech processing, speech pathology, and foreign language education. The discussion centers on the International Phonetic Alphabet (IPA), most commonly used in these fields, and other less widely-accepted transcription conventions such as the TOnes and Break Indices (ToBI), the Speech Assessment Methods Phonetic Alphabet (SAMPA), an extension of the official Korean Romanization (KORBET), and the American-English transcription system in the TIMIT database (TIMITBET). These transcription conventions are dealt with Korean, English, and Korean-accented English. The paper demonstrates that each transcription can exclusively be recommended for a specific need from different academic fields. Due to its publicity, the IPA is best suited for phonetic evaluation in the fields of phonetics, speech pathology, and foreign language education. The rest of the transcriptions are useful for keyboard-inputting the phonetically evaluated data from all these fields as well as for sound transcription in speech engineering, because they use convenient letter symbols for typing, searching, and programming. Several practical suggestions are made to maintain the transcriptional efficiency and consistency to accommodate the intra-and inter-transcriber variability.

• 재활복지
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• 제21권2호
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• pp.233-246
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• 2017

본 연구는 디지털 세계와 물리적 세계가 접목하는 증강현실을 언어치료에 적용하기 위한 기초 연구이다. 특히, 아동들에게 동사를 지도할 때 증강현실로 구현한 동사 목록이 해당 움직임을 정확하게 나타내고 있는지와 같은 동작 타당도, 그리고 해당 동사 목록이 어휘 지도 목표로 적절한 것인지에 대한 어휘 타당도를 살펴본 연구이다. 선행 연구들을 참고하여 45개의 동사를 어휘 지도 목록으로 선정하고 이 동사들에 대하여 1급 언어재활사 자격증을 소지한 언어치료학과 교수 3명으로 하여금 어휘 타당도를 평가하도록 하였다. 그 결과, 39개 동사에서 높은 어휘 타당도를 얻었다. 높은 어휘 타당도를 얻은 39개 동사에 대한 동작 타당도를 살펴보기 위하여 언어치료 전공 석사과정 대학원생들에게 각 동사를 증강현실로 구현하여 보여주고 생각나는 동사를 기록하게 하였다. 증강현실로 구현된 동작 애니메이션을 보고 난 후 50% 이상의 대학원생이 해당 동사로 기록한 동사는 32개였다. 이차적으로는 이 32개 동사만 증강현실로 구현하여 87명의 언어치료 전공 대학생들에게 보여주고 Likert 5점 척도로 각 동사와 구현된 동작의 일치도를 평가하게 하였다. 최종적으로 30개 동사가 증강현실로 구현하여 지도하기에 타당한 동사 목록으로 선정되었다. 이 연구 결과를 바탕으로 향후 공인 타당도 및 적용 타당화 연구를 지속하여 증강현실을 활용한 어휘 평가 및 지도가 언어치료 임상 현장에서 활용되기를 기대한다.

• Journal of Audiology & Otology
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• 제25권4호
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• pp.199-208
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• 2021

Background and Objectives: No known studies have investigated the influence of stimulus polarity on the Auditory Brainstem Response (ABR) elicited from level-specific (LS) chirp. This study is important as it provides a better understanding of the stimulus polarity selection for ABR elicited from LS chirp stimulus. We explored the influence of stimulus polarity on the ABR from LS chirp compared to the ABR from click at 80 dBnHL in normal-hearing adults. Subjects and Methods: Nineteen adults with normal hearing participated. The ABRs were acquired using click and LS chirp stimuli using three stimulus polarities (rarefaction, condensation, and alternating) at 80 dBnHL. The ABRs were tested only on the right ear at a stimulus rate of 33.33 Hz. The ABR test was stopped when the recording reached the residual noise level of 0.04 μV. The ABRs amplitudes, absolute latencies, inter-peak latencies (IPLs), and the recorded number of averages were statistically compared among ABRs at different stimulus polarities and stimuli combinations. Results: Rarefaction polarity had the largest ABR amplitudes and SNRs compared with other stimulus polarities in both stimuli. There were marginal differences in the absolute latencies and IPLs among stimulus polarities. No significant difference in the number of averages required to reach the stopping criteria was found. Conclusions: Stimulus polarities have a significant influence on the ABR to LS chirp. Rarefaction polarity is recommended for clinical use because of its larger ABR peak I, III, and V amplitudes than those of the other stimulus polarities.

• Journal of Audiology & Otology
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• 제25권1호
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• pp.14-21
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• 2021

Background and Objectives: There is growing interest in the use of the Level-specific (LS) CE-Chirp^® stimulus in auditory brainstem response (ABR) due to its ability to produce prominent ABR waves with robust amplitudes. There are no known studies that investigate the test-retest reliability of the ABR to the LS CE-Chirp^® stimulus. The present study aims to investigate the test-retest reliability of the ABR to the LS CE-Chirp^® stimulus and compare its reliability with the ABR to standard click stimulus at multiple intensity levels in normal-hearing adults. Subjects and Methods: Eleven normal-hearing adults participated. The ABR test was repeated twice in the same clinical session and conducted again in another session. The ABR was acquired using both the click and LS CE-Chirp^® stimuli at 4 presentation levels (80, 60, 40, and 20 dBnHL). Only the right ear was tested using the ipsilateral electrode montage. The reliability of the ABR findings (amplitudes and latencies) to the click and LS CE-Chirp^® stimuli within the same clinical session and between the two clinical sessions was calculated using an intra-class correlation coefficient analysis (ICC). Results: The results showed a significant correlation of the ABR findings (amplitude and latencies) to both stimuli within the same session and between the clinical sessions. The ICC values ranged from moderate to excellent. Conclusions: The ABR results from both the LS CE-Chirp^® and click stimuli were consistent and reliable over the two clinical sessions suggesting that both stimuli can be used for neurological diagnoses with the same reliability.

• 대한청각학회지
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• 제25권1호
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• pp.14-21
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• 2021

Background and Objectives: There is growing interest in the use of the Level-specific (LS) CE-Chirp^® stimulus in auditory brainstem response (ABR) due to its ability to produce prominent ABR waves with robust amplitudes. There are no known studies that investigate the test-retest reliability of the ABR to the LS CE-Chirp^® stimulus. The present study aims to investigate the test-retest reliability of the ABR to the LS CE-Chirp^® stimulus and compare its reliability with the ABR to standard click stimulus at multiple intensity levels in normal-hearing adults. Subjects and Methods: Eleven normal-hearing adults participated. The ABR test was repeated twice in the same clinical session and conducted again in another session. The ABR was acquired using both the click and LS CE-Chirp^® stimuli at 4 presentation levels (80, 60, 40, and 20 dBnHL). Only the right ear was tested using the ipsilateral electrode montage. The reliability of the ABR findings (amplitudes and latencies) to the click and LS CE-Chirp^® stimuli within the same clinical session and between the two clinical sessions was calculated using an intra-class correlation coefficient analysis (ICC). Results: The results showed a significant correlation of the ABR findings (amplitude and latencies) to both stimuli within the same session and between the clinical sessions. The ICC values ranged from moderate to excellent. Conclusions: The ABR results from both the LS CE-Chirp^® and click stimuli were consistent and reliable over the two clinical sessions suggesting that both stimuli can be used for neurological diagnoses with the same reliability.