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      • 보청기 및 인공와우 착용아의 어음변별력과 어음명료도의 상관관계

        이필상(Lee Pil-sang),주미영(Ju Mi-Young) 한국재활과학회 2005 難聽과 言語障碍 Vol.28 No.1

          The purpose of this study is to know the correlation and characteristics between the speech discrimination and speech intelligibility of 6 sounds(/a/, /u/, /i/, /m/, /∫/, /s/) and 25 words with primary or secondary stressed syllable between the hearing impaired children with hearing aids and cochlear implants. There are 10 children with hearing aids and 10 children with cochlear implants who, with hearing impaired hearing aids before the acquirement of language and without any other issues, participated.<BR>  The results of this study are as followings:<BR>  First, it indicates that an analogy was not found between speech discrimination and speech intelligibility for 6 sounds and 25 words with primary or secondary stressed syllable for the children with hearing aids. Although there was no error on /a/sound, but /s/sound had many errors in speech discrimination and speech intelligibility for the children with hearing aids. It was found that the level of words which had faults corresponded in order to plosives, affricate, fricative, nasals, with speech discrimination, and affricate, fricative, plosives, vowels, nasals, with speech intelligibility.<BR>  Second, there were no differences between speech discrimination and speech intelligibility for 6 sounds for children with coacher implants. However there was a similar correlation for 25 words with primary or secondary stressed syllable in them. It was shown that they had errors in speech discrimination and speech intelligibility for the /s/sound, on the wards level of speech discrimination in order to plosives, affricate, nasals, fricative, and on the speech intelligibility affricate, fricative, plosives, vowels.<BR>  Third, there were no differences in the 6 sounds for the two groups. However, it indicated that there were significant differences statistically in speech discrimination for 25 words with primary or secondary stressed syllable at the level t= 2.160, p= .045 p<.05. It indicated that there were significant differences, statistically in the speech intelligibility for 25 words with primary or secondary stressed syllable at the level t= 4.122, p= .001 p<.05.<BR>  As the result of the study is to prove similar characteristics in the speech discrimination and speech intelligibility for two groups and also show that children with cochlear implants have correlations in speech discrimination and speech intelligibility for 25 words with primary or secondary stressed syllable. It is showed that children with cochlear implants have higher grades over all, and there are significant differences in speech intelligibility and speech discrimination for 25 words with primary or secondary stressed syllable in the two groups.

      • KCI등재
      • KCI등재후보

        인공와우 이식 아동의 말 지각에 관한 연구 : 만 6세 전ㆍ후에 수술한 아동의 말 지각 비교

        김성곤,서영란,주미영 국립특수교육원 2008 특수교육연구 Vol.15 No.2

        This study examined the timing suitable for transplanting Artificial cochlear by comparing two groups' ability differences of speech perception after we analysed as an object of this study both 15 children transplanted artificial cochlear under six years of age and 15 children transplanted artificial cochlear aged six and above. This study analysed hearing situations of both Auditory Only(AO) and Auditory Visual(AV) based on one syllable and two syllable examination of speech perception without any examples suggested by Kim, Soo-Jin(1988), and examined independent sampling t by using SPSS 12.0. As a result, there were meaningful differences of speech perception between children's groups transplanted at the age of 6 more or less in the situations of AO and AV without any examples. There were individual differences, but generally children transplanted under more or less six years of age had a little more performance ability of speech perception than children aged six and above. It was shown that, by reconsidering the operation of artificial cochlear which has been thoughtlessly performed today, this study would be a basic material of study to examine efficient rehabilitation methods of hearing-impaired children through carefully considering the suited timing for transplanting artificial cochlear. 본 연구는 만 6세 이전에 인공와우 수술을 한 아동 15명과 만 6세 이후에 수술한 아동 15명을 대상으로 아동의 집단 간 말 지각 능력의 차이를 비교하여 적절한 인공와우 이식시기에 대해 알아보았다. 김수진(1998)의 1음절과 2음절 말 지각 검사를 보기가 주어지지 않은 청각만(AO)의 듣기 상황과 청시각적(AV) 듣기 상황에서 실시하여 SPSS 12.0을 이용하여 독립표본 t검정을 하였으며 그 결과로는 보기가 제시되지 않은 AO 상황과 AV 상황에서 만 6세 전·후에 수술한 아동 집단 간의 말 지각 능력에서 유의한 차이가 나타났다. 개인차는 있었지만 전반적으로 만 6세 이전에 수술한 아동이 좋은 말 지각 수행 능력을 보였다. 본 연구는 무분별하게 실시되고 있는 인공와우 수술에 대해 재고하고 적절한 인공와우 이식 시기에 대해 신중하게 고려하여 청각장애 아동의 효율적인 재활 방안을 검토해 보는 기초 자료가 될 수 있을 것이다.

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