• Speech Sciences
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• v.14 no.4
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• pp.221-232
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• 2007

Topiramate (TPM) is a new antiepileptic drug characterized by a clinical effective reduction in seizure frequency and it represents a useful drug effective in a wide range of epileptic patients. Known side effects are represented by weight loss, hypohidrosis, anorexia, sedation, nephrolithiasis, cognitive complaints and language disorders. This study is to examine acoustic characteristics of patients with TPM. 15 patients were assessed through a Computerized Speech Lab (CSL) applied before the beginning of therapy with TPM and 3 months after medication had been stabilized. Tests had been chosen to assess voice onset time (VOT), total duration (TD), vowel formants, loudness, pitch, speaking rate, and articulation patterns. We compared the data from patients and healthy volunteers. The statistical analysis of the results did not show changes in acoustic tests, except for TD which was increased. The increase of the TD is evaluated as a deterioration of fluency. Our results suggest that patients with TPM did not experience acoustic speech changes except that fluency was declined. Unlike previous studies, the medication of TPM has nothing to do with speech problems in patients with epilepsy.

• Journal of Families and Better Life
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• v.22 no.6 s.72
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• pp.143-152
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• 2004

The purpose of this study was to know the effectiveness of prolonged-speech treatment program on school-age children with stuttering. Two male and One female subjects participated in this study. The speech of 3 subjects in the treatment was assessed on frequency of stuttering, stuttering Pattern, degree of severity in stuttering. This Program was taken from Ryan's the step of traditional therapy Program and prolonged-speech technique program. and then, modified in accordance with the purpose of this study. The treatment program were consisted of Four stages. The results of this study were as follows: First, 3 subjects can speak with greatly reduced stuttering frequency after treatment Second, in the stuttering pattern, all subjects were changed from part-word repetition in stuttering into a prolongation in stuttering. And also, all subjects showed similar effect in the maintenance.

• The Journal of the Korea Contents Association
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• v.22 no.9
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• pp.520-530
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• 2022

The purpose of this study is to examine the status and perceptions, needs of speech language pathologists(SLPs) for the intervention of non-verbal autism spectrum disorders(ASD) through a survey. Among SLPs registered in the Korean Association of Speech-Language Pathologists (KSLP), 116 SLPs participated in this survey. The result is as follows. First, 96.6% of SLP reported that they had been referred for non-verbal ASD, and it was found that SELSI was the most used evaluation tool, and communication ability and social interaction were the most frequently used intervention goals. Second, 86.2% of the SLP said that speech therapy had difficulties, and the reason for the burden was the lack of speech therapy methods. Also, the level of knowledge of speech therapy for non-verbal ASD was low in the treatment area, and the level of confidence responded positively only in communication ability and social interaction. Third, education that was considered necessary within the curriculum was education on treatment methods, and it was found that the improvement points of education other than regular courses were increased education such as expert courses and workshops and activation of supervision. From the results of this study, it is expected that the related curriculum will be expanded and improved in the future.

• Phonetics and Speech Sciences
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• v.3 no.2
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• pp.99-105
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• 2011

The treatment for patients with mutational dysphonia typically is useful with vegetative phonation, but has not yet been studied. This study attempts to identify the effect of $SKTCLP^{(R)}$ using throat clearing and laughing in patients with mutational dysphonia. The study, which was designed by the author, included 26 patients aged from 14 to 32 years (mean: 18.7 years) who had been diagnosed with mutational dysphonia between January 2007 and June 2010. Voice therapy for these patients included $SKTCLP^{(R)}$, ranging from two to seven sessions (mean: 3.8 sessions). Results were evaluated by videostroboscopy, perceptual evaluation of GRBAS scale, aerodynamic test, and acoustic analysis before and after therapy. Most patients could phonate with low pitch from the beginning and sustain with normal pitch sound in the last session. We had found that glottic gap reduced after therapy and anterior-posterior compression of superior laryngeal part at the first time, and these patients had complete closure of the glottis after treatment. The results of acoustic and aerodynamic measures after treatment indicated significant decreases in Fo, Jitter, Shimmer, SFF, and SPI, and increases in MPT, Psub, and vocal efficiency (p<.05). $SKTCLP^{(R)}$ may be a useful treatment method in managing mutational dysphonia. We can suggest this technique may be useful in improving the voice quality of other functional dysphonia having glottal chink or functional aphonia.

• Phonetics and Speech Sciences
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• v.7 no.3
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• pp.183-191
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• 2015

This study evaluated the effect of the therapeutic methods between vocal function exercise(VFE), which has been used for the patients with presbyphonia in the precedent studies and laryngeal calibration technique($SKLCT^{(R)}$), which is designed by the author. We identified 58 patients who was been diagnosed as presbylaryngis by laryngoscopic examinations. 21 patients were underwent voice therapy using $SKLCT^{(R)}$, 20 patients were taken VFE, and the control group of 17 patients were not taken any voice therapy. All subjects received the therapy, ranging from seven to nine sessions, and were evaluated the voice change on pretherapy and posttherapy. The grade of hoarseness, roughness, and breathiness voice were reduced on perceptual judgments after $SKLCT^{(R)}$, but only grade of hoarseness was reduced after the VFE. Jitter, Shimmer, NHR were reduced and MPT were increased after the $SKLCT^{(R)}$(p<.05), while Jitter and SFF were reduced after the VFE. Frequency and intensity range were increased significantly on the posttest performance after taking voice therapy by the $SKLCT^{(R)}$, on the other hand only intensity range was increased after VFE. Especially, we can find the significant change that glottic gap and supraglottic compressions was reduced in most of patients after the $SKLCT^{(R)}$, but there's no changes in the group of VFE and control group. In the study, we can suggest that the $SKLCT^{(R)}$ may be useful in improving the voice qualities and laryngeal function of presbyphonia.

• Speech Sciences
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• v.9 no.3
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• pp.87-97
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• 2002

The purpose of this study is to analyze the speech duration in Korean-speaking aphasics. Five patients with nonfluent aphasia (2 with traumatic brain injury and 3 with strokes) and five normal adults participated in this experiment. The mean age in patients with nonfluent aphasia was $45.8\pm2.3$ years and $47.4\pm2.3$ years for the normal adults. The Computerized Speech Lab was used to evaluate the acoustic characteristics of the subjects. Voice onset time, vowel duration, total duration, hold and consonant duration were evaluated for the monosyllabic and the polysyllabic words. The patients with nonfluent aphasia did not show the voicing bar on hold area, however, it was seen in the normal persons in the intervocalic position. Explosion duration of glottalized stops in the intervocalic position was significantly prolonged in nonfluent aphasics in comparison with the normal persons. This suggestes that the laryngeal adjustment is disturbed in these patients. Consonant duration, vowel duration, and total duration of the polysyllabic words were significantly longer in the patients with nonfluent aphasia than those of the normal persons. These results demonstrate the disturbances in controlling articulatory muscles during sound production in patients with nonfluent aphasia. The objective and quantitative analysis based on the acoustic characteristics of nonfluent aphasics, will be very useful in therapeutic planning and on the the effects of speech therapy.

• Archives of Plastic Surgery
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• v.38 no.2
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• pp.203-206
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• 2011

Purpose: Kabuki syndrome is a multiple malformation syndrome that was first reported in Japan. It is characterized by distinctive Kabuki-like facial features, skeletal anomalies, dermatoglyphic abnormalities, short stature, and mental retardation. We report two cases of Kabuki syndrome with the surgical intervention and speech evaluation. Methods: Both patients had velopharyngeal insufficiency and had a superior based pharyngeal flap operation. The preoperative and postoperative speech evaluations were performed by a speech language pathologist. Results: In case 1, hypernasality was reduced in spontaneous speech, and the nasalance scores in syllable repetitions were reduced to be within normal ranges. In case 2, hypernasality in spontaneous speech was reduced from severe level to moderate level and the nasalance scores in syllable repetitions were also reduced to be within normal ranges. Conclusion: The goal of this article is to raise awareness among plastic surgeons who may encounter such patients with unique facial features. This study shows that pharyngeal flap operation can successfully correct the velopharyngeal insufficiency in Kabuki syndrome and post operative speech therapy plays a role in reinforcing surgical result.

• Phonetics and Speech Sciences
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• v.10 no.2
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• pp.85-96
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• 2018

The purpose of this study was to investigate the effect of articulatory intervention using visual phonics to improve the speech intelligibility of children with impaired hearing. The subjects of the study were five hearing impaired children. As per the results of the UTAP articulation tests, five phonemes with the most frequent errors were selected for each child and a total of 10 sessions were provided. The methodology involved analyzing vowel space and related measures (vowel space area, vowel articulatory index, formant centralization ratio, and F2i/F2u ratio) before and after the visual phonics intervention. After the articulation intervention, every child's speech intelligibility improved, their vowel space area was widened, the FCR value decreased, and the F2ratio value increased. These results show that the use of visual phonics through symbolic images and hand clues has a positive effect in terms of improving the speech intelligibility of children with impaired hearing.

• Journal of The Korean Society of Integrative Medicine
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• v.8 no.4
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• pp.291-305
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• 2020

Purpose : The duration of speech segments reflects children's speech motor development. The purpose of this study was to determine whether segmental sound and word duration varies by age among preschool children. Methods : A total of 60 children aged 4~5 years participated in this study. Participants took the picture-naming test to produce single-word speech data. The duration of the consonant at the initial position of the word and the final position of the word, the voice onset time of plosive, the duration of the vowel following the initial consonant, and the duration of the word were measured. Results : As age increased, the duration of the initial consonant, the duration of the word, and the voice onset time decreased significantly. The main effects of age, manner of articulation, and place of articulation on the duration of the initial consonant were significant. The duration of consonants in the nasal sound and plosives and the duration of bilabial and alveolar sound differed significantly between groups. The main effects of age and vocal type on voice onset time were significant. The main effect of age on the duration of the consonant in the final position of word and on the duration of the vowel were not statistically significant. Conclusion : The results of this study showed that the duration of segmental sound and the word were associated with speech development between 4 and 5 years old. Accordingly, duration of the segmental sound and the word may serve as an acoustic cue as they reflect speech development and speech motor control maturity.

• Phonetics and Speech Sciences
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• v.3 no.3
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• pp.133-140
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• 2011

Muscle misuse dysphonia (MMD) is defined as a behavioral voice disorder resulting from inappropriate contractions of intrinsic and/or extrinsic laryngeal muscles. The purpose of this study was to investigate the effect of motor learning guided laryngeal motor control therapy (MLG-LMCT) which is designed to improve an existing LMT and further the effective voice treatment on people with muscle misuse dysphonia. Forty-six people with MMD (M:F=16:30) participated in this study. The voice samples of the participants were recorded to investigate the effect of MLG-LMCT before and after the voice therapy. Voice samples were analyzed via electro-glotto-graph (EGG). Contact quotient (CQ), speed quotient (SQ), and waveform were reported. In addition, perceptual and acoustical evaluation were conducted to determine the change of voice improvement after treatment. The experimenter massaged the tensioned muscles around the neck. In order to find more proper phonation the experimenter showed the subjects their EGG wave forms as to whether or not they are moving the vocal folds to the appropriate position. Therefore, the EGG wave forms were used as a type of visual feedback. With the wave form, the experimenter helped subjects move the vocal folds and laryngeal muscles to find more proper voice production. The sensory stimuli from the experimenter gradually faded out. A paired dependent t- test revealed that there was significant differences in CQ between pre- and post-therapy. Perceptually, overall, rough, breathy, strain, and transition were significantly reduced. Acoustically, there were significant differences in Fo, jitter, shimmer, and NHR. After using MLG-LMCT, most of the subjects showed improvements in voice quality. The results from this study led us to the following conclusions: Motor learning guided laryngeal motor control therapy (MLG-LMCT) has reduces muscle misuse dysphonia. These results may occur because a visual feedback from EGG wave form can maintain the effect of the muscle tension reduction from laryngeal manual therapy. In case of people with MMD who reduced muscle tension from the therapy (LMT) but, not appropriately manipulating the location of larynx or adducting the vocal folds, MLG-LMCT might be an alternative therapy approach.