본문 바로가기
KERD
논문KCI 등재

경직형과 불수의운동형 뇌성마비아동의 /아/ 모음 음향학적 비교

A comparative study of the acoustic characteristics of the vowel /a/ between children with spastic and dyskinetic cerebral palsy

0

조회

0

다운로드

2

인용

0

참고문헌

키워드

주제분류학제간연구

초록

This study aims to compare the acoustic characteristics of vowel phonation in children with spastic and dyskinetic cerebral palsy (CP). Thirty-four children aged 4-12 years with CP participated in the study (spastic 26, dyskinetic 8). Voice samples for the acoustic analysis were extracted from a sustained vowel /a/. All acoustic measures were made using Praat. Group differences were compared by an independent t-test or Welch-Aspin test, if the equivalence assumption was not met. The results of this study are as follow. First, maximum phonation time(MPT) was significantly shorter for the dyskinetic CP than for the spastic CP. Second, shimmer percent was significantly increased in the dyskinetic CP than in the spastic CP. Lastly, there were no significant group differences in both the first formant and the second formant. These findings indicate that the dyskinetic CP has a poorer respiratory capacity and poorer laryngeal function than the spastic CP. On the other hand, both groups have a comparable ability to articulate the vowel /a/. The results of the present study help speech language pathologists identify the speech motor control ability of children with two types of CP (spastic and dyskinetic) and help to make an intervention plan associated with a specific type of CP.

Abstract

This study aims to compare the acoustic characteristics of vowel phonation in children with spastic and dyskinetic cerebral palsy (CP). Thirty-four children aged 4-12 years with CP participated in the study (spastic 26, dyskinetic 8). Voice samples for the acoustic analysis were extracted from a sustained vowel /a/. All acoustic measures were made using Praat. Group differences were compared by an independent t-test or Welch-Aspin test, if the equivalence assumption was not met. The results of this study are as follow. First, maximum phonation time(MPT) was significantly shorter for the dyskinetic CP than for the spastic CP. Second, shimmer percent was significantly increased in the dyskinetic CP than in the spastic CP. Lastly, there were no significant group differences in both the first formant and the second formant. These findings indicate that the dyskinetic CP has a poorer respiratory capacity and poorer laryngeal function than the spastic CP. On the other hand, both groups have a comparable ability to articulate the vowel /a/. The results of the present study help speech language pathologists identify the speech motor control ability of children with two types of CP (spastic and dyskinetic) and help to make an intervention plan associated with a specific type of CP.

참고문헌 (61)

  1. Ahn, H. Y., "Assessment of voice" (1995), Jin Soo
  2. Bang, Y. I., "Acoustic characteristics of vowel sounds in patients with Parkinson disease", Neuro Rehabilitation, 32(3), pp.649~654 (2013)
  3. Bhuta, T., "Perceptual evaluation of voice quality and its correlation with acoustic measurements", Journal of Voice, 18(3), pp.299~304 (2004)
  4. (2014)[URL]
  5. Boone, D. R., "The voice and voice therapy" (1988), Prentice Hall
  6. Brockmann, M., "Voice loudness and gender effects on jitter and shimmer in healthy adults", Journal of Speech, Language, and Hearing Research, 51(5), pp.1152~1160 (2008)
  7. Duffy, R. F., "An analysis of the pitch and duration characteristics of the speech of cerebral palsied individuals", 박사, pp.1954
  8. Farmer, A., "An extraneous vocal behavior in cerebral palsied speakers", British Journal of Disorders of Communication, 12(2), pp.109~118 (1977)
  9. Fox, C. M., "Intensive voice treatment (LSVT LOUD) for children with spastic cerebral palsy and dysarthria", Journal of Speech, Language, and Hearing Research, 55(3), pp.930~945 (2012)
  10. Fry, D. B., "The physics of speech" (1979), Cambridge University Press
  11. Hardy, J., "Cerebral palsy" (1983), Prentice-Hall
  12. Hegde, M. N., "Introduction to communicative disorders" (1995), Pro-Ed
  13. 정진옥, "경직형 뇌성마비 아동의 최대 발성지속시간과 파열음 산출 시 조음시간 특성 비교", 말소리와 음성과학, 3(1), pp.135~143 (2011), 한국음성학회
  14. 정필연, "경직형 뇌성마비아동의 씹기능력에 따른 말명료도의 변화", 특수교육, 14(1), pp.63~80 (2015), 특수교육연구소
  15. 정필연, "경직형 뇌성마비 아동의 음질이 말명료도에 미치는 영향", 말소리와 음성과학, 9(4), pp.129~136 (2017), 한국음성학회[DOI]
  16. 강영애, "삼킴장애 환자의 wet voice 관련 음향학적 분석", 말소리와 음성과학, 10(4), pp.147~154 (2018), 한국음성학회[DOI]
  17. Kent, R. D., "Articulatory abnormalities in athetoid cerebral palsy", Journal of Speech and Hearing Disorders, 43(3), pp.353~373 (1978)
  18. Kent, R. D., "Acoustic studies of dysarthric speech : Methods, progress, and potential", Journal of Communication Disorders, 32(3), pp.141~186 (1999)
  19. 김은경, "불수의 운동형 뇌성마비에서 호흡이 언어장애와 연하곤란증에 미치는 영향", 석사, 의학, pp.2000
  20. Kim, M. J., "Assessment of phonology and Articulation for children(APAC)" (2007), Human Brain Research & Consulting Co
  21. 김숙희, "경직형 뇌성마비 아동의 구강 운동 치료 효과", 한국엔터테인먼트산업학회논문지, 11(1), pp.211~218 (2017), 한국엔터테인먼트산업학회
  22. Kim, Y. T., "Receptive & Expressive Vocabulary Test(REVT)" (2010), Seoul Community Rehabilitation Center
  23. Kudrjavcev, T., "Cerebral palsy trends in incidence and changes in concurrent mortality", Neurology, 33(11), pp.1433~1438 (1983)
  24. Ladefoged, P., "A course in phonetics" (2006), Cengage Learning
  25. Ladefoged, P., "Information conveyed by vowels", The Journal of the Acoustical Society of America, 29(1), pp.98~104 (1957)
  26. Lathadevi, H. T., "Objective acoustic analysis and comparison of normal and abnormal voices", Journal of Clinical and Diagnostic Research, 12(12), pp.1~4 (2018)
  27. Lee, C. K., "Respiration patterns and abdominal muscle activities during speech production in athetoid cerebralpalsied patients", Journal of Korean Academy of Rehabilitation Medicine, 23(5), pp.926~932 (1999)
  28. Lee, O. B., "The acoustic characteristics of vowels in the patients with spastic dysarthria", Journal of Speech-Language & Hearing Disorders, 9(2), pp.171~177 (2002)
  29. 이선아, "경직형 및 무정위운동형 뇌성마비 아동의 음향음성학적 특성 : Fo, Jitter, Shimmer, NHR을 중심으로", 석사, 언어병리학, pp.2004
  30. Love, R. J., "Childhood motor speech disability" (2000), Allyn & Bacon
  31. Marks, N. C., "Cerebral palsied and learning disabled children" (1974), Charles C Thomas Publisher
  32. Martin, D., "Pathologic voice type and the acoustic prediction of severity", Journal of Speech and Hearing Research, 38(4), pp.765~771 (1995)
  33. Maryn, Y., "Perturbation measures of voice : A comparative study between multi-demensional voice program and Praat", Folia Phoniatrica et Logopaedica, 61(4), pp.217~226 (2009)
  34. Minear, W. L., "A classification of cerebral palsy", Pediatrics, 8, pp.841~852 (1956)
  35. Nam, H. W., "The auditory-perceptual characteristics of respiration and phonation by the types of cerebral palsy in the reading", Journal of Psychology and Behavior, 7(1), pp.31~45 (2015)
  36. 남현욱, "뇌성마비 유형별 구어산출 하위체계 특성 비교", 언어치료연구, 18(2), pp.17~50 (2009), 한국언어치료학회[DOI]
  37. Nordberg, A., "Consonant production and overall speech characteristics in school-aged children with cerebral palsy and speech impairment", International Journal of Speech-Language Pathology, 16(4), pp.386~395 (2014)
  38. Oguz, H., "Effects of unilateral vocal cord paralysis on objective voice measures obtained by Praat", European Archives of Oto-Rhino-Laryngology, 264(3), pp.257~261 (2007)
  39. 박은숙, "경직형 뇌성마비 환아의 모음 산출의 음향음성학적 분석", Annals of Rehabilitation Medicine, 31(1), pp.103~108 (2007), 대한재활의학회
  40. 박지은, "학령전기 경직형 하지마비 아동이 산출한 모음의 음향음성학적 특징", Communication Sciences and Disorders, 9(2), pp.116~128 (2004), 한국언어청각임상학회
  41. 박지연, "Praat을 이용한 아동 포먼트 자동 세팅 스크립트 구현", 말소리와 음성과학, 10(4), pp.1~10 (2018), 한국음성학회[DOI]
  42. 박성지, "아동 모음 오류의 포먼트 분석의타당성에 관한 연구 -", u, 언어치료연구, pp.2008, 17(3)[DOI]
  43. Patel, R., "Acoustic characteristics of the question-statement contrast in severe dysarthria due to cerebral palsy", Journal of Speech, Language and Hearing Research, 46(6), pp.1401~1415 (2003)
  44. Peng, C., "Comparison of tongue functions between mature and tongue thrust swallowing and ultrasound investigation", American Journal of Orthodontics and Dentofacial Orthopedics, 125(5), pp.562~570 (2004)
  45. Pennington, L., "Acoustic changes in the speech of children with cerebral palsy following an intensive program of dysarthria therapy", International Journal of Language & Communication Disorders, 53(1), pp.182~195 (2018)
  46. Peterson, G. E., "Control methods used in a study of the vowels", The Journal of the Acoustical Society of America, 24, pp.175~814 (1952)
  47. Pharoah, P. O. D., "Trends in birth prevalence of cerebral palsy", Archives of Disease in Childhood, 62(4), pp.379~384 (1987)
  48. Plaat, L. J., "Dysarthria of adult cerebral palsy: I. Intelligibility and articulatory impairment", Journal of Speech, Language and Hearing Research, 23(1), pp.28~40 (1980)
  49. Sawashima, M., "Measurements of the phonation time", Japanese Journal of Logopedics and Phoniatrics, 7, pp.23~29 (1966)
  50. 성철재, "PDF한국어 단모음 8개에 대한 음향분석 -F1", F2 모음공간에서의 음향변수를 중심으로, 2004, pp.23(6), 454~461[DOI]
  51. 심상용, "성대결절 음성 중증도에 따른 MDVP와 Praat 프로그램 별 파라미터 차이", 말소리와 음성과학, 6(2), pp.107~114 (2014), 한국음성학회[DOI]
  52. Sim, H. S., "A study of the vowel production ability of cerebral palsied children", Korean Journal of Communication Sciences and Disorders, 3(1), pp.68~83 (1998)
  53. Solomon, N. P., "Speech breathing in able-bodied children and children with cerebral palsy", American Journal of Speech, Language Pathology, 7(2), pp.61~78 (1998)
  54. 서미경, "마비말장애 연구문헌에서 살펴본 말평가의 청지각적 요소", 음성과학, 13(3), pp.197~207 (2006), 한국음성과학회
  55. Workinger, M. S., "Cerebral palsy resource guide for speechlanguage pathologists" (2005), Thomson Delmar Learning
  56. Workinger, M. S., "Dysarthria and apraxia of speech: Perspectives on management", pp.109~126 (1991), Paul H. Brookes
  57. Yang, B. G., "A study on vowel formant variation by vocal tract modification", Speech Sciences, 3(1), pp.83~92 (1998)
  58. 윤규철, "한국어 자연발화 음성코퍼스의 남녀 모음 포먼트 비교 연구", 말소리와 음성과학, 7(2), pp.131~138 (2015), 한국음성학회[DOI]
  59. 윤석연, "Normative Data for Voice Parameters in Korean Females Aged between 20 and 59 Years", 언어과학, 26(1), pp.291~310 (2019), 한국언어과학회[DOI]
  60. Yumoto, E., "Harmonics to noise ratio and psychological measurement of the degree of hoarseness", Journal of Speech, Language and Hearing Research, 27(1), pp.2~6 (1984)
  61. Zwirner, P., "Phonatory function of neurologically impaired patients", Journal of Communication Disorders, 24(4), pp.287~300 (1991)

관련 논문AI추천

이 간행물의 다른 논문 (8건)