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Effects of speech motor practice and linguistic complexity on articulation rate in adults who stutter

말운동 연습과 언어적 복잡성이 말더듬 성인의 조음속도에 미치는 영향

  • Chon, HeeCheong (Department of Speech-Language Pathology, Chosun University) ;
  • Loucks, Torrey M. (Department of Communication Sciences and Disorders, University of Alberta)
  • 전희정 (조선대학교 언어치료학과) ;
  • Received : 2021.08.14
  • Accepted : 2021.09.07
  • Published : 2021.09.30

Abstract

This study aimed to investigate speech motor control in adults who stutter (AWS) by testing whether articulation rate changes with practice and linguistic complexity. Eleven AWS and 11 adults who do not stutter (AWNS) repeated four sentences of different lengths and syntactic complexity [simple-short (SS), simple-long (SL), complex-long (CL), and faulty-long (FL) sentences]. Overall articulation rates of each sentence were measured and compared between groups. Practice effects were evaluated by comparing the articulation rates of the first three, middle four, and last three productions. Overall, the AWS had significantly slower articulation rates than AWNS across the four sentences. The longer sentences showed significantly slower articulation rates than the baseline sentence (SS). The articulation rates of the middle four and the last three productions were significantly faster than those of the first three productions of each sentence in both groups. The articulation rates of the SS, SL, and CL sentences indicated a consistent practice effect. The slower articulation rates of the AWS are consistent with a speech motor limitation. There was no interaction with linguistic complexity or practice, so a slower articulation rate may be a general feature of the speech of AWS. Both AWS and AWNS showed practice effects with faster articulation rates which may reflect a degree of adaptation to the stimuli.

본 연구는 조음속도를 사용하여 말더듬 성인과 일반 성인의 말운동 특성과 운동기술 학습 능력을 비교하고, 언어적 복잡성이 조음속도에 영향을 미치는지 살펴보았다. 연구 참여자는 말더듬 성인 11명, 일반 성인 11명이었다. 각 참여자는 길이와 구문적 복잡성이 다른 4개의 문장(짧고 단순한 문장, 길고 단순한 문장, 길고 복잡한 문장, 길고 구문적 오류가 있는 문장)을 반복해서 산출하였으며, 문장별로 전체 조음속도 및 문장산출 순서에 따른 조음속도를 측정하였다. 연구 결과, 언어적 복잡성과 상관없이 말더듬 성인은 일반 성인보다 전체 조음속도가 유의하게 느린 것으로 나타났다. 또한 긴 문장들이 짧고 단순한 문장보다 조음속도가 유의하게 느린 것으로 나타났다. 문장산출 순서에 따른 조음속도 비교 결과, 두 집단은 모든 문장에서 중간 4개 문장과 마지막 3개 문장의 조음속도가 첫 3개 문장의 조음속도보다 유의하게 빠른 모습을 보였다. 길고 구문적 오류가 있는 문장은 중간 4개 문장의 조음속도보다 마지막 3개 문장의 조음속도가 유의하게 빨라 지속적인 연습효과를 보인 반면, 다른 세 개의 문장들은 중간 4개 문장의 조음속도와 마지막 3개 문장의 조음속도에 차이가 없는 것으로 나타났다. 본 연구를 통하여 말더듬 성인이 일반 성인보다 상대적으로 미숙한 말운동통제 능력을 보이는 것을 알 수 있었으며, 문장의 길이와 구문적 복잡성이 조음속도에 영향을 미치는 요인임을 확인하였다. 또한 말더듬 성인과 일반 성인은 문장을 반복적으로 산출하며 조음속도가 빨라지는 연습효과를 보였으며, 연습효과가 나타나는 패턴은 두 집단이 비슷하다는 것을 알 수 있었다.

Keywords

Acknowledgement

본 연구는 National Institutes of Health, National Institute on Deafness and Other Communication Disorders의 연구비(# R01-DC05210, Ehud Yairi, original PI; Nicoline G. Ambrose, second PI; Torrey M. Loucks, Co-PI)와 University of Illinois Research Board의 연구비(Torrey M. Loucks, PI) 지원을 받았음.

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