• 대한후두음성언어의학회지
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• 제11권1호
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• pp.69-75
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• 2000

Background and Objectives : The Voice Range Profile(VRP) is a two-dimensional graphic dysplay of an individual's amplitude range as a function of total fundamental frequency range. It is designed as a maximum performance test which can be used as a general indicator of voice problems in the non-professional voice and as a sensitive indicator of problems with the professional voice. The purpose of the study is to obtain a baseline VRT for the classical professional singers and compare it with the normal nonsinger's profile. We also compared the difference of VRP between the classical professional singers who have normal vocal fold and who have vocal folds lesions without dysphonia. Materials and Methods : The VRPs were elicited. from 42 trained classical singers(Soprano 26, Mesosoprano 5, Tenor 9, Bariton 2) and 20 untrained nonsingers(female 10, male 10) using Voice Range Profile Model 4326(Kay Elemetrics USA). The mean values for phonational range with highest and lowest pitch level and range of voice intensity with maximum and minimum intensity level were compared between classical singers and nonsingers. Results and Conclusions : The frequency range and dynamic range were significantly increased for the classical singers in comparison to the nonsingers. But there was no significant difference were found for the VRP between the parts in the classical singers. The classical singers who have vocal fold lesions showed slightly decreased VRP compared to those with healthy vocal folds.

• 말소리와 음성과학
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• 제11권3호
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• pp.77-87
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• 2019

본 연구는 발화범위 프로파일(Speech Range Profile, SRP) 과제를 개발하고, 개발된 SRP 과제가 최대발화범위를 측정하기에 적합한지 살펴보기 위해 45명의 18-29세 정상음성군을 대상으로 음성범위 프로파일(Voice Range Profile, VRP) 과제와 비교하였다. 이를 위해 한국어의 모든 말소리와 문장 유형을 포함하는 14개 문장으로 구성된 "불이야"문단을 개발하였다. SRP와 VRP 간의 차이를 비교하기 위해 SRP 과제로는 새롭게 개발된 문단으로 문단읽기와 21-30까지 숫자세기를 사용하였고, VRP 과제는 /a/ 모음을 낮은 음도부터 높은 음도까지 활창하기와 축약된 VRP를 사용하였다. SRP와 VRP의 변수로 최고기본주파수($F0_{max}$), 최저기본주파수($F0_{min}$), 기본주파수범위($F0_{range}$), 최대음성강도($I_{max}$), 최소음성강도($I_{min}$) 및 음성강도범위($I_{range}$)를 측정한 후 과제 간 차이를 비교하였다. 그 결과, $F0_{max}$, $F0_{min}$, $F0_{range}$, $I_{max}$ 및 $I_{range}$는 모두 문단읽기의 SRP와 활창하기의 VRP 간에 차이가 없었고, $I_{min}$은 숫자세기의 SRP가 가장 낮은 평균값을 보였다. 즉 새롭게 개발된 SRP 과제인 "불이야" 문단은 정상 음성 산출 화자에서 모음만을 통해 측정된 VRP의 음역대와 유사한 수준의 음역대를 산출할 수 있음을 알 수 있다. 이에 오랜 시간이 소요되거나 중증도의 음성장애에서 측정이 어려울 수 있는 VRP를 대신하여 기능적 말산출 과제인 SRP를 적용함으로써 국내 임상환경에서 비교적 짧은 시간 내에 음성평가를 효과적으로 실시할 수 있을 것으로 본다.

• 말소리와 음성과학
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• 제2권2호
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• pp.117-121
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• 2010

The This study aimed to evaluate the effects of the voice therapy we operated to the patients with age-related dysphonia. Thirty four participants who were diagnosed as age-related dysphonia in laryngoscopic finding from January, 2009 to December, 2009 completed the study. The participants were aged from 60 to 82 years old with a mean age of 70.6. All participants had received the abdominal breath technique, SKHPIP with laughter, and basic vocal training with description of their problem, the length of which ranged from four sessions to twelve sessions. We executed the videostroboscopy to compare the aspect of voicing change and the perceptual assessment, voice range profile, acoustic and aerodynamic measures to identify change of voice. Participants had glottal gap due to incomplete glottic closure during voicing on the pretest. After they took the voice therapy, the glottic gap became narrow and rough and breathy voice was reduced. There were significant difference in acoustic and aerodynamic measures. Jitter, Shimmer, MFR were reduced and MPT, Psub were increased(p<.05). Participants' pitch range and intensity range were increased on the posttest performance after taking voice therapy. Especially, most of them were showed that pitch range was increased significantly in high frequency area. The results of this investigation indicate that the voice therapy using abdominal breath, SKHPIP, and exercise together is effective for the patients who have age-related dysphonia to improve their voice quality. We recommend to apply this technique to functional voice disorders who are showed glottal gap.

• 말소리와 음성과학
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• 제15권4호
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• pp.53-60
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• 2023

본 연구에서는 음성장애 환자에서 음성 범위 프로파일(voice range profile, VRP)과 말 범위 프로파일(speech range profile, SRP)을 이용한 추정 발화 기본주파수 절대 오차(absolute error of estimated speaking fundamental frequency, AEF0)를 음성장애의 병인 집단 간에 비교하여 차이를 확인하고,각 병인 집단 별로 AEF0와 관련된 변수들 간의 상관관계를 살펴보고자 하였다. 연구대상은 음성장애로 진단된 기능적(functional, FUNC), 기질적(organic, ORGAN), 신경학적(neurogenic, NEUR) 음성장애 환자군과 정상군(normal control, NC) 각 30명(남 15명, 여 15명)으로 총 120명이었다. 각 대상자로 하여금 음성, 말 범위 프로파일 과제를 수행하도록 하고 전기성문파형검사(electroglottography, EGG)를 통해 발화 기본주파수를 측정하였다. 병인 집단 간 AEF0의 비교 결과, Grade와 Severity는 병인 집단 간 차이가 없었던 반면, AEF0_VRP와 AEF0_SUM에서 병인 집단 간 차이가 있어 AEF0_VRP는 ORGAN이 FUNC와 NC보다 높았으며, AEF0_SUM은 ORGAN이 NC보다 높았다. 또한 FUNC와 NEUR에서는 AEF0가 Grade와 양의 상관관계를 보인 반면, ORGAN은 CQ(closed quotient)와 양의 상관관계가 있었다. 따라서 병인 집단에 따라 AEF0의 적용과 관련 음성 변수를 살펴보는 데 주의를 기울여야 할 것으로 보이며, 본 연구는 이러한 임상적 판단에 대한 기초 자료를 마련하는 데 일조한 것으로 여겨진다.

• 재활복지
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• 제22권1호
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• pp.157-168
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• 2018

본 연구는 반폐쇄성도훈련에 기반을 둔 성대에어로빅치료(Vocal Aerobic Treatment: VAT)가 소프라노 성악가 음성개선에 미치는 영향을 알아보고자 하였다. 연구대상은 성대결절로 음성문제를 호소하는 소프라노 성악가 1명으로 연구를 진행하였다. 연구방법은 치료 전 후 음향학적평가와 주관적 음성평가를 실시하여 측정값을 비교하였으며, 성대에어로빅치료는 주 2회 총 32회기동안 진행하였다. 음향학적 평가는 MDVP (multi-dimensional voice program)와 VRP (voice range profile)를 사용하여 음도, 음질, 음역을 평가하였으며, 주관적 음성평가는 SVHI (singing voice handicap index)로 주관적인 음성만족도를 평가하였다. 음도 평가 결과 치료 후 소프라노 가수에 적절한 기본주파수(Fo)를 유지하였다. 음질평가 결과 주파수변동률(Jitter), 진폭변동률(Shimmer), 배음대소음비(NHR) 수치가 치료 전보다 감소하였다. 음역평가결과 음역의 범위가 넓어졌으며 반음의 개수가 30개에서 35개로 증가하였다. 주관적 음성평가는 설문 보고 후 획득한 총 점수를 문항수로 나눈 결과 3.6점에서 0.6점으로 감소하였으며, 본인이 느끼는 음성문제의 정도가 경미하다고 보고하였다. 이러한 결과를 정리해보면 성대에어로빅치료는 성악가 음성개선에 효과적인 것으로 사료된다. 그러나 본 연구는 소프라노 성악가 1명을 대상으로 한 성대에어로빅치료의 치료 효과에 관한 사례연구로 향후 더 많은 성악가를 대상으로 효과에 대한 연구가 이루어져야 할 것이다. 또한 성악가뿐만 아니라 다양한 직업적 음성사용자를 위한 음성관리 및 음성치료프로그램에 관한 후속 연구가 필요할 것이다.

• 대한후두음성언어의학회지
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• 제12권1호
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• pp.39-45
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• 2001

Background and Objectives : A post-pubescent male classical singer has lower vocal register than a female classical singer. Countertenors who can produce higher vocal register like female classical singers with their falsetto voice and head resonance are recently active. The general purpose of this study is to analyze voice of countertenors and to determine the differences with those of classical singers. Materials and Methods : Four countertenors in Korea were examined using a videostrobos-copy and their voice were analyzed using aerodynamic, acoustic and voice range profile methods. Results and Conclusion : Countertenors could produce elevated fundamental frequency, voice intensity and mean air flow rate using large pulmonary capacity and head voiced falsetto. It means the presence of greater energy in countertenor is due to the more efficient conversion of the air flow to acoustic energy. But, they had unstable amplitude perturbation per each vocal cycle. The results indicated that countertenor is the acoustic products of different laryngeal mechanism with other classical register and it can be recognized as one of the registers of male classical singers.

• 대한음성학회:학술대회논문집
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• 대한음성학회 2007년도 한국음성과학회 공동학술대회 발표논문집
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• pp.52-54
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• 2007

This study has investigated the basic data of untrained boys and girls' VRP. The VRP comparison was executed between 5 boys(lO to 11 years old) and girls(10 to 11 years old). The measure of VRP was implemented by using Dr. Speech 4.0(Tiger-electronics) phonetogram program. The comparison of boys and girls' maximum and minimum range, the mean of boys' maximum range is 93.68dB(SD 7.90) and girls' range is 93.12dB(SD 5.11). There was no difference and the mean of minimum range of boy is 68.08dB(SD 3.59), girl is 71.10dB(SD 3.06).

• 말소리와 음성과학
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• 제1권2호
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• pp.43-49
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• 2009

Vocal polyps are benign phonotraumatic lesions which are traditionally treated using phonomicrosurgical techniques. In the case of hyperfunctional voice use, voice therapy is effective and results in voice improvement. However, the utility of voice therapy about vocal polyp is in great demand. The purpose of this study was to evaluate the effects of voice therapy in patients with vocal polyps. The authors reviewed the medical records of 193 patients with vocal nodules or vocal polyps, and 64 patients (31 nodules and 33 polyps) were enrolled. All of the subjects had received explanation of problems, vocal hygiene education, and been treated by the $SKMVTT^{(R)}$ (Seong-Tae Kim's multiple voice therapy technique) ranging from 4 to 16 sessions (mean: 8.6 sessions). All subjects were examined by perceptual assessment, acoustic and aerodynamic measures, and VRP (voice range profile). In perceptual assessment, patients with vocal nodules had more breathy and strained voices than the vocal polyp group. Both groups significantly reduced rough, breathy voice after voice therapy. Patients with vocal polyps had worse voice quality than patients with nodules in acoustic measures. Both groups showed reduced jitter and shimmer after voice therapy. In aerodynamic measures, MPT and Psub were increased, and MFR was reduced (p<.05). Participants' frequency range and intensity range were increased after voice therapy, but only frequency range resulted in a significant difference (p<.05). In conclusion, the therapeutic effect of voice therapy in patients with vocal nodules and polyps was demonstrated perceptually and acoustically. We can suggest that voice therapy, including advice, vocal hygiene, and $SKMVTT^{(R)}$ is a useful as an initial choice of treatment for patients with vocal polyps before considering a surgical approach.

• 대한후두음성언어의학회지
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• 제32권2호
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• pp.87-93
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• 2021

There are a number of voice analysis programs around the world. Domestic voice analysis is performed by relying heavily on specific commercial program. We intend to develop coding for voice analysis using Praat and apply it to clinical practice. This study consisted of Experiment 1 and Experiment 2. Experiment 1 was the development of automated voice analysis coding based on Praat. The coding was largely divided into a recording, an analysis, and a storage section. Experiment 2 was applied to the voice analysis of 2 male patients pre- and post-operation with this coding. The analysis parameters of this coding provided 26 parameters for vowel /a/, nine parameters for sentence analysis, and a total of 4 parameters for voice range profile analysis. In two male patients, the pitch and the intensity increased, the voice quality improved, and the sentence length decreased after surgery. The coding was well made, so the output was good in real time. The code is automated as much as possible to block manual errors and increases convenience and efficiency by generating the result sheet in real time.

• 대한후두음성언어의학회지
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• 제15권1호
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• pp.16-20
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• 2004

Purpose : To assess perceptual, acoustic and aerodynamic measure of voice quality in patients with unilateral vocal cord paralysis before and after type I thyroplasty. Methods : The clinical records of patients operated type I thyroplasty in the Departement of otorhinoalryngolgy, Yongdong Severance hospital from November 2001 to November 2003 were reviewed. All patients uderwent a vocal function evaluation including perceptual, acoustic and aerodynamic measures of voice preoperative and on $60^{th}$ postoperative day. The perceptual and acoustic measures were obtained from recording of patients' reading a 'Sanchak' passage. The perceptual evaluation was performed by 2 speech pathologist using a 4-point rating scale. Acoustic parameters(voice range profile low(RAL), voice range profile high(RAH), average fundamental frequency(AFX), closed quotient, harmonic to noise ratio, jitter and shimmer) were investigated by Lx speech studio. Mean flow rate(MFR), subglottic pressure(Psub) and intensity were measured using the Phonatory function analyzer. The maximum phonation time was also measured. The data were statistically analyzed. A paired t-test (p<0.1) was used to compare preoperative and postoperative results. And multiple regression test was used to find which parameter was most correlated to improvement of postoperative voice quality. Results : Among aerodynamic parameters, Psub $(88.11mmH_2O{\rightarrow}58.7mmH_2O)$, MPT(7.87sec${\rightarrow}$12.53sec), MFR (359.8ml/sec${\rightarrow}$161.06ml/sec) were statistically improved. AFx(205.5Hz${\rightarrow}$163.27Hz), AQx(23.9%${\rightarrow}$48.3%), RAL, RAH. Jotter and shimmer were improved. In multiple regression test, AFx and AQx was noted as the two meost correlated parameters to improvement of postoperative breathiness. But general grade of voice quality was more correlated to Psub and shimmer. Conclusion : Vocal fold medialization procedures effectively reduce glottic gap. Increasing of contact area of both vocal folds induced improvement in aerodynamic parameters and leaded stabilizing of vocal fold vibration. That effect results in improvement in acoustic parameters (shimmer, jitter, signal-to-noise ratio, voice range profile) and voice quality.