구개열 화자의 과다비성 감소를 위한 CPAP 치료 효과 연구
Efficacy of CPAP (Continuous Positive Airway Pressure) Therapy on Reducing the Degree of Hypernasality in Speakers with Repaired Cleft Palate
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초록
The purpose of this study was to investigate whether CPAP therapy was effective for reducing the degree of hypernasality in individuals with repaired cleft palate and whether the efficacy of CPAP therapy was maintained. Five individuals with cleft palate participated in an 8-week home-based CPAP program. Results from perceptual evaluation of hypernasality and nasalance scores before and after CPAP therapy and at the follow-up speech evaluation were compared. The results of the study showed that the responses of the CPAP therapy were various among individuals. Three individuals exhibited reductions in the degree of perceived hypernasality, while nasalance scores in all individuals decreased after the therapy. The results showed that the effect of CPAP therapy was generally maintained until approximately three months after the completion of CPAP therapy.
Abstract
The purpose of this study was to investigate whether CPAP therapy was effective for reducing the degree of hypernasality in individuals with repaired cleft palate and whether the efficacy of CPAP therapy was maintained. Five individuals with cleft palate participated in an 8-week home-based CPAP program. Results from perceptual evaluation of hypernasality and nasalance scores before and after CPAP therapy and at the follow-up speech evaluation were compared. The results of the study showed that the responses of the CPAP therapy were various among individuals. Three individuals exhibited reductions in the degree of perceived hypernasality, while nasalance scores in all individuals decreased after the therapy. The results showed that the effect of CPAP therapy was generally maintained until approximately three months after the completion of CPAP therapy.
참고문헌 (20)
- Bradley, D. P., "Congenital and acquired velopharyngealinadequacy, In Communication DisordersRelated to Cleft Lip and Palate" (2004), Pro-Ed
- Golding-Kushner, K. J., "Therapy techniques for cleftpalate speech and related disorders" (2001), Singular
- Tomes, L., "Behavioral treatments of velopharyngeal impairment, In Communication Disorders Related to Cleft Lip andPalate" (2004), Pro-Ed
- Kuehn, D. P., "Efficacy of continuouspositive airway pressure for treatment of hypernasality", CleftPalate-Craniofacial Journal, 39(3), pp.267~276 (2002)
- Ysunza, A., "Change invelopharyngeal valving after speech therapy in cleft palatepatients: a videoendoscopic and multiview videofluoroscopicstudy", International Journal of Pediatric Otorhinolaryngology, 24(1), pp.45~54 (1992)
- Kuehn, D. P., "New therapy for hypernasal speech usingcontinuous positive airway pressure (CPAP)", Plastic andReconstructive Surgery, 88, pp.959~966 (1991)
- Ha, S., "An anternative approach: CPAP therapy", American Cleft Palate-Craniofacial association 65th annual meeting (2012)
- Ha, S., "Temporal Characteristics ofnasalization in speakers with and without cleft palate", CleftPalate-Craniofacial Journal, 48(2), pp.134~144 (2009)
- Kuehn, D. P., "Levatorveli palatini muscle activity in relation to intranasal airpressure variation", Cleft Palate-Craniofacial Journal, 30(4), pp.361~368 (1993)
- Cahill, L., "An evaluation ofcontinuous positive airway pressure(CPAP)therapy in thetreatment of hypernasality following traumatic brain injury : areport of 3 cases", Journal of Head Trauma Rehabilitation, 19(3), pp.241~253 (2004)
- Kuehn, D. P., "CPAP therapy fortreating hypernasality following closed head injury, In Motor speechdisorders: Advances in assessment and treatment", pp.201~212 (1994), Paul H. Brooks
- Yorkston, K. M., "Evidence-based practice guidelines for dysarthria: managementof velopharyngeal function", Journal of MedicalSpeech-Language Pathology, 9(4), pp.257~274 (2001)
- 조성미, "CPAP(Continuous Positive Airway Pressure) 치료 프로그램이 취학 전 구순구개열 아동의 과대비성 개선에 미치는 효과", 음성과학, 14(4), pp.261~272 (2007), 한국음성과학회
- 오유경, "CPAP를 활용한 비인강폐쇄부전 환자의 언어치료 효과", Korean Journal of Cleft Palate, 8(1), pp.39~44 (2005)
- Kuehn, D. P, "Speech and languagelssues in the cleft palate population : the state of the art", CleftPalate-Craniofacial Journal, 37(4), pp.1~35 (2000)
- 김민정, "음운환경과 검사어 길이가정상성인의 비음치에 미치는 영향", 언어청각장애연구, 5(2), pp.91~105 (2000)
- 하승희, "듣기 훈련과 외적 음성 기준 사용이 과대비성의 청지각적 평가 신뢰도에 미치는 효과", Communication Sciences and Disorders, 15(3), pp.411~421 (2010), 한국언어청각임상학회
- Engen, T., "Psychophysics II. Scaling methods, In Woodworth and Schlossberg’sexperimental psychology", pp.47~86 (1971), Holt, Rinehart, & Winston
- Stevens, S S., "Psychophysics" (1975), Wiley
- Sweeney, T., "Relationship betweenperceptual ratings of nasality and nasometry inchildren", adolescents with cleft palate and, International Journal of language andcommunication disorders, pp.2008, 43(3)[DOI]