• 한국융합학회논문지
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• 제10권7호
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• pp.235-241
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• 2019

본 연구의 목적은 작업치료사의 비언어적인 목소리 구성요소가 대상자의 수용적 태도에 미치는 효과를 알아보는 것이다. 연구방법은 지역보건지소를 방문하는 주민을 대상으로 현 여성 작업치료사의 목소리를 녹음하여 휴지(pause)와 속도(tempo)를 조절한 총 4개의 목소리 샘플을 무작위로 선정해 들려주었다. 그 후 목소리 구성요소에 따른 수용적 태도를 알아보기 위한 설문지를 작성하였다. 연구 결과 수용적 태도 중 "흥미가 느껴지는지" 항목에서는 어떠한 변수에서도 통계학적으로 유의미한 차이를 확인할 수 없었지만(p>.05), "전문성이 느껴지는지", "집중이 되는 지", "신뢰가 되는지", "이해가 되는지", "호감이 가는지"항목에서는 통계학적으로 유의미한 차이를 확인할 수 있었다(p<.05). 연구 결과를 통해 치료사의 비언어적인 목소리의 구성요소에 따라 수용적 태도가 변화할 수 있음을 시사하고 있다.

• 디지털융복합연구
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• 제13권1호
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• pp.397-405
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• 2015

본 연구는 직업적 음성사용자들의 음성증상 및 음성건강 관련 서비스 인지도를 알아보기 위해 실시되었다. 교사, 텔레마케터, 치료사들을 대상으로 음성증상의 유무 및 유형, 음성건강 관련 서비스 인지도를 알아본 결과 교사(91.8%), 텔레마케터(97.9%), 치료사(86%)들은 한 가지 이상의 음성증상을 보고하였다. 증상 유형은 '열감, 마름, 마른기침, 통증, 가래생김, 따끔거림, 쉼, 목소리 갈라짐, 부어오름'의 9가지로 분류되었고, 세 집단 모두에서 '마름' 증상이 가장 많았다. 교사의 85.7%, 텔레마케터의 87.8%, 치료사의 66%는 음성사용 관련 전문가의 도움을 받은 경험이 없었으며, '음성언어치료사'와 '언어치료사' 모두를 아는 경우는 각각 19.6%, 19.9%, 72%였다. 음성의 효율적 사용법에 대해 교사의 36.8%, 텔레마케터의 43.6%가 잘 알지 못한다고 하였으며, 교사의 45.3%, 텔레마케터의 43.6%, 치료사의 28%는 음성전문가의 도움이 필요하다고 답했다. 조사 결과, 직업적 음성사용자들의 상당수가 음성증상을 경험하지만 음성건강 관련 전문적 서비스에 대한 인지도는 낮은 것으로 나타났다.

• 한국엔터테인먼트산업학회논문지
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• 제13권2호
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• pp.155-167
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• 2019

이 연구는 음악치료사들의 목소리 사용 경험을 심층적으로 탐구하는 데 목적이 있다. 연구자는 이와 관련된 경험에 대하여 자세히 진술해줄 수 있는 음악치료사 7명을 대상으로 심층면담을 진행하였으며, Giorgi의 현상학적 연구방법으로 분석하였다. 분석결과 '임상에서의 목소리 사용으로 인한 다양한 감정촉진', '치료사의 개인적 성향에 따른 목소리 사용', '치료적 목적을 위한 목소리 사용', '목소리 사용으로 인한 내담자와의 긍정적인 음악적 경험', '음악치료 도구로서의 목소리 사용의 어려움', '만족스럽지 않은 목소리의 변화 시도'로 총 6개의 구성요소가 도출되었다. 본 연구를 통해 음악치료사들은 음악치료 안에서 노래 부르기 혹은 즉흥적 노래를 통해 내담자와의 긍정적인 관계를 형성할 수 있다고 보고하였다. 그러나 개인적인 이유로 목소리 사용에 있어서 어려움을 경험하기도 하였다고 설명하였으며 다양한 자기작업을 통해서 목소리 사용을 확장하고 더 나아가서 자신의 변화와 성장을 실현하고자 하였다고 진술하였다.

• 대한후두음성언어의학회지
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• 제9권2호
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• pp.134-141
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• 1998

Mutational falsetto is a kind of voice disorders due to the failure to acquire proper low-pitched voice during the puberty. The patients with mutational falsetto can produce the normal low-pitched voice by the surgical treatment, like the type III-thyroplasty, or the voice therapy. The present study is, focusing on the latter treatment, to consider the efficiency of voice therapy for the mutational falsetto. The 7 patients who were diagnosed as mutational falsetto by the laryngologists, and treated by the voice therapist were selected as subjects. Their voices of pretherapy and posttherapy were analyzed on the aspects of acoustics and aerodynamics. Acoustic analysis was done by the MDVP(Multidimensional Voice Program) of CSL(Computerized Speech Lab, Kay Elemetrics, Co.), and aerodynamic analysis, by the Maximum Sustained Phonation of Aerophone II(Kay Elemetrics, Co.). By these measurements, we could find that fundamental frequency(F0) was significantly lowered, on the average, 65Hz. Maximum phonation time(MPT) was increased 4.57 second, and shimmer was decreased 1.644%, respectively, and each changes was statistically significant, too. On the average, jitter was decreased 0.499%, mean flow rate(MFR) was decreased 27.71ml/sec, and NHR was increased 0.023 which was the only parameter not showing improvement. But the changes of jitter, MFR and NHR were not statistically significant.

• 음성과학
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• 제8권1호
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• pp.135-142
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• 2001

The present study was performed to investigate adequate levels of utterances which can give essential as well as useful information about the patients' voice, by examining the degrees of correlation between the levels of utterances (vowels, words, and phrase paragraph reading) and the entire utterance including all of the levels. For this purpose, a total of 10 individual utterance samples (5 vowels, 3 words, 1 phrase, 1 paragraph reading) were collected from each of the 30 subjects with voice disorder patients, and four experienced voice therapists evaluated them using GRBAS. The results showed that four therapists highly agreed upon on 'G' parameter. The coefficient of the correlation between each level of utterance and entire utterance tended to be above 0.70. Judgements of the vowel /$\varepsilon$/ as well as /o/ highly correlated with the judgement of the entire utterance. Regardless of severity, the judgement of the entire utterance highly correlated with the judgements of the vowel /u/ and the paragraph reading. These results suggest that experienced voice therapists can precisely evaluate patients' voice quality with only one sustained vowel in the clinic field, as is done with the entire utterance evaluation.

• 셀메드
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• 제6권3호
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• pp.19.1-19.3
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• 2016

Jindo Ssitgimgut has been known as a funeral ritual for a long time in Korea. However, there is no study for music therapy on anxiety disorder. The aims of this study were to argue that Oral sound Daseureum of Jindo Ssitgimgut may have meaningful effect on anxiety disorder. Jindo Ssitgimgut is literally a cleansing soul. Jindo Ssitgimgut is designated as the Intangible Cultural Property No. 2 by the Korean government. Jindo Ssitgimgut is transmitted from generation to generation, not the descent of God. So, the accent is on art and one's sincere sympathy. So, with careful listening Youtube, this music Daseureum exhibits an exquisite balance between the human voice and the sounds do the instruments. The author think a good combination of his voice, Jing (Korean gong), and Ajaeng (Korean cello) can help with anxiety disorder.

• 대한구순구개열학회지
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• 제10권1호
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• pp.33-38
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• 2007

Team approach for the management of cleft lip & palate patients is very important. Plastic surgeon, oral-maxillofacial surgeon, orthodontist, otolaryngologist, and speech therapist should be included in the team. Main role of the ENT surgeon may be variable and is up to the team characteristics. Main topics of ENT surgeons' interesting fields are evaluation and management of hearing impairment due to SOM, voice disorder, and velopharyngeal incompetency due to submucous cleft palate & still remained VPI after curative palatoplasty. Basic review of anatomy & physiology related with otolaryngologic aspect of velopharyngeal system was done. Diseases related with hyponasality as well as hypernasality were discussed. Diagnostic and therapeutic methods were discussed. Proper management of hearing impairment and speech disorders are important.

• Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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• 제55권8호
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• pp.498-507
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• 2012

Background and Objectives We aimed to develop a Korean version of the velopharyngeal insufficiency (VPI) speech corpus system. Subjects and Method After developing a 3-channel simultaneous speech recording device capable of recording nasal/oral and normal compound speech separately, voice data were collected from VPI patients aged more than 10 years with/without the history of operation or prior speech therapy. This was compared to a control group for which VPI was simulated by using a french-3 nelaton tube inserted via both nostril through nasopharynx and pulling the soft palate anteriorly in varying degrees. The study consisted of three transcriptors: a speech therapist transcribed the voice file into text, a second transcriptor graded speech intelligibility and severity and the third tagged the types and onset times of misarticulation. The database were composed of three main tables regarding (1) speaker's demographics, (2) condition of the recording system and (3) transcripts. All of these were interfaced with the Praat voice analysis program, which enables the user to extract exact transcribed phrases for analysis. Results In the simulated VPI group, the higher the severity of VPI, the higher the nasalance score was obtained. In addition, we could verify the vocal energy that characterizes hypernasality and compensation in nasal/oral and compound sounds spoken by VPI patients as opposed to that characgerizes the normal control group. Conclusion With the Korean version of VPI speech corpus system, patients' common difficulties and speech tendencies in articulation can be objectively evaluated. Comparing these data with those of the normal voice, mispronunciation and dysarticulation of patients with VPI can be corrected.

• 대한후두음성언어의학회지
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• 제28권2호
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• pp.100-105
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• 2017

Background and Objectives : Adductor type spasmodic dysphonia (ADSD) is neurogenic disorder and focal laryngeal dystonia, while muscle tension dysphonia (MTD) is caused by functional voice disorder. Both ADSD and MTD may be associated with excessive supraglottic contraction and compensation, resulting in a strained voice quality with spastic voice breaks. The aim of this study was to determine the utility of spectrogram analysis in the differentiation of ADSD from MTD. Materials and Methods : From 2015 through 2017, 17 patients of ADSD and 20 of MTD, underwent acoustic recording and phonatory function studies, were enrolled. Jitter (frequency perturbation), Shimmer (amplitude perturbation) were obtained using MDVP (Multi-dimensional Voice Program) and GRBAS scale was used for perceptual evaluation. The two speech therapist evaluated a wide band (11,250 Hz) spectrogram by blind test using 4 scales (0-3 point) for four spectral findings, abrupt voice breaks, irregular wide spaced vertical striations, well defined formants and high frequency spectral noise. Results : Jitter, Shimmer and GRBAS were not found different between two groups with no significant correlation (p>0.05). Abrupt voice breaks and irregular wide spaced vertical striations of ADSD were significantly higher than those of MTD with strong correlation (p<0.01). High frequency spectral noise of MTD were higher than those of ADSD with strong correlation (p<0.01). Well defined formants were not found different between two groups. Conclusion : The wide band spectrograms provided visual perceptual information can differentiate ADSD from MTD. Spectrogram analysis is a useful diagnostic tool for differentiating ADSD from MTD where perceptual analysis and clinical evaluation alone are insufficient.

• 재활치료과학
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• 제8권1호
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• pp.73-84
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• 2019

목적: 파킨슨병 환자를 위해 개발된 표준화된 운동프로그램과 작업기반의 활동으로 구성된 Lee Silverman Voice Treatment (LSVT) BIG 치료 프로그램을 지역사회에 거주하는 파킨슨병 환자에게 제공한 후 파킨슨병 환자의 운동기능과 삶의 질에 어떠한 영향을 미치는 지를 알아보고자 하였다. 연구방법: 본 연구는 단일군 전후실험설계(one-group pretest and post test design)를 사용하였다. 치료 전 후에는 통합형 파킨슨병 평가척도(Unified Parkinson's Disease Rating Scale-III: UPDRS-III), Time up and go(TUG), 파킨슨 질병 검사지(Parkinson's Disease Questionnaire-39: PDQ-39)을 사용하여 운동기능 및 삶의 질의 변화를 측정하였다. LSVT-BIG치료는 프로토콜에 의거하여 매일 1회 주4일 60분간 실시하여 대상자별로 총 16회기를 실시하였다. 결과분석은 그래프를 통한 시각적 분석과 치료 전 후 측정값의 변화를 비교하였다. 결과: 치료 전 후로 UPDRS, TUG에서 모든 대상자들의 수행능력이 향상되었다. 또한, PDQ-39의 감소로 치료 후 모든 대상자들의 삶의 질 또한 긍정적으로 향상되었다. 결론: 지역사회 내에서 거주하는 파킨슨병 환자에게 LSVT-BIG 치료의 적용은 파킨슨환자의 운동기능 증진 및 삶의 질 증진에 긍정적인 영향을 주었다.