Journal of Music and Human Behavior (인간행동과 음악연구)

Korean Music Therapy Education Association (한국음악치료교육학회)
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Comparison of the Vocal Characteristics of Adults with and without Cerebral Palsy on Musical Speech Tasks

뇌성마비 성인과 일반 성인의 음악적 발화과제 시 음성 특성 비교

  • 박한나 (전주기전대학교 음악과)
  • Received : 2015.04.05
  • Accepted : 2015.11.21
  • Published : 2015.11.30
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Abstract

The purpose of this study was to compare the vocal characteristics of 40 adults with and without cerebral palsy (CP), upon presentation of three speech tasks (i.e., reading, chanting, and singing). The Praat program was utilized to generate data on fundamental frequency, voice intensity, jitter, and shimmer. The results of the analysis revealed no significant differences on fundamental frequency and intensity. However, both groups showed significant decreases in jitter and shimmer when engaged in singing tasks. The analysis of group differences indicated that adults with CP showed significantly higher variation scores on jitter and shimmer than the group without CP, and the difference on jitter and shimmer became greater during rhythmic chanting. In terms of jitter variation, the interaction effects according to the groups and types of speech tasks were greater, demonstrating the differences between the two groups. This study can be utilized as a basic research, regarding changes in vocal characteristics of adults with CP according to different musical speech tasks.

본 연구의 목적은 뇌성마비 성인과 일반 성인에게 각각 동일한 발화과제(일반, 리듬, 선율 발화)를 제공한 뒤 집단(일반 및 뇌성마비 성인)과 발화과제에 따라 어떠한 음성 특성이 나타나는지 알아보는 것이다. 연구대상은 뇌성마비 성인 20명과 일반 성인 20명이며 프라트(Praat) 프로그램을 사용하여 발화과제에 따른 기본주파수, 음성강도, 주파수 변동률, 진폭 변동률수치를 구하였다. 각 집단의 발화 과제에 따른 음성 특성 분석 결과, 기본주파수와 음성강도의 경우 두 집단 모두 유의한 차이는 없었으나 주파수 변동률 및 진폭 변동률의 경우 일반성인집단과 뇌성마비성인집단 모두 선율 발화 시 유의하게 가장 낮은 수치를 보였다. 집단에 따른 차이를 분석한 결과, 뇌성마비성인집단의 주파수 변동률 및 진폭 변동률이 일반성인집단에 비해 유의하게 높은 수치를 보였다. 또한 일반성인집단과는 달리 뇌성마비성인집단의 경우 리듬 발화 시 주파수 변동률 및 진폭 변동률 수치가 가장 높게 나타났으며 주파수변동률의 경우 집단과 발화과제 종류에 따른 상호작용 효과가 유의해 두 집단 사이에 상이한 양상이 발견되었다. 본 연구는 발화 시 적용된 음악요소에 따라 나타나는 즉각적 음성 특성에 대한 정보를 제공해주는 기초자료로 사용될 수 있다.

Keywords

References

  1. Andersson, C., & Mattsson, E. (2001). Adults with cerebral palsy: A survey describing problems, needs, and resources, with special emphasis on locomotion. Developmental Medicine & Child Neurology, 43(2), 76-82. https://doi.org/10.1017/S0012162201
  2. Baker, F., Wigram, T., & Gold, C. (2005). The effects of a song-singing programme on the affective speaking intonation of people with traumatic brain injury. Brain Injury, 19(7), 519-528. https://doi.org/10.1080/02699050400005150
  3. Bax, M., Goldstein, M., Rosenbaum, P., Leviton, A., Paneth, N., Dan, B., ... Damiano, D. (2005). Proposed definition and classification of cerebral palsy. Developmental Medicine & Child Neurology, 47(8), 571-576. https://doi.org/10.1017/S001216220500112X
  4. Binazzi, B., Lanini, B., Bianchi, R., Romagnoli, I., Nerini, M., Gigliotti, F., ... Scano, G. (2006). Breathing pattern and kinematics in normal subjects during speech, singing, and loud whispering. Acta Physiologica, 186(3), 233-246. https://doi.org/10.1111/j.1748-1716.2006.01529.x
  5. Cho, K. Y. (2005). Body-relaxing training to improve articulation vocalization in children with spastic cerebral palsy. Korean Journal of Physical, Multiple & Health Disabilities, 45, 209-224.
  6. Duffy, J. (2005). Motor speech disorders: Substrates, differential diagnosis and management (2nd ed.). St. Louis, MO: Mosby-Year Book.
  7. Ferrand, C. T. (2006). Speech science: An integrated approach to theory and clinical practice. Boston: Allyn & Bacon.
  8. Go, D. H. (2013). Anatomy and physiology for speech, language, and hearing. Seoul: Hakjisa.
  9. Haak, P., Lenski, M., Hidecker, M. J. C., Li, M., & Paneth, N. (2009). Cerebral palsy and aging. Developmental Medicine & Child Neurology, 51(s4), 16-23. https://doi.org/10.1111/j.1469-8749.2009.03428.x
  10. Jeon, H. S. (2003). A study on the approach method of Bobath for the speech and language training of children with cerebral palsy. Korean Journal of Physical, Multiple & Health Disabilities, 42, 15-31.
  11. Jeong, J. O., Kim, D. Y., Sim, H. S., & Park, E. S. (2011). The maximum phonation time and temporal aspects in Korean stops in children with spastic cerebral palsy. Journal of the Korean Society of Speech Sciences, 3(1), 135-143.
  12. Kim, H. W., & Kwak, Y. H. (2008). Musculoskeletal surgeries for optimization of ambulation ability in patients with spastic cerebral palsy. Journal of the Korean Medical Association, 51(5), 475-482. https://doi.org/10.5124/jkma.2008.51.5.475
  13. Kim, H. K., & Kwon, D. H. (2005). The effect of respiratory muscles training program on improvement of speech production mechanism in children with spastic cerebral palsy. Journal of Speech & Hearing Disorders, 14(2), 89-109.
  14. Kim, S. J., & Jo, U. (2013). Study of accent-based music speech protocol development for improving voice problems in stroke patients with mixed dysarthria. NeuroRehabilitation, 32(1), 185-190.
  15. Nam, H. W. (2011). The characteristics of intensity variations in diadochokinesis in the speakers with cerebral palsy. Journal of Speech & Hearing Disorders, 20(1), 157-171. https://doi.org/10.15724/jslhd.2011.20.1.010
  16. Nam, H. W., Ann, J. B., & Jung, H. (2009). The auditory-perceptual characteristics of articulation and prosody by the types of cerebral palsy in reading tasks. Journal of Speech & Hearing Disorders. 18(4), 91-103. https://doi.org/10.15724/jslhd.2009.18.4.006
  17. Nam, H. W., & Kwon, D. H. (2009). A comparative study of the characteristics of the subsystems for speech production the types of cerebral palsy. Journal of Speech & Hearing Disorders. 18(2), 17-50.
  18. Nam, H. W., & Yoo, J. Y. (2010). The characteristics of nasalance in speakers with spastic cerebral palsy according to the types of sentence used for nasalance test. Journal of the Korean Society of Speech Sciences, 2(1), 121-125.
  19. Nordberg, A., Miniscalco, C., & Lohmander, A. (2014). Consonant production and overall speech characteristics in school-aged children with cerebral palsy and speech impairment. International Journal of Speech-Language Pathology, 16(4), 386-395. https://doi.org/10.3109/17549507.2014.917440
  20. Orlikoff, R. F. (1991). Assessment of the dynamics of vocal fold contact from the electroglottogram data from normal male subjects. Journal of Speech, Language, and Hearing Research, 34(5), 1066-1072. https://doi.org/10.1044/jshr.3405.1066
  21. Pennington, L. (2008). Cerebral palsy and communication. Paediatrics and Child Health, 18(9), 405-409. https://doi.org/10.1016/j.paed.2008.05.013
  22. Pilon, M. A., Mclntosh, K. W., & Thaut, M. H. (1998). Auditory vs visual speech timing cues as external rate control to enhance verbal intelligibility in mixed spastic ataxic dysarthric speakers: A pilot study. Brain Injury, 12(9), 793-803. https://doi.org/10.1080/026990598122188
  23. Rosenbaum, P., Paneth, N., Leviton, A., Goldstein, M., & Bax, M., Damiano, D., ... Jacobsson, B. (2007). A report: The definition and classification of cerebral palsy April 2006. Developmental Medicine & Child Neurology, 49, 8-14.
  24. Roubeau, B., Henrich, N., & Castellengo, M. (2009). Laryngeal vibratory mechanisms: The notion of vocal register revisited. Journal of Voice, 23(4), 425-438. https://doi.org/10.1016/j.jvoice.2007.10.014
  25. Sabol, J. W., Lee, L., & Stemple, J. C. (1995). The value of vocal function exercises in the practice regimen of singers. Journal of Voice, 9(1), 27-36. https://doi.org/10.1016/S0892-1997(05)80220-6
  26. Sankar, C., & Mundkur, N. (2005). Cerebral palsy-definition, classification, etiology and early diagnosis. Indian Journal of Pediatrics, 72(10), 865-868. https://doi.org/10.1007/BF02731117
  27. Son, S. J. (2013). A meta-analysis of the music therapy research for patient with neurological disease (Master's thesis). Retrieved from http://www.riss.kr.access.ewha.ac.kr/link?id=T13054282.
  28. Staudt, M., Pavlova, M., Bohm, S., Grodd, W., & Krageloh-Mann, I. (2003). Pyramidal tract damage correlates with motor dysfunction in bilateral periventricular leukomalacia (PVL). Neuropediatrics, 34(4), 182-188. https://doi.org/10.1055/s-2003-42206
  29. Tamplin, J. (2007). A pilot study into the effect of vocal exercises and singing on dysarthric speech. NeuroRehabilitation, 23(3), 207-216.
  30. Tamplin, J., Baker, F. A., Buttifant, M., & Berlowitz, D. J. (2014). The effect of singing training on voice quality for people with quadriplegia. Journal of Voice, 28(1), 128.e19-128.e26. https://doi.org/10.1016/j.jvoice.2013.08.017
  31. Tamplin, J., Baker, F. A., Grocke, D., Brazzale, D. J., Pretto, J. J., Ruehland, W. R., ... Berlowitz, D. J. (2013). Effect of singing on respiratory function, voice, and mood after quadriplegia: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 94(3), 426-434. https://doi.org/10.1016/j.apmr.2012.10.006
  32. Tamplin, J., Brazzale, D. J., Pretto, J. J., Ruehland, W. R., Buttifant, M., Brown, D. J., & Berlowitz, D. J. (2011). Assessment of breathing patterns and respiratory muscle recruitment during singing and speech in quadriplegia. Archives of Physical Medicine and Rehabilitation, 92(2), 250-256. https://doi.org/10.1016/j.apmr.2010.10.032
  33. Thaut, M. H., Mclntosh, G. C., & Hoemberg, V. (2014). Neurobiological foundations of neurologic music therapy: Rhythmic entrainment and the motor system. Frontiers in Psychology, 5, 1-6.
  34. Thaut, M. H., Mclntosh, K. W., Mclntosh, G. C., & Hoemberg, V. (2001). Auditory rhythmicity enhances movement and speech motor control in patients with parkinson's disease. Functional Neurology, 16(2), 163-172.
  35. Wan, C. T., Rüber, T., Hohmann, A., & Schlaug, G. (2010). The therapeutic effects of singing in neurological disorders. Music Perception, 27(4), 287-295. https://doi.org/10.1525/mp.2010.27.4.287
  36. Workinger, M. S. (2005). Cerebral palsy resource guide for speech-language pathologist. New York: Thomson Delmar Learning.
  37. Zafeiriou, D. I. (2004). Primitive reflexes and postural reactions in the neurodevelopmental examination. Pediatric Neurology, 31(1), 1-8. https://doi.org/10.1016/j.pediatrneurol.2004.01.012