• 대한후두음성언어의학회지
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• 제32권3호
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• pp.109-117
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• 2021

The auditory-perceptual evaluation of speech-language pathologists (SLP) in patients with voice disorders is often regarded as a touchstone in the multi-dimensional voice evaluation procedures and provides important information not available in other assessment modalities. Therefore, it is necessary for the SLPs to conduct a comprehensive and in-depth evaluation of not only voice but also the overall speech production mechanism, and they often encounter various difficulties in the evaluation process. In addition, SLPs should strive to avoid bias during the evaluation process and to maintain a wide and constant spectrum of severity for each parameter of voice quality. Lastly, it is very important for the SLPs to perform a team approach by documenting and delivering important information pertaining to auditory-perceptual characteristics in an appropriate and efficient way through close communication with the laryngologists.

• 대한후두음성언어의학회지
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• 제22권2호
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• pp.111-114
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• 2011

All singers can often develop voice trouble secondary to vocal abuse and overuse, but it is well known that traditional Korean singer (pansori) develop voice disorders more frequently than western style sunger. While laryngological concern for voice disorders arising in professional singers has received some attention, empirically motivated investigations of the underlying acoustic features of the singing voice have been relatively limited. Since all singers have a good knowledge of the voice and voice training, they would hardly give consent for treatment to a doctor unless he understood their desire to maximize their voice quality. The components of this report are composed of breathing, basic ekement, and vocalization, essencial fact, for getting a perfect voice for pansori. The breathing is based on hypogastric breathing. The main functions of breathing are energy and power of utterence, tempo of rhythm and seperating paragraph and controlling feelings according to dramatic situation. Vocalization is based on general vocalization. Main uses of it are maintaining singer's tone and harmony of cosmetic dual force.

• 대한후두음성언어의학회지
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• 제25권2호
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• pp.86-89
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• 2014

Functional dysphonia (FD) is a voice disorder in the absence of structural or neurologic laryngeal pathology. FD is not a single disease but a disease entity. Therefore several voice disorders, which have completely different pathogenesis, are included in this category. The first step of treatment of FD is differentiating patient's voice symptoms from other organic voice disorders and other functional voice problems. Several different treatment modalities are included in the managements of FD. Voice therapy is in charge of the main role in treatment of FD. Medical treatment is also necessary when patient has general problems which would affect voice production. Vocal folds mucosal lesions can cause FD even the lesion is minor. In this case proper surgical intervention helps to improve the symptom of FD. Psychiatric consultation should be considered when the patient has psychological problems.

• 대한후두음성언어의학회지
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• 제15권1호
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• pp.10-15
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• 2004

Background and Objective : Voice disorders are one of the major occupational hazards of school teaching. Prolonged voice use through verbal instruction has been implicated as a cause of vocal impairment among members of this profession. They all depend on their voice for their livelihood and are greatly alarmed by slightest alteration in voice quality. Despite considerable research in the area of voice problems in teachers, the prevalence of voice disorders in this group is unknown. Severe voice problems can affect teacher's ability to teach in the classroom. Materials and Method : This study investigated the prevalence of self-reported voice problems in teachers using a survey of a simple random sample of middle school teachers (n=1000). As part of the survey, teachers were asked to report voice problems for the day of the survey, duration, main symptom, smoking, caffeine, alcohol history etc. Results : The reponse rate was 91%(n=94) with 89.7%(n=812) teachers reporting voice problems on the day of the survey, and 40%(n=330) of these group reporting the history of medical consult. Conclusion : These finding indicate a need for vocal hygiene education in teachers and for the development of educational programs aimed at preventing voice problems in this group of professional voice users.

• 대한후두음성언어의학회지
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• 제7권1호
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• pp.27-31
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• 1996

The voice of aged persons is known generally to be somewhat different from that of other adults, suggesting that laryngeal change occurs with advancing age. However, because knowledge of the voice characteristics of aged persons is limited, it is difficult to judge whether their voices arc normal. Chart review and laryngoscopic examination from ninety-one patients with hoarseness over the age of 60(1st group) and one hundred sixteen patients with hoarseness below the age of 50(2nd group) were done to define aging related voice disorders. The following results were obtained. 1) Associated diseases related to laryngeal disease were hypertension(12%), pulmonary disease(4.4%), thyroid disease(1.1%) in 1st group and hypertension(9.5%), thyroid disease(1.7%) in 2nd group. 2) The underlying diseases causing hoarseness in order of frequency were benign vocal fold lesion(37.7%), inflammatory disease(36.8%), functional dysphonia(17%) in 1st group and benign vocal fold lesion(43.6%), functional dysphonia(26.3%), inflammatory disease(16.5%) in 2nd group. 3) In stroboscopic findings, atrophy and sulcus of vocal cords are more prevalent in males than in females and edema of vocal cords is more common in females. Generally the voice characteristics of aged persons depend on the mass of the vocal folds which may be decreased through atrophy or be increased by edema. However, other factors such as systemic diseases, drug side effects and compensatory mechanism to presbylaryngis must be taken into account in diagnosing and treating voice disorders in aged persons.

• 산업경영시스템학회지
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• 제32권4호
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• pp.215-222
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• 2009

Human voice reacts very sensitively to human's minute physical condition. For instance, human voice disorders affect patients profoundly especially in the case of Parkinson's disease. Acoustic tools such as MDVP, can function as an equipment that measures various voice in different objects. Many different approaches have been applied for analyzing the voice disorders for diagnosis of Parkinson's disease. According to the voice data of suspected Parkinson's patients from UCI Machine Learning Repository, it is reported to have 23 people with Parkinson's disease and 8 healthy people. Applying Mahalanobis Taguchi System (MTS) for diagnosis of Parkinson's disease, the correct diagnosis performance is compared to previous research results.

• 말소리와 음성과학
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• 제5권3호
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• pp.83-93
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• 2013

Vocal hygiene education is an indirect training approach to improve vocal function by educating all facets of optimal vocal health. Satisfaction levels of participants might be an important component of this indirect therapy for voice disorders. The authors aimed to investigate the satisfaction levels of vocal hygiene education in 51 patients with voice problems. We classified voice disorders of the participants according to three etiological categories (subgroups): organic, neurogenic, and functional. The survey consisted of three parts: 1) a condition of vocal hygiene education, 2) a degree of satisfaction of the present education, and 3) a request for future education. Participants responded to each item of the survey using a five-point Likert scale of 1 to 5 (1 being not at all and 5 being extremely). They also wrote down personal comments of improvement. Participants scored the vocal hygiene education offered by the speech-language pathologists between '3' and '4'. Specifically, the participants were highly satisfied with the specific and comprehensible explanation/instruction given by their speech-language pathologists. However, they were less satisfied with the tuition fee for the therapy sessions. Vocal hygiene education is offered individually to people in a clinical setting. Our results support the notion that vocal hygiene education can be an integral aspect of the treatment of voice problems in most cases.

• 대한음성언어의학회:학술대회논문집
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• 대한음성언어의학회 1995년도 제4회 학술대회 심포지움 및 워크샵
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• pp.128-136
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• 1995

Diagnostic evaluation for voice disorders requires a multidimensional approach : physiological examination of the larynx and the vocal tract, aerodynamic studies, examinations of vocal fold vibrations, psychoacoustic evaluations, acoustical analyses, and so on. Previous studies with the use of a computer system suggested that the acoustic evaluation is quite promising for differentiating some causative diseases of voice disorders(Hiki et al., 1975a, b, 1976 ; Kakita et al., 1980). However, a well-equipped computer system for acoustic analysis is very expensive and not available in most voice clinics. A sound spectrograph is available in many voice clinics. (omitted)

• 말소리와 음성과학
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• 제14권3호
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• pp.77-86
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• 2022

본 연구는 운율을 기반으로 감정을 인식하는 능력을 측정할 때 이용할 수 있는 한국형 감정 음성 데이터베이스(Korean Affective Voice Database, 이하 KAV DB)를 개발하고, 해당 DB가 의사소통장애 관련 임상과 연구에서 활용될 수 있는지를 점검하기 위하여 신뢰도, 민감도, 특이도를 산출하여 그 타당성을 살펴보았다. 본 연구에서는 배우 2명(남 1명, 여 1명)이 의미적으로 중립적인 문장 10개를 행복, 분노, 공포, 슬픔, 놀람, 중립의 6개 정서로 표현하도록 하여 음성을 녹음하였다. 녹음된 음성 중에서 목표 정서가 잘 표현된 문장을 선별하여 타당도 점검을 위한 음성파일 세트를 구성하였으며, 청자 31명(남 14명, 여 17명)이 시각적 아날로그 평정법을 이용하여 각 음성에서 6개의 정서가 얼마나 반영되었는지 평정하도록 하였다. 그 결과, KAV DB에 대한 청자의 내적 일관성 신뢰도는 .872, 전체 민감도 82.8%, 전체 특이도 83.8%였다. 이를 통하여, 타당도가 확보된 KAV DB는 감정 음성 인식 및 산출과 관련된 연구와 임상 콘텐츠 제작 등에 활용될 수 있을 것으로 기대된다.

• 말소리와 음성과학
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• 제11권3호
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• pp.69-76
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• 2019

본 연구는 성대에어로빅치료법(vocal aerobic treatment, VAT)이 음성장애 환자의 음성 개선에 미치는 효과에 대해 알아보았다. 연구대상은 후두스트로보스코피, 음성검사 상 음성장애로 진단된 20명(남 13명, 여 7명)이었다. 음향학적 평가는 CSL(computerized speech lab)의 MDVP(Multi-Dimensional Voice Program)와 VRP(Voice Range Profile)를 통해 평가하였다. 공기역학적 평가는 PAS(Phonatory Aerodynamic System)를 통해 평가하였다. MDVP를 통해 치료 전 후 기본주파수(Fo), 주파수변동률(Jitter), 진폭변동률(Shimmer), 소음대배음비(NHR)의 변화를 측정하였고, VRP에서는 치료 전 후 주파수 범위(Fo range), 강도범위(Energy range)를 측정하였다. PAS에서는 치료 전 후 폐활량(FVC), 최대연장발성시간(PHOT), 평균호기류율(MEAF), 성문하압(MPAP), 음성효율성(AEFF)의 변화를 알아보았다. 후두스트로보스코피에서는 치료 전 후 양측 성대의 규칙성, 대칭성, 점막파동, 진폭 변화 소견을 알아보았다. 음성치료는 총체적 음성치료 접근법 중 하나인 VAT 프로그램을 환자별로 주 1회 실시하였다. 환자별 평균 치료 회기는 6.5회였다. 연구결과, MDVP에서는 Jitter, Shimmer, NHR이 통계적으로 유의하게 감소하였다(p<.001, p<.01, p<.05). VRP 결과, 주파수 범위에서 Hz와 Semitones이 치료 후 유의미하게 향상하였다(p<.01, p<.05). PAS 결과, FVC, PHOT에서 유의미한 향상이 나타났다(p<.01, p<.001). 후두스트로보스코피 결과 치료 후 기능적 음성장애, 인후두역류질환, 양성성대점막질환군에서 성대소견이 정상범주에 해당하였다. 따라서 VAT 프로그램은 음성장애환자의 음향학적 공기역학적 후두스트로보스코피 측면에서의 음성 개선에 효과적인 것으로 나타났다. 차후 연구에서는 동일 집단의 음성장애 환자에게 VAT 적용 연구가 필요하다고 생각된다. 또한 객관적인 음성 개선뿐만 아니라 주관적 음성 개선을 알아볼 필요가 있다. 나아가 직업적 음성사용자를 대상으로 VAT 효과에 대한 적용연구가 필요가 있다.