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2016 Vol.35, Issue 4 Preview Page
Effects of breathing training in melodic intonation therapy on articulation intelligibility of aphasics: pilot study

멜로디 억양 치료에서 실어증 환자의 조음 명료도에 대한 호흡 훈련 효과: 초기 실험

Seon Sik Kim1
,
Geum Na Hong2
,
Min Joo Choi3*
김 선식1
,
홍 금나2
,
최 민주3*
3School of Medicine, Jeju National University
1예원예술대학교 문화예술대학원
2(사)희망예술기지
3제주대학교 의학전문대학원 의공학협동과정
*교신저자. *Corresponding Author. 
31 July 2016. pp. 319-329
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Abstract

The present study was to test if breathing training in melodic intonation therapy (MIT) ameliorated the articulation intelligibility of Broca’s aphasics or not. The experimental group did breathing training (2 stages) that preceded the MIT. In order to evaluate the efficacy of the MIT intervention, the VOT (Voice Onset Time), the TD (Total Delay), the voice sound intensity and the expiratory volume of the subjects, closely associated with articulation intelligibility were measured before and after the intervention. It was shown that, in the experimental group after the MIT intervention, the VOT and TD were increased on bilabial/p/, alveolar consonant /t/, and soft palatal /k/(p < 0.05), but no significant differences were found on affricate /c/ and fricative /s/(p > 0.05). In the control group, no significant increases in the VOT and TD were observed on all articulation points(p > 0.05). The voice sound intensity which influences the verbal articulation increased in the experimental group after the intervention(p < 0.05), whereas no significant changes were observed in the control group. In conclusion, the breathing training in the MIT was found to result in improving the articulation intelligibility of Broca’s aphasiacs.

Keywords
Broca’s aphasia
Breathing training
Melodic Intonation therapy
Articulation intelligibility
Voice Onset Time (VOT)
Total Delay (TD)
Voice intensity
Expiratory volume

본 논문에서는 브로카 실어증 환자에 대한 멜로디 억양 치료(Melodic Intonation Therapy, MIT)에서 호흡 훈련이 조음 명료도를 개선하는지를 평가했다. 실험군은 MIT에 선행하는 2단계 호흡 훈련을 받도록 했다 . 중재 효과를 평가하기 위해, 피실험자의 폐쇄음의 폐쇄 길이(VOT), 단어 전체의 발화 길이(TD), 음성 강도 및 호기량을 중재 전과 후에 측정하여 비교 했다. 실험 결과 폐쇄음의 폐쇄 길이 및 단어 전체의 발화 길이는 양순음/p/, 치조음/t/, 연구개음/k/에서 증가했으나(p < 0.05) 파찰음/c/와 마찰음/s/은 변화가 없는 것으로 나타났다(p > 0.05). 반면 대조군에서는 폐쇄음의 폐쇄 길이 및 단어 전체의 발화 길이가 증가하지 않는 것으로 나타났다(p > 0.05). 조음 명료도에 영향을 주는 호기량과 음성 강도는 실험군에서 증가했으나(p < 0.01) 대조군에서는 유의한 변화가 없었다. 결론적으로, 브로카 실어증 환자의 MIT에서 호흡 훈련은 환자의 조음 명료도를 개선하고 있음을 확인할 수 있었다.

키워드
브로카실어증
호흡훈련
멜로디 억양 치료
조음명료도
폐쇄음의 폐쇄 길이(VOT)
단어 전체의 발화 길이(TD)
음성강도
호기량
References
1
1.M. R. McNeil and S. R. “Pratt, defining aphasia: some theoretical and clinical implications of operating from a formal definition,” Aphasiology. 15, 901-911 (2011).
2
2.H. Y. Yoon, “The impact of singing on the articulation and reading for people with Broca’s aphasia” (in Korean), JRSR. 30, 11-22 (2012).
3
3.A. Norton, L. Zipse, S. Marchina, and G. Schlaug, “Melodic intonation therapy: shared insights on how it is done and why it might help,” J. ANYAS. 1169, 431-436 (2009).
4
4.D. K. Hong, “A case study on change in spoken number of syllables of old stroke patient with aphasia using MIT” (in Korean), J. Komtea. Kr. 2, 57-67 (2005).
5
5.H. J. Jeong, Music therapy : understanding and application, (in Korean), (Ewha Womans University Press, Seoul, 2005). pp. 86-96.
6
6.R. Sparks, Helm. N, and A. Martin, “Aphasia rehabilitation resulting from melodic intonation therapy,” Coxtex, 10, 303-316 (1974).
7
7.T. Krauss and H. Galloway, “Melodic intonation therapy with language-delayed, apraxic children,” JMT. 19, 102-113 (1982).
8
8.F. Darley, A. Aronson, and R. Brown, Motor Speech Disorders, (W. B. Saungers Co, London, 1975), pp. 270-276.
9
9.H. G. Kim, Y. H. Kim, M. H. Go, J. H. Park, and S. S. Kim, “Development of speech-language therapy program kMIT for aphasic patients following brain injury and its clinical effects” (in Korean), JoSS. 9, 237-252 (2002).
10
10.Y. Y. Yoon, The effect of melodic intonation therapy(MIT) on the language function of aphasic patients, (in Korean), (Master. thesis, Taegu University, 1996).
11
11.O. R. Jeong, “Melodic intonation therapy for aphasic applied” (in Korean), J. Speech therapy Res. 3, 79-90 (1993).
12
12.J. S. Park, The effects of the combined musical intervention of singing and melodic intonation therapy on a broca’s aphasia patient’ naming, (in Korean), (Master. thesis, Sookmyung Women’s University, 2008).
13
13.A. Fugl-Meyer, R. Jaasko, L. Leyman, I. Olsson, and S. Steglind, “The post-stroke patient. 1. a method for evaluation of physical performance,” JRM. 7, 13-31 (1975).
14
14.H. K. Kim and D. H. Kim, “The effect of respiratory muscles training program on improvement of speech production mechanism in children with spastic cerebral palsy,” JSHD. 14, 89-109 (2005).
15
15.R. W. Sparks and J. W. Deck, “Melodic intonation therapy,” in language intervention strategies in adult aphasia, edited by R. Chapey (Williams & Wilkins, Baltimore, 1972).
16
16.S. S. Kim, The effect of a variation of the MIT focused breathing technique training on breathing and vocalization of aphasia, (in Korean), (Master. thesis, Myongji University, 2006).
17
17.H. G. Sin and H. G. Kim, “Development and clinical effectiveness of the treatment program KMIT language aphasia after brain injury” (in Korean), JoSS. 9, 237-252 (2003).
18
18.G. S. Lee and J. Y. Yoo, “The effect of respiration and articulator training programs on basic ability of speech production in cerebral palsy children” (in Korean), J. Speech Sciences, Soc. Kr. 15, 103-116 (2008).
19
19.S. J. Kim, Segmental nature of the attack say one-syllable words contrasted with disabilities intelligibility evaluation methods study, (in Korean), (Master. thesis, Ewha Woman’s University, 2001).
20
20.E. Y. Back, A study on the effects of using musical rhythm pattern to improve speech of patients suffering from brain damage, (in Korean), (Master. thesis, Sookmyung Women’s University, 2003).
Information
  • Publisher :The Acoustical Society of Korea
  • Publisher(Ko) :한국음향학회
  • Journal Title :The Journal of the Acoustical Society of Korea
  • Journal Title(Ko) :한국음향학회지
  • Volume : 35
  • No :4
  • Pages :319-329
  • Received Date : 2016-06-17
  • Accepted Date : 2016-07-08
  • DOI :https://doi.org/10.7776/ASK.2016.35.4.319
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