• 제목/요약/키워드: voice disorder

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전통적 벨칸토 발성훈련법에 기초한 음성전문직업인 발성훈련의 표준화 (Standardization Voice Training Method for Professional Voice User Based on Traditional )

  • 김철준
    • 대한후두음성언어의학회지
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    • 제28권1호
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    • pp.17-19
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    • 2017
  • Opera singers train their vocal organ to have a good timbre of voice. They train and train again to have a strong resonance, large range of voice, homogenous color of voice, a voice goes far and to avoid vocal disorder, etc. This article is analyzing from scientific and medical perspective. It could approach the secret of the great art of 400 years history - . Furthermore standardizing voice training method based on will facilitate to train, therapy and care the voice professional user and voice disorders.

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정상 성인에서의 전기성문파형 검사 ; 연하장애 환자의 전기성문파형 검사를 위한 예비연구 (ELECTOROGLOTTOGRAPH IN NORMAL ADULT ; PRELIMINARY STUDY FOR ELECTROGLOTTOGRAPHIC STUDY OF SWALLOING DISORDER)

  • 김영빈;이주경;임대호;백진아;고승오;임익재;김현기;신효근
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권5호
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    • pp.437-446
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    • 2008
  • Electroglottography (EGG) is a simple and non-invasive technique for analyzing the vibratory patterns of the vocal folds by detecting impedance changes across the larynx. An abnormal electroglottogram is shown in patients who have a dysphagia associated with neuromuscular disorder. Electroglottography offers reliable informations for diagnosis of swallowing disorder and gives quantitative datas. The purpose of this study is to provide the normal value of electroglottography in normal adults. We took electroglottograms of 80 adults who have no problem in swallowing and utterance. EGG data were analyzed to find out the value of Pitch, Jitter and Closed quotient with a commercially available software. There were significant differences between a usual voice and loud voice in 3 measures on the EGG signalmean pitch, Avg. jitter, mean quotient. To get a proper electroglottography, phonation of a usual voice was better than a loud voice. Four measurements- S.D pitch, Avg. Jitter, Mean closed quotient, S.D closed quotient- were independent of sex for adult. Three measurements- Mean pitch, S.D pitch, Mean closed quotient - were independent of age for adult aged twenties to fifties. The Avg. Jitter of twenties appeared to be lower than those of forties and fifties. The S.D closed quotient of twenties appeared to be lower than those of thirties, forties and fifties.

음성장애가 있는 직업적 음성사용자와 비직업적 음성사용자의 음성장애 중증도와 유형에 따른 자기보고식 음성평가 차이 (Comparison of Self-Reporting Voice Evaluations between Professional and Non-Professional Voice Users with Voice Disorders by Severity and Type)

  • 김재옥
    • 말소리와 음성과학
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    • 제7권4호
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    • pp.67-76
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    • 2015
  • The purpose of this study was to compare professional (Pro) and non-professional (Non-pro) voice users with voice disorders in self-reporting voice evaluation using Korean-Voice Handicap Index (K-VHI) and Korean-Voice Related Quality of Life (K-VRQOL). In addition, those were compared by voice quality and voice disorder type. 94 Pro and 106 Non-pro were asked to fill out the K-VHI and K-VRQOL, perceptually evaluated on GRBAS scales, and divided into three types of voice disorders (functional, organic and neurologic) by an experienced speech-language pathologist and an otolaryngologist. The results showed that the functional (F) and physical (P) scores of K-VHI in Pro group were significantly higher than those in Non-pro group. As the voice quality evaluated by G scale got worse, the scores of all aspects except emotional (E) of K-VHI and social-emotional (SE) of K-VRQOL were higher. All scores of K-VHI and K-VRQOL in neurologic voice disorders were significantly higher than those in functional and organic voice disorders. In conclusion, professional voice users are more sensitive to their functional and physical handicap resulted by their voice problems and that goes double for the patients with severe and neurologic voice disorders.

주관적 음성문제 인지 기간과 병인학적 음성질환과의 관계 (The Association between Duration of Self-reported Voice Problems and Voice Disorders among Adults)

  • 변해원
    • 말소리와 음성과학
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    • 제3권3호
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    • pp.125-132
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    • 2011
  • Studies on the risk factors of voice disorders in Korean adults are rare. I evaluated the association between the duration of self-reported voice problem and voice disorders in Korean adults. Data were from the 2008 Korea National Health and Nutritional Examination Survey. Subjects were 3,135 people (1,310 men and 1,825 women) aged 19 years and older. Multi-nominal logistic regression analyses were used to examine the association between the duration of self-reported voice problem and voice disorders. The prevalence of self-reported voice problems was 5.9% among Korean adults. Adjusting for covariates (age, sex, education level, length of employment, tobacco consumption, alcohol consumption, thyroid disorders, pain and discomfort during the last two weeks), self-reported voice problems lasting longer than three weeks were independently associated with functional voice disorders (OR=5.30, 95% CI: 3.30-8.50) and organic voice disorders (OR=4.84, 95% CI: 1.82-12.89). Self-reported voice problems in the past three weeks were significantly associated with functional voice disorders (OR=3.64, 95% CI: 1.84-7.19), but not significantly associated with organic voice disorders. Self-reported voice problems are prevalent among adults. This study highlights that self-perception of a voice problem for more than three weeks is related to functional voice disorders and organic voice disorders.

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정상성인 여성 화자와 음성장애 성인 여성 화자의 문단 낭독 시 휴지 및 호흡단락 특성의 비교 (A comparison study of the characteristics of pauses and breath groups during paragraph reading for normal female adults with and without voice disorders)

  • 표화영
    • 말소리와 음성과학
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    • 제11권4호
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    • pp.109-116
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    • 2019
  • 본 연구는 정상군과 음성장애 환자군의 문단낭독 시 휴지 및 호흡단락 특성을 파악해보고자 시행되었다. 정상군 40명과 기능적 음성장애 환자군 40명을 대상으로 PAS(Phonatory Aerodynamic System) 중 Running Speech를 이용하여 '가을' 문단을 낭독하게 하였다. 이를 통해 흡기 동반 및 미동반, 어절간 및 어절내 휴지와 호흡단락을 구분하고 이에 대한 기술통계 및 집단간 통계적 유의성을 검증하였다. 그 결과 흡기를 동반한 휴지횟수는 환자군이 더 높았으나 흡기를 동반하지 않은 휴지횟수는 정상군이 더 높은 수치를 보였다. 어절경계 중 휴지가 동반된 비율은 환자군이 더 높았고 호흡단락당 음절수는 정상군이 유의하게 더 높았다. 음성장애 화자군은 성대폐쇄부전으로 인한 호흡지지가 정상군보다 부족하므로 휴지 시 흡기를 동반하는 경우나 호흡단락의 수가 더 많은 것으로 사료된다. 이는 일상대화의 자연스러움을 저해할 수 있으므로 음성장애 화자의 중재 시 휴지와 호흡단락의 빈도를 적절히 조절하는 것도 평가 및 중재에 포함해야 할 것이다.

발성장애아동을 위한 발성훈련시스템 설계 및 구현 (Design and Implementation of Speech-Training System for Voice Disorders)

  • 정은순;김봉완;양옥렬;이용주
    • 인터넷정보학회논문지
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    • 제2권1호
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    • pp.97-106
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    • 2001
  • 본 논문에서는 발성장애아의 음성적 특징을 중심으로 컴퓨터 기반 발성훈련시스템을 설계 및 구현하였다. 본 발성훈련시스템은 선행훈련, 발성인지훈련, 발성강화훈련 단계로 구성되어 있으며, 발성장애 아동의 발성의 상황과 레벨을 분석하고 반복학습 및 개별학습이 가능하도록 하였다. 컴퓨터를 기반으로 발성장애아의 음성을 디지털 신호처리하기 위해 음성적 파라미터 즉, 음성의 강도, 음성의 고저, 유 무성음을 추출하였다. 추출된 음성적 파라미터는 이동체의 움직임 벡터 값으로 변환하여 이미지, 애니메이션, 게임적 요소와 같이 시각적으로 피드백 할 수 있도록 하였다.

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중증언어장애자를 위한 음성 출력 임베디드 시스템을 기반으로 한 최적의 사용자 인터페이스 구현 (Implementation of Optimal User Interface based on the Voice Output Embedded System for People with Profound Communication Disorder)

  • 유병혁;이상훈;서희돈
    • 대한전자공학회:학술대회논문집
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    • 대한전자공학회 2006년도 하계종합학술대회
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    • pp.885-886
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    • 2006
  • The purpose of this study is to develop the optimal system(AAC device), which helps a person with a profound communication disorder to communicate with other people. Therefore, this system includes the user interface enhancement that is the user adaptation mode algorithm. The symbol is made with a text and an icon which is converted into Korean. The message contiol operates scanning and adjusts rate control of row-column scanning and linear scanning. This embedded system includes voice input/output and voice recording as well suggested method that could apply optimal device access algorithm from clinical environment. Therefore, we are experting that even the current system itself will be able to improve the life quality of people who need to communicate with the help of devices.

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성악가의 음성위생 습관과 한국어판 음성관련 삶의 질(K-VRQOL) 특성 (Voice hygiene habits and the characteristics of Korean Voice-Related Quality of Life (K-VRQOL) among classical singers)

  • 강하늘;김선희;유재연
    • 말소리와 음성과학
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    • 제10권3호
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    • pp.49-59
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    • 2018
  • The purpose of this study was to investigate vocal hygiene habits and Korean Voice-Related Quality of Life (K-VRQOL) among classical singers. A total of 128 classical singers filled an online voice and K-VRQOL questionnaire, and the results were analyzed. In order to investigate the characteristics of K-VRQOL according to age groups, and the presence or absence of a history of voice problems, we conducted a two-way ANOVA. The results are as follows. Of the 128 classical singers, 28 (21.9%) with a history of voice problems said that excessive conversation, singing practice, and yelling were the causes of their voice problems. The symptoms of voice problems were fatigue, loss of range, hoarseness, and breathiness. In addition, classical singers were less likely to smoke, or to drink alcohol or caffeine. The K-VRQOL was highly correlated with all sub-domains. There was a statistically significant difference according to age groups (p<.05) and history of voice problems (p<.01). There was no correlation between age groups and history of voice problems. Voice management is important because classical singers can ruin their voice by speaking, and the risk of voice disorder is high. Voice problems affect quality of life. In future studies, it is necessary to obtain information on the subjective voice characteristics of classical singers by examining the relationship between their voice hygiene habits and VHI, SVHI, and K-VRQOL.

Dr. Speech Science의 음성합성프로그램을 이용하여 합성한 정상음성과 병적음성(Pathologic Voice)의 음향학적 분석 (Acoustic Analysis of Normal and Pathologic Voice Synthesized with Voice Synthesis Program of Dr. Speech Science)

  • 최홍식;김성수
    • 대한후두음성언어의학회지
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    • 제12권2호
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    • pp.115-120
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    • 2001
  • In this paper, we synthesized vowel /ae/ with voice synthesis program of Dr. Speech Science, and we also synthesized pathologic vowel /ae/ by some parameters such as high frequency gain (HFG), low frequency gain(LFG), pitch flutter(PF) which represents jitter value and flutter of amplitude(FA) which represents shimmer value, and grade ranked as mild, moderate and severe respectively. And then we analysed all pathologic voice by analysis program of Dr. Speech Science. We expect that this synthesized pathologic voices are useful for understanding the parameter such as noise, jitter and shimmer and feedback effect to patient with voice disorder.

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기능성 음성 장애 치료의 고려사항 (Controversies in Management of Functional Dysphonia)

  • 김한수
    • 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.

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