• 제목/요약/키워드: speech disorders

검색결과 294건 처리시간 0.025초

뇌성마비 성인의 발화유형에 따른 명료도 (The Effects of Speaking Mode on Intelligibility of Dysarthric Speech)

  • 김수진;고현주
    • 말소리와 음성과학
    • /
    • 제1권4호
    • /
    • pp.171-176
    • /
    • 2009
  • Intelligibility measurement is one criterion for the assessment of the severity of speech disorders especially of dysarthric persons. Rate control, usually rate reduction, is used with many dysarthric speakers to improve their intelligibility. The purpose of this study is to compare how change intelligibility of speech produced by cerebral palsic speakers according to three speaking conditions. Speech samples were collected from 10 adults with cerebral palsy were asked to speak under three speaking conditions-(1) naturally(control), (2) more slowly(rate control), (3) louder and accurately(clear speech). In a perception test, after listening to the speech samples, a group of three judges were to write down whatever they heard. The result showed that total cerebral palsic subjects were divided into two subgroups according to their intelligibility according to three speaking conditions. Some subjects showed that speech intelligibility increased greatly if asked to speak 'louder and more accurately'. and the others showed no difference of intelligibility according to the speaking conditions. This study suggested that it would be useful clinically to find out the best instruction to improve intelligibility suitable for each speaker with cerebral palsy.

  • PDF

비인강폐쇄부전 환자의 언어교정을 위해 발음 보조장치를 이용한 증례 (The Use of a Temporary Speech Aid Prosthesis to Treat Speech in Velopharyngeal Insufficiency (VPI))

  • 김은주;고승오;신효근;김현기
    • 음성과학
    • /
    • 제9권4호
    • /
    • pp.3-14
    • /
    • 2002
  • VPI occurs when the velum and lateral and posterior pharyngeal wall fail to separate the nasal cavity from the oral cavity during deglutition and speech. There are a number of congenital and acquired conditions which result in VPI. Congenital conditions include cleft palate, submucous cleft palate and congenital palatal insufficiency (CPI). Acquired conditions include carcinoma of the palate or pharynx and neurologic disorders. The speech characteristics of VPI is characterized by hypernasality, nasal air emission, decreased intraoral air pressure, increased nasal air flow, decreased intelligibility. VPI can be treated with various methods that include speech therapy, surgical procedures to reduce the velopharyngeal gap, speech aid prosthesis, and combination of surgery and prosthesis. This article describes four cases of VPI treated by speech aid prosthesis and speech therapy with satisfactory result.

  • PDF

Implementation of AAC System for Persons Suffering from Speech Disorders

  • Lee Eun Sil;Hur Tai Sung;Park Young Bae;Woo Yo Seop;Min Hong Ki
    • 대한전자공학회:학술대회논문집
    • /
    • 대한전자공학회 2004년도 학술대회지
    • /
    • pp.743-746
    • /
    • 2004
  • This study is generally purposed to develop a mobile augmentative and alternative communication system (hereinafter referred to as 'a mobile AAC system'). Also the device is aimed as a mobile AAC system for helping communication of persons who suffer from speech disorders in a free and convenient manner. One thing firstly considered for a successful AAC system is selection of vocabularies. For this purpose, the above researchers collected utterances in actual situations to select vocabularies of higher frequencies. For generation of sentences by maximizing the use of limited space in the AAC system, this study specifically presents a method of predicting predictions. This method includes selecting vocabulary and classifying it by domains so as to meet the characteristics of the mobile AAC communication, using a noun thesaurus for semantic analysis, and building a sub-category dictionary. Predicting predicates by selecting symbols in accordance with this method is tested and the utility thereof is confirmed.

  • PDF

기능적 조음음운장애아동의 치조 마찰음 왜곡의 음향음성학적 특성 (Acoustic-phonetic characteristics of fricatives distortion in functional articulation disorders)

  • 양민교;최예린;김은연;유현지
    • 말소리와 음성과학
    • /
    • 제10권4호
    • /
    • pp.127-134
    • /
    • 2018
  • This study aims to explain the difficulties children with articulation and phonological disorders have in producing alveolar fricative sounds. The study will perform a comparative analysis revealing how ordinary children produce alveolar fricative sounds through five different acoustic variables, and consequently identifying objective differences, compared to children with articulation and phonological disorders. Therefore, this study compared and analyzed the differences between 10 children with articulation and phonological disorders and 10 ordinary children according to a phonation type of alveolar fricative sounds (/s/ and /$s^*$), a type of vowel (/i/, /ε/, /u/, /o/, /ɯ/, /ʌ/, /ɑ/), and a structure of syllables (CV, VCV) through acoustic variables including a central moment, skewness, kurtosis, a center of gravity and variance. That is, children with articulation and phonological disorders, when compared to ordinary children, have difficulties with concentrating an agile and momentary friction with strength when articulating alveolar fricative sounds, which uses strong energy and accompany tension. Furthermore, the values of alveolar fricative sounds of children with articulation and phonological disorders appeared to spread evenly over the average range, which means that the range of overall the standard deviation values for children with functional phonological disorders is wider than that of ordinary children. For a future study, if the mispronounced sounds relating to omission, substitution, and addition can be compared and analyzed for various target groups, it could be used effectively to help children with functional phonological disorders.

정상 아동과 기능적 음운장애 아동의 음운 오류 비교 (Phonological Error Patterns of Korean Children With Specific Phonological Disorders)

  • 김민정;배소영
    • 음성과학
    • /
    • 제7권2호
    • /
    • pp.7-18
    • /
    • 2000
  • The purpose of this study was to investigate the phonological error patterns of korean children with and without specific phonological disorders(SPD). In this study, 29 normally developing children and 10 SPD children were involved. The children were matched the percentage of consonants correct(PCC). 22 picture cards were used to elicit korean consonants in word initial syllable initial, word medial syllable initial, word medial syllable final, word final syllable final positions. The findings were as follows. First, the phonological error patterns of SPD were 1) similar to those of normal children with the same PCC, 2) similar to those of normal children with the lower PCC, or 3) unusual to those of normal children. Second,. korean children showed phonological processes reflecting the korean phonological characteristics: tensification, reduction of the word medial syllable final consonant. This study suggests that both the PCC and error patterns should be considered in assessing phonological abilities of children.

  • PDF

음운 오류 패턴: 설정성 자질의 임상적 고찰 (Phonological Error Patterns: Clinical Aspects on Coronal Feature)

  • 김민정;이성은
    • 말소리와 음성과학
    • /
    • 제2권4호
    • /
    • pp.239-244
    • /
    • 2010
  • The purpose of this study is to investigate two phonological error patterns on coronal feature of children with functional articulation disorders and to compare them with those of general children. We tested 120 children with functional articulation disorders and 100 general children from 2~4 years of age with 'Assessment of Phonology & Articulation for Chidren(APAC)'. The results were as follows: (1) 37 disordered children substituted [+coronal] consonants for [-coronal] consonants (fronting of velars) and 9 disordered children substituted [-coronal] consonants for [+coronal] consonants (backing to velars). (2) Theses two phonological patterns were affected by the articulatory place of following phoneme. (3) The fronting pattern of children with articulation disorders was similar with that of general children, but their backing pattern was different with that of general children. These results show the clinical usefulness of coronal feature in phonological pattern analysis, the need of articulatory assessment with various phonetic context, and the importance of error contexts in clinical judgment.

  • PDF

비대면 음성언어치료의 현황과 전망 (Current Status and Perspectives of Telepractice in Voice and Speech Therapy)

  • 이승진
    • 대한후두음성언어의학회지
    • /
    • 제33권3호
    • /
    • pp.130-141
    • /
    • 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.

Acoustic Analysis of Speech Disorder Associated with Motor Aphasia - A Case Report -

  • Ko, Myung-Hwan;Kim, Hyun-Ki;Kim, Yun-Hee
    • 음성과학
    • /
    • 제7권1호
    • /
    • pp.97-107
    • /
    • 2000
  • Motor aphasia is an affection frequently caused by insult of the left middle cerebral artery and usually accompanied by a large lesion involving the Broca's area and the adjacent motor and premotor areas. Therefore, a patient with motor aphasia commonly shows articulatory disturbances due to failure of the motor programing of speech sound. Objective assessment and treatment of phonologic programing is one of the important aspects of speech therapy in aphasic patients. We analyzed the speech disorders acompanied with motor aphasia in a 45-year-old man using a computerized sound spectrograph, Visi-$Pitch{\circledR}$, and Multi-Dimensional Voice $Program{\circledR}$. We concluded that a computerized speech analysis system is a useful tool to visualize and quantitatively analyse the severity and progression of dysarthria, and the effect of speech therapy.

  • PDF

Visual Presentation of Connected Speech Test (CST)

  • Jeong, Ok-Ran;Lee, Sang-Heun;Cho, Tae-Hwan
    • 음성과학
    • /
    • 제3권
    • /
    • pp.26-37
    • /
    • 1998
  • The Connected Speech Test (CST) was developed to test hearing aid performance using realistic stimuli (Connected speech) presented in a background of noise with a visible speaker. The CST has not been investigated as a measure of speech reading ability using the visual portion of the CST only. Thirty subjects were administered the 48 test lists of the CST using visual presentation mode only. Statistically significant differences were found between the 48 test lists and between the 12 passages of the CST (48 passages divided into 12 groups of 4 lists which were averaged.). No significant differences were found between male and female subjects; however, in all but one case, females scored better than males. No significant differences were found between students in communication disorders and students in other departments. Intra- and inter-subject variability across test lists and passages was high. Suggestions for further research include changing the scoring of the CST to be more contextually based and changing the speaker for the CST.

  • PDF

파킨슨증으로 인한 마비말장애의 청지각적 평가에 대한 신뢰도 연구 (A Reliability Study on the Auditory-perceptual Evaluation of Parkinsonian Dysarthria)

  • 김향희;이미숙;김선우;이원용
    • 음성과학
    • /
    • 제11권4호
    • /
    • pp.129-141
    • /
    • 2004
  • An auditory-perceptual evaluation has long been utilized in assessing dysarthric speech. The process involves subjective judgement and the results might vary depending on clinical experiences or training of listeners. This study aimed to investigate reliability of the auditory-perceptual evaluation of 22 multi -dimensional variables on 6 patients with Parkinsonian speech disorders. Listeners were divided into two groups: one consisted of 6 speech therapists with clinical experiences for three years or more, and the other 6 graduate students without any previous clinical background. The results showed that the former evaluated dysarthric speech with higher inter-rater and intra-rater reliabilities than the latter. Furthermore, such speech variables as 'precise consonant: 'speech intelligibility: and 'SMR regularity' were more influenced than others by clinical experiences. We, therefore, postulated that a reliable auditory-perceptual evaluation of dysarthric speech may require adequate amount of clinical training of listeners.

  • PDF