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내전형 연축성 발성장애의 연속 발화 특성

Characteristics of Connected Speech in ADSD

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키워드

주제분류학제간연구

초록

The aim of this study was to investigate voice characteristics of adductive spasmodic dysphonia(ADSD) by measuring electroglottal and acoustic examination at the sentence level. The clinical records of 86 ADSD female patients (age group of 20~50 years) and the control records of 86 normal females (age group of 20~40 years) were recorded by speech studio(Laryngograph Ltd., UK). An independent t-test was used to compare ADSD and normal group. Results were as follows. (1) Fundamental frequency(F0) was significantly decreased in ADSD compared with normal group. (2) Irregularity of frequency and closed quotient(CQ) was significantly increased in ADSD compared with normal group. (3) Voiceless duration increased and voiced duration was significantly decreased in ADSD compared with normal group. (4) Fricative duration was increased in ADSD compared with normal group but it wasn't significant. In conclusion, strained, tight and choked voice shows an increase of CQ, tremor voice shows an increase of irregularity of frequency and less feminine voice shows decrease of F0. Increase of voiceless duration and fricative duration and decrease of voiced duration related with diminution speech intelligibility.

Abstract

The aim of this study was to investigate voice characteristics of adductive spasmodic dysphonia(ADSD) by measuring electroglottal and acoustic examination at the sentence level. The clinical records of 86 ADSD female patients (age group of 20~50 years) and the control records of 86 normal females (age group of 20~40 years) were recorded by speech studio(Laryngograph Ltd., UK). An independent t-test was used to compare ADSD and normal group. Results were as follows. (1) Fundamental frequency(F0) was significantly decreased in ADSD compared with normal group. (2) Irregularity of frequency and closed quotient(CQ) was significantly increased in ADSD compared with normal group. (3) Voiceless duration increased and voiced duration was significantly decreased in ADSD compared with normal group. (4) Fricative duration was increased in ADSD compared with normal group but it wasn't significant. In conclusion, strained, tight and choked voice shows an increase of CQ, tremor voice shows an increase of irregularity of frequency and less feminine voice shows decrease of F0. Increase of voiceless duration and fricative duration and decrease of voiced duration related with diminution speech intelligibility.

참고문헌 (6)

  1. D. R. Boone, "The Voice and Voice Therapy(6th edition)" (2005), Allyn and Bacon
  2. C. M. Sapienza, "Acoustic variations in reading produced by speakers with spasmodic dysphonia pre-botox injection and within early stages of post-botox injection", Journal of Speech, Language and Hearing Research, 45, pp.830~843 (2002)
  3. P. Zwirner, "Acoustic changes in spasmodic dysphonia after botulinum toxin injection", Journal of Voice, 5, pp.78~84 (1991)
  4. V. I. Wolfe, "Acoustic and perceptual comparison of chronic and incipient spastic dysphonia", Laryngoscope, 89, pp.1486~1498 (1979)
  5. C. M. Sapienza, "Adductor Spasmodic Dysphonia and Muscle Tension Dysphonia: Acoustic Analysis of Sustained Phonation and Reading", Journal of Voice, 14, pp.502~520 (2000)
  6. A. E. Aronson, "Clinical Voice Disorders: An Interdisciplinay Approach(3ed edition)" (1990), Thiene-Stratton

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