• Therapeutic Science for Rehabilitation
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• v.8 no.2
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• pp.67-78
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• 2019

Objective : The purpose of this study was to investigate the effect of hand tapping on the accuracy and the fluency of speech production in children with speech sound disorder(SSD) and their typically developing peers(TD). Methods : The study subjects were 15 SSD children and 15 TD children aged 4, 5, and 6 years of age. Subjects were asked to give a picture name without hand tapping in the first experimental condition, and with hand tapping in the second experiment condition. Results : The results showed that hand tapping significantly increased disfluency in TD, whereas in SSD. it did not affect the accuracy or fluency of speech production. In addition, TD demonstrated a significant positive correlation with the changes of accuracy and disfluency due to hand tapping, whereas SSD had no correlation. Conclusion : We discussed the possibility that hand tapping could serve as an obstacle distracting attention from SSD and TD, acting as a motor gesture to facilitate phonological processing when facing the difficulty in lexical retrieval for SSD.

• Phonetics and Speech Sciences
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• v.5 no.1
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• pp.27-38
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• 2013

Healthcare providers in Korea are using conservative pharmacological treatment for Alzheimer's disease (AD) to delay the progress of the disease or to mitigate its behavioral and neurological symptoms. However, there is a growing need for interventions using practical non-pharmacologic treatment, as the effects of pharmacological treatments has faced limitations. This research provided a cognitive rehabilitation program to 3 AD patients and used a multiple baseline design across subjects to examine the effects. Performing reality orientation therapy (ROT) for 1 cycle (4 weeks) resulted in a slight increase in accuracy and responsiveness on an orientation task, mainly with patients with mild cases of AD. Also, in the sub-domain of the Korean-Mini Mental Status Examination performed to examine changes in cognitive ability, there were minimal changes in place orientation. In functional communication, however, there were no significant differences before and after the intervention. In conclusion, we found that ROT was an effective intervention for improving accuracy and responsiveness in the orientation of patients with mild cases of AD. In future studies, the effect of non-pharmacological interventions can be evaluated more reliably by examining the interaction effects of sample size, length of the intervention, outcome measurements, and pharmacological intervention.

• Science of Emotion and Sensibility
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• v.7 no.4
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• pp.43-49
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• 2004

This study investigated the effect of listening to music on the reduction of public speech anxiety among middle-school female students. The subjects were 66 female first graders, 33 of the experimental and another 33 of the control group selected from two classes of C middle school in Chonan city. The level of anxiety (SAS) was rated by the subjects through self-report and the speech behavior (SBES) of the subjects were evaluated by a teacher before, a week after and two weeks after the speech trials. 64 pieces of music were selected based on the music therapy-related references. After 23 out of 64 pieces were selected for the preliminary experiment and 7 pieces as having positive effects through evaluating those 23 pieces in the other class in the same gaders were finally selected. Subjects listened to music for 40 min two times a day for two weeks with a cassette player in the classroom. The result yielded the followings: 1) Self-reported public speech anxiety decreased both in the experimental and control groups. However, there found more decrease in the music-listening group than in the non-listening music group. 2) The public speech behavior improved both in the experimental and control groups with on difference between the two groups. This suggests a possibility that SBES may not be a accurate measure to evaluate the speech anxiety. We conclude that two-week listening to music has the effect reduction on speech anxiety.

• Proceedings of the KSPS conference
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• 2007.05a
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• pp.152-154
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• 2007

Submucosal type cleft palate is subdivision of cleft palate. Because of late detection, the treatment - for example, the operation or the speech therapy - for the submucosal type cleft palate patient usually late. In this study, we want to find the objective characteristics of submucosal type cleft palate patient, comparing with the normal and the complete cleft palate patient. Experimental groups are 10 submucosal type cleft palate patients who got the operation in our hospital, 10 complete cleft palate patients. And, 10 normals as control group. The sentence patterns using in this study is simple 5 vowels. Using CSL program we evaluate the Formant, Bandwidth. We analized the spectral characteristics of speech signals of 3 groups, before and after the operation.

• The Journal of the Korea Contents Association
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• v.18 no.8
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• pp.561-572
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• 2018

This study the awareness and the demands of the parents on the communication level for social participation of the youth with developmental disability were identified and investigated the relation on client's age, detection time of the condition, disability grades, handicapped types, speech therapy period. For the non-parametric test, Man-Whitney U test, and Kruskal-Wallis test were performed and for post-hoc test, Scheffe test was performed. The results of this study was that the significant difference was found in the awareness and the demand of the communication level of the youth with developmental disability according to the age of children, time of discovery, disability grade, type of disability and speech therapy period. In conclusion, the speech therapy for the youth with developmental disability should be made in the dimension of communication for the purpose of social participation. The follow-up research to emphasize the social support and the institutional backup will be required.

• Speech Sciences
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• v.9 no.3
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• pp.77-86
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• 2002

The purpose of this study was to investigate the effects of Sea Dong-Il's technique on voice quality in patients with vocal nodules and phonasthenia (vocal fatigue). Ten patients (4 nodules and 6 vocal fatigue) participated in the study. Each subject was assessed acoustically (Fo, Jitter, Shimmer, NNE) in the first and last session. Dr. Speech (version 3.4, Tiger-DRS) was used to compare acoustic parameters of pre-and post-treatment. Sea Dong-Il's technique consisted of breathing exercise, relaxation exercise, and phonation exercise. The results were as follows: First, Sea Dong- Il's technique tended to be effective on improving voice quality in patients with phonasthenia and vocal nodules. Second, the nature of improvements were as follows: there was a significant difference between pre-and post-treatment in shimmer (p < .01) and NNE (p < .001), while there was no significant difference between pre-and post-treatment in Fo and Jitter. Finally, given the fact that the number of subjects was only 10, the jitter might have shown a significant difference if more subjects participated in the experiment.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.18 no.4
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• pp.555-562
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• 1996

A competent velopharyngeal sphincter is essential for intelligible speech. If the velopharyngeal incompetence exist, the seal will not be complete during speech, with a resultant hypernasal speech quality. The patient with velopharyngeal incompetence(VPI) may develope other compensatory speech problems. There are many approaches available to correct velopharyngeal incompetence, which include speech therapy, push back palatorrhaphy, pharyngeal wall implants and pharyngoplasty. This is cases report of velopharyngeal incompetence, which were successfully treated by superiorly based pharyngeal flap, covered with splitted hinge flap of nasal lining mucosa of the soft palate, named modified Hogan method. The advantages of this method are precision in the approximation of the flap due to pentagonal shaped flap design, good blood supply due to omission of the midsagittal incision on nasal lining mucosa, and simplicity than Hogan method.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.71-78
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• 2013

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.43-51
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• 2013

The purpose of this study is to survey Speech-Language Pathologists' perception on evaluation and treatment of "swallowing disorders". An online questionnaire was sent to the 279 subjects attending undergraduate/graduate programs in speech therapy department and/or SLPs who work in various settings. The survey consisted of three parts: 1) background information and educational/clinical experiences that are associated with dysphagia (swallowing disorder), 2) the current state of diagnosis and treatment of dysphagia of clinical practice (certified SLPs only), 3) the recognition of diagnosis, treatment, education for dysphagia. Each item of the survey was scaled by the participants on a five-point Likert scale of 1 to 5 (1 being not at all and 5 being extremely) or self-reported answers. The results of the survey showed that SLPs have high interest in "swallowing disorder", but most of them regarded them very difficult to diagnose and treat. The reason is that they have not been trained as a swallowing specialist. Therefore it is necessary to provide more opportunities for education and practice to establish the expertise of SLPs.

• Clinical and Experimental Pediatrics
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• v.51 no.9
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• pp.922-934
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• 2008

Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.