난청성인의 어음청력검사에서 한국표준 어음청력검사어표와 함태영어표의 비교
Comparison of Speech Audiometry Using KS Word List and Hahm’s List in Hearing Impaired Adults
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Background and Objectives The purpose of this study was to compare speech audiometry test results of the conventional Hahm’s list with those of Korean standard word lists for adults (KS-WL-A) using both live voice and compact disc (CD) speech presentation modes. Subjects and Method Eighty patients with sensorineural hearing loss and 23 control subjects with normal hearing participated in the study. Each hearing loss group comprised 20 subjects (mild, moderate, moderately severe, and severe hearing loss groups). Speech audiometry was performed to measure the speech recognition threshold (SRT) and word recognition score. KS-WL-A was presented either through a live voice mode or recorded CD materials. Test words from Hahm’s list were presented using the live voice mode only. Pure tone audiometry was also conducted for all subjects. Results Differences between the SRT and pure tone average were within 6 dB in all subgroups in all three stimulation methods, indicating high reliability of the SRT in both the conventional and Korean standard methods. The moderate, moderately severe, and severe hearing loss groups showed lower word recognition scores in the CD mode with KS-WL-A than with the two live voice modes. Conclusion Both the live voice mode and CD mode showed reliable speech audiometry test results in normal and hearing-impaired subjects. Although the CD mode is recommended to standardize test methods and reduce test errors, the live voice mode might be more effective for patients with moderate to severe hearing loss.
Abstract
Background and Objectives The purpose of this study was to compare speech audiometry test results of the conventional Hahm’s list with those of Korean standard word lists for adults (KS-WL-A) using both live voice and compact disc (CD) speech presentation modes. Subjects and Method Eighty patients with sensorineural hearing loss and 23 control subjects with normal hearing participated in the study. Each hearing loss group comprised 20 subjects (mild, moderate, moderately severe, and severe hearing loss groups). Speech audiometry was performed to measure the speech recognition threshold (SRT) and word recognition score. KS-WL-A was presented either through a live voice mode or recorded CD materials. Test words from Hahm’s list were presented using the live voice mode only. Pure tone audiometry was also conducted for all subjects. Results Differences between the SRT and pure tone average were within 6 dB in all subgroups in all three stimulation methods, indicating high reliability of the SRT in both the conventional and Korean standard methods. The moderate, moderately severe, and severe hearing loss groups showed lower word recognition scores in the CD mode with KS-WL-A than with the two live voice modes. Conclusion Both the live voice mode and CD mode showed reliable speech audiometry test results in normal and hearing-impaired subjects. Although the CD mode is recommended to standardize test methods and reduce test errors, the live voice mode might be more effective for patients with moderate to severe hearing loss.
참고문헌 (15)
- Hahm TY, "Complementary study on construction of Korean word lists for speech audiometry", J Inje Med Coll, 7(1), pp.1~19 (1986)
- Lee JH, "Korean Speech Audiometry", pp.7~34 (2010), Hakjisa
- Korean Agency for Technology and Standards, "Acoustics-Audiometric test methods-Part 3: speech audiometry. KSI ISO 8253-3", KATS, 1~36 (2009)
- International Organization for Standardization, "Acoustics-Audiometric test methods-Part 3: Speech audiometry. ISO 8253-3", ISO, 23~39 (2012)
- International Electrotechnical Commission, "Audiometric equipmentpart 2: Equipment for speech audiometry. IEC", CD 60645-2, 2010, pp.11~12
- 김진아, "어음인지역치검사에서 한국표준 일반용 이음절어표와 기존 함태영 이음절어표의 신뢰도 비교", 대한이비인후과학회지 두경부외과학, 55(6), pp.350~354 (2012), 대한이비인후과학회[DOI]
- 조수진, "건청 성인과 청각장애 성인의 자극제시방법에 따른 어음인지역치 비교", 재활복지, 14(3), pp.1~17 (2010), 한국장애인재활협회
- 노혜일, "어음청력검사를 위한 Compact Disks 개발과 새로 제작된 검사어표의 1차 검증 과정", 대한이비인후과학회지 두경부외과학, 53(5), pp.290~299 (2010), 대한이비인후과학회
- Hahm TY, "Word lists for speech audiometry and performances of speech discrimination tests", pp.38~41 (1962), Gunjin
- Brandy WT, "Handbook of Clinical Audiology", pp.96~110 (2002), Lippincott Williams &Wilkins
- Back HJ, "Psychometric functions of the one-syllable word recognition with monitored live voice versus recorded presentation for hearing impaired adults", Audiology, 3, pp.122~130 (2007)
- Kim EO, "Audiologist training education", pp.135~143 (2005), Korean Association of Audiology
- Hong SA, "Test-retest reliability of Speech Discrimination Test using the monosyllabic word lists", pp.2002
- "Guidelines for determining threshold level for speech", ASHA, 30(3), pp.85~89 (1988)
- Kim HJ, "Proposal of audiologic terminology standardization in Korea", Korean J Audiol, 13(2), pp.116~127 (2009)