• Clinical and Experimental Pediatrics
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• 제49권4호
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• pp.341-353
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• 2006

Learning disorders are diagnosed when the individual's achievement on standardized tests in reading, mathematics, or written expression is substantially below that expected for age, schooling, and level of intelligence. Subtypes of learning disorders may be classified into two groups, language-based type learning disorders including reading and writing disorder, and nonverbal type learning disorder (NLD) such as those relating to mathematics & visuospatial skills, and those in the autism spectrum. Converging evidence indicates that reading disorder represents a disorder within the language system and more specifically within a particular subcomponent of that system, phonological processing. Recent advances in neuroimaging technology, particularly the development of fMRI, provide evidences of a neurobiological basis for reading disorder, specifically a disruption of two left hemisphere posterior brain systems, one parieto-temporal, the other occipito-temporal. The former is the reading system for beginner reading, the latter for skilled reading. Compensatory engagement of anterior systems around the inferior frontal gyrus(Broca's area) and a posterior(right occipito-temporal) system is noted in persistent poor readers in long-term follow up study. The theoretical model proposed to explain NLD's source is not right hemisphere damage, but rather the white matter model. The working hypothesis of the white matter model is that the underdevelopment of, damage to, or dysfunction of cerebral white matter(long myelinated fibers) is the source of this disorder. The role of an evidence-based effective intervention in the remediation of children with learning disorder is discussed.

• Journal of information and communication convergence engineering
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• 제21권4호
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• pp.281-286
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• 2023

Diagnosing reading disorders involves complex procedures to evaluate complex cognitive processes. For an accurate diagnosis, a series of tests and evaluations by human experts are required. In this study, we propose a quantitative tool to diagnose reading disorders based on natural reading behaviors using minimal human input. The eye movements of the third- and fourth-grade students were recorded while they read a text at their own pace. Seven machine learning models were used to evaluate the gaze patterns of the words in the presented text and classify the students as normal or having a reading disorder. The accuracy of the machine learning-based diagnosis was measured using the diagnosis by human experts as the ground truth. The highest accuracy of 0.8 was achieved by the support vector machine and random forest classifiers. This result demonstrated that machine learning-based automated diagnosis could substitute for the traditional diagnosis of reading disorders and enable large-scale screening for students at an early age.

• 대한의용생체공학회:의공학회지
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• 제29권4호
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• pp.307-315
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• 2008

In this paper, we developed a visual-auditory cue software for reading training of motor speech disorder patients. Motor speech disorder patients can use the visual and/or auditory cues for reading training and improving their symptom. The software provides some sentences with visual-auditory cues. Our sentences used for reading training are adequately comprised on modulation training according to a professional advice in speech therapy field. To ameliorate reading skills we developed two algorithms, first one is automatically searching the starting time of speech spoken by patients and the other one is removing auditory-cue from the recorded speech that recorded at the same time. The searching of speech starting time was experimented by 10 sentences per 6 subjects in four kinds of noisy environments thus the results is that $7.042{\pm}8.99[ms]$ error was detected. The experiment of the cancellation algorithm of auditory-cue was executed from 6 subjects with 1 syllable speech. The result takes improved the speech recognition rate $25{\pm}9.547[%]$ between before and after cancellation of auditory-cue in speech. User satisfaction index of the developed program was estimated as good.

• 말소리와 음성과학
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• 제6권4호
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• pp.181-187
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• 2014

The present study was performed to investigate the characteristics of breath groups while reading paragraph in normal adults and adult patients with voice disorders. 10 normal females(avr. 20.6 yrs.), 10 young voice disorder females(avr. 33.5 yrs., P1 group), and 10 old voice disorder females(avr. 56.3 yrs., P2 group) read a paragraph of 210 syllables. By using the 'Running Speech' program of the Phonatory Aerodynamic System(PAS), total duration, numbers of breath groups, duration per breath group, and numbers of syllables per breath group were measured, and their correlations with aerodynamic measurement results of reading were analyzed. As a result, in total duration, numbers of breath groups, normals scored highest and P2 group speakers, lowest. Normals showed the longest duration per breath group which was not significant. P2 group speakers showed the highest numbers of syllables per breath group. Correlation analysis showed significantly high correlation scores of total duration and expiratory airflow; numbers of breath groups and inspiratory volume.

• Korean Journal of Acupuncture
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• 제24권3호
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• pp.47-54
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• 2007

A Case Report of Communication disorder associated with Post-stroke Objectives : The Objective Is the Report of Improvement in Communication Disorder Associated with Post-Stroke. Methods : Acupuncture And Medicinal Treatments Were Performed from 17th March 2006 until 8th April 2006. The Medicines Bangpungtongsung-san and Chungpesagan-tang Were Used to Improve Patient Bowel Movement. The Sa-Am Acupuncture Method Was Used to Improve Patient Communication Disorders. Every 5 Days Articulation Accuracy, Vowel Accuracy, Alternation and Speed of Reading Sentences Were Evaluated. Results : After 23 Days of Treatment There was Improvement of Articulation Accuracy, Alternation and Speed of Reading Sentences.

• 재활복지공학회논문지
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• 제2권1호
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• pp.35-43
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• 2009

본 논문에서는 개발된 잡음제거 기능을 갖춘 시-청각 단서 제공 읽기 훈련 프로그램(이하 프로그램)을 소개한다. 프로그램은 시-청각 단서들을 지닌 훈련용 문장들을 제공한다. 말운동장애인들은 읽기훈련을 위해서 시각단서와 청각단서들을 각각 또는 동시에 사용 가능하다. 훈련 결과의 평가 편의성 제공을 위해서 잡음제거 알고리즘을 개발하였다. 알고리즘은 피험자가 컴퓨터화면에 제공된 문장을 읽을 때 읽는 말소리와 함께 녹음된 잡음과 청각단서 소리를 제거한다. 또한 피험자가 읽기 연습을 시작할 때 최초의 말소리 개시시간을 검출하는 기능을 구현하였다. 말소리의 녹음은 4가지 잡음환경(실내 잡음, 백색 잡음, 자동차 내부잡음, 배블 잡음)에서 성인 6명(남성 3 명, 여성 3명)으로부터 하였다. 잡음제거 전과 후에 대한 조건에서 녹음된 말소리의 실제 시작 시간과 프로그램상에서 찾은 시간과의 오차를 실험하였다. 잡음제거 전과 후에서의 시간오차가 $4.847{\pm}2.4235[ms]$ 향상되었다. 개발된 프로그램은 말운동장애인의 훈련 및 증상 평가에 도움이 될 수 있으리라 사료된다.

• 대한음성학회지:말소리
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• 제65호
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• pp.51-65
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• 2008

The aim of this study is to compare ASD (Autism Spectrum Disorder) children with normal children in terms of the prosodic features. Materials are collected by the reading of Korean read sentences. They are composed of 10 declarative sentences, each of which was consisted of 5-6 words. Subjects are consisted of 10 ASD and 10 normal male children with a receptive vocabulary age of 5;0-6;5 years. We found out that both groups showed the differences not only in the tonal patterns at the end of the prosodic phrases, but also in both the degree of rising and falling slope related to pitch contour. While HL% and HLH% were highly emerged in sentence final position in normal group, HL% and HLH% were prominent in ASD group in the same position. LH% and LHL% IP types were observed only in ASD group in sentence medial position. The slope showing the variation in the fundamental frequency at the end of the prosodic phrase was twice as steep in the group of ASD children as in the group of normal children.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.3046-3050
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• 2014

본 연구는 음성장애 청지각적 평가인 EAI(등간척도)와 VAS(시각적 아날로그 척도)의 차이점, 각 평가방법에 대한 평가자 자가-신뢰도(confidence rating)을 알아보았다. 30명의 언어병리전공 학생들이 음성장애로 진단받은 화자(N=25)의 발성과 읽기 샘플을 듣고 EAI는 7점 척도, VAS는 0-10cm의 직선에 음성장애 정도를 표시했고, 판단에 대한 자가 신뢰도 점수는 7점 척도로 실시했다. 음성장애 정도에 대한 판단의 준거가 제시되는 상황(조건 1)과 그렇지 않은 상황(조건 2)에서 모음 연장발성과 읽기 과제에 대해 각각 실시했다. 연구 결과, 발성이나 읽기과제에서 모두 동일하게 모두 VAS평가 점수가 높게 산출되었고, 통계적으로 유의하였다. 그 외 조건 1의 읽기과제와 조건 2의 발성과제에 대한 EAI와 VAS평가 점수 간에는 차이가 없었다. 이러한 결과는 음성장애 화자들의 발화 과제와 청지각적 평가유형이 청취자들의 지각적인 판단에 영향을 미칠 수 있으며, 이에 대한 보다 집중된 임상 연구가 계속되어야 할 것을 시사한다.

• Psychiatry investigation
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• 제15권12호
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• pp.1144-1153
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• 2018

Objective One of the areas of social cognition is Theory of Mind (ToM) is defined as the capacity to interpret, infer and explain mental states underlying the behavior of others. When social cognition studies on neurodevelopmental disorders are examined, it can be seen that this skill has not been studied sufficiently in children with Specific Learning Disorder (SLD). Methods In this study, social cognition skills in children diagnosed with attention deficit hyperactivity disorder (ADHD), SLD or Autism Spectrum Disorder (ASD) evaluated before puberty and compared with controls. To evaluate the ToM skills, the first and second-order false belief tasks, the Hinting Task, the Faux Pas Test and the Reading the Mind in the Eyes Task were used. Results We found that children with neurodevelopmental disorders as ADHD, ASD, and SLD had ToM deficits independent of intelligence and language development. There was a significant correlation between social cognition deficits and problems experienced in many areas such as social communication and interaction, attention, behavior, and learning. Conclusion Social cognition is an important area of impairment in SLD and there is a strong relationship between clinical symptoms and impaired functionality.

• 생명과학회지
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• 제22권5호
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• pp.613-620
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• 2012

본 연구의 목적은 수면장애가 뇌파(EEG)의 beta파와 감각운동리듬(sensory motor rhythm)에 미치는 영향을 규명하는 것이다. 여자 대학생을 대상으로 하여 수면습관에 따라서 다음과 같이 네 군(n=6)으로 나누었다. 즉, 좋은 수면습관을 가진 GSHG (Good sleep habit group), 일반적으로 대학생들이 늦게 취침하는 수면 습관을 갖고 있기 때문에 오전 0~2시에 취침하는 CSHG (Common sleep habit group), 수면위상지연증후군으로 자신의 수면 장애를 인식하고 있는 CSDG (Cognitive sleep disorder with delayed sleep phase syndrome group), 수면장애를 인식하지 못하는 NSDG (Non-cognitive sleep disorder with delayed sleep phase syndrome group)으로 나누었다. 뇌파는 QEEG 8-System을 사용하여 오전 9~12시 사이에 측정하였다. 책읽기 자극시에 뇌파를 측정하여 안정시 기준치와 비교 분석하였다. 연구 결과, 책읽기 자극시 beta파와 감각운동리듬 상대파워는 GSHG가 다른 세군에 비하여 유의적으로 높았다($p$ <0.05). 책읽기 자극시 수치와 안정시 기준치를 대응 비교하여 볼 때에도, GSHG에서 beta 파워가 대뇌피질의 모든 부위에서 유의적으로 증가하였다($p$ <0.05). 그러나 CSHG에서는 전두부와 측두부에서 beta 파워가 감소하였다($p$ <0.05). 한편 CSDG와 NSDG에서는 책읽기 자극에 의하여 beta 파워의 유의적인 변화가 발생하지 않았다. 감각운동리듬 상대파워는 GSHG에서만 책읽기 자극에 의하여 향상되었다. 결론적으로 여자 대학생에게 있어서 오전 0~2시경에 늦게 취침을 하면 다음날 오전에 집중력 뇌파인 beta파 기능이 현저히 감소하고, 수면습관이 나쁘면 자신의 수면장애에 대한 자가인식 유무와 관련 없이 beta파와 운동감각리듬에 대한 뇌기능이 활성화되지 않아서 집중력에 부정적인 영향을 준다.