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실용음악 전공 학생들의 발성치료 전후 성대 및 음성 특성 비교
황연신,심미란,김철준,최용석,김상연,최찬호,선동일,Hwang, Yeon Shin,Shim, Mi Ran,Kim, Chul Jun,Choi, Yong Suk,Kim, Sang Yeon,Choi, Chan Ho,Sun, Dong Il 대한후두음성언어의학회 2016 대한후두음성언어의학회지 Vol.27 No.2
Background and Objectives : Many students major in applied music singing have various difficulties in phonation when they sing or perform. But the studies about this cause are lack. The purpose of this study is whether singing voice therapy based on vocal music is effective or not to applied music singing students that have difficulties in phonation. Materials and Methods : Singing voice therapy program had been done to 8 students major in applied music singing during 7 weeks. We did laryngeal stroboscope, perceptual, acoustic and aerodynamic examination before and after singing voice therapy to this students. And we studied post examination results have differences or improvements compared to pre examination results. Results : Four male students don't have effective improvement after singing voice therapy but they shows slight improvement in aerodynamic examination values compared to pre examination values. Four female students shows improvement in aerodynamic examination values and pitch range increasing. Above all, one student's vocal nodules disappeared after singing voice therapy. Conclusion : Singing voice therapy based on music singing is very effective to the students major in applied music singing. Above all, their curriculum in applied music singing should include phonation training based on music singing before training perform and technic practices.
황연신(Yeon Shin Hwang),선동일(Dong Il Sun) 대한신경모니터링학회 2023 Journal of Neuromonitoring & Neurophysiology Vol.3 No.1
Many patients undergone thyroidectomy show subjective voice changes, neck and throat discomfort, lower pitched voice & high pitch difficulty, and hoarseness. These patients need preoperative and postoperative voice therapy. Using TVSQ and PSVT, subjective voice problems and the need for voice therapy were recognized. Before surgery, it is necessary to alleviate psychological difficulties through voice hygiene education and counseling. After surgery, muscle relaxation exercise and massage of the larynx and neck & shoulder, laughing approach, humming, and SOVTE(lip trill) can induce high-pitched voice and reduce the glottal gap.
성대폴립, 성대낭종 환자들의 Laryngeal Micro Surgery 수술 전, 후 공기역학적 비교: Running Speech 중심으로
문태훈,심미란,황연신,김근전,이동현,선동일 대한후두음성언어의학회 2019 대한후두음성언어의학회지 Vol.30 No.2
Background and Objectives For patients with polyps and cysts, glottal gaps resulting from their lesions have negative respiratory effects when they vocalize. Phonatory Aerodynamic System is clinically used, but is often limited in the measurement of vowels. So the researchers attempted to verify the usefulness of Phonatory Aerodynamic System by comparing differences in respiratory characteristics and patterns which can be measured by the level of connected speech. Materials and Method Among the subjects who were diagnosed through a stroboscopy, there were 33 patients with polyps and 23 patients with cysts. Then, 36 subjects who were found to have no specific findings through a stroboscopy and perceptual test were selected to the normal group. We compared respiratory characteristics and patterns. And compared vocal polyps and cysts before and after laryngeal micro surgery (LMS). Results First, difference in respiratory patterns between the normal group and the patients with polyps and cysts were examined to show that breath groups, breath group syllables, and expiratory · inspiratory volume were significantly higher in the polyp/cyst group than those in the normal group, indicating that precision was lowered during the conversation, due to reduction in speech intelligibility and interruption of communication. Second, there were significant differences in maximum phonation time, mean flow rate, and subglottal pressure among respiratory characteristics, breath groups, breath group syllables, and inspiratory volume before and after LMS, which appeared to be similar to the normal group. Conclusion The understanding of respiratory characteristics and patterns produced by patients in connected speech which is most similar to natural speech was found to be the objective and useful method for examining characteristics of the subjects.
김선철,권미영,황연신,Kim Seoncheol,Kwon Mi-yeong,Hwang Yoen-Shin 대한음성학회 2004 말소리 Vol.50 No.-
The aim of this paper is to show what are the sociolinguistic variables of word-initial length loss in Seoul dialect. 350 people were inquired to pronounce 40 words. Among the informants, 152 were male, and 198 were female. In terms of their age, 49 were twenties, 70 were thirties, 69 were forties, 71 were fifties, and 91 were above sixties. According to our statistics, 18 words show sociolinguistic variation by age, and sex was not a variable. So we can conclude that Seoul dialect is undergoing length loss by age at least. But we need to enlarge the number of words and informants and we also need to adopt other variables like social level, education etc for better understanding of Seoul dialect.
활창과 허밍을 이용한 음성치료가 성문틈 환자의 음성 개선에 미치는 효과
정대용,심미란,황연신,김근전,선동일,Jung, Dae-Yong,Shim, Mi-Ran,Hwang, Yeon-Shin,Kim, Geun-Jeon,Sun, Dong-Il 대한후두음성언어의학회 2021 대한후두음성언어의학회지 Vol.32 No.2
Background and Objectives Therapies have been reported to treat the glottal gap previously. However, these voice therapies showed the limits because many techniques focused only on one among breathing, resonance and phonation. In addition patients often have difficulties visiting hospital frequently. 'Gliding and humming' is vocal training technique that readjusts total vocal patterns such as breathing, resonance and phonation. This technique can be easily applied during short term sessions. The purpose of this study is to evaluate the efficiency of voice therapy with 'gliding and humming' for patients with glottic gap during short-term treatment sessions. Materials and Method Twenty-three patients with glottal gap were selected. Of all patients, 14 patients had sulcus vocalis and 12 patients had muscle tension dysphonia (MTD). Voice therapies were performed 1.9 sessions in average. GRBAS, jitter, shimmer, noise to harmonic ratio, semitone range, closed quotient_vowel and maximum phonation time were compared before and after the therapies. In addition, changes of glottal gap and MTD severity were evaluated. Results Statistically significant improvement was observed. MTD improvement was observed only among the patients with glottal gap improvement. Also sulcus vocalis group showed the statistically significant improvement. Conclusion 'Gliding and humming' was effective to the patients with glottic gap and sulcus vocalis. Also, among patients who have both glottic gap and MTD, the data suggests that voice therapy for glottic gap also makes improvement in MTD.
악성 종양 관련 일측성 성대 마비 환자에서 고식적 Hyaluronic Acid 성대 주입 성형술의 유용성
김고운,박영학,주영훈,김상연,심미란,황연신,선동일,Kim, Go-Woon,Park, Young-Hak,Joo, Young-Hoon,Kim, Sang-Yeon,Shim, Mi-Ran,Hwang, Yeon-Sin,Sun, Dong-Il 대한후두음성언어의학회 2018 대한후두음성언어의학회지 Vol.29 No.1
Background and Objectives : The effect of palliative injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients on voice and swallowing function is uncertain and there are few previous studies of its suitability, benefits as a palliative treatment option. The purpose of this study is to confirm the objective results of voice and swallowing function after palliative office-based hyaluronic acid injection laryngoplasty in cancer-related unilateral vocal cord paralysis patients. Materials and Method : 36 patients who had unilateral vocal cord paralysis from non-thyroidal, extralaryngeal neoplasms were included in this study. To evaluate the clinical outcome, we analyzed perceptual GRBAS grading, acoustic analysis, aerodynamic study, Electroglottography (EGG), Voice Handicap Index (VHI-30) about voice function and disability rating scale (DRS), gastric tube dependency, aspiration pneumonia about swallowing function and 36-Item Short Form Survey version 2 (SF-36v2) about quality of life. Results : In GRBAS scale, G (p<0.001), R (p=0.004), B (p=0.001), A (p=0.011), and S (p=0.007) showed significant improvement. Jitter, shimmer, speaking fundamental frequency, maximal phonation time, VHI-30, DRS score, gastric tube dependency, aspiration pneumonia, and SF-36v2 were significantly improved after injection (p=0.016, p=0.011, p=0.045, p=0.005, p<0.001, p<0.001 p=0.003, p<0.001, and p<0.001 respectively). Conclusion : From this study we concluded office-based hyaluronic acid injection can be used as a useful palliative treatment option in cancer-related ill patients with unilateral vocal cord paralysis. Palliative hyaluronic acid injection laryngoplasty avoids the need for tube feeding, thus reducing the risk of aspiration pneumonia. These outcomes are accompanied by significant improvement in voice quality.
몽골 전통 발성 흐미의 발성 방법 분석에 대한 사례연구
남도현(Do Hyun Nam),백재연(Jae Yeon Paik),황연신(Yoen-Shin Hwang),최홍식(Hong-Shik Choi) 한국음성학회 2008 음성과학 Vol.15 No.3
The goal of this study was to investigate acoustic and physiologic characteristics of two phonation types of ‘Khoomei’ which is a traditional singing style of people who live around the Altai mountains or Mongolia region. It can be produced two pitches simultaneously - high melody pitch can be perceived along with a low drone pitch. Sygyt and kargyraa styles are the most popular and identifiable styles and they can be recognized as the different sounds depending on the method of voice production. Two trained Mongolians participated and have used at least 5 - 6 years. The characteristics of this voice production were measured by using flexible fiberscope, Stroboscopy, Lx Speech studio, Spead, and Doctor Speech. In Sygyt style, very high vocal fold closure (71.50%) with both true and false vocal folds contact and strong breathing support was observed. They also showed that tongue height and harmonics were increased (around 10dB) with resonance cavity movement. In contrast, it was found that Kargyraa sound had very low pitch with relaxed stomach, less laryngeal tension and lower vocal fold contact (69.50%) than hard Sygyt style sound without raising the tongue during phonation. ‘Khoomei’ phonation can be made by strong contact of both true and false vocal folds and by increasing the harmonics as well.