• 제목/요약/키워드: Voice evaluation

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성대 폴립 환자를 대상으로 한 GRBAS 척도와 MDVP 측정치 간의 상관관계 연구 (The Correlation between GRBAS Scales and MDVP Parameters on the Pathologic Voices of the Patients with Vocal Polyps)

  • 표화영;최성희;임성은;심현섭;최홍식;김광문
    • 대한후두음성언어의학회지
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    • 제10권2호
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    • pp.154-163
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    • 1999
  • GRBAS scale, the tool fir the perceptual evaluation of voice, demands the experience of judges, and MDVP parameters of CSL, the tool for the objective measurements of voice quality demands the exact interpretation of the analyzed results. The two tools should be used as compensatory evaluation methods, so the experimental study was performed to investigate the correlation between GRBAS scales and MDVP parameters by using the pathologic voice of the 30 patients with vocal polyps, and to know the significant MDVP parameters which the inexperienced GRBAS scale judges should attend to. The 30 subjects voices, saved in MDVP of CSL were analyzed by its own analysis program, and three experienced voice therapists judged the same voices by using GRBAS scales. The correlations between them were analyzed by Spearman Rank Correlation Coefficient. As results, among the 29 MDVP parameters, 22 parameters showed statistically significant correlation with Grade(G) scale(p<0.05). And it was found that Roughness(R) scale showed significant correlation with 18 parameters, Breathiness(B) scale with 17 parameters, Strain(S) scale with 12 parameters. In Asthenicity(A) scale, no parameter showed significant correlation. On the whole, significantly high correlation were found in the parameters related with pitch ind amplitude perturbation, especially, the amplitude perturbation.

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우리나라 교사의 음성 특성과 음성장애 위험 요인에 관한 체계적 문헌고찰 (A Systematic Review on Voice Characteristics and Risk Factors of Voice Disorder of Korea Teachers)

  • 차슬기;변해원
    • 한국융합학회논문지
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    • 제9권8호
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    • pp.149-154
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    • 2018
  • 직업적 음성 사용자들의 범위가 확대됨에 따라 음성에 대한 관심이 증가하고 있다. 특히 교사는 음성장애 위험이 높은 직업군에 포함되기 때문에 음성문제 발생과 음성장애 발병 요인에 대한 규명이 필요하다. 본 연구는 교사의 음성 특성과 음성장애 위험 요인에 대한 체계적 연구 분석을 통해 교사의 음성장애 위험 요인을 확인하고 이를 위한 기초자료를 제공하였다. 2000년부터 2018년까지 '직업', '교사', '직업적 음성 사용자', '음성', '음성장애', '위험' 키워드를 조합하여 414편의 연구가 검색되었으며 그 중 8편의 연구를 최종 분석 대상으로 선정하였다. 질적 평가는 Qualsyst: checklist for assessing the quantitative studies 항목을 수정하여 비뚤림 평가를 실시하였다. 연구 결과 교사는 음성 사용에 있어 음성의 오남용이 자주 발생하였으며 이는 환경에 영향을 받는 것으로 확인되었다. 이러한 결과를 통해 교사의 음성 오남용 환경 개선과 주기적인 음성 교육이 필요함을 제안한다.

음성치료로 호전되지 않는 성대결절 및 성대용종에 대한 연구 (A Study of Vocal Nodule and Vocal Polyp Resistant to Voice Therapy)

  • 정성민;홍현정;신혜정;윤선옥;신유리;박수경;김진경
    • 대한후두음성언어의학회지
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    • 제12권2호
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    • pp.145-151
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    • 2001
  • Background and Objectives : A voice therapy can be used the basic method for the voice improvement of patients with the voice disorders. However, according to each voice disorders, various results of treatments have been reported. The purpose of this study was to evaluate the clinical features of the patients who did not improved after the voice therapy and to explore factors that could affect the results of the voice therapy. Material and Method : There are patients (n=49) diagnosed as the vocal nodule and patients (n=13) diagnosed as the vocal polyp. They received the voice therapy more than 6 times from September, 2000 to August, 2001. Clinical features, stroboscopic findings, esophagographic findings and PNS x-ray findings were compared between the improved and the nonimproved groups. Results : Before the voice therapy, PNS x-ray found two of all patients had the paranasal sinusitis. 14 of the vocal nodule patients (28.6%) and 8 of the vocal polyp (61.5%) had GERD in the esophagogram. However, the recovery rate after the voice therapy had no significant difference in both the vocal nodule and vocal polyp with GERD. In patients with the vocal nodule, 47 of 49 (95.9%) improved after the voice therapy. 6 of them were found the clearly decreased lesion in the stroboscopy. But, in patients with the vocal polyp, 7 of 13 (53.8%) improved after the voice therapy and did not have improvement through the stroboscopy. Conclusion : If the treatment of GERD is given with the voice therapy after the evaluation of GERD, it is helpful to increase the effects of the voice therapy. And, if patients were improved partially or unimproved after voice therapy, it was important to evaluate all factors-motivation, compliance and cooperation-related with patients will. Through this, some factors might be minimized except diseases differences.

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음성인식기반 스마트 의료조명 제어시스템 (Control System for Smart Medical Illumination Based on Voice Recognition)

  • 김민규;이수인;조현길
    • 대한임베디드공학회논문지
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    • 제8권3호
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    • pp.179-184
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    • 2013
  • A voice recognition technology as a technology fundament plays an important role in medical devices with smart functions. This paper describes the implementation of a control system that can be utilized as a part of illumination equipment for medical applications (IEMA) based on a voice recognition. The control system can essentially be divided into five parts, the microphone, training part, recognition part, memory part, and control part. The system was implemented using the RSC-4x evaluation board which is included the micro-controller for voice recognition. To investigate the usefulness of the implemented control system, the experiments of the recognition rate was carried out according to the input distance for voice recognition. As a result, the recognition rate of the control system was more than 95% within a distance between 0.5 and 2m. The result verified that the implemented control system performs well as the smart control system based for an IEMA.

원격으로 실시한 반폐쇄성도훈련이 영유아 교사의 주관적 음성평가에 미치는 효과 (Effect of semi-occluded vocal tract exercise via telepractice on subjective voice evaluation of early childhood teachers)

  • 류형선;김재옥
    • 말소리와 음성과학
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    • 제13권4호
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    • pp.67-74
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    • 2021
  • 본 연구는 영유아 교육시설에서 근무하는 음성의 불편감을 호소하는 10명의 여성 교사들을 대상으로 반폐쇄성도훈련(semi-occluded vocal tract exercise, SOVTE)을 원격으로 실시하였을 때 주관적으로 평가하는 음성평가에 미치는 효과를 살펴보았다. 원격 SOVTE의 효과는 한국어판 음성장애지수(Korean voice handicap index, KVHI), 음성 활동 및 참여 프로파일-한국판(Korean version of the voice activity and participation profile, K-VAPP), 음성노력도 및 GRBAS를 이용한 청지각적 평가로 평가하였다. 연구 결과, KVHI의 총 점수, 기능적 점수, 신체적 점수는 원격 SOVTE를 실시한 후에 통계적으로 유의하게 낮아졌다. 원격 SOVTE 실시 후 K-VAPP의 총 점수도 유의하게 감소하였으며, 음성노력도 또한 유의하게 감소하였다. 그러나 GRB 척도는 원격 SOVTE 실시 전과 후 간에 통계적으로 유의한 차이를 보이지 않았다. 본 연구를 통해 영유아 여성 교사에게 원격으로 실시한 SOVTE는 음성의 불편감을 감소시키는데 효과적임을 입증하였으며, 원격으로 실시한 음성치료가 효과가 있음을 보여준다.

Development of the Guidelines on the VTS English Competency Test

  • 최승희;장은규
    • 한국항해항만학회:학술대회논문집
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    • 한국항해항만학회 2022년도 춘계학술대회
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    • pp.249-250
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    • 2022
  • The purpose of this paper is to suggest the development of the Guidelines on VTS English language competency test, according to IALA Guideline 1132 - VTS Voice Communications and Phraseology. As the foundation for improving VTSOs' communication capabilities throughout their career lifecycle in terms of training, accreditation, and revalidation, a development of a VTS-specific language testing system with explicit language testing evaluation criteria becomes more critical. With the aim of facilitating the discussion, a range of suggestions to be considered in the development of Guidelines on the VTS English competency test are made

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FDDI 음성/데이타 집적 전송에서의 성능 분석에 관한 연구 (A Study on the Performance Evaluation for the Integrated Voice/Data Transmission with FDDI)

  • 홍성식;박호균;이재광;류황빈
    • 한국통신학회논문지
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    • 제17권3호
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    • pp.277-287
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    • 1992
  • 본 논문에서는 음성 트래픽을 동기 모드로, 데이타 트래픽을 비동기 모드로 집적시켜 전송하는 FDDI 통신망에 대하여 수학적 분석과 시뮬레이션을 수행하여 성능을 분석 한다. 음성과 데이타의 평균 패킷 대기 시간을 구하기 위하여, 음성은 Marcov 모델에서 발음 부분과 묵음 부분이 교대로 나타나는 모델로 하며, 데이타는 TRT와 TTRT의 차이 시간동안 전송하는 모델로 하는 경우, 음성과 데이타의 패킷 대기 시간을 구하여 동기모드와 비동기 모드 사이의 전송관계에 대하여 연구하였다. 연구 결과 동기/ 비동기 집적 방식으로 음성과 데이타를 집적하여 전송하여도 음성 채널 용량의 제약없이 데이타를 집적 시킬 수 있었으며, 데이타 전송도 작은 대기 시간내에 신속하게 전송할 수가 있었다.

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성대결절 환자에 대한 10년간 임상 경험 (Ten years of clinical experience with the patients with vocal nodule)

  • 임혜진;김정규;최철희;최성희
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.99-106
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    • 2017
  • Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.

일측성 성대마비 환자 평가에서 Cepstral Peak Prominence의 유용성 (Usefulness of Cepstral Peak Prominence (CPP) in Unilateral Vocal Fold Paralysis Dysphonia Evaluation)

  • 이창윤;정희석;손희영
    • 대한후두음성언어의학회지
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    • 제28권2호
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    • pp.84-88
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    • 2017
  • Background and Objectives : The purpose of this study was to compare the usefulness of Cepstral peak prominence (CPP) with parameter of Multiple Dimensional Voice Program (MDVP) in evaluating unilateral vocal fold paraylsis patients with subjective voice impairment. Materials and Methods : From July 2014 to August 2016, 37 patients with unilateral vocal fold paralysis who had been diagnosed with unilateral vocal fold paralysis and had received two or more voice tests before and after the diagnosis were evaluated for maximum phonation time (MPT), MDVP and CPP. Respectively. Voice tests were performed with short vowel /a/ and paragraph reading. Results : The CPP-a (CPP with vowel /a/) and CPP-s (CPP with paragraph reading) of the Cepstrum were statistically negatively correlated with G, R, B, and A before the voice therapy. Jitter, Shimmer, and NHR of MDVP were positively correlated with G, R, B. Jitter, Shimmer, and NHR of the MDVP were significantly correlated with the Cepstrum index. G, B, A and CPP-a and CPP-s showed a statistically significant negative correlation and a somewhat higher correlation coefficient between 0.5 and 0.78. On the other hand, in MDVP index, there was a positive correlation with G and B only with Jitter of 0.4. Conclusion : CPP can be an important evaluation tool in the evaluation of speech in the unilateral vocal cord paralysis when speech energy changes or the cycle is not constant during speech.

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장애음성의 음향학적 분석에서 유성음 문장의 임상적 유용성에 관한 연구 (A study on the clinical utility of voiced sentences in acoustic analysis for pathological voice evaluation)

  • 김지성
    • 한국음향학회지
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    • 제42권4호
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    • pp.298-303
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    • 2023
  • 본 연구는 장애음성의 평가에 사용되는 연속발화과제로서 유성음 문장의 임상적 유용성을 알아보기 위한 것이다. 이를 위해, 모음연장발성과제의 음향학적 측정치인 주파수 변동률(jitter percent, jitter), 진폭 변동률(shimmer percent, shimmer), 소음대배음비(Noise to Harmonic Ratio, NHR)와 유성음으로만 이루어진 연속발화과제의 음향학적 측정치로 캡스트럼 분석 측정치인 켑스트럼 피크 현저성(Cepstral Peak Prominence, CPP), 저주파수대고주파수 스펙트럼비(Low/High spectral ratio, L/H ratio)의 상관을 분석하였다. 음성장애 환자 65명을 대상으로 수집된 자료를 분석한 결과, 유성음 문장의 음향학적 측정치인 CPP와 모음연장발성의 측정치인 jitter(r = -.624, p = .000), shimmer (r = -.530, p = .000), NHR(r = -.469, p = .000) 간에 유의한 상관이 나타났다. 이는 유성음 문장의 캡스트럼 측정치가 '연속발화 과제의 변동률 기반 분석 불가능', '분석구간과 길이에 따른 결과차이' 등 언어재활 임상현장이 가지고 있는 장애음성의 음향학적 분석의 제한에 대한 대안으로 유용하게 사용될 수 있음을 시사한다.