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      • 뇌졸중자의 언어치료 프로그램 개발

        강수균(Kang Soo-Kyoon),박은실(Park Eun-Sil),강은희(Kang Eun-Hee) 한국재활과학회 2005 難聽과 言語障碍 Vol.28 No.2

          Patients who have experienced a stroke often suffer a problem with their communication. Communication can be worked when the information transfer is smooth between the speaker and the audience. In order to communicate properly, the speaker should describe the characteristics and the trait of the subject of which the speaker wants to express, also the audience should be able to understand and provide feedback to the speaker about the relevance of the information given by the speaker.<BR>  The purpose of this study was to develop program to improve the referential communication skills through the cooperative group therapy for the patients who suffered from the stroke. The referential communication is to exchange the information with others about the specific reference(e.g., an object, a place or an idea). The referential communication means that a speakers"s ability to choose a trait or a characteristics of the reference and to describe linguistically in order to grasp the reference of one of the various kinds of subjects. That is, the speaker has to describe the reference card which he/she intends to speak from as only one of the cards contains the relevant information among similar forms of non-reference card to help the audience"s classifying of the contents.<BR>  The cooperative group therapy using the referential communication designated in this study contains level of sentence, it consists of level 1 and level 2 according to the number of stimuli. Moreover, a general procedure of the program is suggested that the patients who suffered from a stroke can take a role as a speaker and as a member of the audience.

      • 성인언어장애자의 언어재활 프로그램 개발 및 적용(1) - 후두적출자의 발성을 중심으로

        강수균(Kang Soo-Kyoon),박선희(Park Sun-Hee),손은남(Sohn Eun-Nam) 한국재활과학회 2006 難聽과 言語障碍 Vol.29 No.1

          The purpose of this study was to investigate the effect of masking stimuli to develop voice improvement of laryngectomee. The study answered following questions :<BR>  First, is it effective improving on voice loudness to use masking stimuli?<BR>  Second, is it effective improving on voice pitch to use masking stimuli?<BR>  The subject of this study were two larygectomee, who had esophageal speech. Subjects were selected according to the conditions as follow : a) who is a total larygectomee, b) who speak a esophageal speech as a communication, c) who have problems in voice loudness or voice pitch, d) who speak a esophageal speech above 6 months.<BR>  It was scheduled for 30 minute sessions for each subject, three times a week. Voice loudness and pitch were measured by Visi-PitchⅡ(Model 3300, KAY Electronics), using multiple baseline across the subjects. Each subject was individually administered the masking stimuli reconstructed by author. The data of the treatment were collected the pre-treatment, during the treatment(1 time per 3 sessions), the two week post-treatment.<BR>  The results were as follows :<BR>  First, masking stimuli was effective improving on voice loudness of all two subjects.<BR>  Second, masking stimuli was effective improving on voice pitch of all two subjects.<BR>  The results of the present study showed that masking stimuli was effective for laryngectomee in voice improvement.

      • KCI등재
      • KCI등재후보
      • 초등학교 저학년의 우리말 표준 콧소리 비율 연구

        강수균(Kang Soo-Kyoon) 한국재활과학회 2003 難聽과 言語障碍 Vol.26 No.1

        The purpose of this study was to investigate the nasalance, one of the perceptual characteristics of human voice. The subjects of this study were normally developing children who are between first and third grade in an elementary school. The results were as follows: First, the nasalance of vowel /i/ was higher than other vowels. Secondly, the nasalance of consonant /n/, /m/ were higher than other words. Thirdly, the nasalance of the word /tsaŋ nank'am: 장난감/, /k'aŋtshoŋk'aŋtsho: 깡총깡총/, were higher than other words. Forthly, the nasalance of sentence 'mother passage' was higher than other passages. Through the basic investigation of nasalance in a various levels of consonants and vowels, we will be able to acquire standardized materials of nasalance of Korean children and determinative standardization of pathological voices through this study.

      • KCI등재
      • 혀전방화 프로그램이 구개파열 아동의 과대비성 개선에 미치는 효과

        강수균(Kang Soo-Kyoon),이필상(Lee Pil-sang),허정윤(Heo Jung-Yun) 한국재활과학회 2004 難聽과 言語障碍 Vol.27 No.1

        The purpose of this study was to examine the effect of hypernasality reduction and articulation accuracy improvement of cleft lip and palate children by using a program of anterior tongue placement. Three cleft lip and palate children were selected as subjects. The subjects were normal in intelligence, hearing, eyesight and visual perception. They also didn't show complete velopharyngeal incompetency innately. To select subjects, the following tests were applied; a) K-WPPSI intelligence test, b) Preschool Language Scale, c) Picture Consonant Articulation Test, and d) Nasalization Diagnosis Method for Cleft Palate. A 45-minute session was taken four times a week. I applied the anterior tongue placement program developed by myself to each subject. This program was made to improve posterior tongue placement of cleft lip and palate children, using /ㄷ/, from low vowel to high vowel, and from meaningless syllable to sentence. To examine the hypernasality improvement by a nasometer using the anterior tongue placement program, I performed pre-post evaluation, and performed midterm evaluations 3 times. To examine the articulation accuracy improvement effect, two speech pathologists participated in the pre-post evaluation. The reliability between the three pathologist including the research was 83%. To examine the transfer effects of the hypernasaJity improvement in words including untrained phonemes, I performed pre-post evaluation. The results of this study were as follows; First, after I performed the anterior tongue placement program by using a nasometer on my subjects, the nasalance of subject A decreased from 25.53% to 12.34%. The nasalance of subject Band C decrased from 31.03% to 14.36% and from 16.91 % to 7.38% respectively. Second, after I performed the anterior tongue placement program, the articulation accuracy improvement effect of subject A was 14%, and subject B and C was 13% and 9% respectively. Third, after I performed the anterior tongue placement program, the hypernasality improvement transfer effect in words including untrained phonemes of subject A was 3.24%, and subject Band C was 3.39% and 2.27% respectively. The conclusions of the study were as follows; First, the anterior tongue placement program by a nasometer had an effect on the hypernasality improvement of deft lip and palate children. Second, the anterior tongue placement program had an effect on the articulation accuracy improvement of deft lip and palate children. Third, the anterior tongue placement program had an effect on the hypernasality improvement transfer in words including untrained phonemes The results of this study showed that this anterior tongue placement program was effective for cleft palate children.

      • 통합교육 장면이 발달지체 아동의 언어능력 향상에 미치는 효과

        강은희(Kang Eun-Hee),강수균(Kang Soo-Kyoon) 한국재활과학회 2004 難聽과 言語障碍 Vol.27 No.2

          The purpose of this study was to find out the effects of developmental delayed children’s language ability in the environment of the part integrated education. The subjects of this study were 2 developmental delayed children attending the kindergarten for handicapped children. The integrated program had 11 sessions, all of which children attended.<BR>  The results of this study were as follows:<BR>  First, the integrated program helped improve linguistic, intellectual and social ability of developmental delayed children. Second, the integrated program contributed to more active relationship with normal children. Third, the integrated program led to normal children"s affirmative attitude toward the handicapped.

      • 언어발달지체 아동의 대립어 의미습득에 관한 연구

        강윤경(Kang Yun-Koung),강수균(Kang Soo-Kyoon) 한국재활과학회 2003 難聽과 言語障碍 Vol.26 No.2

        The purpose of this study was to examine what type of coordinate words were preferred respectively by children with language delayed children and normal children, how much they understood them and to what extent they utilized them. It's basically meant to pave the way for developing more successful verbal-therapy programs for children with language delayed. The subjects in this study were 20 children at the age of 5 and 6 from Ulsan, who included 10 with language delayed children and 10 without any retardation. After the collected data were analyzed, the following findings were obtained: First, both groups had a tendency to prefer the positive pole vocabulary. As a result of investigating whether or not there were any differences between the groups in preference for the positive pole vocabulary and the negative pole vocabulary, no gap existed between them, and both groups favored the positive pole vocabulary. Second, as for differences between the two groups in the positive pole vocabulary, 2the normal group reacted to those words more than the language~delayed group. Both groups grasped the positive pole vocabulary. First, and the second most speedily understood one was reverse words, followed by converse words and measure antonyms. Third, the normal group was able to utilize more coordinate words(more than 80%) than the language-delayed group. The latter also used many vocabularies (40%-79%) to express what they had in mind. The most largely used coordinate words in the normal group were reverse words, followed by converse words and measure antonyms. In the case of the language-delayed group, reverse words was most common as well, followed by converse words and measure antonyms. This indicated that there was no qualitative gap between the two groups in coordinate acquisition, though the amount of acquired words was different. Concerning semantic acquisition, both groups had a similar preference for coordinate words, but the children with language-delayed lagged behind in understanding and utilizing them. The former group was particularly outperformed by the latter in terms of vocabulary utilization.

      • 치매노인을 위한 회상 프로그램의 구안

        김수정(Kim Soo-Jung),손은남(Sohn Eun-Nam),박선희(Park Sun-Hee),강수균(Kang Soo-Kyoon) 한국재활과학회 2005 難聽과 言語障碍 Vol.28 No.2

          Reminiscence program is a therapeutic program that has effect not only on the body of the elderly suffering from dementia but also on the emotion, memory and linguistic expression of the older persons with dementia who exhibit difficulties with speaking and emotional faculty as well. Therefore, reminiscence program is a method to restore psychological stability for the elderly having dementia, and at the same time it makes the aged with dementia express themselves correctly by helping them to recollect their past life memories. Specifically, it is a meaningful approach in the aspect of communication. The reminiscence program worked out in this study comprises varied subject including 15 kinds of themes with careful consideration of attentions and interests of the aged with dementia, and the program consists largely of 3 phases ranging from infancy period to senile period focusing on the past affairs and activities, which the aged having dementia generally show their greater interests. The introduction phase is composed of those factors that will help the elderly with dementia to concentrate on their thinking and to become more attentive, also to promote close association with such elderly. And at the reminiscence phase, those order persons with dementia will recollect their past life memory in the sequence of infancy period, childhood period, and youth/middle-ages period according to each theme. Lastly, the retrospection phase is a stage to think of current situation in the face of this senile period, and those affairs that would happen in forthcoming years, also it is the phase to put it all together in orderly fashion. It can be said that the process of reminiscence is a stage in which an active approach will be required, especially for those elderly with dementia who experience difficulties due to loss of recent memories rather than older memories. The purpose of this study was to come up with a reminiscence program that will bring a positive effect not only to the emotional side but to language and communication aspect also, which are essential in everyday life, for those aged with dementia who suffer from lost of active role and psychological maladjustment under the age of high-aged population. It is expected that results of this research work will bring an emotional stability along with positive changes in improving self-expression and social interaction to the elderly with dementia.

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