Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
권호 표지
DOI QR코드

DOI QR Code

A Comparison of Voice Analysis of Children with Cochlear Implant and with Normal Hearing

인공와우이식 아동과 건청 아동의 음성 분석 비교

  • 윤미선 (나사렛대학교 언어치료학과) ;
  • 최은아 (원광대학교 언어병리학과) ;
  • 성영주 (한효섭언어청각연구소)
  • Received : 2013.10.31
  • Accepted : 2013.12.04
  • Published : 2013.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.

Keywords

References

  1. Allegro, J., Papsin, B., Harrison, R., & Campisi, P. (2010). Acoustic analysis of voice in cochlear implant recipients with post-meningitic hearing loss. Cochlear Implant International, 11(2), 100-116. https://doi.org/10.1002/cii.417
  2. Bolfan-Stosic N, Simunjak, B. (2007). Effects of hearing loss on the voice in children. Journal of Otolaryngology. 36(2), 120-123. https://doi.org/10.2310/7070.2007.0009
  3. Boone, D. R., McFarlane, S. C. & Von Berg, S. L. (2005). Voice and voice therapy(7th ed.). MA: Allyn and Bacon.
  4. Campisi, P., Low, A., Papsin, B., Mount, R., Cohen K., R. & Harrison, R.(2005). Acoustic analysis of the voice pediatric cochlear implant recipients: A longitudinal study. Laryngoscope, 115, 1046-1050. https://doi.org/10.1097/01.MLG.0000163343.10549.4C
  5. Cerci U, Kandogan T, Olgun L, Gultekin G, Alper S. (2006). The effect of cochlear implantation on voice development. Journal of Ear, Nose, and Throat, 16(3), 112-21.
  6. Cho, S. Y. (2003). Characteristics of intonation in declarative and interrogative Sentences by Hearing-Impaired Children. MA thesis. Dan Kook University. (조소영 (2003). 청각장애 아동의 평서문, 의문문에서의 억양 특성. 단국대학교 석사학위논문)
  7. Choi, E. A.(2010). The acoustic characteristics on the speech of profound hearing-impaired adults and children. Ph.D. dissertation, Chungnam National University. (최은아 (2010). 심도 청각장애 성인과 아동 음성의 음향음성학적 특성. 충남대학교 박사학위논문)
  8. Choi, E. A., Park, H. S. (2012). The phonatory characteristics of voice in profoundly hearing-impaired children: with reference to F0, intensity and their perturbation. Phonetics and Speech Science, 2(1), 135-145. (최은아, 박한상 (2012). 심도 청각장애 아동의 발성특성: 강도 음도, 및 그 변동률을 중심으로. 말소리와 음성과학, 2(1), 135-145.)
  9. Ferrand, C. T. (2007). Speech science: An integrated approach to theory and clinical practice(2nd ed.). MA: Allyn and Bacon.
  10. Goffman, L., Ertmer, D. & Erdle, C. (2002). Changes in speech production in a child with a cochlear implant: Acoustic and kinematic evidence. Journal of Speech, Language and Hearing Research, 45, 891-901. https://doi.org/10.1044/1092-4388(2002/072)
  11. Hamzavi J., Deutsch, W., Baumgartner, W. D., Bigenzahn, W. & Gstoettner, W. (2000). Short-term effect of auditory feedback on fundamental frequency after cochlear implantation. Audiology, 39(2). 102-105. https://doi.org/10.3109/00206090009073060
  12. Higgins, M. B., Carney, A. E. & Omaha, N. E. (1994). Physiological assessment of speech and voice production of adults with hearing loss. Journal of Speech, Language and Hearing Research, 37(3), 510-521. https://doi.org/10.1044/jshr.3703.510
  13. Hocevar-Boltezar, I., Vatovec, J., Gros, A. & Zargi, M. (2005). The influence of cochlear implantation on some voice parameters. International Journal of Pediatric Otorhinolaryngol. 69, 1635-1640. https://doi.org/10.1016/j.ijporl.2005.03.045
  14. Hocevar-Boltezar I, Radsel Z, Vatovec J, Geczy B, Cernelc S, Gros A, Zupancic J, Battelino S, Lavrencak B, Zargi M. (2006). Change of phonation control after cochlear implantation. Otology & Neurotology, 27(4), 499-503. https://doi.org/10.1097/00129492-200606000-00011
  15. Huh, M. J., Jeong, O. R. (1997). Acoustic characteristics of prelingual hearing impaired speakers. Journal of Speech and Hearing Disorders, 6(1), 61-77. (허명진, 정옥란(1997). 언어습득 전 난청자의 음향학적 특성. 언어치료연구, 6(1), 61-77.)
  16. Jun, E. O., Ko, D. H. (2007). The voice quality oh the children with cochlear implant according to the time. Speech Sciences, 14(4), 213-220. (전은옥, 고도흥 (2007). 인공와우 이식시기에 따른 아동의 음질 특성. 음성과학, 14(4), 213-220.)
  17. Kim, Y. T., Hong, K. H., Kim, K. H., Chang, H. S. & Lee, J. Y. (2009). Receptive and Expressive Vocabulary Test (REVT). Seoul: Seoul Community Rehabilitation Center. (김영태, 홍경훈, 김경희, 장혜성, 이주연 (2009). 수용.표현어휘력 검사(REVT). 서울: 서울장애인복지관.)
  18. Kim, Y. T. Shin, M. J. (2004). Urimal Test of Articulation and Phonology (U-TAP). Seoul: Hakjisa. (김영태, 신문자 (2004). 우리말 조음-음운 평가(U-TAP). 서울: 학지사.)
  19. Lee, G. S.(2012). Variability in voice fundamental frequency of sustained vowels in speakers with sensorineural hearing loss. Journal of Voice, 26(1), 24-29. https://doi.org/10.1016/j.jvoice.2010.10.003
  20. Lee, S. H., Huh, M. J., Jeoung, O. R. & Cho, T. H.(1997). Acoustic characteristics of Korean deaf speakers. Korean Journal of Speech Sciences, 2, 89-94.
  21. McGarr, N. S. & Osberger, M. J.(1978). Pitch deviancy and intelligibility of deaf speech. Journal of Communication Disorders, 11, 237-247. https://doi.org/10.1016/0021-9924(78)90016-3
  22. Park, H. S.(2002). Temporal and spectral characteristics of Korean phonation types. Seoul: Hanbitmunhwa.
  23. Poissant, S., Peters, K., & Robb, M.(2006). Acoustic and perceptual appraisal of speech production in pediatric cochlear implant users. International Journal of Pediatric Otorhinolaryngology, 70, 1195-1203. https://doi.org/10.1016/j.ijporl.2005.12.008
  24. Pyo, H, Y., Sim, H. S. (2007). A study for the development of Korean voice assessment model for the patients with voice disorders: A qualitative study. Speech Sciences, 14(2), 7-22. (표화영, 심현섭 (2007). 음성장애 진단 및 평가에 관한 질적 연구: 진단 및 평가 모형 정립을 위한 기초 연구. 음성과학, 14(2), 7-22.)
  25. Seiferet, E., Oswald, M., Bruns, U., Vischer, M., Kompis, M., & Haeusler, R.(2002). Change of voice and articulation in children with cochlear implants. International Journal of Pediatric Otorhinolaryngology, 66, 115-123. https://doi.org/10.1016/S0165-5876(02)00216-1
  26. Stevens, K. N.(1999). Acoustic phonetics. Cambridge: The MIT Press.
  27. Yoon, M. S. (2004). The comparison of fundamental frequencies of children with different hearing level, Malsori, 52, 49-60. (윤미선 (2004). 청력수준에 따른 초등학교 아동의 기본주파수 비교. 말소리, 52, 49-60.)
  28. Yoon, M. S. (2006). Cochlear implant and language rehabilitation workshops for language pathologist. Chungnam: Korea Nazarene University. (윤미선 (2006). 전문가를 위한 인공와우이식과 언어재활 워크숍 I. 충남: 나사렛대학교.)
  29. Yoon, M. S. (2012). Voice therapy for deaf and cleft palate patients. Korean Society of Laryngology, Phoniatics, and Logopedics(Ed.). Understanding of laryngology: voice, speech and swallowing. Seoul: Ilchogak. (윤미선 (2012). 난청 및 구개열 환자의 음성치료. 대한음성언어의학회(편). 후두음성언어의학. 서울: 일조각)
  30. Yoshinaga-Itano, C. & Sedey, A. L.(2000). Early speech development of children who are deaf or hard of hearing: Interrelationship with language and hearing. The Volta Review, 100(5), 181-211.

Cited by

  1. Variables for Predicting Speech Acceptability of Children with Cochlear Implants vol.6, pp.4, 2014, https://doi.org/10.13064/KSSS.2014.6.4.171