• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.37
• /
• pp.22.1-22.4
• /
• 2015

Velopharyngeal dysfunction in cleft palate patients following the primary palate repair may result in nasal air emission, hypernasality, articulation disorder and poor intelligibility of speech. Among conservative treatment methods, speech aid prosthesis combined with speech therapy is widely used method. However because of its long time of treatment more than a year and low predictability, some clinicians prefer a surgical intervention. Thus, the purpose of this report was to increase an attention on the effectiveness of speech aid prosthesis by introducing a case that was successfully treated. In this clinical report, speech bulb reduction program with intensive speech therapy was applied for a patient with velopharyngeal dysfunction and it was rapidly treated by 5months which was unusually short period for speech aid therapy. Furthermore, advantages of pre-operative speech aid therapy were discussed.

• Korean Journal of Cleft Lip And Palate
• /
• v.11 no.1
• /
• pp.1-12
• /
• 2008

In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
• /
• v.30 no.2
• /
• pp.87-94
• /
• 2019

The purpose of this study was to investigate the speech characteristics and speech therapy of Parkinson disease (PD). This study selected 28 papers published in Korea from 1998 to 2018 after searching the terms 'Parkinson voice' and 'Parkinson speech therapy.' Literature review had been conducted in the two aspects of speech characteristics and speech therapy. The speech characteristics were divided into respiration, phonation, articulation, prosody, vowel production, and voice questionnaire. Speech therapy was divided into Lee Sliverman voice treatment (LSVT) and other voice therapy. PD patients did not differ in respiration function compared to normal elderly people, but their speech and articulation function were poorer. There was also a difference in the speech rate, frequency of pause, and accuracy of vowel production compared with normal elderly people. PD had a lower VHI score and their voice related quality of life was a little poorer. The LSVT was typically used in speech therapy for PD. The methods of speech therapy for PD have been shown to improve respiration and phonation. It is necessary to establish voice norms in PD patients and develop effective speech therapy in the following study.

• Speech Sciences
• /
• v.12 no.4
• /
• pp.247-254
• /
• 2005

This study aimed at clarifing clinical effects of eight-step continuum treatment in a patient who showed apraxia of speech after stroke. The eight-step continuum treatment consisted of 8 steps and its clinical efficacy has been proven with American apraxic patients. However, it has not been clinically proven to be effective in Korean patients with apraxia of speech as of yet. Therefore, this study was conducted in an effort to provide preliminary clinical evidence regarding its effectiveness regardless of the linguistic differences between Korean and English. The therapy took place twice a week for 6 months, a total of 48 times. The results showed that the patient's receptive language was improved from 83% to 89% and 37% in accuracy, and expressive language from 15% to 37%. It seemed that spontaneous recovery did not playa role in his improvement since the study was conducted 2 years after the stroke. In addition, the improvement of expressive language was much greater(22%) than that of receptive language(6%), which implied that the therapy was effective in apraxia of speech because apraxia of speech is relatively confined to expressive ability, more specifically motor programming and sequencing.

• The Journal of the Korea Contents Association
• /
• v.11 no.3
• /
• pp.327-338
• /
• 2011

This study was conducted to determine the degree of satisfaction and the demand for the current education service of language therapy. We surveyed a total of fifty two nurturers of children who had been diagnosed as autistic. A three-part questionnaire that covered the environment of the therapy institution (7 questions), the programs provided by the Speech-Language Pathologist (7 questions) and the degree of satisfaction and the demand for therapy education (7 questions) was used. The study results showed, in the area of the institution environment for therapy education, that the degree of satisfaction was highest for Social Welfare Center users due to the therapy costs. The level of satisfaction then decreased in the order of private clinic users and general hospital users. However, in the area of education programs provided by Speech-Language Pathologists, it was highest for the users of general hospitals due to the proper contents of the programs and consulting service. The satisfaction level then decreased in the order of private clinic users and Social Welfare Center users. Regarding the level of satisfaction with therapy education and related demand, the degree of satisfaction with language therapy and all therapy education services was generally satisfactory. After the language therapy, the children showed considerable improvement in their living skills (60% of survey respondents) and psychological stability (stress reduction, 30% of the total survey respondents). Regarding the future demand for therapy education, the degree of demand was high for the individual and group language therapy education service. In summary, the results of this study uncovered a number of problems related to services provided by language therapy education institutions and suggested various implications that Speech-Language Pathologists and relevant professionals should endeavor to use so as to enhance the satisfaction level of therapy education for autistic children.

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

• Annual Conference on Human and Language Technology
• /
• 2016.10a
• /
• pp.226-230
• /
• 2016

본 연구는 초등 저학년 읽기부진아동을 위한 한글 파닉스 교육의 기반을 확립하고자 1-2학년 교과서 고빈도 어절 531개를 기반으로 자소 및 음운규칙을 분석하였다. 연구결과, 자소-음소 일치 어절을 기반으로 하였을 때 초성에서 50번 이상 나타난 자소는 /ㄱ/, /ㄹ/, /ㄴ/, /ㅅ/, /ㅎ/, /ㅈ/이다. 중성에서 50번 이상 나타난 자소는 /ㅏ/, /ㅣ/, /ㅗ/, /ㅡ/, /ㅜ/이다. 종성에서 50번 이상 나타난 자소는 /ㄹ/, /ㄴ/, /ㅇ/이다. 자소와 음소가 불일치 된 어절을 기반으로 하였을 때 가장 많이 출현하는 음운규칙은 연음화 규칙이었다. 본 연구결과를 바탕으로 교과서를 기반으로 한 한글 파닉스 교육에 유용하게 사용될 수 있을 것이다.

• Clinical and Experimental Pediatrics
• /
• v.48 no.9
• /
• pp.924-928
• /
• 2005

Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.

• Speech Sciences
• /
• v.9 no.3
• /
• pp.113-120
• /
• 2002

The purpose of this study was to determine the effects of group therapy on the language performance of aphasic patients. Four aphasic subjects participated in group therapy. Their aphasic types were TCMA (transcortical motor aphasia), conduction, anomie, and Broca's aphasia. The focus of the therapy was to stimulate cooperative learning skills. For this purpose, categorization tasks, semantic association tasks, convergent thinking, and divergent thinking tasks were employed. The results showed that all of the aphasic subjects demonstrated some improvement in writing ability, categorization ability, and speaking ability in sentences.

• 한국어정보학회:학술대회논문집
• /
• 2016.10a
• /
• pp.226-230
• /
• 2016

본 연구는 초등 저학년 읽기부진아동을 위한 한글 파닉스 교육의 기반을 확립하고자 1-2학년 교과서 고빈도 어절 531개를 기반으로 자소 및 음운규칙을 분석하였다. 연구결과, 자소-음소 일치 어절을 기반으로 하였을 때 초성에서 50번 이상 나타난 자소는 /ㄱ/, /ㄹ/, /ㄴ/, /ㅅ/, /ㅎ/, /ㅈ/이다. 중성에서 50번 이상 나타난 자소는 /ㅏ/, /ㅣ/, /ㅗ/, /ㅡ/, /ㅜ/이다. 종성에서 50번 이상 나타난 자소는 /ㄹ/, /ㄴ/, /ㅇ/이다. 자소와 음소가 불일치 된 어절을 기반으로 하였을 때 가장 많이 출현하는 음운규칙은 연음화 규칙이었다. 본 연구결과를 바탕으로 교과서를 기반으로 한 한글 파닉스 교육에 유용하게 사용될 수 있을 것이다.