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Efficacy of Laryngeal Massage in Patients with Muscle Tension Dysphonia: Changes in Surface Electromyography (sEMG) Activity 喉按摩对肌张力性发声障碍患者的疗效:表面肌电活动的变化
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23997
Bo Gyeom Kim, Seong Hee Choi, Kyungjae Lee, Chul-Hee Choi
Objectives: Laryngeal massage has been used as a major voice therapy technique in patients with muscle tension dysphonia, which results in voice changes due to excessive tension in the intrinsic or extrinsic laryngeal muscles. This study aims to explore the effect of laryngeal massage by changing the activity potentials of paralaryngeal muscles through laryngeal massage. Methods: A total of 15 adults diagnosed with muscle tension dysphonia participated in this study. Laryngeal massage was performed for 15-20 minutes. To measure surface electromyography (sEMG), the surface electrodes were attached to the suprahyoid muscle and sternocleidomastoid (SCM) muscles of each patient and the sEMG activity of the paralaryngeal muscles was measured before and after laryngeal massage. In addition, a patient-based pain scale was also completed by laryngeal palpation before and after laryngeal massage. Results: Significantly lower sEMG amplitudes yielded in the suprahyoid muscle and SCM muscles during sustained /a/ vowel phonation and connected speech following laryngeal massage. Moreover, pain scores also reduced after laryngeal massage in both the suprahyoid and sternocleidomastoid muscles. Conclusion: Laryngeal massage was immediately beneficial in reducing tension and pain in the paralaryngeal muscles for muscle tension dysphonia. In addition, sEMG proved the effect of laryngeal massage alone without other interventions as an objective indicator. Hence, it can be useful to measure the therapeutic effect of laryngeal massage for muscle tension dysphonia with laryngeal palpation in the clinical field.
目的:喉部按摩是一种主要的声音治疗方法,用于肌肉紧张性发声障碍患者,这种疾病是由于喉内肌或喉外肌过度紧张而导致声音改变。本研究旨在探讨喉部按摩对咽旁肌活动电位的影响。方法:共有15名被诊断为肌肉紧张性发声障碍的成年人参与了这项研究。喉部按摩15 ~ 20分钟。将表面电极分别贴于舌骨上肌和胸锁乳突肌,测量喉按摩前后咽旁肌的肌电活动。此外,还通过喉按摩前后的喉触诊完成了基于患者的疼痛量表。结果:在喉按摩后,舌骨上肌和SCM肌在持续/a/元音发音和连接语音时的表面肌电信号显著降低。此外,喉按摩后舌骨上肌和胸锁乳突肌的疼痛评分也有所降低。结论:喉部按摩对缓解肌张力性发声障碍患者咽旁肌的紧张和疼痛有直接的疗效。此外,肌电图作为一个客观指标,证明了单独喉部按摩的效果,没有其他干预措施。因此,用喉触诊法测量喉部按摩对肌张力性发声障碍的治疗效果,在临床领域具有重要意义。
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引用次数: 0
Development of Performance Indicators for AAC Application Design and Usability Evaluation AAC应用程序设计和可用性评估性能指标的发展
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23983
Kyungrang Baik, Kyungyang Kim, Eunhye Park, Young Tae Kim
Objectives: With advancements in scientific and technological progress, various Augmentative and Alternative Communication (AAC) applications (apps) have been developed. AAC users require AAC systems that align with their personal characteristics and needs. AAC performance indicators, which encompass usability evaluation, aim to measure communication effectiveness and satisfaction. These indicators can be utilized to assist AAC users in selecting appropriate AAC systems. The goal of this study was to develop performance indicators that would allow AAC users and stakeholders to evaluate AAC apps from multiple perspectives. Methods: Mobile apps and usability evaluations in prior studies were analyzed to extract keywords. Performance indicator items were developed based on this analysis. Expert validity was evaluated, and a survey of AAC users and stakeholders was done to adjust the number of items included and measure validity and reliability. Results: The analysis of prior studies for the development of performance indicator items was visualized in the form of a word cloud. The reliability assessment of AAC app performance indicators yielded a Cronbach’s α value of 0.9 or higher. Regarding content validity, the expert validity showed an S-CVI of 0.978, while the survey with AAC users and stakeholders resulted in 0.754. Exploratory factor analysis was performed to assess construct validity, revealing that all variables demonstrated a communalities value of 0.4 or higher. The items were categorized into five factors: usability, social communication, user-centered design, adoption, and empowerment. Conclusion: AAC app performance indicators should be user-centered, incorporating diverse perspectives and evaluating various aspects of app usage.
随着科学技术的进步,各种辅助和替代通信(AAC)应用程序(app)已经开发出来。AAC用户需要符合他们个人特点和需求的AAC系统。AAC性能指标包括可用性评估,旨在衡量沟通的有效性和满意度。这些指标可以用来帮助空调用户选择合适的空调系统。本研究的目的是制定性能指标,使AAC用户和利益相关者能够从多个角度评估AAC应用程序。方法:分析前人研究的移动应用和可用性评价,提取关键词。在此基础上制定了绩效指标项目。对专家效度进行评估,并对AAC用户和利益相关者进行调查,以调整纳入的项目数量并测量效度和信度。结果:绩效指标项目开发的前期研究分析以词云的形式可视化。AAC应用程序性能指标的可靠性评估的Cronbach 's α值为0.9或更高。在内容效度方面,专家效度的S-CVI为0.978,而对AAC用户和利益相关者的调查结果为0.754。探索性因子分析用于评估结构效度,结果显示所有变量的共性值均为0.4或更高。这些项目被分为五个因素:可用性、社会沟通、以用户为中心的设计、采用和授权。结论:AAC应用性能指标应以用户为中心,结合多种视角,评估应用使用的各个方面。
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引用次数: 0
Effects of Face Masks on Perception of Emotion from Facial Expression and Voice in Preschool-age Deaf and Hard-of-Hearing Children 面具对学龄前聋儿和听力障碍儿童面部表情和声音情绪知觉的影响
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23985
Hae-na Yun, Youngmee Lee, Young-joo Lee, Jeong-won Kim, Ju-ri Lee, Mi-ri Choi, Min-young Kim
Objectives: Emotional cues in speech communication are delivered in several sensory modalities, including the auditory and the visual modality. Since the onset of the COVID-19 pandemic, masking wearing has become ubiquitous internationally. In this study, we investigated the effects of face masks on the perception of emotional speech in deaf and hard of hearing children (DHH) compared to children with normal hearing (NH). Methods:Thirteen children with DHH participated in the study. Six children were cochlear implant (CI) users and 7 children used hearing aids (HAs). Thirteen children with NH were involved as the control group. They completed the emotion perception tasks, based on stimuli presenting three emotional expressions (happiness, sadness, and anger). Results: There were no significant differences between the DHH and NH groups in mask-wearing and unmasked conditions. The CI group showed lower emotion perception scores than the HA group in unmasked-sad and unmasked-anger conditions. Among communication-related factors, speech perception scores at the sentence level were highly related with the emotion perception scores in the DHH group. Conclusion: These results indicate that children with DHH can accurately perceive emotions even in situations when facial expressions are limited. Children with CIs have more difficulty perceiving emotions than children with HAs.This endeavor will help an optimized treatment plan for children with CIs who have relatively poor emotion perception skills.
目的:言语交际中的情感线索以多种感觉方式传递,包括听觉和视觉方式。自2019冠状病毒病大流行以来,戴口罩在国际上已经无处不在。在本研究中,我们比较了耳聋和听力困难儿童(DHH)和听力正常儿童(NH)戴口罩对情绪言语感知的影响。方法:13例DHH患儿参与研究。6例儿童使用人工耳蜗(CI), 7例使用助听器(HAs)。13例NH患儿作为对照组。他们完成了基于三种情绪表达(快乐、悲伤和愤怒)的刺激的情绪感知任务。结果:DHH组和NH组在戴口罩和未戴口罩情况下无显著差异。CI组在不掩饰悲伤和不掩饰愤怒的情况下表现出比HA组更低的情绪感知得分。在交际相关因素中,DHH组句子层面的言语感知得分与情绪感知得分高度相关。结论:这些结果表明,DHH患儿即使在面部表情有限的情况下也能准确地感知情绪。有CIs的孩子比有HAs的孩子更难以感知情绪。这一努力将有助于为情绪感知能力相对较差的ci儿童制定优化的治疗计划。
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引用次数: 0
Characteristics of Facial Emotion Recognition in Children Aged 7-8 with High-Functioning ASD Using an Eye-Tracker 基于眼动仪的7-8岁高功能ASD儿童面部情绪识别特征研究
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23988
Da-Hye Lim, Gyung-Hun Hong
Objectives: The purpose of the present study was to investigate characteristics of peer’s facial emotion recognition (FER) in children with high-functioning autism spectrum disorder (HF-ASD) through gaze patterns; and to suggest implications through comparison with typically developing (TD children). Methods: The participants were 10 children with HF-ASD aged 7-8 years and 10 children with TD matched on chronological age. Children performed FER tasks consisting of two types of stimuli (static, dynamic) for four basic emotions (happy, sad, anger, surprise) and their eye movement were measured while they performed the task using an eye-tracker. The emotion recognition accuracy, proportion of fixation, and heatmap were analyzed, and correlation analysis was conducted. Results: The HF-ASD group performed significantly poorer than the TD group in overall emotion recognition and made significantly more errors only in anger. There was no statistically significant difference in emotion recognition between static and dynamic stimuli in both groups. There was no interaction effect between group and emotion type and areas of interest (AOI). Only the interaction effect between emotion type and AOI was significant in the TD group. The HF-ASD group tended to look more at the mouth than the eyes and look relatively more at non-feature area of the faces compared to the TD group. These gaze patterns seem to affect the accuracy depending on emotion types. Conclusion: Children with HF-ASD have deficits in FER and show gaze patterns different with TD peers. The results of this study suggest that a deficit in FER of children with HF-ASD is related to gaze pattern.
目的:通过注视模式探讨高功能自闭症谱系障碍(HF-ASD)儿童同伴面部情绪识别的特征;并通过与正常发育儿童(TD儿童)的比较提出建议。方法:选取7 ~ 8岁HF-ASD患儿10例和实足年龄匹配的TD患儿10例。孩子们执行由两种类型的刺激(静态,动态)组成的四种基本情绪(快乐,悲伤,愤怒,惊讶)的FER任务,并在他们执行任务时使用眼动仪测量他们的眼球运动。分析情绪识别正确率、注视比例和热图,并进行相关分析。结果:HF-ASD组在整体情绪识别上的表现明显低于TD组,仅在愤怒情绪上的错误明显高于TD组。两组患者在静态刺激和动态刺激下的情绪识别差异无统计学意义。情绪类型与兴趣领域(AOI)之间无交互作用。在TD组中,只有情绪类型与AOI的交互作用显著。与TD组相比,HF-ASD组倾向于更多地关注嘴巴而不是眼睛,并且相对更多地关注面部的非特征区域。这些凝视模式似乎会根据情绪类型影响其准确性。结论:HF-ASD患儿在注视功能上存在缺陷,且注视模式与TD患儿不同。本研究结果提示,HF-ASD患儿的视觉功能缺陷与注视模式有关。
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引用次数: 0
A Meta-analysis Study on the Communication Attitudes of People Who Do and Do Not Stutter by Age 不同年龄口吃者与非口吃者沟通态度的元分析研究
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23957
Eunna Kim, Hyun Sub Sim, Young Tae Kim
Objectives: The present study aimed to compare the communicative attitudes of stuttering groups with the general population using a meta-analysis and to examine the patterns of change in communicative attitudes across different age groups: pre-school, school-age, and adults. Methods: The author conducted a meta-analysis to compare communication attitude scores between people who stutter (PWS) and people who do not stutter (PWNS) from 2000 to June 2022 using domestic and foreign databases. 15 articles meeting the selection criteria were included, with 16 data points extracted. The study aimed to determine the overall effect size of communication attitude scores between groups and to analyze age as a moderator. Results: The overall effect size of the communication attitude scores between the two groups showed a large effect size (g = 2.507) and was statistically significant. Meta ANOVA analysis of group communication attitude scores by age category showed that there was a significant difference in effect size between the three age categories (χ2 = 13.53, p < .01). Post-hoc analysis was performed, and there was no significant difference in effect size between the pre-school and school-age groups (χ2 = 0.72, p = .40). A large effect size and a statistically significant difference were observed between the school-age and adult groups (χ2 = 5.95, p < .05), and a very large effect size and a statistically significant difference were observed between the pre-school and adult groups (χ2=13.52, p < .01). Conclusion: The research findings indicate that individuals who stutter exhibited more negative communicative attitudes compared to the non-stuttering group across all age groups. Particularly during adulthood, the negative communicative attitudes were more pronounced when compared to the other two age groups (pre-school and school-age). Therefore, when providing treatment for stuttering, it is important to not only focus on external behaviors but also incorporate activities that address age-appropriate communicative attitudes.
目的:本研究旨在通过荟萃分析比较口吃群体与一般人群的交流态度,并考察不同年龄组(学龄前、学龄和成年)交流态度的变化模式。方法:利用国内外数据库,对2000年至2022年6月口吃者(PWS)与非口吃者(PWNS)沟通态度得分进行meta分析比较。15篇符合选择标准的文章被纳入,提取了16个数据点。该研究旨在确定群体之间沟通态度得分的总体效应大小,并分析年龄作为调节因素。结果:两组沟通态度得分的总体效应量呈现较大的效应量(<i>g</i>= 2.507),差异有统计学意义。分组沟通态度得分按年龄分类的Meta方差分析显示,三个年龄分类的效应量差异有统计学意义(χ<sup>2</sup>= 13.53, <i> </i>& lt;. 01)。经事后分析,学龄前和学龄组的效应量无显著差异(χ<sup>2</sup>= 0.72, <i>p</i>= .40)。学龄组和成年组之间存在较大的效应量,差异有统计学意义(χ<sup>2</sup>= 5.95, <i>p</i>& lt;.05),学前组和成人组之间存在非常大的效应量,差异有统计学意义(χ<sup>2</sup>=13.52, <i>p</i>& lt;. 01)。结论:研究结果表明,在所有年龄组中,口吃者比非口吃者表现出更多的消极交际态度。特别是在成年期,与其他两个年龄组(学龄前和学龄)相比,消极的沟通态度更为明显。因此,在提供口吃治疗时,重要的是不仅要关注外部行为,而且要结合处理与年龄相适应的交流态度的活动。
{"title":"A Meta-analysis Study on the Communication Attitudes of People Who Do and Do Not Stutter by Age","authors":"Eunna Kim, Hyun Sub Sim, Young Tae Kim","doi":"10.12963/csd.23957","DOIUrl":"https://doi.org/10.12963/csd.23957","url":null,"abstract":"Objectives: The present study aimed to compare the communicative attitudes of stuttering groups with the general population using a meta-analysis and to examine the patterns of change in communicative attitudes across different age groups: pre-school, school-age, and adults. Methods: The author conducted a meta-analysis to compare communication attitude scores between people who stutter (PWS) and people who do not stutter (PWNS) from 2000 to June 2022 using domestic and foreign databases. 15 articles meeting the selection criteria were included, with 16 data points extracted. The study aimed to determine the overall effect size of communication attitude scores between groups and to analyze age as a moderator. Results: The overall effect size of the communication attitude scores between the two groups showed a large effect size (<i>g</i> = 2.507) and was statistically significant. Meta ANOVA analysis of group communication attitude scores by age category showed that there was a significant difference in effect size between the three age categories (χ<sup>2</sup> = 13.53, <i>p</i> < .01). Post-hoc analysis was performed, and there was no significant difference in effect size between the pre-school and school-age groups (χ<sup>2</sup> = 0.72, <i>p</i> = .40). A large effect size and a statistically significant difference were observed between the school-age and adult groups (χ<sup>2</sup> = 5.95, <i>p</i> < .05), and a very large effect size and a statistically significant difference were observed between the pre-school and adult groups (χ<sup>2</sup>=13.52, <i>p</i> < .01). Conclusion: The research findings indicate that individuals who stutter exhibited more negative communicative attitudes compared to the non-stuttering group across all age groups. Particularly during adulthood, the negative communicative attitudes were more pronounced when compared to the other two age groups (pre-school and school-age). Therefore, when providing treatment for stuttering, it is important to not only focus on external behaviors but also incorporate activities that address age-appropriate communicative attitudes.","PeriodicalId":45124,"journal":{"name":"Communication Sciences and Disorders-CSD","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135081428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Word Reading and Word Writing Development of First Graders with and without Developmental Dyslexia: Considering Meaning Accessibility 发展性阅读障碍与非发展性阅读障碍一年级学生的文字阅读与写作发展:考虑意义可及性
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23987
Kahyun Lee, Woojeong Jang, Jimok Eom, Soyeong Pae
Objectives: This study investigated the developmental characteristics of word reading and word writing abilities in developmental dyslexia comparing to typical development. Methods: Two evaluations were conducted individually at the end of each semester for first graders with and without developmental dyslexia, 30 students in each group. After reading and writing 14 two-syllable words considering meaning accessibility, each student’s performance was analyzed and compared by grapheme units. Results: Typically developing students (TD) already demonstrated high performance in meaning word reading and writing as well as non-word reading at the end of the first semester while developmental dyslexic students showed significant improvement at the end of the second semester, but performance remained lower compared to TD students. In non-word writing, both groups showed developmental progress from the end of the first semester to the end of the second semester. However, the developmental gap between the two groups persisted. Conclusion: Despite providing 20-30 intervention sessions, developmental dyslexic students showed consistently lower performance in word reading and writing tasks compared to TD students. The results of this study suggest the urgent need for systematic and individualized intervention support at a higher frequency. The low performance in the non-word task suggests that developmental dyslexic students still have limited ability in phoneme-grapheme mapping through the non-lexical route for phoneme-grapheme correspondent words, highlighting the importance of evaluating tasks that consider meaning. Given that the dyslexic first graders developmental pattern is parallel to the TD students in non-word writing, Korean first graders seem to be actively developing spelling and transcription skills.
目的:研究发展性阅读障碍与典型发展性阅读障碍在单词阅读和单词写作能力方面的发展特点。方法:每学期末分别对有发展性阅读障碍和无发展性阅读障碍的一年级学生进行两次评估,每组30名。在阅读和书写了14个考虑意义可及性的双音节单词后,以字素单位对每个学生的表现进行了分析和比较。结果:发展性阅读障碍学生在第一学期结束时已在词义阅读、写作和非词阅读方面表现优异,发展性阅读障碍学生在第二学期结束时表现显著,但仍低于发展性阅读障碍学生。在非单词写作方面,从第一学期末到第二学期末,两组学生都取得了发展进步。然而,两组之间的发展差距仍然存在。结论:尽管提供了20-30次干预,发展性失读症学生在单词阅读和写作任务中的表现始终低于TD学生。本研究结果表明,迫切需要更高频率的系统和个性化干预支持。在非单词任务中的低表现表明发展性阅读障碍学生通过非词汇路径对音素-字素对应词进行音素-字素映射的能力仍然有限,这突出了考虑意义的评估任务的重要性。考虑到阅读困难的一年级学生在非单词写作方面的发展模式与TD学生相似,韩国一年级学生似乎在积极发展拼写和转录技能。
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引用次数: 0
Development of Connective Endings Use in Spontaneous Language of 2-6-Year-Old Children 2-6岁儿童自发性语言结束语使用的发展
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23996
YoonKyoung Lee, Sojung Oh, Jihye Choi, Eunjin Yang, Suah Lim, Hyeji Kim, Jaerin Choi, Hyeokbin Kim
Objectives: Connective endings play an important role not only in producing complex sentences but also in logically expressing thoughts. The purpose of this study was to examine the development of the use of connective endings in the spontaneous language of children aged 2-6. Methods: A total of 250 children aged 2 to 6 participated in the study, in groups of 50 by age group. Spontaneous language samples were collected between the examiner and the children via a semi-structured conversation procedure in which the topic of conversation and the examiner’s conversational behavior were controlled. The total number of connective endings, number of connective endings by subcategory and by subtype were measured by extracting 50 utterances from each child’s language sample. Results: (1) The total number of connective endings (CE) and the numbers of the three CE categories increased significantly according to age and the significant differences were observed before and after the age of 4. (2) In the subtypes of CE, auxiliary and closing connective endings were the most frequently used in all age groups, and closing connective endings significantly increased from 2 to 4 years old. However, there was no significant difference in the use of auxiliary connective endings according to age because they were used frequently from the age of 2. (3) The total number of CE (39.4%), and the subordinate category (40.9%) among the three CE categories; cause (31.3%), purpose (9.6%), choice (5.5%), list (2.4%) among the subtypes of CE explained age. Conclusion: The study confirmed that the developmental pattern of the use of connective endings in spontaneous language of the children aged 2-6. We discussed the academic and clinical implication of the result and suggest the needs of the follow-up study.
目的:连接词尾不仅在构成复合句中起着重要作用,而且在逻辑表达思想方面也起着重要作用。本研究的目的是考察2-6岁儿童在自发语言中使用连接词尾的发展情况。方法:250名2 ~ 6岁儿童参与研究,按年龄分组50人。在半结构化的对话过程中,通过控制对话主题和考官的对话行为,在考官和孩子之间收集自发语言样本。通过从每个儿童的语言样本中提取50个话语来测量连接词尾的总数、子类别和子类型的连接词尾数量。结果:(1)结缔组织末梢总数及三类结缔组织末梢数量均随年龄增长而显著增加,且在4岁前后差异显著。(2)在CE亚型中,辅助性和闭合性结缔组织在各年龄组中使用频率最高,其中闭合性结缔组织在2 ~ 4岁年龄组中显著增加。然而,辅助连接词尾的使用在年龄上没有显著差异,因为它们从2岁开始频繁使用。(3)三个CE类别中获得CE的总数(39.4%)和从属类别(40.9%);原因(31.3%)、目的(9.6%)、选择(5.5%)、列表(2.4%)。结论:本研究证实了2-6岁儿童自发性语言结缔组织使用的发展模式。我们讨论了该结果的学术和临床意义,并提出了后续研究的需要。
{"title":"Development of Connective Endings Use in Spontaneous Language of 2-6-Year-Old Children","authors":"YoonKyoung Lee, Sojung Oh, Jihye Choi, Eunjin Yang, Suah Lim, Hyeji Kim, Jaerin Choi, Hyeokbin Kim","doi":"10.12963/csd.23996","DOIUrl":"https://doi.org/10.12963/csd.23996","url":null,"abstract":"Objectives: Connective endings play an important role not only in producing complex sentences but also in logically expressing thoughts. The purpose of this study was to examine the development of the use of connective endings in the spontaneous language of children aged 2-6. Methods: A total of 250 children aged 2 to 6 participated in the study, in groups of 50 by age group. Spontaneous language samples were collected between the examiner and the children via a semi-structured conversation procedure in which the topic of conversation and the examiner’s conversational behavior were controlled. The total number of connective endings, number of connective endings by subcategory and by subtype were measured by extracting 50 utterances from each child’s language sample. Results: (1) The total number of connective endings (CE) and the numbers of the three CE categories increased significantly according to age and the significant differences were observed before and after the age of 4. (2) In the subtypes of CE, auxiliary and closing connective endings were the most frequently used in all age groups, and closing connective endings significantly increased from 2 to 4 years old. However, there was no significant difference in the use of auxiliary connective endings according to age because they were used frequently from the age of 2. (3) The total number of CE (39.4%), and the subordinate category (40.9%) among the three CE categories; cause (31.3%), purpose (9.6%), choice (5.5%), list (2.4%) among the subtypes of CE explained age. Conclusion: The study confirmed that the developmental pattern of the use of connective endings in spontaneous language of the children aged 2-6. We discussed the academic and clinical implication of the result and suggest the needs of the follow-up study.","PeriodicalId":45124,"journal":{"name":"Communication Sciences and Disorders-CSD","volume":"68 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135082546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Speech Intelligibility Improvement with Concrete and Abstract Auditory Cues 具体和抽象听觉线索对语音清晰度的改善
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23992
Hyun Seung Kim
Objectives: The present study investigated several acoustic parameters to determine intelligibility strategies implemented by eight normal healthy individuals (NHI) and eight individuals with dysarthria (IWD) following concrete and abstract auditory speech cues. Methods: Ten acoustic parameters reportedly sensitive to intelligibility changes were selected and analyzed. Those included fundamental frequency (f0), vowel duration, vowel-consonant-vowel syllable duration, closure duration, aspiration duration, the ratio of closure duration to closure and aspiration combined duration, the 1st & 2nd formant (F1, F2) consonant-to-vowel (C/V) ratio, and the F2 slope. They were compared in three different auditory speech cue conditions: No cue (NC), Concrete cue (CC), and Abstract cue (AC) conditions. Results: IWD showed higher values in most of the measurements compared to the NHI group. Group differences appeared in seven out of ten measurements in the NC condition. Such group differences only appeared in the closure duration and the closure duration ratio in the CC condition. Group difference disappeared in the AC condition. The results results suggested that while NHI manipulated pitch and durational aspects of speech to increase intelligibility, IWD manipulated only the durational aspect in the cue conditions. Conclusion: The pitch might already be heightened while IWD implement clear speech strategy regardless of the cue condition. The aspiration duration was unaffected by cue or group condition. Participants reduced group differences on the relational measurements (F2 C/V ratio or F2 slope) after cues suggesting that IWD maintained the ability to control relational aspects of speech because they are critical for distinctive stop production. Abstract cues appeared to make IWD’s speech closer to NHI.
目的:本研究考察了8名正常健康个体(NHI)和8名构音障碍个体(IWD)在具体和抽象听觉言语提示下的可理解性策略。方法:选取10个对可听性变化敏感的声学参数进行分析。包括基本频率(<i>f</i><sub>0</sub>),元音时长,元音-辅音-元音音节时长,闭音时长,送音时长,闭音时长与闭音和送音组合时长之比,第一个&第二构音(F1, F2)辅音与元音(C/V)的比例,以及F2的斜率。他们在三种不同的听觉语言线索条件下进行了比较:无线索(NC),具体线索(CC)和抽象线索(AC)条件。结果:与NHI组相比,IWD在大多数测量中显示更高的值。在NC条件下,十项测量中有七项出现组间差异。这种组间差异只出现在CC条件下的关闭持续时间和关闭持续时间比。AC条件下组间差异消失。结果表明,在提示条件下,NHI控制语音的音高和持续时间来提高可理解性,而IWD只控制语音的持续时间。结论:无论提示条件如何,当IWD实施清晰的言语策略时,音高可能已经提高。吸入持续时间不受提示或组内条件的影响。在提示IWD保持控制言语的关系方面的能力后,参与者减少了相关测量(F2 C/V比或F2斜率)的组差异,因为它们对独特的停止生产至关重要。抽象的线索似乎使IWD的讲话更接近NHI。
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引用次数: 0
Comparative Analysis of Inferencing in Low-Reading and Average-Reading Comprehenders: Utilizing the Think-Aloud Protocol 低阅读能力与中等阅读能力的推理能力对比分析:运用有声思考协议
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23976
Woori Kim, Mikyung Shin, Yongseok Yoo
Objectives: This is a conceptual replication aiming to investigate the cognitive processes of students with reading comprehension difficulties using the think-aloud protocol. Methods: Among 72 third- and fourth-grade participants, 28 poor comprehenders and 44 average students were identified based on screening criteria and standardized tests. The think-aloud protocol was used to monitor comprehension processes during reading. The participants verbalized their thoughts as they read expository and narrative texts. Those responses were transcribed and coded according to inference rates, correctness, and inferential types (explanation, prediction, or association). Results: First, poor comprehenders showed significantly lower rates and accuracies of inferences for both expository and narrative texts than average students did. Second, there were significant differences between poor comprehenders and average students in the proportions of the three types of inferences. Poor comprehenders generated significantly lower rates of explanatory, predictive, and associative inferences. Third, the inference types differed for different type of texts. Both groups made more predictive inferences when reading the narrative text than when reading the expository text. Conclusion: Differences in inference patterns between poor comprehenders and average students were identified using the think-aloud protocol. Different types of inferences were involved in processing different types of texts. Future research directions for developing learning strategies for encouraging solid inference are discussed.
目的:这是一个概念性的重复实验,目的是研究阅读理解困难的学生使用有声思考方法的认知过程。方法:在72名三、四年级学生中,根据筛选标准和标准化测试筛选出28名理解能力差的学生和44名一般学生。有声思考方案被用来监测阅读过程中的理解过程。参与者在阅读说明性和叙事性文本时用语言表达他们的想法。根据推断率、正确性和推断类型(解释、预测或关联)对这些回答进行转录和编码。结果:首先,理解能力差的学生在说明性和叙事性文本中的推断率和准确性都明显低于一般学生。第二,理解能力差的学生与一般学生在三种推断类型的比例上存在显著差异。理解能力差的人产生的解释性、预测性和联想推理的比率明显较低。第三,不同文本类型的推理类型存在差异。两组人在阅读叙事性文本时都比阅读说明性文本时做出了更多的预测性推断。结论:使用有声思维协议,可以发现理解能力差的学生与普通学生在推理模式上的差异。不同类型的推理涉及不同类型的文本处理。最后讨论了促进实体推理学习策略的研究方向。
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引用次数: 0
Performances of Pointing Phonological Memory Tasks between Children with and without Speech Sound Disorders 言语障碍儿童与非言语障碍儿童指向语音记忆任务的表现
Q4 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2023-09-30 DOI: 10.12963/csd.23990
Se-In Jeong, Ji-Wan Ha
Objectives: A new phonological memory task using pointing responses was developed and the performance of each sub-task was compared between children with and without speech sound disorders (SSD). Methods: 16 children with SSD and 14 typically developing children (TD) performed pointing memory tasks, which consists of four sub-tasks—auditory short-term, auditory working, visual short-term, and visual working memory; and performances between groups and between each sub-task were compared. In addition, the correlation between the new task and the existing task (digit span task), vocabulary sizes and the accuracy of consonants was analyzed. Results: First, the SSD group showed significantly lower performance in the pointing memory tasks than the TD group. Second, both the SSD and TD groups showed significantly higher performance in auditory stimulation compared with visual stimulation, and in short-term memory than working memory. Third, in the case of the TD group, the performance of the auditory short-term memory task was much better, and there were no significant differences among the other three sub-tasks, while the SSD group showed a sequential decline in performances among the four sub-tasks. Finally, there was a high correlation between the new task and the existing task, vocabulary sizes, and the accuracy of consonants. Conclusion: The low performance in the phonological memory task of the SSD group is not due to weakness in articulation or in auditory processing, but to defects in phonological short-term/working memory itself. The results of this study provide meaningful information on the different performance patterns of phonological memory tasks according to stimulus modalities between the SSD and TD groups.
目的:设计了一种新的语音记忆任务,并比较了语音障碍儿童和非语音障碍儿童在语音记忆任务中每个子任务的表现。方法:16例SSD儿童和14例正常发育儿童(TD)分别进行由听觉短期、听觉工作、视觉短期和视觉工作记忆4个子任务组成的指向记忆任务;并比较各组间及各子任务间的表现。此外,还分析了新任务与已有任务(数字跨度任务)、词汇量和辅音正确率之间的相关性。结果:首先,SSD组在指向内存任务中的表现明显低于TD组。第二,SSD组和TD组在听觉刺激方面的表现明显高于视觉刺激,在短期记忆方面的表现明显高于工作记忆。第三,在TD组的情况下,听觉短期记忆任务的表现要好得多,其他三个子任务之间没有显著差异,而SSD组在四个子任务之间表现出连续下降的趋势。最后,新任务和现有任务、词汇量和辅音准确性之间存在高度相关。结论:SSD组在语音记忆任务中表现不佳不是由于发音或听觉加工的缺陷,而是语音短期/工作记忆本身的缺陷。本研究结果为SSD组和TD组在语音记忆任务的不同表现模式提供了有意义的信息。
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引用次数: 0
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Communication Sciences and Disorders-CSD
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