말더듬성인의 조음기관 구조 및 기능 특성 = Characteristics of Speech Mechanism and Motor Abilities in Adults Who Stutter

다국어 초록 (Multilingual Abstract)

Purpose: The importance of oral motor abilities in stuttering occurrences has been continuously debated and discussed. The purpose of this study was to determine whether there would be a difference in speech mechanism and motor abilities between adults who stutter (AWS) and adults who do not stutter (AWNS). Methods: A total of 34 subjects participated in this study: 17 AWS (14 males and 3 females; mean age, 32 yrs 9 months) over 20 years old and 17 AWNS matched chronological age and sex with the former group. Each of the participants was directly examined on the basis of 13 items of structure and 17 items of function of speech mechanism. Results: There was no significant difference in speech structure and function between the two groups. Conclusion: In speech mechanism and motor ability assessment, a significant difference was not found in any areas, including structure and function, between AWS and AWNS. However, there may be individual variations, and for this reason, if there are any areas that might be problematic, even in the most fundamental areas, this should be taken into careful consideration. More considerable examination should be taken than direct observation of oral structure and function when it is doubtful.

참고문헌 (Reference)

1 Shin, M. J, "The treatment of stuttering adults in practice" Korean Association of Speech-Language Pathologists 2007

2 Starkweather, C. W, "The demands and capacities model II : Clinical applications" 15 (15): 143-157, 1990

3 Postma, A, "The covert repair hypothesis : prearticulatory repair processes in normal and stuttered disfluencies" 36 (36): 472-487, 1993

4 Cook, S, "Testing orofacial abilities of children who stutter : The movement, articulation, mandibular and sensory awareness(MAMS)assessment procedure" 36 (36): 27-40, 2011

5 Smith, A, "Stuttering Research and Practice:Bridging the Gap" Lawrence Erlbaum 27-44, 1999

6 van Lieshout, P. H, "Speech production in people who stutter : Testing the motor plan assembly hypothesis" 39 (39): 76-92, 1996

7 Alpermann, A, "Speech motor skills of stuttering children" 32 (32): 36-40, 2008

8 Shin, M. J, "Speech Mechanism Screening Test" Hakjisa 2010

9 Conture, E. G, "Selected temporal aspects of coordination during fluent speech of young stutterers" 31 (31): 640-653, 1988

10 Howell, P, "Recovery from stuttering" Psychology Press 2010

11 Dworzynski, K, "Predicting stuttering from linguistic factors for German speakers in two age groups" 28 (28): 95-112, 2003

12 Sim, H. S, "Paradise-Fluency Assessment-II" Paradise Welfare Foundation 2010

13 Louis, K. O, "Oral speech mechanism screening examination(3rd ed. )" Pro-Ed 2000

14 Riley, G, "Oral motor discoordination among children who stutter" 11 (11): 334-335, 1986

15 Marshalla, P, "Marshalla oral sensorimotor test : MOST" Super Duper Publications 2008

16 Anderson, J. D, "Language abilities of children who stutter : A preliminary study" 25 (25): 283-304, 2000

17 Smith, A, "Kinematic correlates of speaking rate changes in stuttering and normally fluent adults" 43 (43): 521-536, 2000

18 Caruso, A. J, "Kinematic analysis of multiple movement coordination during speech in stutterers" 111 (111): 439-456, 1998

19 Hutchinson, J. M, "Jaw mechanics during release of the stuttering moment : Some initial observations and interpretations" 9 (9): 269-279, 1976

20 Namasivayam, A. K, "Investigating speech motor practice and learning in people who stutter" 33 (33): 32-51, 2008

21 Yaruss, J. S, "Evaluating rate, accuracy, and fluency of young children’s diadochokinetic productions : A preliminary investigation" 27 (27): 65-85, 2002

22 Craig, A, "Epidemiology of stuttering in the community across the entire life span" 45 (45): 1097-1105, 2002

23 Dworkin, J, "Dworkin-culatta oral mechanism examtreatment (D-COME-T)" Edgewood Press 1996

24 Smith, A, "Development of functional synergies for speech motor coordination in childhood and adolescence" 45 (45): 22-33, 2004

25 Howell, P, "Comparison of acoustic and kinematic approaches to measuring utterance-level speech variability" 52 (52): 1088-1096, 2009

26 Robbins, J, "Clinical assessment of oropharyngeal motor development in young children" 52 (52): 271-277, 1987

27 Howell, P, "Assessment of some contemporary theories of stuttering that apply to spontaneous speech" 31 : 123-140, 2004

28 Shipley, K. G, "Assessment in speech-language pathology : A resource manual" Delmar Cengage Learning 2008

29 Riley, G, "A revised component model for diagnosing and treating children who stutter" 27 (27): 188-199, 2000

30 Riley, G, "A component model for diagnosing and treating children who stutter" 4 (4): 279-293, 1979