• 말소리와 음성과학
• /
• 제5권4호
• /
• pp.71-78
• /
• 2013

The purpose of this study was to compare the acoustic voice outcomes of children with cochlear implant to those of children with normal hearing. Participants were 41 children using unilateral cochlear implant (18 males and 23 females), and children with normal hearing from the same age and sex. Mean age of implantation was approximately 3 years old, mean duration of implant use was 4 years in CI group. Acoustic analyses were performed using MDVP of CSL. Speech samples were 3 sustained vowels, /a, i, u/. 9 parameters (F0, Fhi, Flo, Jitter, Shimmer, vF0, vAm, NHR, and SPI) were analyzed. Children with CI did not show the significant differences in those parameters after the vowel /a/ phonation. Meanwhile, there were significantly different results in F0, Fhi, vF0, and SPI after /i, u/ phonation. These results revealed that differences of voice characteristics in children with CI compare to children with NH persist regarding vowel context. It suggests that high vowels would recommend as speech samples for acoustic evaluation. Futhermore perceptual analysis and speech therapy for phonation control would be necessary for children with CI.

• 대한후두음성언어의학회지
• /
• 제11권1호
• /
• pp.32-38
• /
• 2000

Background and Objectives : Voice therapy has been used as a viable adjuvant to surgery and pharmacological therapy fir the management of voice disorders. The singing voice features a special brand of emotion, intensity, and energy so successful therapeutical approach requires the doctor is able to involve himself into the physical and psychic condition and artistic usage of the voice. The purpose of this study was to evaluate the effect and utility of singing therapy as an initial treatment for classically trained singers with voice disorders. Material and method : Twenty-one male and fifty-five female classic singers with voice disorders were treated with singing therapy. At first, abdominal breathing, resonant phonation, and relaxation method was trained, then after accessing each patient's singing abilities, treatment methods for each specific problems was applied. The results were compared according to age, sex, treatment duration, part, laryngeal pathology, patient subjective evaluation, perceptual evaluation of voice, and maximal phonation time. Results : Patients subjective evaluation, perceptual evaluation, pathologic findings of larynx, maximal phonation time showed superior results after singing therapy. Conclusion : Singing therapy changes the mode of respiration and phonation and enhances the vocal function and improves the laryngeal pathology, The result of this study indicate that singing therapy is an effective treatment method that laryngologists can use for classical singers with voice disorders.

• The Journal of Korean Physical Therapy
• /
• 제25권3호
• /
• pp.155-159
• /
• 2013

Purpose: Circumference of the chest and waist can be one of clinical indicator to reflect respiratory function in children with cerebral palsy. In this study, we compared to differences in the chest/waist circumference and maximal phonation time between children with spastic diplegia and hemiplegia. Methods: Seventeen children with spastic diplegic and hemiplegic cerebral palsy were recruited, who were matched to gender, age, height, weight, and body mass index for control of the known factors affected to respiratory function. The chest/waist circumference and were measured in each group, when children took a breath at rest and at maximal voluntary inspiration/expiration. Results: No significant differences were found in the chest and waist circumference and expansion between the two groups. However, only in the waist expansion, children with diplegic CP were significantly lower extensibility of lung, compared to the other group. In comparison of the maximal phonation time, a significant lower score was shown in children with spastic diplegic CP, compared to children with hemiplegic CP. Conclusion: Our results indicated that children with spastic diplegic CP had smaller chest wall and waist, compared to children with spastic hemiplegic CP. In addition, they showed a shorter time for sustaining phonation than spastic hemiplegic CP did. Therefore, spastic diplegic CP will be required for careful monitor regarding respiratory function in rehabilitation settings.

• 말소리와 음성과학
• /
• 제4권2호
• /
• pp.95-104
• /
• 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.

• 말소리와 음성과학
• /
• 제9권3호
• /
• pp.75-83
• /
• 2017

The purpose of this study is to find clues to the risk of voice disorders in soprano students. The subjects of the study were 17 soprano students and 18 general students (women). The phonation of vowels /a/, /i/, and /u/ with C4 and F4 notes in each group were recorded. Then, only soprano students were made to record their classical vocalization containing vibrato. Formant, formant energy, bandwidth, VAI (vowel area index), VSA (vowel space area) and L/H ratio were analyzed. There was significant difference in F3 such that the singers' note was measured around 3 kHz which seems to be 400 Hz higher than one from general students. But, There was no significant difference in L/H ratio between soprano student and the general student. There was a significant difference in F3 in the comparison of the soprano students' two vocalization methods. Classical vocalization was measured at 200Hz higher than sustained phonation in F3. Vocal tract adjustment was made and vowel space changed, but there was no significant difference in F3 energy, which is the index of singers' formant according to the phonation method. The L/H ratio, which can be a direct indicator of vocal effort, has no difference in phonation method and is lowered in all phonation methods as the pitch increases. C4 and F4 pitches are lower than the singing range of the soprano. When the pitch changes, vocal effort increases like a general student which will be an indicator of the risk of vocalization. This will be a clue to the vocalization of the immature soprano student.

• 대한치과교정학회지
• /
• 제23권2호
• /
• pp.179-197
• /
• 1993

Tongue posture at rest position of Class III malocclusion is very important in malocclusion and phonation. Because Class III malocclusion shoves low tongue position, speech defect is commonly occured. This study was attempted to evaluate the correlationship between the tongue posture at rest position and during /s/ phonation and facial skeleton in centric occlusion. Thirty subjects with Class III malocclusion who had no orofacial defects such as cleft palate, medical history of neurologic pathology, hearing defect and any previous speech therapy were selected. Ninety sheets of lateral cephalometric radiographs taken at rest position, during /s/ phonation and centric occlusion were traced, measured and statistically analysed. The results obtained were as follows ; 1. In Class III malocclusion, the posture of tongue was positively correlated with the position of hyoid body. The hyoid body was positioned anteriorly and inferiorly as the vertical facial skeleton was increased in centric occlusion. 2. In Class III malocclusion, the vertical position of tongue tip at rest position was not correlated with facial skeleton in centric occlusion, but the horizontal position had low correlation with mandibular body length, APDI, and $\underline{1}$ to SN. 3. In Class III malocclusion, there was the tendency that the dorsal position of the tongue was lowered as the vertical facial skeleton was increased. 4. In Class III malocclusion, the vertical and horizontal position of tongue tip during /s/ phonation was not correlated with facial skeleton in centric occlusion.

• 말소리와 음성과학
• /
• 제2권4호
• /
• pp.75-82
• /
• 2010

Many previous studies based on respiratory characteristics of Idiopathic Parkinson's Diseases (IPD) patients have not controlled related factors appropriately. Accordingly, these studies produced discordant results. Furthermore, there is currently a lack of studies that can provide precise explanations on the characteristics of respiration and phonation. This study included a total of 40 subjects: 20 mixed gender de novo IPD patients ranging in age from 50 to 80 (Hoehn & Yahr stage 1~3), and 20 normal subjects with similar matches for age and gender. All participants were controlled based on their gender, age, height, weight, vocal fold function, cognitive abilities, and depression factors. K-MMSE (Korean-Mini Mental State Examination), nVHI-10 (new Voice Handicap Index), and KGDS (Korean Form of Geriatric Depression Scale) were evaluated to select this study subjects. In order to compare respiratory functions between the two groups, FVC, FEV1, and FEV1/FVC were measured using microQuark, a PC-based spirometer. CSL was used by measure MPT and PAS was used to measure MFR. To investigate the characteristics of phonation ability, CSL was used to measure jitter and shimmer, while PAS was used to measure Psub. In order to compare the respiratory function averages and phonation ability between the two groups, statistical analysis was conducted using SPSS (version 12.0). The results of this study showed that most de novo IPD patients were included in the normal average range of respiratory and phonatory ability. But the respiratory and phonatory ability of de novo IPD patients showed lower tendency as compared with the normal group. When the average of respiratory and phonatory ability among the gender was compared, the difference of males was greater than the difference of females.

• 대한음성학회지:말소리
• /
• 제49호
• /
• pp.31-50
• /
• 2004

This study investigates spectral characteristics of frication noise in Korean sibilants in terms of center of gravity and skewness. Specifically, the present study seeks to observe the two parameters with emphasis on place of articulation in different vowel environments. This study also examines whether these parameters can discriminate phonation types. The results showed that the fricatives are palatalized in front of the front vowel /i/ and the affricates are articulated at the same place of articulation regardless of the following vowels. This study also suggests that the place of articulation of the fricatives followed by /i/ is the same as those of the Korean affricates. With regard to the phonation type, there was a significant difference in the center of gravity between lax and tense series for both fricatives and affricates.

• 대한음성학회지:말소리
• /
• 제47호
• /
• pp.31-49
• /
• 2003

This paper investigates phonation types of Malay plosives and compares Malay plosives with Korean ones in terms of VOT, F0, duration of closure, and durations of the preceding and following vowels. This study is significant in that it specifies phonetic characteristics of phonation types of the two languages and provides phonetic bases for teaching and learning either of the two languages. The results showed that Malay voiceless plosives are greater than voiced ones in VOT, F0, duration of closure, but the other way in durations of the preceding and following vowels. Comparison of the two languages, particularly in terms of the distribution of VOT, indicates that Malay voiceless plosives are close to Korean fortis plosives.

• 대한후두음성언어의학회지
• /
• 제6권1호
• /
• pp.9-15
• /
• 1995

Bowing of the vocal cords may be due to aging. atrophy. bilateral superior laryngeal nerve paralysis. injudicious vocal cord surgery, of an idiopathic cause. The bowing usually produces a dysphonia characterized by breathiness due to air escape : however, it can produce aphonia. This report reviews vocal function after surgical correction of bowing of the vocal cords for diagnosis and management. The vocal function of 13 patients with sulcus vocalis and 12 patients with vocal cord atrophy was evaluated with the use of a test battery of multidimensional evaluation items. The voice was improved postoperatively in most patients. The voice improvement was reflected objectively in maximum phonation time, mean air flow rate during phonation, stroboscopic findings. sound pressure level range and fundamental frequency range of phonation, and results of acoustic analyses of tape-recorded voice. The vocal function after surgical correction of the sulcus vocalis and vocal cord atrophy was improved postoperatively in most patient, but the results were not satisfactory.