• 제목/요약/키워드: voice therapy

검색결과 237건 처리시간 0.024초

병적음성에 대한 지속 모음 및 이음절어 발화시 나타나는 음향학적 차이에 대한 연구 (A Study of Acoustic Characteristics of Two Syllables Words and Sustained Vowel)

  • 채윤정;김범규;홍기환
    • 대한후두음성언어의학회지
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    • 제11권1호
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    • pp.104-112
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    • 2000
  • An evaluation of voice disorder has two methods. One is a perceptual analysis and the other is an acoustic analysis. All of these methods are just focused on sustained vowel. The analysis of conversational speech levels in voice disorder has not been achieved enough. The purpose of the present study is to compare two syllable words and sustained vowel in the vocal polyp patients and normal male speakers and to be applied on the vocal assessment and the voice therapy as a basic data. fifteen male patients with vocal polyp were the subject group. Fifteen healthy male were the control group for this study. The voices of the subject and control group, saved in MDVP of CSL were analyzed by its own analysis program. As a results, in subject group, the voice qualities between the vowel following lenis stop and the sustained vowel had no differences, and the voice qualities were different significantly between the vowel following heavily aspirated stop and the sustained vowel. In the control group the vowel fllowing stops and sustained vowel had also many differences in their voice quality, especially significant between the vowel following glottal stop and e sustained vowel.

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경직형 뇌성마비 아동의 음질이 말명료도에 미치는 영향 (The effect of voice quality on speech intelligibility in children with spastic cerebral palsy)

  • 정필연;심현섭
    • 말소리와 음성과학
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    • 제9권4호
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    • pp.129-136
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    • 2017
  • This study investigates the effect of voice quality on speech intelligibility and the relationship between voice quality and intelligibility for children with spastic CP. We recruited 36 children with spastic CP (mean age 10.43 year, 17 girls, 19 boys, spastic type 34, mixed 2) from a special school and a rehabilitation hospital. Voice samples for the perceptual analysis of voice quality were extracted from a sustained vowel /a/ and were rated on the GRBAS scales by two experienced speech language pathologists. Ten adult subjects with no hearing problems evaluated speech intelligibility for the 37 words listed in the Assessment of Phonology and Articulation for Children on a 7-point interval scale. The children with spastic CP were divided into three groups according to the rated G scores on the GRBAS scales (G1(n)=10, G2(n)=13, G3(n)=13). Analyses of ANCOVA and Pearson correlation showed that there was a significant difference in speech intelligibility among three groups. There was also a significant correlation in G scale (grade), A scale (asthenia), B scale (breathy) score, and speech intelligibility. These findings suggest that poor speech intelligibility of spastic CP might be related to asthenia and breathiness. Vocal intensity should be increased and vocal functioning should be improved for speech therapy to improve speech intelligibility of the children with spastic CP.

음성(音聲)과 오장(五臟)의 관계에 대한 고찰(考察) (A Study on the relation of voice and O-jang(五臟))

  • 백유상
    • 대한한의학원전학회지
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    • 제19권2호통권33호
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    • pp.97-107
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    • 2006
  • From the study on the relation of voice and O-jang(五臟廳), the conclusion is as follows. The function of breathing out in larynx is involved with lung and kidney. Lung press out the air, at the same time, kidney supports that to maintenance the density of air constantly. So the person who has short breathing can not make strong voice, and also if having a weak kidney in upper Cho[下蕉], their voice will be changed so very softly to cannot make hard type of voice and lingering sounds. Opening and Closing of vocal cords are controled by liver and spleen. when vocal cords are contracted, liver makes tension, whereas spleen does in slackness. So liver is likely to make high-piched sounds in tension of vocal cords, and spleen is the same to do smoothy and husky sounds through relaxing the vocal cords. In the rising condition of liver function, the temp of speech become fast, and more the pronunciation is clearer, it means that the function of thinking by spleen is operated well. Otherwise, indistinct pronunciation means that in the body seup-sa(濕邪) spreads. Also depression of emotion in speech often makes Gi(氣) of heart weaker, whereas it means regular condition of heart including Simpo(心包) that expression of emotion looks happy.

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T1a 병기 성문암의 방사선 치료 후 음성에 관한 연구 (Quantitative Analysis of Voice Quality after Radiation Therapy for Stage T1a Glottic Carcinoma)

  • 이준규;정웅기
    • Radiation Oncology Journal
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    • 제23권1호
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    • pp.17-21
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    • 2005
  • 목적 : 후두암에서 방사선 치료는 음성을 보존할 수 있기 때문에 조기 성문암의 일차적인 치료법으로 사용된다. 이에 T1a 병기 성문암에서 방사선 치료가 환자의 음성에 미치는 영향을 알아보고자 하였다. 대상 및 방법 : 조기 성문암(T1a)으로 진단 받고 방사선 치료를 받은 후 최소 1년이 지난 17명의 남자 환자들을 대상으로 객관적인 음성검사들(음향분석, 공기역학검사, 후두 스트로보스코피)을 이용하여 음성을 평가하였고, 이것을 성별과 연령을 맞춘 정상 대조군과 비교하였다. 음향분석으로는 평균 기본주파수(Fo), jitter, shimmer, 잡음 대 조화음 비율(Noise to Harmonics Ratio)을 측정하였다. 공기역학적 검사로는 최대발성지속시간, 평균호기류율, 음강도, 성문하압, 성문저항, 성문효율, 성문력을 측정하였다. 결과 : 방사선 치료를 받은 환자에서 음향분석의 shimmer만이 통계학적으로 의의 있게 높았다. 그 외 다른 검사나 공기역학검사에서는 두 군 간에 통계학적인 유의성이 없었다. 결론 : 본 연구에서는 단지 shimmer만이 방사선 치료 환자군에서 높았기 때문에 T1a 병기 성문암에서의 방사선치료는 음성의 질에 큰 영향을 미치지 않은 것으로 사료된다.

Botulinum Toxin Type A (BOTOX$^{\circledR}$)를 이용한 성대 육아종의 치료효과 (The Effect of Botulinum Toxin Type A for the Vocal Fold Granuloma)

  • 김정홍;김한수;남지인;장정현;김지훈;최홍식
    • 대한후두음성언어의학회지
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    • 제14권1호
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    • pp.40-46
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    • 2003
  • Background and Objectives : The vocal fold granuloma has been associated with vocal abuse, gastroesophageal reflux, endotracheal intubation and habitual throat clearing etc.. Granuloma is benign growth of hypertrophic granulation tissue. It is usually located on the posterior third of vocal fold, in one or both vocal process of the arytenoid cartilage In spite of the voice therapy, steroid therapy, anti-reflex therapy and surgical procedure. The distinct advantage and uniform success rate of each methods have not been generally shown. Authors report that localized injection of botulinum toxin type A (BOTOX$^{\circledR}$) is the promising method both as an initial treatment and as an alternative treatment in patients who do not respond to standard therapy or who are poor surgical candidates. Materials and Method : We carried out a retrospective study of 9 patients with the diagnosis of vocal fold granuloma on the videostroboscopic examination from Jan 2000 to Mar 2003. The botulinum toxin type A was injected into one or both thyroarytenoid muscle or lateral cricoarytenoid muscle under the electromyography. The average dosage ranges from 6U to 8U per injection. Results : Unilateral vocal fold granuloma in 7 patients had been resolved completely within 2-3 months after first injection : 5 patients received th\ulcorner GER medical therapy in addition to the Botulinum toxin injections, 2 patients was resolved completely who had shown recurrence after $CO_2$ laser vaporization. 2 patients who had shown recurrence after $1^st$ injection were also completely resolved within 6 months after further injections. Conclusion : We expect that localized injection of Botulinum toxin type A can provide an alternative treatment for the refractory cases to the traditional forms of therapy and avoid the recurrence in conjunction with proper medical and voice therapy against GER and vocal abuse.

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Erratum

  • 대한한방신경정신과학회
    • 동의신경정신과학회지
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    • 제24권3호
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    • pp.321-330
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    • 2013
  • Voice Handicap Index and Voice-Related Quality of Life in Idiopathic Parkinson's Disease 10.7231/jon.2013.24.2.155, The Differences of Learning Characteristics in Sasang Constitution 10.7231/jon.2013.24.2.163, A Preliminary Comparison of the Efficacy of Auricular Acupuncture, Transdermal Nicotine Patch and Combination Therapy for Smoking Cessation 10.7231/jon.2013.24.2.179, The Effects of OnDam-tang-Kami-bang (ODK) in Antioxidant and Serotonin Metabolism Testing on P815 Cell 10.7231/jon.2013.24.2.189

The effect of oral sound Daseureum of Jindo Ssitgimgut on anxiety disorder: Soul therapist Byung-cheon Park oral sound, Daseureum is revived on YouTube (https://youtu.be/k98ENbsIp7o?list=RDk98ENbsIp7o)

  • Ko, Kyung-Ja
    • 셀메드
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    • 제6권3호
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    • pp.19.1-19.3
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    • 2016
  • Jindo Ssitgimgut has been known as a funeral ritual for a long time in Korea. However, there is no study for music therapy on anxiety disorder. The aims of this study were to argue that Oral sound Daseureum of Jindo Ssitgimgut may have meaningful effect on anxiety disorder. Jindo Ssitgimgut is literally a cleansing soul. Jindo Ssitgimgut is designated as the Intangible Cultural Property No. 2 by the Korean government. Jindo Ssitgimgut is transmitted from generation to generation, not the descent of God. So, the accent is on art and one's sincere sympathy. So, with careful listening Youtube, this music Daseureum exhibits an exquisite balance between the human voice and the sounds do the instruments. The author think a good combination of his voice, Jing (Korean gong), and Ajaeng (Korean cello) can help with anxiety disorder.

후두암 환자에서 경구강 레이저 성문절제술 후 음성 복원 수술 (Phonosurgery after Transoral LASER cordectomy in Laryngeal Cancer Patients)

  • 조재근;손영익
    • 대한후두음성언어의학회지
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    • 제24권2호
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    • pp.102-106
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    • 2013
  • The cure rates for early stage laryngeal cancer are similar between laser cordectomy and radiation therapy. As well as the survival outcome, one of the main measures of success in treatment of early laryngeal cancer is voice outcome. Many studies have demonstrated that laser cordectomy and radiation therapy to be equivalent with regard to vocal outcome, whereas others favor radiation. Although such as somewhat disadvantages of voice outcome, laser cordectomy still remains a valid option. Since the patients who treated with laser may benefit from additional phonosurgery to improve postoperative vocal outcome. In this article, we reviewed the techniques of phonosurgery which can be used for laryngeal reconstruction after laser cordectomy. The indications for using each technique are discussed, with particular attention paid to functional outcomes following these reconstructive efforts.

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양성 성대 병변의 치료 결과 및 예후인자 (Treatment Outcomes and Prognosis of Benign Vocal Fold Lesions)

  • 이승원
    • 대한후두음성언어의학회지
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    • 제26권2호
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    • pp.101-103
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    • 2015
  • There are no standard consensus about treatment results and prognostic factors based on randomized trials for benign vocal fold lesion. Currently, voice therapy is the treatment of choice for vocal nodules, and laryngomicroscopic surgery is for vocal polyps. There are no strong evidences to support it, based on randomized controlled trials, But, it's just a consensus among laryngologist. Considering the pathophysiology of benign vocal cord lesions, cognitive behavioral therapy that corrects the patient's bad voice habits and improves their vocal hygiene could be most important factor for treatment outcomes.

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애성환자에 있어서 원인 및 치료에 따른 고찰 (Clinical Study of Patients with Hoarseness in According to Causes and Therapies)

  • 안철민;권기환;박효진;이용배
    • 대한후두음성언어의학회지
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    • 제6권1호
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    • pp.16-21
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    • 1995
  • Clinical study was performed on 128 cases who complained of hoarsseness in according to causes therapies. which causes were newly known and advanced treatment methods were developed. The following results were obtained : 1) Among 128 cases, male was 45.3%, and female 54.7%, so sex ratio was 1:1.2. 2) The highest incidence of age causing hoarseness in order of frequency were 4th decade 30.5%, 5th decade 26.6% and 6th decade 24.8%. 3)The underlying diseases causing hoarsensess in oder of frequency were functional dysphonia 26.5%, laryngeal nodule 17.7% and chroic laryngitis 16.3%. 4) In view of the occupation. sterss group was 84.1% and non-stress group 15.9%. 5) The highest incidence of associated diseases in order of frequency were gastro intestinal diseases 29.7%, hypertension 9.4% and pulmonary tuberculosis 2.3%. 6) Vocal hygiene and voice therapy are the most needful therapeutic modalities.

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