• 말소리와 음성과학
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• 제6권1호
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• pp.105-117
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• 2014

The purpose of this study was to (1) establish a Korean adult normative database for phonatory aerodynamic measures obtained with the KayPENTAX Phonatory Aerodynamic System (PAS) Model 6600, (2) investigate the intra-subject reliability of these measures across three testing sessions, and (3) examine the effect of gender on those measures. 170 healthy normal speakers (70 men and 100 women) between the ages 18 and 49 years participated in the study. The PAS protocol of maximum phonation and voicing efficiency were conducted and 25 measures were obtained. All aerodynamic measures taken in this study demonstrated high intra-subject reliability in clinical aspect. There were no significant effect of gender in the measures related to sound pressure and subglottal pressure. However, significant differences for gender were found for phonation time, airflow rate, expiratory volume, aerodynamic power, SPL range, pitch range, mean pitch, aerodynamic resistance, and aerodynamic efficiency. Clinicians should be aware of significant gender effects in some aerodynamic parameters when interpreting the data obtained from PAS.

• 말소리와 음성과학
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• 제7권4호
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• pp.93-99
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• 2015

In case of PAS test, the air is sometimes leaked although the mask is tightly attached to the face, which is not reliable on the measured values. Therefore, this study aimed to assist the clinical practice suggesting the test method of PAS without air leakage. In the healthy subjects with 12 males and 12 females over 19 years old, three types of tests were performed on the voicing efficiency among the protocol of PAS Model 6600. They are; first, to attach the mask tightly to the face holding the handle of PAS with the subject's two hands (Method 1); second, to attach the mask tightly to the face holding the handle of PAS with the subject's one hand and pushing the body of PAS strongly with the other hand (Method 2); and third, to attach the mask tightly to the face pushing the upper part of the mask by the tester when the subject attached the mask to his or her face holding the handle of PAS with two hands (Method 3). Upon the study analyses, the mean negative pressure, the mean phonogram, subglottic air pressure, and voicing efficiency were shown to be statistically significantly different during PAS test in males depending on the methods. (p<.05) In case of females, only the target airflow rate showed significant difference depending on the methods during PAS test. (p<.001) In conclusion, Method 2 enhanced the noise level and strength while Method 1 was likely to leak the air more compared to the other two methods in males. In case of females, Method 1 showed significant leakage of the air flow. Not to allow the air flow leakage without affecting the outcome of PAS test, it will be the most useful for the tester to push the mask to the subject's face tightly (Method 3).

• 한국산학기술학회논문지
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• 제14권2호
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• pp.721-727
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• 2013

본 연구는 모음에 따라 발성역치압력과 비성도의 차이를 비교하고자 하였다. 2012년 5월부터 8월 동안에 대학에 재학 중인 20~30대의 정상성인 여성 28명을 대상으로 실시하였다. 발성역치압력은 객관적인 공기역학적 검사도구인 PAS(Phonatory aerodynamic system, model 6600, KAY electronics, Inc)를 이용하였으며, /p/와 세가지 모음 /a, i, u/를 각 5번씩 측정하여 가운데 3개를 비교하여 분석하였다. 또한 비성도는 Nasometer${\Pi}$(model 6450, KAY electronics, Inc)를 이용하였으며, 세가지 모음 /a, i, u/를 5초 이상 연장발성하여 측정하였다. 그 결과, 모음에 따른 발성역치압력은 유의한 차이를 나타내었으며, 모음에 따른 비성도도 유의한 차이를 보였다. 발성역치압력과 비성도간의 상관관계도 매우 높은 상관성을 나타내었다. 따라서 모음간의 발성역치압력은 연인두 폐쇄정도를 예측할 수 있으며 그에 따른 비성도와 매우 연관성이 깊음을 알 수 있었다.

• 음성과학
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• 제15권3호
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• pp.175-181
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• 2008

The aim of this study was to survey 'voice preference' of children from among three voice pitches, which are high-pitch, mid-pitch and low pitch, and understand acoustic characteristics of the best voice chosen. To record distinctive pitches, Dr. Speech(ver. 4.0 Tiger Electronics) was used and we analyzed their choices. Also, we measured subglottal air pressure in aerodynamic analyze and phonatory aerodynamic system(Model 6600, KAY) was used. As a result children preferred to the low-pitch yet there was not any difference by sex. We fined them to prefer higher HNR voice to lower jitter and shimmer voice rate.

• 말소리와 음성과학
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• 제6권4호
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• pp.195-203
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• 2014

The aim of this study was to investigate the effects of phonation types ([+/- aspirated], [+/- fortis]) on aerodynamic measures with Korean bilabial stops. Sixty-three healthy young adults (30 males, 33 females) participated to evaluate the VOEF (Voicing Efficiency) tasks with bilabial stop consonants /$p^h$/, /p/, /p'/ using Phonatory Aerodynamic System (PAS) Model 6600 (Kay PENTAX Corp, Lincoln Park, NJ). All VOEF measures were significantly influenced by phonation types except RANP(pitch range)(p <.01). For sound pressure, maximum SPL, mean SPL, and Mean SPL during Voicing have been shown to be significantly greatest in fortis stop /p'/ than aspirated /$p^h$/ and lenis stop /p/ (p<.001). On the other hand, mean pitch after lenis stop was significantly lower than after aspirated and fortis stops (p<.001). Peak expiratory airflow, Target airflow, and FVC (Expiratory volume) were significantly lowest in fortis stop /p'/ which might be associated with higher aerodynamic resistance while peak air pressure and mean peak air pressure during closure were significantly lower in lenis stop /p/. Additionally, AEFF (Aerodynamic efficiency) was significantly higher in fortis stop /p'/ than lenis stop /p/ as well as aspirated stop /$p^h$/ (p<.001). Thus, sound pressure, airflow parameters, and aerodynamic resistance made crucial roles in distinguishing fortis /p'/ from lenis stop /p/ and aspirated. Additionally, pitch and subglottal air pressure parameters were important aerodynamic characteristics in distinguishing lenis /p/ from fortis /p'/ and aspirated /$p^h$/. Therefore, accurate aspirated /p/ stop consonant should be elicited when collecting the airflow, intraoral pressure related data with patients with voice disorders in order to enhance the reliability and relevance or validity of aerodynamic measures using PAS.

• 말소리와 음성과학
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• 제4권2호
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• pp.115-120
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• 2012

This study sought to compare breath competence in three different utterance conditions when reading a passage aloud, making a spontaneous speech, and singing. We tested 15 normal females (ages averaging $24{\pm}4.4$) and measured breath competence through an objective, aero-mechanical instrument called PAS (Phonatory aerodynamic system, model 6600, KAY Electronics, Inc). Breathing sets of inspiration and expiration were measured by breath group number, breath group duration, and the ratio of inspiration to expiration. The results from this study led us to the following conclusion: The breath group number and the breath group duration showed no significant difference. However, the only variance that we could find was in the ratio of inspiration and expiration. In significantly different speech patterns, singing resulted in the most varied ratio of inspiration and expiration, followed by reading a text aloud, and spontaneous speech. The average frequency rates and maximum intensity levels varied with regards to varying utterance conditions. This thus shows that breath competence and phonation competence have a closely interrelated relationship.

• 말소리와 음성과학
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• 제5권1호
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• pp.63-69
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• 2013

This study attempted to investigate the characteristics of Phonation Threshold Pressure and Phonation Threshold Airflow of Patients who have Functional voice disorder. 50 subjects participated in study (32 subjects were patients who had functional voice disorders and 20 subjects were normal adults). The PAS (Phonatory aerodynamic system, model 6600, KAY electronics, Inc.) was used to measure the data and to do the analysis. Data from the Phonation Threshold Pressure was measured using voicing efficiency of the PAS protocol. Data from the Phonation Threshold Airflow was measured using Maximum Sustained Phonation of the PAS protocol. Those were used because of the ease of phonation. The results of this study showed that the differences in Phonation Threshold Pressure and Phonation Threshold Airflow between patients who had functional voice disorder and normal adults could be significant index. Patients who had functional voice disorder showed more higher figures than normal adults. These results suggest that Phonation Threshold Pressure and Phonation Threshold Airflow are very useful in diagnosing the voice disorder. The measured data also provided useful information for diagnosing patients with vocal fold diseases.

• 말소리와 음성과학
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• 제6권2호
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• pp.133-138
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• 2014

This study attempted to investigate the validation of Phonation Threshold Power of Patients who have Functional voice disorder. 50 subjects participated in the study (32 subjects were patients who had functional voice disorders and 20 subjects were normal adults). The PAS (Phonatory aerodynamic system, model 6600, KAY electronics, Inc.) was used to measure the data and to do the analysis. Data from the Phonation Threshold Power was measured multiplying Phonation Threshold Pressure and Phonation Threshold Airflow. Phonation Threshold Pressure and Phonation Threshold Airflow were measured by the PAS protocol. Those were used because of the ease of phonation. The results of this study showed that the differences in Phonation Threshold Power between patients who had functional voice disorder and normal adults could become a significant index. Patients who had functional voice disorder showed more higher figures than normal adults. The results of study showed that Phonation threshold Power is more sensitive than Phonation Threshold Pressure and Phonation Threshold Airflow. The measured data also provided useful information for diagnosing patients with vocal fold.

• 말소리와 음성과학
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• 제12권2호
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• pp.73-80
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• 2020

갑상선 수술 후 음성변화를 보이는 경우가 흔하며 신경손상의 성대마비부터 심인성 음성장애까지 그 증상은 복합적이고 다양하다. 대부분 자연적으로 회복을 보이지만 환자에게 회복시점에 대한 자세한 정보가 부족하다. 호흡은 음성을 만드는 동력이면서 동시에 후두 기능과 효율에 대한 조절자 역할을 하는데, 갑상선 암 수술의 전신마취 부작용으로 호흡기능 부조화를 유발할 수 있다. 이에 본 연구에서는 갑상선 수술 전후 공기역학적 검사결과를 추적하여 갑상선 수술 후 음성회복에 실제적이고 보완적인 정보를 제공하고자 한다. 2014년 5월부터 2015년 7월까지 갑상선 유두암으로 진단받고 수술 받은 환자를 대상으로 술전 1주일, 술후1개월, 술후3개월에 공기역학 검사를 실시하였다. 성대마비, 보청기 착용자, 항우울증약 복용자, 호흡기 질환자, 뇌졸중 병력자 및 임신 대상자는 제외시켜 최종 34명을 대상자로 선정하였다. 공기역학 검사는 PAS 기계를 사용하였고 분석변수는 총 29개이며, 시간요인에 따른 최고호기류율(p=0.004), 평균음도(p<0.01), 호기류지속시간(p=0.001), 호기량(p=0.018) 변수가 통계적으로 유의미한 차이를 보였다. 이때 시간요인의 대응비교에서 최고호기류율과 평균음도 변수는 술전-술후1개월, 술전-술후3개월 간 차이를 보였고, 호기류지속시간과 호기량 변수는 술전-술후3개월, 술후1개월-술후3개월 간 차이를 보였다. 시간과 수술범위의 교호작용 효과는 호기량 (p=0.024) 변수에서만 유의하였다. 갑상선절제술을 받은 여성군에서 최고호기류율과 평균음도 변수의 차이가 있으며 이는 수술 후 호흡훈련의 필요성이 있으며 호기류지속시간과 호기량 변수의 변화는 수술 후 긍정적 생활습관의 반영으로 여겨진다.