• 제목/요약/키워드: voice therapy

검색결과 237건 처리시간 0.023초

모음연장 음성 샘플의 분석 구간에 따른 음향학적 파라미터 비교 (Comparison of Acoustic Parameters According to the Section of Analysis in Sustained Vowel Phonation)

  • 신유정
    • 한국산학기술학회논문지
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    • 제18권7호
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    • pp.269-274
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    • 2017
  • 본 논문은 임상에서 음성장애 환자의 객관적 음성 분석 대상으로 주로 쓰이는 모음연장 발성이 분석하는 구간에 따라 어떠한 음향학적 차이를 보이는지 밝히고자 하였다. 본 연구에서는 성대결절 환자 17명의 /아/ 모음연장 발성을 시작, 중간, 끝 구간으로 편집하여 MDVP를 통해 각 구간의 jitter, shimmer, NHR을 산출하였고, 비교를 위하여 정상 음성 집단 12명의 음성도 분석하였다. 산출 결과는 R 통계프로그램을 활용하여 Fridman test와 사후 검정을 실시하였다. 음성장애 환자집단은 모음연장 발성의 끝 구간이 중간 구간에 비해 jitter, shimmer, NHR 값이 모두 유의하게 높은 것으로 나타났다. 또한, 발성의 시작 구간은 중간 구간에 비해 세 파라미터 모두에서 높게 산출됐지만 유의한 차이는 없었다. 반면, 정상 집단은 발성의 시작, 중간, 끝 모든 구간에서 유의한 차이가 없었다. 모음연장 발성은 구간에 따라 음향학적 파라미터의 분석 결과가 다르고 발성 끝 구간에서 중간 구간보다 유의하게 음성이 불안정해지는 것으로 나타났다. 이러한 결론은 임상 현장에서 모음연장 발성의 분석 구간 선택과 결과 해석에 유용하게 활용될 수 있을 것이다.

A형 보툴리눔독소로 주입치료한 성대 육아종 1예 (Treatment of Vocal Fold Granuloma Using Botulinum Toxin Type A Injection)

  • 오종석;전희선;윤현철;유종범;최홍식
    • 대한후두음성언어의학회지
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    • 제11권2호
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    • pp.185-187
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    • 2000
  • The etiology of vocal fold granuloma was identified : post-endotracheal intubation, vocal abuse, acid reflux and idiopathic. The identification of the cause or causal factor is important, since the treatment must be fundamental directed at them. Treatment have included voice therapy and antireflux measures. Surgical excision is considered in patients who do not respond to medical management. In this study, a case of vocal fold granuloma resolved who underwent injection of the affected vocal fold. Botulinum toxin type A is probably successful by decreasing the strength during adduction in the arytenoid region which, when very intense, would perpetuate the granuloma. Localized injection of this neurotoxin is promising both as an initial treatment and as an alternative treatment in patients who do not respond to standard therapy.

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호흡곤란을 동반하는 과민성 후두 증후군 (Irritable Larynx Syndrome with Dyspnea)

  • 안철민
    • 대한후두음성언어의학회지
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    • 제27권1호
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    • pp.21-24
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    • 2016
  • An irritable larynx syndrome is characterized by a sudden episodic dyspnea and dysphonia that is difficult to diagnose, and patients are often treated unnecessarily and/or too much. A correct diagnosis can be made by monitoring the larynx closing in the reversed direction during inhalation and posterior chink with videolaryngoscopy and by measuring a decrease in air flow volume during inhalation with a lung function test. Patients can be effectively treated with thorough differential diagnosis. Medications targeting precipitating factors, physical therapy sessions to improve abnormal larynx movement, counseling to reduce patients'anxiety rising from dyspnea, and etc. can effectively alleviate symptoms.

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Acoustic Analysis of Speech Disorder Associated with Motor Aphasia - A Case Report -

  • Ko, Myung-Hwan;Kim, Hyun-Ki;Kim, Yun-Hee
    • 음성과학
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    • 제7권1호
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    • pp.97-107
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    • 2000
  • Motor aphasia is an affection frequently caused by insult of the left middle cerebral artery and usually accompanied by a large lesion involving the Broca's area and the adjacent motor and premotor areas. Therefore, a patient with motor aphasia commonly shows articulatory disturbances due to failure of the motor programing of speech sound. Objective assessment and treatment of phonologic programing is one of the important aspects of speech therapy in aphasic patients. We analyzed the speech disorders acompanied with motor aphasia in a 45-year-old man using a computerized sound spectrograph, Visi-$Pitch{\circledR}$, and Multi-Dimensional Voice $Program{\circledR}$. We concluded that a computerized speech analysis system is a useful tool to visualize and quantitatively analyse the severity and progression of dysarthria, and the effect of speech therapy.

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폐경기 여성을 대상으로 제공하는 디지털 기반 운동 치료: 서비스 디자인 제안 (Study on Digital-based Exercise Therapy for Menopausal Women)

  • 박채은;강현민;서석교;전용관;김진우
    • 한국멀티미디어학회논문지
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    • 제25권4호
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    • pp.640-648
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    • 2022
  • Menopausal women have to care for their health. Menopause is a symptom that needs to be managed in the long term, which requires safe and economical treatment even after long term use. This study proposes digital-based exercise therapy. This study also suggests resistance exercise and walking exercise methods according to the proof of previous studies. It provides motivational contents for those who cannot perform regularly. As motivational methods, self-efficacy and narrative-based history methods are accepted. Self-efficacy is improved through voice agents feedback during exercise. Feedback is a type of messages such as encouragement and motivation. The narrative-based history consists of characters of visualization that improves through values, which leveraged by the exercise.

비국악인의 판소리 감상과정에서의 경험적 요소 (Experience of non-Korean Traditional Musicians in the Process of Pansori Music Listening)

  • 이수연
    • 인간행동과 음악연구
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    • 제9권2호
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    • pp.19-34
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    • 2012
  • 본 연구는 판소리의 치료적 요소에 대해 연구하기 위해 비국악인이 판소리를 감상하는 과정에서 경험하게 되는 요소들을 알아보는데 목적이 있다. 본 연구에서는 5명의 국악을 전공하지 않은 연구 참여자가 판소리를 듣는 동안에 경험하는 것을 심층 면접을 통해 자료로 수집하였고 이를 변형된(modified) 근거 이론 방법으로 분석하였다. 연구결과, 판소리를 감상하는 과정에서 판소리 창자의 창법과 목소리의 음색, 판소리 사설, 고수의 북소리, 고수의 역할 요소는 감상자로 하여금 다양한 차원의 정서, 신체 반응을 경험하고 자신이 경험한 정서와 연관된 사고를 유발하였다. 이는 개인의 내적 문제와 연관되어 자신이 평소에 알지 못했던 내면의 문제를 인식하게 하고, 내 안의 감정과 만나도록 중재되었다. 그리고 감상자가 경험한 개인의 정서와 인식은 또 다른 차원 반응을 유발하여 감상자는 판소리의 요소들을 통해 자신의 부정적 감정을 해결하는 근원을 찾고 내 안의 감정을 정리하는 과정을 경험하였다.

집단인정치료(Group validation therapy)가 치매노인에게 미치는 영향에 관한 연구 (The Effect of Group Validation Therapy(V/T) in the Elderly with Dementia)

  • 장우심
    • 한국노년학
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    • 제28권4호
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    • pp.1023-1039
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    • 2008
  • 본 연구는 집단인정치료가 치매노인에게 미치는 영향에 대해 알아보고자 하였으며 구체적으로는 집단인정치료가 치매노인의 인지기능, 일상생활활동, 문제행동, 우울 및 치매노인의 삶의 질에 미치는 영향에 대해 알아보았다. 이를 위하여 대상자인 치매노인 40명을 실험집단 및 통제집단으로 각각 20명씩 무작위 배정하였고, 두 집단의 동질성 검사와 사전검사 후 집단인정치료를 실시하였다. 이후 사후 검사를 실시하였으며 36명의 최종 결과를 얻게 되었다. 본 연구의 분석 결과, 통계적으로 집단인정치료는 치매노인의 인지기능의 향상, 일상생활활동 증가, 우울 감소, 삶의 질 향상에 유의미하였으나 문제행동 감소에는 유의미하지 않았다. 결론적으로 집단인정치료는 치매노인의 인지기능 향상뿐만 아니라 일상생활활동을 증진시키고 우울을 감소시켰으며, 삶의 질을 높이는데 효과적이었다. 그러므로 향후 집단인정치료는 치매노인을 돕는데 효율적인 심리사회적인 치료방법으로 실무에서 충분히 활용할 수 있을 것으로 기대된다.

Gesture Control Gaming for Motoric Post-Stroke Rehabilitation

  • Andi Bese Firdausiah Mansur
    • International Journal of Computer Science & Network Security
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    • 제23권10호
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    • pp.37-43
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    • 2023
  • The hospital situation, timing, and patient restrictions have become obstacles to an optimum therapy session. The crowdedness of the hospital might lead to a tight schedule and a shorter period of therapy. This condition might strike a post-stroke patient in a dilemma where they need regular treatment to recover their nervous system. In this work, we propose an in-house and uncomplex serious game system that can be used for physical therapy. The Kinect camera is used to capture the depth image stream of a human skeleton. Afterwards, the user might use their hand gesture to control the game. Voice recognition is deployed to ease them with play. Users must complete the given challenge to obtain a more significant outcome from this therapy system. Subjects will use their upper limb and hands to capture the 3D objects with different speeds and positions. The more substantial challenge, speed, and location will be increased and random. Each delegated entity will raise the scores. Afterwards, the scores will be further evaluated to correlate with therapy progress. Users are delighted with the system and eager to use it as their daily exercise. The experimental studies show a comparison between score and difficulty that represent characteristics of user and game. Users tend to quickly adapt to easy and medium levels, while high level requires better focus and proper synchronization between hand and eye to capture the 3D objects. The statistical analysis with a confidence rate(α:0.05) of the usability test shows that the proposed gaming is accessible, even without specialized training. It is not only for therapy but also for fitness because it can be used for body exercise. The result of the experiment is very satisfying. Most users enjoy and familiarize themselves quickly. The evaluation study demonstrates user satisfaction and perception during testing. Future work of the proposed serious game might involve haptic devices to stimulate their physical sensation.

Tone Deafness and Implications for Music Therapy Strategies for Treatment

  • Chong, Hyun Ju
    • 인간행동과 음악연구
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    • 제2권2호
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    • pp.69-79
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    • 2005
  • This study was purported to examine the definition of tone deafness, various factors for the cause based on literature review of research findings, and to examine therapeutic application of music for treatment of tone deafness. With research, it was found that there can be three different kinds of tone deafness; amusia, agnosia, and asonia. Literature review showed that tone deafness has been frequently dealt in many research in order to verify the causal factors, such as gender, age, and environments. With time, the research trend on tone deafness has shifted towards neurological approach closely examining brain activity, presenting the statement that the brain's capacity to perceive modest pitch changes may be congenitally impaired. Also physiological factors contribute to tone deafness called diplacusis, which is a phenomenon wherein a given tone is heard as different pitches by the two ears, resulting in conflicting bilateral perception of pitch. Music can be used for treatment of various factors causing tone deafness. The most efficient intervention was singing program. Pitch-matching training can be effective training using operant conditioning procedure. Successive approximation or reinforcement of correct response alone was more efficient procedure in helping uncertain singers to sing on pitch. Also progressive breathing exercises helped the training the pitch-matching where one had to coordinate hearing and voice.

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