과소비성(Hyponasality) 집단의 음향 특성과 분류 변인

다국어 초록 (Multilingual Abstract)

68 children (4;4~9;11, 35 Adenotonsillar Hypertrophy vs. 33 Allergic Rhinitis) read ‘mommy’ sentence comprised of pure nasal sounds and vowels in order to find some appropriate acoustic correlates to discriminate two groups. Recordings were carried out by both Nasometer (KAY, USA) and Tascam DR05 (TEAC, USA). The data, evaluated by perception test using ExperimentMFC, were acoustically analysed and statistically tested by both SPSS and R, respectively in specific areas.
Hyponasality seems to strongly have to do with Adenotonsillar Hypertrophy and Allergic Rhinitis. Traditionally the nasalance score achieved from Nasometer has been used for judging the degree of nasality concern. Despite Nasometer has been popularly used for the measurement of nasalance, there has been shortcomings in such a way that the apparatus has been quite expensive and given some discomfort of wearing headset. In this respect, this paper seeks to find whether the nasalance score is statistically meaningful in discriminating two groups, if not, go further to mine proper acoustic variables comparable to the nasalance score. Perception test using ExperimentMFC (Praat) showed significant intra- and inter-rater reliability. Nasalance score did not show significant difference between two groups (p=.51). When considered RNR (rhamonics to nois ratio), L/H ratio (low to high energy ratio), and two variables (PC1 and PC2) diminished from 18 normalized band energies by PCA (principal component analysis), two groups were significantly differentiated (p〈.05). When tested by the logistic regression model trained by 70% of the entire data, the 30% test data showed 81% classification accuracy. Together with perceptional judgment, these new set of acoustic variables could contribute to discern hyponasality of two groups.

목차 (Table of Contents)

• 1. 머리말
• 2. 아데노이드 편도 비대와 알레르기성 비염
• 3. 연구 방법
• 4. 연구 결과
• 5. 논의 및 맺음말
• 참고문헌
• Abstract

참고문헌 (Reference)

1 황연신, "후두미세수술 전후 /아/의 음향적 특성 비교" 대한음성학회 1 (1): 33-60, 2008

2 박효상, "편도와 아데노이드 적출술 후 비음도의 변화" 22 (22): 115-118, 2011

3 성철재, "의사소통장애" 학지사 2011

4 서인효, "연결발화에서 마비말화자의 음질 특성" 한국음성학회 5 (5): 33-41, 2013

5 김난숙, "아데노이드편도 비대, 알레르기성 비염을 가진 아동과 정상 아동의비성도와 기타 음향 특성" 충남대학교 2016

6 홍창의, "소아과학" 대한교과서 2003

7 유영삼, "비후성 비염환자에서 음성검사 및 음향비강통기도 검사를 이용한수술 전후 비교" 12 (12): 34-38, 2001

8 손영익, "비폐색 부위에 따른 비강자음의 음향학적특성 및 비음도의 변화" 9 (9): 27-31, 1998

9 이재훈, "비질환 환자에서 비강수술 후 비음도 변화" 21 (21): 127-132, 2010

10 신효근, "비음측정기를 사용한 구개열 언어의 평가 및 치료" 11 (11): 1-11, 2008

11 성철재, "비음과 비성도" 학지사 2012

12 황영진, "비성도 검사를 위한 표준화 문장개발과 정상 규준치 연구" 대구대학교 대학원 2007

13 박미혜, "구개열 언어장애 아동의 언어치료 프로그램 적용 효과" 13 (13): 55-61, 1990

14 한진순, "구개열 및 두개안면 기형" 시그마프레스 2011

15 임성은, "과대비성에 대한 비음도와 비음치의 상관관계" 5 : 1-10, 2000

16 손미라, "객관적 방법을 이용한 구순구개열 아동의 언어치료" 38 (38): 142-147, 2000

17 Li, M., "Use of tonsil size in the evaluation of obstructive sleep apnea" 87 (87): 156-159, 2002

18 Watts, R., "Use of spectral/cepstral analyses for differentiating normal from hypofunctional voices in sustained vowel and continuous speech contexts" 54 (54): 1525-1537, 2011

19 Huang, W., "The risk of adenoid hypertrophy in children with allergic rhinitis" 87 (87): 350-355, 2001

20 Modrzynski, M., "The influence of birch pollination on the adenoid size in children with intermittent allergic rhinitis" 71 (71): 1017-1023, 2007

21 Boone, R., "The Voice and Voice Therapy" Pearson/Allyn & Bacon 2005

22 Forrest, K., "Statistical analysis of word-initial/k/and/t/produced by normal and phonologically disordered children" 4 (4): 327-340, 1990

23 성태제, "SPSS / AMOS를 이용한 알기 쉬운 통계분석: 기술통계에서 구조방정식 모형까지" 학지사 2014

24 Fletcher, G., "Quantitative and graphic analysis of prosthetic treatment for"nasalance"in speech" 32 (32): 284-291, 1974

25 Karl Pearson, "On Lines and Planes of Closest Fit to Systems of Points in Space" Informa UK Limited 2 (2): 559-572, 1901

26 Greenfeld, M., "Obstructive sleep apnea syndrome due to adenotonsillar hypertrophy in infants" 67 (67): 1055-1060, 2003

27 Curto, D., "New Multicollinearity Indicators in Linear Regression Models" 75 (75): 114-121, 2007

28 Van Lierde, M., "Nasalance, nasality, voice and articulation after uvulopalatopharyngoplasty" 112 (112): 873-878, 2002

29 Park, M., "Nasalance scores for normal Korean-speaking adults and children" 67 (67): 173-177, 2014

30 Tiwari, V., "MFCC and its applications in speaker recognition" 1 (1): 19-22, 2010

31 KAY, Inc., "Installation Operation and Maintenance Manual NasometerⅡ(model 6400)"

32 Kummer, W., "Evaluation and treatment of resonance disorders" 27 (27): 271-281, 1996

33 Mora, R., "Effects of tonsillectomy on speech and voice" 23 (23): 614-618, 2009

34 Aronson, Arnold, "Clinical Voice Disorder" Thieme Inc 1990

35 Peterson-Falzone, J., "Cleft Palate Speech" Mosby 266-291, 2001

36 Schoenbrodt, L., "Childhood Communication Disorders: Organic Bases" Tomson & Delmar learning 2014

37 Donner, W., "Anatomy and physiology of the pharynx" 10 (10): 197-212, 1985

38 Hotelling, H., "Analysis of a complex of statistical variables into principal components" 24 : 417-441, 1933

39 Kleinbaum, G., "Analysis of Matched Data Using Logistic Regression in Logistic regression" Springer 389-428, 2010

40 Hillenbrand, J., "Acoustic correlates of breathy vocal quality:dysphonic voices and continuous speech" 39 (39): 311-321, 1996

41 Forrest, K., "Acoustic and perceptual analysis of word-initial stop consonants in phonologically disordered children" 31 (31): 449-459, 1988

42 Boersma, P., "Accurate short-term analysis of the fundamental frequency and the harmonics-to-noise ratio of a sampled sound" 17 (17): 97-110, 1993

43 Stevens, S., "A scale for the meas ure ment of the psychological magnitude pitch" 8 (8): 185-190, 1937