• Phonetics and Speech Sciences
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• v.2 no.2
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• pp.123-133
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• 2010

Speech language pathologists depend on their voice for livelihood and are high risk group of voice disorders. But there are few studies on their prevalence of voice symptoms and voice handicap index. This study aimed to evaluate prevalence of voice symptoms and Korean voice handicap index with 86 speech language pathologists and 90 individuals employed in other occupations. We analyzed self-reported voice symptoms and voice handicap index using a questionnaire for this study. The results showed that the prevalence of voice symptoms of speech language pathologists is 60.5% and voice handicap index scores of speech language pathologists group are significantly higher than those of control group in physical and total score. And we found that alcohol history was a risk factor for voice symptoms. These findings indicate that special vocal hygiene program for speech language pathologists and follow up studies for comparisons of prevalence of voice symptoms and voice handicap index with other professional voice users are necessary.

• Phonetics and Speech Sciences
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• v.4 no.3
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• pp.151-159
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• 2012

The purpose of this study is to evaluate the prevalence of voice disorders and the Korean voice handicap index in the elderly. For this study, 169 elderly performed two types of questionnaires and vowel /a/ prolongation. Self-reported voice symptoms and the Korean voice handicap index were analyzed and acoustic voice evaluation was performed by MDVP. The results showed that the prevalence of voice disorders in the elderly are significantly higher than that of adults in self-reports. In acoustic evaluation, 32.2% of the male elderly and 40.9% of the female elderly exceeded the thresholds of Jitter (%), Shimmer (%) and NHR. In addition, Korean voice handicap index scores of the female elderly are significantly higher than those of female adults. These findings indicate the high frequency of voice disorders in the elderly and the need to focus on this group. Additional studies on the voice related quality of life for the elderly are needed.

• Phonetics and Speech Sciences
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• v.7 no.2
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• pp.47-54
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• 2015

The objectives of this study are to research the frequency of depression symptom in patients with voice disorders and to investigate parameters associated with depression from voice evaluation. A hundred ninety six patients(106 males and 90 females) who had been diagnosed with voice disorders first in their lifetime were selected. All the patients were examined by laryngeal stroboscopy. For depression and voice study, personal interview, acoustic and aerodynamic analysis, voice handicap index(VHI), reflux symptom index(RSI), and beck depression index(BDI) were done respectively. Mild to severe BDI were seen in 26.2%(52 patients) of the whole patients. A BDI mean score of female patients was $8.8{\pm}7.5$ which was higher than that of male patients($5.6{\pm}6.6$), the difference observed being statistically significant(p<0.001). In the acoustic analysis, the score of sent_duration parameter was increasing in the patients with depression, which was significantly higher than the score of the patients without depression(p<0.05). In the addition, the scores of VHI and RSI were higher in the patients with depression(p<0.001). Our findings suggest that the prevalence of depression in patients with voice disorders is related to female, speaking velocity, and self-questionnaire. This result can be used for psychologically based approach to therapy.

• Journal of Korean Library and Information Science Society
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• v.35 no.3
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• pp.271-291
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• 2004

Such information services source like digital library has been asked information services of atypical multimedia database like image, voice, VOD/AOD. Examined in this study are suggestions such as word-phrase generator, syllable recoverer, morphological analyzer, corrector for voice processing. Suggested voice processing technique transform voice database into tort database, then extract index database from text database. On top of this, the study suggest a information retrieval model to use in extracted index database, voice full-text information retrieval.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.19 no.2
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• pp.89-95
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• 2008

Subjective voice evaluation is necessary and important to assess the voice disorders in addition to objective voice evaluation. Subjective voice evaluation is divided into examiner and examinee subjective voice assessment. The examiner assessment represents perceptual judgment to the patient's voice such as GRBAS scale, Buffalo voice profile, consensus auditory perceptual evaluation of voice (CAPE- V) and so on. The examinee assessment consists of indirect method including voice handicap index (VHI), voice outcome survey (VOS), voice symptom scale (VoiSS), voice related quality of life (V-ROQL) and direct method which is called patient's self-subjective voice rating. This review article describes a general rule, advantages and pitfalls about GRBAS scale, VHI and patient's self-subjective voice rating which are presently most representative voice assessment tools.

• Phonetics and Speech Sciences
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• v.5 no.4
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• pp.53-61
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• 2013

Voice disorders are most common in female teachers due to work-related vocal demands; however, only a few studies tried to evaluate individual risk factors with work-related risk factors to diagnose voice disorders. This study evaluated sixty-seven female elementary teachers (36 with voice disorders and 31 without voice disorders) to compare their vocal misuse, overuse, and vocal hygiene behaviors. Total Voice Handicap Index scores and VHI subscale (P, E, F) scores were not significantly different between two groups (p>0.05) and there was no relationship between VHI and acoustic measures (p>0.05). Loud talking, talking in noisy situations, and excessive speaking were significantly more frequent in female teachers with voice disorders (p<0.05) and thereby these overuse and misuse behavioral patterns were identified as risk factors to develop voice disorders in female teachers. Also, hydration was the most common behavior for vocal hygiene when experiencing vocal fatigue; however, hydration with hot green tea or coffee and throat clearing were often misused for vocal hygiene. This study found that female teachers from both groups presented higher voice handicap regardless of voice disorders. This study suggests a multidimensional voice assessment protocol is required to reflect voice problems in teachers and a vocal education program may be important to improve vocal hygiene knowledge and behavioral changes in female teachers.

• Speech Sciences
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• v.14 no.3
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• pp.111-125
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• 2007

It is important to examine patients' subjective evaluation as well as objective measures and clinician's rating to assess voice disorders. This study aimed to evaluate validity and reliability of Korean-version of Voice Handicap Index (KVHI) and Voice-Related Quality of Life (KVQOL) with 113 adults with voice disorders and 111 normal adults. Content validity was verified by three experienced speech-language pathologists. Concurrent validity was revealed by examining the correlation among KVHI, KVQOL, and Voice Rating Scale as well as item discrimination coefficients. Total scores of KVHI and KVQOL of adults with voice disorders were significantly different from those of normal adults. Test-retest reliability and internal consistencies were significantly high in both KVHI and KVQOL. Correlations among scores of each subscale and total score were also significantly high in each tool. The study revealed that KVHI and KVQOL are suitable tools to be used in clinics and research areas in Korea, which can subjectively evaluate the effects of voice disorders on daily life as well as on quality of life.

• Proceedings of the KSLP Conference
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• 1996.11a
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• pp.78-78
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• 1996

기식성 애성을 객관적으로 평가할 수 있는 음향지표는 아직 많은 연구가 되어 있지 않고 단지 청각심리검사에 의존하고 있는 실정이다. 본 저자들은 컴퓨터음향분석의 한 지표로서 기식성 애성에 대한 객관적인 음향지표로 이용될 수 있는 Multi-Dimensional Voice Program(mode1 4305, Kay Elemtrics Corp, USA)의 VTI(voice turbulance index)를 정상인과 성대병변 환자에서 비교 분석함으로써 기식성 애성의 객관적인 음향지표로서의 유용성을 확인하고자 하였다. (중략)

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.17 no.2
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• pp.133-137
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• 2006

Objectives : The purpose of this paper is to know the efficacy of voice therapy for vocal fold nodules in children. Materials and Methods : Sixty two patients with vocal nodules(46 boys and 16 girls) were retrospectively reviewed. Age ranged from 4 to 15 years with mean age of 8 years. Questionnaire survey was carried out with voice handicap index, at pretherapy and post-therapy(3 months and 5 years after voice therapy). Results : Sixty two percent of the patients showed improvement by voice therapy. Twenty five patients continued education at home after voice therapy, but only eight childrens were included this group in pre-school aged children. Voice handicap index was improved in 3 months and 5 years after voice therapy. In contrast, pre-school children group showed slight aggravation in 5 years, especially in emotional subdomain. Conclusion : Voice therapy is effective primary treatment in children with vocal fold nodules. Different result between preschool aged children and school aged group shows needs for age specific approach of voice therapy.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.32 no.3
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• pp.124-129
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• 2021

Background and Objectives This study compares Vocal Fatigue Index (VFI) scores according to the presence or absence of external laryngeal tension in hyperfunctional voice disorder. And through this, it is to confirm the usefulness of VFI to hypertension of extrinsic laryngeal muscles. Materials and Method The subjects were 61 female diagnosed with hyperfunctional voice disorder (hypertension group 41, non-hypertension group 20). The author palpated extrinsic laryngeal muscles for evaluation of hypertension and classified them as the presence or absence. The voice measurements were jitter, shimmer, Korean-Voice Handicap Index-10 (K-VHI-10), and Korean-Vocal Fatigue Index (K-VFI). The voice compared were according to the diagnosis and presence of hypertension only for patients with hyperfunctional voice disorder. Results As a result of comparing the voice measurement according to the presence or absence of hypertension, there was no significant difference in the acoustic variables, K-VHI-10 and K-VFI-Total, K-VFI-Fatigue. Whereas, K-VFI-Physical (p=0.006) and K-VFI-Rest (p=0.022) were significantly higher in the hypertension group. Conclusion These results indicate that the hypertension group has more physical discomfort and less voice recovery than the group without hypertension. It means that K-VFI can measure the physical discomfort and limitations of voice recovery due to hypertension of the external laryngeal muscle. The VFI can be used as one of the methods to evaluate the hypertension of the external laryngeal muscle in Hyperfunctional voice disorder.