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A comparison study of the characteristics of pauses and breath groups during paragraph reading for normal female adults with and without voice disorders

정상성인 여성 화자와 음성장애 성인 여성 화자의 문단 낭독 시 휴지 및 호흡단락 특성의 비교

  • Pyo, Hwa Young (Department of Speech and Language Pathology, Chosun University)
  • 표화영 (조선대학교 언어치료학과)
  • Received : 2019.11.19
  • Accepted : 2019.12.02
  • Published : 2019.12.31

Abstract

This study was conducted to identify the characteristics of pauses and breath groups made by normal adults and patients with voice disorders while reading a paragraph. Forty normal female adults and forty female patients with a functional voice disorder (18-45 yrs.) read the "Gaeul" paragraph with the "Running Speech" protocol of the Phonatory Aerodynamic System (PAS), by which the pauses with or without inspiration and between or within syntactic words and breath groups were analyzed. The number of pauses with inspiration was found to be higher in the patient group, but the number of pauses without inspiration was higher in the normal group. The rate of syntactic word boundaries with pauses with inspiration was higher in the patient group, while the number of syllables per breath group was higher in the normal group. As these results can be explained by patients' poor breath support due to glottal insufficiency, the question of whether voice disorder patients use their pauses and breath groups properly should be considered carefully in evaluation and intervention.

본 연구는 정상군과 음성장애 환자군의 문단낭독 시 휴지 및 호흡단락 특성을 파악해보고자 시행되었다. 정상군 40명과 기능적 음성장애 환자군 40명을 대상으로 PAS(Phonatory Aerodynamic System) 중 Running Speech를 이용하여 '가을' 문단을 낭독하게 하였다. 이를 통해 흡기 동반 및 미동반, 어절간 및 어절내 휴지와 호흡단락을 구분하고 이에 대한 기술통계 및 집단간 통계적 유의성을 검증하였다. 그 결과 흡기를 동반한 휴지횟수는 환자군이 더 높았으나 흡기를 동반하지 않은 휴지횟수는 정상군이 더 높은 수치를 보였다. 어절경계 중 휴지가 동반된 비율은 환자군이 더 높았고 호흡단락당 음절수는 정상군이 유의하게 더 높았다. 음성장애 화자군은 성대폐쇄부전으로 인한 호흡지지가 정상군보다 부족하므로 휴지 시 흡기를 동반하는 경우나 호흡단락의 수가 더 많은 것으로 사료된다. 이는 일상대화의 자연스러움을 저해할 수 있으므로 음성장애 화자의 중재 시 휴지와 호흡단락의 빈도를 적절히 조절하는 것도 평가 및 중재에 포함해야 할 것이다.

Keywords

References

  1. Choi, H. (2001). Oral reading rate and features of pauses of profoundly hearing-impaired and normally hearing children at school age (Master's thesis). Ewha Womans University, Seoul, Korea.
  2. Gartner-Schmidt, J. L., Hirai, R., Dastolfo, C., Rosen, C. A., Yu, L., & Gillespie, A. I. (2015). Phonatory aerodynamics in connected speech. Laryngoscope, 125(12), 2764-2771. https://doi.org/10.1002/lary.25458
  3. Han, J., Lee, O., & Shim, L. (2008). The study of breath group based on oral airflow in reading by healthy speakers. Speech Sciences, 15(4), 135-146.
  4. Hodge, M. M., & Rochet, A. P. (1989). Characteristics of speech breathing in young women. Journal of Speech and Hearing Research, 32(3), 466-480. https://doi.org/10.1044/jshr.3203.466
  5. Hong, S., & Byeon, H. (2014). Speech rate and pause characteristics in speaker with flaccid dysarthria. Journal of the Korea Academia- Industrial Cooperation Society, 15(5), 2930-2936. https://doi.org/10.5762/KAIS.2014.15.5.2930
  6. Huber, J. E., Darling, M., Francis, E. J., & Zhang, D. (2012). Impact of typical aging and Parkinson's disease on the relationship among breath pausing, syntax, and production. American Journal of Speech-Language Pathology, 21(4), 368-379. https://doi.org/10.1044/1058-0360(2012/11-0059)
  7. Kim, H. (2005). Neurogenic speech and language disorders. In H. Sim, Y. Kim, J. Kim, H. Kim, S. Bae, M. Shin, S. Lee, ... J. Han (Eds.), Introduction to communicative disorders (pp. 149-178). Seoul, Korea: Hakjisa.
  8. Kim, Y. (2002). Assessment and treatment of language disorders in children. Seoul, Korea: Hakjisa.
  9. Ko, Y., Kim, D. Y., Choi, Y., & Kim, H. H. (2010). Speech rate and pause characteristics in patients with Parkinson's disease. Phonetics and Speech Sciences, 2(4), 173-184.
  10. Lee, H., & Kim, S. J. (2017). Comparison of overall speaking rate and pause between children with speech sound disorders and typically developing children. Phonetics and Speech Sciences, 9(2), 111-118. https://doi.org/10.13064/KSSS.2017.9.2.111
  11. Lee, S., Ko, H., & Kim, S. J. (2007). Prosody of cerebral palsic adults' speech. Proceedings of the 2007 Fall Conference of the KSPS (pp. 49-51).
  12. Pyo, H., Kim, S., & Baek, S. (2014). A comparison study of breath groups during reading paragraph tasks in normal adults and adult patients with voice disorders: A preliminary study. Phonetics and Speech Sciences, 6(4), 181-187. https://doi.org/10.13064/KSSS.2014.6.4.181
  13. Wang, Y. T., Green, J. R., Nip, I. S., Kent, R. D., Kent, J. F., & Ullman, C. (2010). Accuracy of perceptually based and acoustically based inspiratory loci in reading. Behavior Research Methods, 42(3), 791-797. https://doi.org/10.3758/BRM.42.3.791
  14. Wang, Y. T., Nip, I. S., Green, J. R., Kent, R. D., Kent, J. F., & Ullman, C. (2012). Accuracy of perceptual and acoustic methods for the detection of inspiratory loci in spontaneous speech. Behavior Research Methods, 44(4), 1121-1128. https://doi.org/10.3758/s13428-012-0194-0
  15. Winkworth, A. L., Davis, P. J., Ellis, E., & Adams, R. D. (1994). Variability and consistency in speech breathing during reading: Lung volumes, speech intensity, and linguistic factors. Journal of Speech, and Hearing Research, 37(3), 535-556. https://doi.org/10.1044/jshr.3703.535
  16. Yoo, D., & Shin, J. (2019). A realization of pauses in utterance across speech style, gender, and generation. Phonetics and Speech Sciences, 11(2), 33-44. https://doi.org/10.13064/KSSS.2019.11.2.033