• Title/Summary/Keyword: pathological speech

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An Aerodynamic and Acoustic Analysis of the Breathy Voice of Thyroidectomy Patients (갑상선 수술 후 성대마비 환자의 기식 음성에 대한 공기역학적 및 음향적 분석)

  • Kang, Young-Ae;Yoon, Kyu-Chul;Kim, Jae-Ock
    • Phonetics and Speech Sciences
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    • v.4 no.2
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    • pp.95-104
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    • 2012
  • Thyroidectomy patients may have vocal paralysis or paresis, resulting in a breathy voice. The aim of this study was to investigate the aerodynamic and acoustic characteristics of a breathy voice in thyroidectomy patients. Thirty-five subjects who have vocal paralysis after thyroidectomy participated in this study. According to perceptual judgements by three speech pathologists and one phonetic scholar, subjects were divided into two groups: breathy voice group (n = 21) and non-breathy voice group (n = 14). Aerodynamic analysis was conducted by three tasks (Voicing Efficiency, Maximum Sustained Phonation, Vital Capacity) and acoustic analysis was measured during Maximum Sustained Phonation task. The breathy voice group had significantly higher subglottal pressure and more pathological voice characteristics than the non breathy voice group. Showing 94.1% classification accuracy in result logistic regression of aerodynamic analysis, the predictor parameters for breathiness were maximum sound pressure level, sound pressure level range, phonation time of Maximum Sustained Phonation task and Pitch range, peak air pressure, and mean peak air pressure of Voicing Efficiency task. Classification accuracy of acoustic logistic regression was 88.6%, and five frequency perturbation parameters were shown as predictors. Vocal paralysis creates air turbulence at the glottis. It fluctuates frequency-related parameters and increases aspiration in high frequency areas. These changes determine perceptual breathiness.

A study on the clinical utility of voiced sentences in acoustic analysis for pathological voice evaluation (장애음성의 음향학적 분석에서 유성음 문장의 임상적 유용성에 관한 연구)

  • Ji-sung Kim
    • The Journal of the Acoustical Society of Korea
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    • v.42 no.4
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    • pp.298-303
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    • 2023
  • This study aimed to investigate the clinical utility of voiced sentence tasks for voice evaluation. To this end, we analyzed the correlation between perturbation-based acoustic measurements [jitter percent (jitter), shimmer percent (shimmer), Noise to Harmonic Ratio (NHR)] using sustained vowel phonation, and cepstrum-based acoustic measurements [Cepstral Peak Prominence (CPP), Low/High spectral ratio (L/H ratio)] using voiced sentences. As a result of analyzing data collected from 65 patients with voice disorders, there was a significant correlation between the CPP and jitter (r = -.624, p = .000), shimmer (r = -.530, p = .000), NHR (r = -.469, p = .000).This suggests that the cepstrum measurement of voiced sentences can be used as an alternative to the analysis limitations of the pathological voice such as not possible perturbation-based acoustic measurement, and result difference according to the analysis section.

Development of medical/electrical convergence software for classification between normal and pathological voices (장애 음성 판별을 위한 의료/전자 융복합 소프트웨어 개발)

  • Moon, Ji-Hye;Lee, JiYeoun
    • Journal of Digital Convergence
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    • v.13 no.12
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    • pp.187-192
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    • 2015
  • If the software is developed to analyze the speech disorder, the application of various converged areas will be very high. This paper implements the user-friendly program based on CART(Classification and regression trees) analysis to distinguish between normal and pathological voices utilizing combination of the acoustical and HOS(Higher-order statistics) parameters. It means convergence between medical information and signal processing. Then the acoustical parameters are Jitter(%) and Shimmer(%). The proposed HOS parameters are means and variances of skewness(MOS and VOS) and kurtosis(MOK and VOK). Database consist of 53 normal and 173 pathological voices distributed by Kay Elemetrics. When the acoustical and proposed parameters together are used to generate the decision tree, the average accuracy is 83.11%. Finally, we developed a program with more user-friendly interface and frameworks.

A comparison of CPP analysis among breathiness ranks (기식 등급에 따른 CPP (Cepstral Peak Prominence) 분석 비교)

  • Kang, Youngae;Koo, Bonseok;Jo, Cheolwoo
    • Phonetics and Speech Sciences
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    • v.7 no.1
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    • pp.21-26
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    • 2015
  • The aim of this study is to synthesize pathological breathy voice and to make a cepstral peak prominence (CPP) table following breathiness ranks by cepstral analysis to supplement reliability of the perceptual auditory judgment task. KlattGrid synthesizer included in Praat was used. Synthesis parameters consist of two groups, i.e., constants and variables. Constant parameters are pitch, amplitude, flutter, open phase, oral formant and bandwidth. Variable parameters are breathiness (BR), aspiration amplitude (AH), and spectral tilt (TL). Five hundred sixty samples of synthetic breathy vowel /a/ for male were created. Three raters participated in ranking of the breathiness. 217 were proved to be inadequate samples from perceptual judgment and cepstral analysis. Finally, 343 samples were selected. These CPP values and other related parameters from cepstral analysis are classified under four breathiness ranks (B0~B3). The mean and standard deviation of CPP is $16.10{\pm}1.15$ dB(B0), $13.68{\pm}1.34$ dB(B1), $10.97{\pm}1.41$ dB(B2), and $3.03{\pm}4.07$ dB(B3). The value of CPP decreases toward the severe group of breathiness because there is a lot of noise and a small quantity of harmonics.

Development of 3-Ch EGG System Using Modulation and Demodulation Techniques(I) (변복조 방식을 이용한 3-채널 EGG 시스템의 개발(I))

  • Kim, J.M.;Song, C.G.;Lee, M.H.
    • Proceedings of the KOSOMBE Conference
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    • v.1993 no.05
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    • pp.134-135
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    • 1993
  • The purpose of this research is development of EGG system for quantitative assessment of laryngeal function using speech and electroglotto-graphic data. The designed EGG system is 4-electrodes system which excitation current source is supplied from 1st to 4th electrode. The output signal.: from 2nd and 3rd electrodes, which are motivated by frequency of excitation current source, are air-pressure waveforms from vocal folds. After demodulation process, we obtain pitch signals of the modulated waveforms by excitation current source through differentiator which cuts off frequency below 0.1Hz. Software processing methods were used as conventional pitch extraction methods, but the proposed system is designed to analog hardware in order to eliminate interferences from low formant frequency of speech. We will construct the discriminating database between pathological subjects and control groups on each case. Using the proposed 3 channel EGG system and LMS algorithm, it will be detected that the distinctive characteristics of laryngeal function of voiced region and other regions by EGG signals and LPC spectra.

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A Case of Interpretation for Audiological Evaluation in Preschool Child with Mild-to-Moderately Severe Asymmetric Ski-Slop Sensorineural Hearing Loss (학령 전기 경도 및 중등고도 대칭성 고음급추형 감각신경성 난청의 청각학적 평가 해석 증례)

  • Kim, Na-Yeon;So, Won-Seop;Ha, Ji-Wan;Heo, Seung-Deok
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.11 no.1
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    • pp.9-14
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    • 2017
  • Preschool children to do production and acquisition of phonological system from birth to 8 years of age. If a child has hearing loss, he/she has a lot of difficulties to hear sound. The problem of auditory perception can causes limited speech acquisition, delayed language development, and communication disorders. It also affects learning, social and emotional development. Early detection and diagnosis of hearing loss are important for intervention. However, it may be difficult to detect if the degree of hearing loss are slight and/or it appears only on some frequencies. In cases of these kinds of hearing losses, it is often difficult to provide aural intervention. The goal of this study is to discuss the interpretation of audiological evaluation in case of mild-to-moderately severe asymmetric ski-slop sensorineural hearing loss, analyze communication problems, and concerning about audiological, and speech-language pathological rehabilitation.

Prediction of Post-Treatment Outcome of Pathologic Voice Using Voice Synthesis (음성합성을 이용한 병적 음성의 치료 결과에 대한 예측)

  • 이주환;최홍식;김영호;김한수;최현승;김광문
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.14 no.1
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    • pp.30-39
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    • 2003
  • Background and Objectives : Patients with pathologic voice often concern about recovery of voice after surgery. In our investigation, we give controlled values of three parameters of voice synthesis program of Dr. Speech Science. such as jitter, shimmer, and NNE(normalized noise energy) which characterize someone's voice from others and deviced a method to synthesize the predicted voice after performing operation. Subjects and Method : Values of vocal jitter, vocal shimmer, and glottal noise were measured with voices of 10 vocal cord Paralysis and 10 vocal Polyp Patients 1 week Prior to and 1 month after the surgery. With Dr. Speech science voice synthesis program we synthesized 'ae' vowel which is closely identical to preoperative and post-operative voice of the patients by controlling the values of jitter, shimmer, and glottal noise. then we analyzed the synthesized voices and compared with pre and post-operative voice. Results : 1) After inputting the preoperative and corrected values of jitter, shimmer, and glottal noise into the voice synthesis Program, voices identical to vocal Polyp Patients' Pre- and Postoperative voices withiin statistical significance were synthesized 2) After elimination of synergistic effects between three paramenter, we were able to synthesize voice identical to vocal paralysis patients' preoperative voices. 3) After inputting only slightly increased jitter, shimmer into the synthesis program, we were able to synthesize voice identical to vocal cord paralysis patients' postoperative voices. Conclusion : Voices synthesized with Dr. Speech science program were identical to patients' actual pre and postoperative voice, and clinicians will be able to give the patients more information and thus increased patients cooperability can be expected.

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Comparative Study on the Acoustic Characteristics of the Korean Vowel /a/ before and after LMS (후두미세수술 전후 /아/의 음향적 특성 비교)

  • Hwang, Yeon-Sin;Seong, Cheol-Jae
    • MALSORI
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    • no.67
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    • pp.33-60
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    • 2008
  • The aim of this study is to show the differences in acoustic parameters between a pathological voice /a/ caused by vocal polyp and a normal voice /a/ produced after LMS (Laryngeal Microscopic Surgery). It was expected that voices of two kinds could be analyzed effectively in terms of HNR in specific frequency bands than in all frequency bands. For this study, 10 patients' voice were recorded before and after LMS and then were manipulated in terms of four acoustic parameter. It was found out that (a) frequency bands of 500Hz in the range of 1,000Hz to 4,000Hz were very useful to obtain HNR values; (b) frequency bands in the range of 1,248Hz to 5,500Hz on a log scale were very useful to obtain HNR values; (c) F0 dropped after LMS but not significantly; (d) the bandwidth of the second formant (B2) decreased significantly after LMS, while that of the first formant (B1) decreased after LMS but not significantly.

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A Study on the Relationship between Cognitive Processes and Emotion Regulations in Depression and Anxiety Disorder: Focused on the Neurocognitive Networks (우울 및 불안 장애에서의 인지적 처리와 정서조절 고찰: 신경인지 연결망을 중심으로)

  • Kim, Choong-Myung
    • Journal of Industrial Convergence
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    • v.19 no.6
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    • pp.177-186
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    • 2021
  • This review aims to propose a model that can reinterpret the abnormal and functional connections between cognitive processes and emotional regulations based on the neurocognitive networks for a comprehensive understanding of pathologic processes and treatment approach of depression and anxiety disorder. Through the processes of rebuilding the network model for depression and anxiety disorder, it was confirmed that depression can be said to be 'over-immersion in self-referencing' due to hyper-activation of default mode network (DMN), and anxiety disorders to be 'disconnection with self-referencing' due to hypo-activation of DMN. The attempts to link up between abnormal activation and pathological function of DMN which is thought to be involved in self-referential processing associated with self-consciousness and projection among neurocognitive networks may be another starting point that can afford to be suggestive in integrated interpretation and therapeutic approach to depression and anxiety disorder.

Effects of Reading Activities Using Picture Fairy Tales on Receiving Vocabulary and Expressive Vocabulary of Adults with Intellectual Disabilities Residing in Facilities (그림동화를 활용한 읽기활동이 시설거주 성인 지적장애인의 수용어휘와 표현어휘에 미치는 영향)

  • Ryu, Jung Mi;Kim, Choong Myung
    • Journal of Naturopathy
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    • v.10 no.1
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    • pp.48-55
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    • 2021
  • Purpose: People with intellectual disabilities are vulnerable to the use of receptive and expressive vocabulary. The purpose of this study was to investigate the effect on the receptive vocabulary and the expressive vocabulary after teaching reading education to adults with intellectual disabilities living in facilities using picture fairy tales. Methods: The subjects of this study were 12 adults with intellectual disabilities under the age of 20 to 40 residing in residential facilities. They were divided into 6 test groups and 6 control groups, and gave a total of 12 sessions of 60 minutes per session, and reading instruction using picture fairy tales. Results: In the test group that conducted reading activities using picture fairy tales, the use of the receptive vocabulary was significantly improved, and the use of the expressive vocabulary was significantly improved. There were no significant results in all of the control groups. Conclusions: This study had the effect of improving the use of receptive vocabulary and expressive vocabulary after teaching reading using picture fairy tales for the disabled. It is estimated that this result will be the basis for research in this field.