• 문화기술의 융합
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• 제9권5호
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• pp.219-228
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• 2023

본 연구는 언어재활실습 여부에 따른 예비언어재활사 역량에 대해 알아보고 예비언어재활사 지도에 있어 기초자료로 활용하는 데 목적이 있다. 예비언어재활사 역량은 직무, 지식, 기술, 언어 영역으로 구성하였으며 언어 영역은 의미, 형태, 화용으로 하위영역을 구분하여 총 36문항의 설문지를 구성하였다. 설문지는 언어치료전공 학생으로 총105부의 설문지를 회수하였다. 실습 여부에 따른 예비언어재활사 역량을 분석하기 위해 t-검정, Pearson 상관분석, 단순회귀분석을 실시하였다. 본 연구 결과는 다음과 같다. 첫째, 역량 영역의 지식, 직무, 기술, 그리고 언어의 모든 영역에서 집단 간 유의한 차이가 나타났다. 둘째, 역량과 언어 하위영역 간 매우 강한 상관관계를 보였다. 셋째, 역량 하위영역과 언어 영역에 유의한 설명력을 보이며 예비언어재활사 역량에 긍정적인 영향을 미치는 것으로 나타났다. 본 연구는 예비언어재활사의 역량을 높이기 위해 언어 요소에 대한 이론적인 지식이 기반이 되어야 하며, 이론이 예비언어재활사 역량에 영향을 미치는 것을 확인할 수 있다는 점에서 의의가 있다. 예비언어재활사의 역량 향상과 전문적인 언어재활사 양성 및 이론을 기반으로 한 효율적인 교수법의 근거 자료로 의미 있게 사용될 것을 기대한다.

• 대한구순구개열학회지
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• 제11권1호
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• pp.1-12
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• 2008

In cleft palate patient, characteristic of speech disorder is the resonance disorder result from velopharyngeal incompetence. Clinically VPI caused by congenital factor as congenital palatal incompetence, submucosal cleft palate, and caused by acquired factor as CNS damage, tumor, palatal palsy. The clinicians more concerned about the speech disorders after cleft palate surgery rather than language pathologist. The resonance disorder devided for hypernasality, hyponasality and nasal emission, but as a rule, hypernasality is typical phenomenon of the resonance disorder. Traditionally clinicians and language pathologists evaluated four-stage or five-stage of hypernasality by subjective assessment. Although language pathologist is well-trained, results of the language level should be different. In late 1980s, Kay Elemetrics Corp. developed nasometer that objective nasalance identified with well-trained language pathologist and originate from nasometer Tonar I and II were developed by Fletcher. Therefore objective nasalance test was possible, the nasometer used in hospital, collage and speech clinic both and home and abroad. Standardization of the cleft palate speech assessment must be settled without delay because of different character result in different language and different assessment results by dialect in same language. In our study, we provide the data base for the standardization of cleft palate speech assessment which through report of objective assessment method, speech therapy effects and problems result in interdisciplinary teamwork by nasometer use in treatment of cleft palate patient.

• 말소리와 음성과학
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• 제2권2호
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• pp.123-133
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• 2010

Speech language pathologists depend on their voice for livelihood and are high risk group of voice disorders. But there are few studies on their prevalence of voice symptoms and voice handicap index. This study aimed to evaluate prevalence of voice symptoms and Korean voice handicap index with 86 speech language pathologists and 90 individuals employed in other occupations. We analyzed self-reported voice symptoms and voice handicap index using a questionnaire for this study. The results showed that the prevalence of voice symptoms of speech language pathologists is 60.5% and voice handicap index scores of speech language pathologists group are significantly higher than those of control group in physical and total score. And we found that alcohol history was a risk factor for voice symptoms. These findings indicate that special vocal hygiene program for speech language pathologists and follow up studies for comparisons of prevalence of voice symptoms and voice handicap index with other professional voice users are necessary.

• 대한후두음성언어의학회지
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• 제28권1호
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• pp.11-13
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• 2017

This article addresses the roles of the speech language pathologist (SLP) for singers who require prompt and effective treatment when a voice problem arises. The causes of voice problem are often vocal abuse/misuse/overuse, muscle tension dysphonia and inappropriate singing technique. The SLP should conduct voice counseling and voice assessment for maintaining healthy voice of singer constantly.

• 대한후두음성언어의학회지
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• 제33권3호
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• pp.130-141
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• 2022

Voice and speech therapy can be performed in various ways depending on the situation, although it is generally performed in a face-to-face manner. Telepractice refers to the provision of specialized voice and speech therapy by speech-language pathologists for assessment, therapy, and counseling by applying telecommunication technology from a remote location. Recently, due to the pandemic situation and the active use of non-face-to-face platforms, interest in telepractice of voice and speech therapy has increased. Moreover, a growing body of literature has been advocating its clinical usefulness and non-inferiority to traditional face-to-face intervention. In this review, the existing discussions, guidelines, and preliminary studies on non-face-toface voice and speech therapy were summarized, and recommendations on the tools for telepractice were provided.

• 대한두경부종양학회:학술대회논문집
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• 대한두경부종양학회 2007년도 춘계학술대회 논문집
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• pp.80-84
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• 2007

Background and Objectives : The radial forearm free flap is a useful reconstructive method of surgical defects after oral and oropharyngeal tumor resection. We evaluated the swallowing and speech outcomes of radial forearm free flap reconstruction for oral and oropharyngeal cancers. Materials and Methods : We retrospectively reviewed clinical data of 84 patients who underwent reconstructive surgery for oral or oropharyngeal cancer using radial forearm free flap from August 1994 to January 2007. Modified barium swallowing (MBS) was done in 100 patients and speech-language assessment was done in 23 patients by a speech-language pathologist. Results were analyzed according to the swallowing functions and the speech-language assessments. Results : According to the results of MBS which was done postoperatively, aspiration occurred in three patients and velopharyngeal insufficiency occurred in four patients who had been reconstructed with multilobed free flap due to large mucosal defects. There was one patient who exhibited severe articulation impairment out of 23 patients. However, 19 patients out of 23 patients showed excellent intelligibility in speech. Conclusion : We concluded that the radial forearm free flap technique is an excellent reconstructive method for the restoration of palatal and pharyngeal function in oral and oropharyngeal cancer patients.

• 음성과학
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• 제8권1호
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• pp.123-133
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• 2001

This case study investigated the assessment and treatment of bilingual children using a 4.5 year old bilingual child. We also compared treatment methods for bilingual children in the U.S. and in Korea, respectively. Given the lack of unbiased assessment tools, it was difficult to evaluate the child properly. In addition, the study of the linguistic characteristics of bilingual children have not been researched extensively in Korea. As a result, there were limitations in assessing the child. However, once all requisite information had been gathered, he was assessed as a bilingual child with specific language impairment (SLI) and his skill in both languages was considered equivalent. During treatment sessions, the child exhibited diverse linguistic characteristics and interesting error patterns which were not evident in monolingual SLI. However, it was difficult to assess whether the error patterns exhibited by the subject were attributable to his own bilingual characteristics or not. This was further complicated by the lack of previous research on the bilingual child's linguistic characteristics. His progress differed from one area to another. Furthermore, we illustrated some of the limitations in assessing bilingual children and proposed several considerations that should be met before treatment is initiated.

• 대한후두음성언어의학회지
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• 제32권3호
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• pp.109-117
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• 2021

The auditory-perceptual evaluation of speech-language pathologists (SLP) in patients with voice disorders is often regarded as a touchstone in the multi-dimensional voice evaluation procedures and provides important information not available in other assessment modalities. Therefore, it is necessary for the SLPs to conduct a comprehensive and in-depth evaluation of not only voice but also the overall speech production mechanism, and they often encounter various difficulties in the evaluation process. In addition, SLPs should strive to avoid bias during the evaluation process and to maintain a wide and constant spectrum of severity for each parameter of voice quality. Lastly, it is very important for the SLPs to perform a team approach by documenting and delivering important information pertaining to auditory-perceptual characteristics in an appropriate and efficient way through close communication with the laryngologists.

• Archives of Plastic Surgery
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• 제38권2호
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• pp.203-206
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• 2011

Purpose: Kabuki syndrome is a multiple malformation syndrome that was first reported in Japan. It is characterized by distinctive Kabuki-like facial features, skeletal anomalies, dermatoglyphic abnormalities, short stature, and mental retardation. We report two cases of Kabuki syndrome with the surgical intervention and speech evaluation. Methods: Both patients had velopharyngeal insufficiency and had a superior based pharyngeal flap operation. The preoperative and postoperative speech evaluations were performed by a speech language pathologist. Results: In case 1, hypernasality was reduced in spontaneous speech, and the nasalance scores in syllable repetitions were reduced to be within normal ranges. In case 2, hypernasality in spontaneous speech was reduced from severe level to moderate level and the nasalance scores in syllable repetitions were also reduced to be within normal ranges. Conclusion: The goal of this article is to raise awareness among plastic surgeons who may encounter such patients with unique facial features. This study shows that pharyngeal flap operation can successfully correct the velopharyngeal insufficiency in Kabuki syndrome and post operative speech therapy plays a role in reinforcing surgical result.

• Archives of Plastic Surgery
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• 제44권3호
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• pp.202-209
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• 2017

Background No consensus exists on the optimal treatment protocol for orofacial clefts or the optimal timing of cleft palate closure. This study investigated factors influencing speech outcomes after two-stage palate repair in adults with a non-syndromal complete unilateral cleft lip and palate (UCLP). Methods This was a retrospective analysis of adult patients with a UCLP who underwent two-stage palate closure and were treated at our tertiary cleft centre. Patients ${\geq}17$ years of age were invited for a final speech assessment. Their medical history was obtained from their medical files, and speech outcomes were assessed by a speech pathologist during the follow-up consultation. Results Forty-eight patients were included in the analysis, with a mean age of 21 years (standard deviation, 3.4 years). Their mean age at the time of hard and soft palate closure was 3 years and 8.0 months, respectively. In 40% of the patients, a pharyngoplasty was performed. On a 5-point intelligibility scale, 84.4% received a score of 1 or 2; meaning that their speech was intelligible. We observed a significant correlation between intelligibility scores and the incidence of articulation errors (P<0.001). In total, 36% showed mild to moderate hypernasality during the speech assessment, and 11%-17% of the patients exhibited increased nasalance scores, assessed through nasometry. Conclusions The present study describes long-term speech outcomes after two-stage palatoplasty with hard palate closure at a mean age of 3 years old. We observed moderate long-term intelligibility scores, a relatively high incidence of persistent hypernasality, and a high pharyngoplasty incidence.