• 말소리와 음성과학
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• 제8권3호
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• pp.39-49
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• 2016

The present study examined the change of aerodynamic features after laryngomicrosurgery in patients with vocal polyps. Aerodynamic evaluation was performed in thirty-nine patients (15 males and 24 females) one week before surgery and four weeks after surgery. Evaluation protocols of vital capacity, maximum sustained phonation(MXPH), and voicing efficiency(VOFT) were used to collect 29 phonatory aerodynamic measures, requiring voice with a comfortable pitch and loudness. Statistically significant changes were found for phonation time and airflow values in the MXPH protocol, while changes were also found for airflow values, subglottal pressure values and acoustic resistance values in the VOFT protocol. Although phonation time was increased in both male and female patients, gender-dependent changes were found in airflow measurements. Men's phonation time increased with no difference in airflow rate, but women's phonation time increased with decreased airflow rate and lower subglottal pressure. The changes of aerodynamic features may be affected by women's self-perceived change for vocal attitude, which was reducing sense of vocal effort after surgery.

• 말소리와 음성과학
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• 제9권4호
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• pp.51-57
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• 2017

The current study compared the acoustic features of the two phonation types for Korean fricatives (plain: /s/, fortis : /s'/) and the three types for affricates (aspirated : /$ts^h$/, lenis : /ts/, and fortis : /ts'/) in order to determine the phonetic status of the plain fricative /s/. Considering the different manners of articulation between fricatives and affricates, we examined four acoustic parameters (rise time, intensity, fundamental frequency, and Cepstral Peak Prominence (CPP) values) of the 20 Korean native speakers' productions. The results showed that unlike Korean affricates, F0 cannot distinguish two fricatives, and voice quality (CPP values) only distinguishes phonation types of Korean fricatives and affricates by grouping non-fortis sibilants together. Therefore, based on the similarity found in /$ts^h$/ and /ts/ and the idiosyncratic pattern found in /s/, this research concludes that non-fortis fricative /s/ cannot be categorized as belonging to either phonation type.

• 대한음성언어의학회:학술대회논문집
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• 대한음성언어의학회 1999년도 제12회 학술대회
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• pp.186-186
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• 1999

Tracheoesophageal fistulation following total laryngectomy has widely been used for voice restoration, This technique make exhaled air to divert to hypopharynx where phayngoesophageal segment forms the neoglottis. Even through layngectomized patients loss the normal laryngeal adjustment for speaking, it has been known that voiced and voiceless sounds are prodused in TE phonation. Nine TE speakeres were subjected to present study designed to clarity the mechanism of neoglottic adjustment in TE phonation, Fiberoptic examination and radiologic studies were performed at all patients and EMG study was performed at 3 patients during I phonation. Fiberoptic ＆ radiologic studies revealed the location of neoglottis, so called pharyngoesophargeal segment which was vibrated well. EMG activity increased for sound production at retropharyngeal prominence. These results indicated that neoglottic adjustment in TE phonation.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.121-125
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• 2001

Singing requires exquisite coordination between the respiratory and phonatory system to efficiently control glottal airflow. Respiratory function and vocal aerodynamics were investigated in six female professional sopranos and in six female subjects without vocal training. All sopranos had more than 15 years of formal classic vocal training. Pulmonary function test data on simple pulmonary function, flow volume curve, static lung volumes, maximum inspiratory pressure(MIP), and maximum expiratory pressure(MEP) were obtained from all subjects. Vocal aerodynamic studies of maximum phonation time(MPT), phonation quotient, and mean glottal flow rates (MFR) were also measured in all subjects. Simple pulmonary function in professional sopranos was generally the same as that of other female subjects without vocal training. However, MIP and MEP showing respiratory muscle forces were significantly elevated in professional sopranos, compared to those of other female subjects without vocal training. Maximum phonation times and phonation quotient in sopranos are longer than those of other female subjects even though there were no differences in simple pulmonary function. High-pitched tones were made with significantly higher mean glottal flow rates(GFR) in normal subjects than low-pitched tones, whereas no changes in GFR were found in sopranos. The result indicated that sopranos demonstrated significant improvements in aerodynamic measures of GFR, maximum phonation time, suggesting an increase in glottal efficiency.

• 말소리와 음성과학
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• 제15권2호
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• pp.31-40
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• 2023

목적: 물 속에서 튜브 발성은 semi-occluded vocal tract(SOVT) 연습 중 하나로 환자가 튜브를 물 속에 잠기게 하여 거품을 내면서 발성을 하는 것으로 음성 훈련에 널리 사용되어 왔다. 본 연구는 과기능성 음성장애 환자를 대상으로 물저항발성 동안 튜브 직경과 튜브를 담그는 물 깊이가 물거품 높이와 최대발성지속시간(maximum phonation time, MPT)에 미치는 영향을 조사하는 것을 목적으로 한다. 방법: 과기능성 음성장애 환자 17명에게 튜브 직경(5, 7, 10 mm), 튜브를 담그는 물 깊이(4, 7, 10 cm)에 따라 지속적인 /u/발성을 하면서 거품을 내도록 하였다. 물거품 높이 및 MPT 기록을 위해 수위 센서를 이용한 물저항발성 바이오피드백 시스템을 사용하였다. 결과: 물거품 높이는 튜브 직경에 의해 유의하게 변화한 반면 MPT는 튜브 직경과 깊이에 따라 유의하게 변화하였다. 직경이 더 넓을수록 주어진 깊이에 대해 유의하게 낮은 물거품 높이를 나타냈지만, 상대적으로 일관된 버블 높이가 유지되었다. 물의 깊이에 따라 주어진 튜브 직경에서 물거품 높이는 유의한 차이가 없었으나, 물의 깊이에 따라 MPT는 유의하게 감소하였고 튜브가 넓을수록 MPT가 유의하게 감소하였다. 결론: 수위 센서 방식의 물저항 바이오피드백 시스템은 튜브 직경 및 수심에 따른 기포 특성 및 성대 진동에 대해 유용한 정보를 제공하였다. 또한, 수위센서를 이용한 물저항발성 바이오시스템은 과기능적 음성장애가 있는 환자의 물저항 발성 중 호흡 지지를 모니터링하는 데 유용하게 사용될 수 있다.

• 대한후두음성언어의학회지
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• 제12권2호
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• pp.140-144
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• 2001

Backgrounds & Objectives : Prolonged hearing loss was considered as one of the factors which have the potential to cause vocal changes. However, the analysis of quality of phonation in hearing loss patients has not been achieved enough. The purpose of the study was to evaluate the difference in objective acoustic parameters between long-term hearing impaired patients and normal control group. Material & Methods : The material of this investigation comprised a group of 20 patients (M : F=10 : 10) with moderate or profound hearing loss(over 50dB). The duration of all hearing loss was over 1 year. All of them underwent the acoustic examinations comprising electroglottography, multidimensional voice program and formant analysis during phonation of the bowels /a/ with free confortable tone and /i/ with voluntary high tone. The results of the acoustic examinations were compared with those of a control group, composed of 20 sex- and age-matched normal hearing subjects. Results : In the male hearing loss subjects, the significant increase was detected in pitch and shimmer during phonation of /a/ and in pitch during phonation of /i/. In addition, this group was characterized by decreased fundamental frequency during phonation of /i/. In female, there was no difference between hearing loss group and normal control group except a decreased formant 1 frequency. Conclusion : Long-term moderate and profound sensorineural hearing loss could affect the objective voice parameters.

• 음성과학
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• 제12권2호
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• pp.101-108
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• 2005

Apraxia of phonation (AOP) has often been described as a feature of apraxia of speech or of severe non-fluent type of aphasia. Pure AOP is rare and, to our knowledge, only two cases have been reported. Brain lesion sites of the reported cases were not those sites known to be responsible for apraxia of speech. This study presents a case of AOP which resulted from the secondary stroke in the left corona radiata immediately following the first stroke in the left temporoparietal lobe. A 61-year old right-handed man shwoed a global type of aphasia after the first cerebral infarction, but was able to generate spontaneously some short fragments of speech. On the day after the first infarction, he suffered from the secondary infarction, leaving him a complete loss of voluntary phonation. He did not showed any significant change in language functions. Several occurrences of involuntary phonation were observed upon laughing or crying. He was also able to cough unintentionally. A vidoe-stroboscopic examination failed to reveal any evidence of structural and functional impairment in larynx. Although this case is not of pure form of AOP, AOP appeared after the secondary stroke without significant changes of language impairment since the first stroke. Therefore, AOP may be a consequence of the brain lesion from the secondary stroke even though we cannot rule out the possibility of an additive effect of the secondary to the first stroke.

• 한국운동역학회지
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• 제20권3호
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• pp.285-292
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• 2010

The purpose of this study was to evaluate the influence of respiratory capacity(forced vital capacity), EMG of rectus abdominal muscle, phonation by respiratory muscle strengthening exercise in children with spasticity cerebral palsy. 24 children with spasticity cerebral palsy was randomized in 2 groups, respiratory muscle strengthening exercise and contro group. In the exprimentral groups, respiratory muscle strengthening exercise for 30minutes duration 3 time per week for 8weeks were respectively preformed, Control group was not performed. Before and after experiments, respiratory capacity(forced vital capacity), EMG of rectus abdominal muscle and phonation was measured in all children. In comparison of difference before and after experiment, the respiratory capacity(forced vital capacity) of respiratory muscle strengthening exercise group was significantly increased than the control group(P<.05), rectus abdominal muscle EMG of the respiratory muscle strengthening exercise group was significantly increased more than the control group(P<.05) and MPT of the respiratory muscle strengthening exercise group was significantly increased more than the control group(P<.05). We found that the respiratory muscle strengthening exercise is useful to improve the respiratory capacity and phonation in children with spasticity cerebral palsy.

• 말소리와 음성과학
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• 제9권4호
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• pp.107-114
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• 2017

The purpose of the current study was to compare selected acoustic and electroglottographic measures (closed quotient, pitch, and loudness) among vowel phonation, traditional voiced lip trill ($VLT_T$), modified voiced lip trill methods ($VLT_M$). A total of 21 participants without voice complaints produced 4-second long samples using each phonation method. Results indicated that mean closed quotient of $VLT_M$ was higher than that of vowel phonation and $VLT_T$, while its range and standard deviation measures were higher than those of vowel phonation. Mean, range, standard deviation, maximum of pitch measures of $VLT_M$ were higher than those of vowel phonation. Lastly, mean and maximum loudness of the $VLT_M$ were higher than $VLT_T$. In conclusion, the current data indicate the possibility to use the $VLT_M$ as a training method for singing or a strategy to facilitate generalization effect of voice therapy. Current results also reflect the necessity for further study pertaining to the long-term effect of the $VLT_M$ training method. Clinical implications are discussed.

• 대한기관식도과학회:학술대회논문집
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• 대한기관식도과학회 1979년도 제13차 학술대회 연제순서 및 초록
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• pp.8.3-8
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• 1979

음의 생성은 성문하의 기류가 성대에서 조절되고 성대상부의 Vocal tract에서 modulation되어 생성되므로 후두에 이상이 생기면 발성시 후두를 통과하는 기류에 변화가 오게된다. 타국에서는 Dohne(1944)과 Arnold(1955, 1958)등 여러학자들이 후두질환에 따른 공기역학적 변화를 측정하여 후두질환의 진단에 기여한 바 크다. 본 저자들은 후두질환에 따른 공기역학적 측정에 앞서 이에 대한 정상역치를 측정하여 그 기준치로 하고자 21∼30세의 정상인 남녀 각각 20명을 대상으로 Collins회사제 Respirometer를 이용하여 평균 기류유출률, 최대 밭성량, 최대발성시간 및 발성속력치 등을 측정하였기에 제 1보로서 보고하는 바이다.