Acoustic Characteristics and Voice Fatigue in Hearing Impared Adult Males according to the Degree of Hearing Loss
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
This study was conducted to use it as basic information to suggest the necessity and program for selfregulation that can properly maintain voice according to the degree of hearing loss. For this purpose, twenty-six men in their fifties were classified according to the degree of hearing loss, and multidimensional voice program (MDVP) (F0, jitter, shimmer, noise to harmonics ratio [NHR]), cepstrum (cepstral peak prominence [CPP], low/high spectral ratio [L/H ratio], mean CPP F0, cepstral/spectral index of dysphonia [CSID]) and vocal fatigue index (fatigue, physical, rest, total) were performed and analyzed. The more severe the degree of hearing loss, the higher the F0 and CSID, and the lower the L/H ratio, the overall quality of the voice deteriorated. Normal-mild hearing loss group indicated a positive correlation between mean CPP F0 and fatigue, rest and total, and negative correlation between CPP and rest. In severe-profound group, F0 and rest showed a negative correlation, and shimmer and rest showed a positive correlation. Through the analysis of vowel and connected speech, it was found that the more severe the degree of hearing loss, the higher the F0 in vowel phonation, the lower the L/H ratio and the higher the CSID, and the lower the overall sound quality. In addition, it was observed that that the more severe the hearing loss, the higher the fatigue level of the hearing-loss person who speaks due to severe voice misuse and abuse. Therefore, auditory rehabilitation patients with hearing loss optimal voice production, and voice rehabilitation programs that use proper voices should be supported.
Abstract
This study was conducted to use it as basic information to suggest the necessity and program for selfregulation that can properly maintain voice according to the degree of hearing loss. For this purpose, twenty-six men in their fifties were classified according to the degree of hearing loss, and multidimensional voice program (MDVP) (F0, jitter, shimmer, noise to harmonics ratio [NHR]), cepstrum (cepstral peak prominence [CPP], low/high spectral ratio [L/H ratio], mean CPP F0, cepstral/spectral index of dysphonia [CSID]) and vocal fatigue index (fatigue, physical, rest, total) were performed and analyzed. The more severe the degree of hearing loss, the higher the F0 and CSID, and the lower the L/H ratio, the overall quality of the voice deteriorated. Normal-mild hearing loss group indicated a positive correlation between mean CPP F0 and fatigue, rest and total, and negative correlation between CPP and rest. In severe-profound group, F0 and rest showed a negative correlation, and shimmer and rest showed a positive correlation. Through the analysis of vowel and connected speech, it was found that the more severe the degree of hearing loss, the higher the F0 in vowel phonation, the lower the L/H ratio and the higher the CSID, and the lower the overall sound quality. In addition, it was observed that that the more severe the hearing loss, the higher the fatigue level of the hearing-loss person who speaks due to severe voice misuse and abuse. Therefore, auditory rehabilitation patients with hearing loss optimal voice production, and voice rehabilitation programs that use proper voices should be supported.
참고문헌 (18)
- 배인호, "인공와우 이식에 따른 발성수행력 변화에 관한 연구- 이식 후 1년 -", 언어치료연구, 23(1), pp.251~270 (2014), 한국언어치료학회[DOI]
- Dehqan, A., "Objective voice analysis of boys with profound hearing loss", Journal of Voice, 25(2), pp.e61~e65 (2011)
- Ferrand, C. T., "Voice Disorders: Scope of Theory and Practice", pp.167~187 (2014), Bakhaksa
- Huh, M. J., "Acoustic characteristics of prelingual hearing impaired speakers", Journal of Speech-Language and Hearing Disorders, 6(1), pp.61~77 (1997)
- 허명진, "인공와우 착용기간에 따른 청각장애 아동의 모음산출 특성 분석", 특수교육학연구, 41(4), pp.21~35 (2007), 한국특수교육학회
- 강영애, "음성장애환자 대상 음성피로와 음성평가 간 상관 및 음성피로도 설문(Voice Fatigue Index)의 임상적용", 대한이비인후-두경부외과학회지, 60(5), pp.232~242 (2017), 대한이비인후과학회[DOI]
- Kim, E. Y., "Evaluation of resonance problems in severe congenital hearing impaired adults : Via velopharyngeal function examination", Doctor, pp.2010
- Kim, M. J., "Relationship between vocal fatigue index and voice handicap index for professional voice users", master, pp.2017
- 김윤하, "청각장애 아동과 일반 아동의 마찰음에 나타난 음향음성학적 특성 비교", 말소리와 음성과학, 6(2), pp.73~79 (2014), 한국음성학회[DOI]
- 이동훈, "일반성인의 음성에 롬바르드 효과가 미치는 영향 : 음향학적 특성 및 발화길이를 중심으로", 언어치료연구, 28(4), pp.59~64 (2019), 한국언어치료학회[DOI]
- 이은정, "직업적 음성사용자의 음성관련 요구 조사", 말소리와 음성과학, 7(2), pp.39~45 (2015), 한국음성학회[DOI]
- Lee, S. H., "A study on voice related quilty of life of student with hearing loss", Master, pp.2010
- Lee, Y., "The usefulness of auditory perceptual assessment and acoustic analysis for classifying the voice severity", Journal of Voice, 34(6), pp.884~893 (2020)
- Milbrath, R. L., "Do vocal warm-up exercises alleviate vocal fatigue?", Journal of Speech, Language, and Hearing Research, 46(2), pp.422~436 (2003)
- Nanjundeswaran, C., "Vocal fatigue index(VFI) : Development and validation", Journal of Voice, 29(4), pp.433~440 (2015)
- 심희정, "내전형연축성 발성장애 음성에 대한 켑스트럼과 스펙트럼 분석", 말소리와 음성과학, 8(2), pp.73~80 (2016), 한국음성학회[DOI]
- Waldstein, R. S., "Effects of postlingual deafness on speech production : Implications for the role of auditory feedback", The Journal of the Acoustical Society of America, 88(5), pp.2099~2114 (1990)
- Yoon, M. S., "Comparison of Voice Characteristics: Among Children with Cochlear Implant, Children with Hearing Aids, and Children with Normal Hearing", Proceedings of the 14th Conference on Speech-Language Pathology (2006), Daegu University