Phonetics and Speech Sciences (말소리와 음성과학)

Korean Society of Speech Sciences (한국음성학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect on Intervention Program and Auditory-Perceptual Discrimination Feature of Postlingual Cochlear Implant Adults about Pathological Voice

병리적 음성에 대한 언어습득 이후 인공와우이식 성인의 청지각적 변별특성과 중재 프로그램의 효과

  • Received : 2015.04.30
  • Accepted : 2015.05.22
  • Published : 2015.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

In the present study, we investigated ability of recognition of auditory perception with regards to the quality of voice in postlingual CI adults and proposed a training program to improve within subject reliability. A prospective case-control study was conducted in adults with 7 postlingual deaf who received a CI surgery and 10 normal hearing controls. The pre and post test and training program included parameters of consensus auditory-perceptual evaluation of voice(CAPE-V) with pathological voice sample by using Alvin. In results of pre-post test for monitoring improvements of internal reliability for listeners via the training program, there was statistically significant difference in both test and group. There was statistically significant difference in internal reliability between pre-post test in the normal hearing group, the result was no significant in the CI group. The present study found that CI adults showed less ability in awareness of voice quality compared to normal hearing group. Also the training program improved pitch and loudness in CI adults.

Keywords

References

  1. American Lung Association. Diseases A-Z: respiratory distress syndrome of the newborn fact sheet. http://www.lungusa.org/site/apps/s/content.asp 2005. Accessed 3 August 2008.
  2. Aronson, A. E. & Bless, D. (2011). Clinical voice disorders. NY: Thieme.
  3. Bae I. H, Park, H. J. Kwon, S. B. Lee, I. W., & Goh, E. K. (2014). The Change of Vocal Performance According to Cochlear Implantation: for 1 year. J speech & hearing disorders, Vol. 23 No. 1, 253-272. (배인호.박희준.권순복.이일우.고의경 (2014). 인공와우 이식에 따른 발성수행력 변화에 관한 연구. 언어치료연구, 23 권 1호, 253-272.)
  4. Chan, K. M. & Yiu, E. M. (2002). The effect of anchors and training on the reliability of perceptual voice evaluation. J speech, language, and hearing research, Vol. 45 No. 1, 111-126. https://doi.org/10.1044/1092-4388(2002/009)
  5. Choi, Y. G. & Kang, S. J. (2010). A Study on the Improvement of Reliability and Accuracy in Voice Quality Rating by the Intensive Perceptual Training Program. J Special Education: Theory and Practice, Vol. 11, No. 4, 305-321. (최양규.강선정. (2010). 청지각적 음성평가의 신뢰도와 정확도 향상을 위한 집중적 훈련 프로그램의 효과에 관한 연구. 특수교육저널 : 이론과 실천, 11(4), 305-321.)
  6. Darrow, A. (1987). An investigative study: The effect of hearing impairment on musical aptitude. J music therapy, Vol. 24, No. 2, 88-96. https://doi.org/10.1093/jmt/24.2.88
  7. Eadie, T. L. & Doyle, P. C. (2005). Classification of dysphonic voice: acoustic and auditory-perceptual measures. J voice, Vol. 19, No. 1, 1-14. https://doi.org/10.1016/j.jvoice.2004.02.002
  8. Evans, M. K., & Deliyski, D. D. (2007) Acoustic voice analysis of prelingually deaf adults before and after cochlear implantation. J Voice, Vol. 21, 669-682. https://doi.org/10.1016/j.jvoice.2006.07.005
  9. Gfeller, K., Olszewski, C., Rychener, M., Sena, K., Knutson, J. F., Witt, S., & Macpherson, B. (2005). Recognition of "Real-World" Musical Excerpts by Cochlear Implant Recipients and Normal-Hearing Adults. Ear and Hearing, Vol. 26, No. 3, 237-250. https://doi.org/10.1097/00003446-200506000-00001
  10. Gfeller, K., Turner, C., Mehr, M., Woodworth, G., Fearn, R., Knutson, J. F., Witt, S., & Stordahl, J. (2002). Recognition of familiar melodies by adult cochlear implant recipients and normal hearing adults. Cochlear implants international, Vol. 3, No. 1, 29-53. https://doi.org/10.1179/cim.2002.3.1.29
  11. Gfeller, K., Turner, C., Oleson, J., Zhang, X., Gantz, B., Froman, R., & Olszewski, C. (2007). Accuracy of cochlear implant recipients on pitch perception, melody recognition, and speech reception in noise. Ear and hearing, Vol. 28, No. 3, 412-423. https://doi.org/10.1097/AUD.0b013e3180479318
  12. Goldstein, E. (2013) Sensation and perception. CA: Cengage learining.
  13. Hillenbrand, J. M. & Gayvert, R. T. (2005). Open source software for experiment design and control. J Speech, Language, and Hearing Research, Vol. 48, No. 1, 45-60. https://doi.org/10.1044/1092-4388(2005/005)
  14. Hirano, M. (1981). Clinical examination of voice. NY: Springer
  15. Hocevar-Boltezar, I., Vatovec, J., Gros, A., & Zargi, M. (2005). The influence of cochlear implantation on some voice parameters. International J pediatric otorhinolaryngology, 69(12), 1635-1640. https://doi.org/10.1016/j.ijporl.2005.03.045
  16. Hugh, J. M. (2004). Music perception with cochlear implants: A review. Trends in amplification, Vol. 8, No. 2, 49-82. https://doi.org/10.1177/108471380400800203
  17. Jeff, C., & Fan-Gang, Z. (2007). Fundamental frequency discrimination and speech perception innoise in cochlear implant simulations. Hearing Research, Vol. 231, 42-53. https://doi.org/10.1016/j.heares.2007.05.004
  18. Jun, E. O., & Ko, D. H. (2007). The Voice Quality of the Children with Cochlear Implant According to the Time. J Korean Soc Speech Sci, Vol. 14, No. 4, 213-220. (전은옥.고도흥 (2007). 인공와우 이식시기에 따른 아동의 음질 특성. 음성과학, 14권 4호, 213-220.)
  19. Jung, M. R. (2010). The effect of music perception program training on music perception of wear cochlear implant. M.A. Thesis, University of Kosin (정미라. (2010). 음악지각 훈련프로그램이 인공와우 착용 아동의 음악지각에 미치는 효과. 고신대학교 교회음악대학원 석사학위 논문.)
  20. Karnell, M. P., Melton, S. D., Childes, J. M., Coleman, T. C., Dailey, S. A., & Hoffman, H. T. (2007). Reliability of clinician-based (GRBAS and CAPE-V) and patient-based (V-RQOL and IPVI) documentation of voice disorders. J voice, Vol. 21, No. 5, 576-590. https://doi.org/10.1016/j.jvoice.2006.05.001
  21. Kelchner, L. N., Brehm, S. B., Weinrich, B., Middendorf, J., Levin, L., & Elluru, R. (2010). Perceptual evaluation of severe pediatric voice disorders: rater reliability using the consensus auditory perceptual evaluation of voice. J voice, Vol. 24, No. 4, 441-449. https://doi.org/10.1016/j.jvoice.2008.09.004
  22. Kishon-Rabin, L., Taitelbaum, R., & Tobin, Y. (1999). The effect of partially restored hearing on speech production of postlingually deafened adults with multichannel cochlear implants. J Acoust Soc Am, Vol. 106, 2843-2857. https://doi.org/10.1121/1.428109
  23. Kreiman, J. & Gerratt, B. R. (2005). Perception of aperiodicity in pathological voice. J Acoust Soc Am, Vol. 117, 2201-2211. https://doi.org/10.1121/1.1858351
  24. Laneau, J., Wouters, J., & Moonen, M. (2006). Improved Music Perceptionwith Explicit Pitch Coding in Cochlear Implants. J Audiol. Neurotol, Vol. 11, No. 1, 38-51. https://doi.org/10.1159/000088853
  25. Leder, S. B., Spitzer, J. B., Kirchner, J. C., Flevaris-Phillips, C., Milner, P., & Richardson, F. (1987). Speaking rate of adventitiously deaf male cochlear implant candidates. J Acoust Soc Am, Vol. 82, No. 3, 843-846. https://doi.org/10.1121/1.395283
  26. Lee, E. K. The effect on the improvement of prosody disposition through the prosody training program for the cochlear implant children. M.A. Thesis, University of Daegu. (이은경 (2002). 운율훈련 프로그램이 인공와우이식 아동의 운율자질 개선에 미치는 효과. 대구대학교 일반대학교 석사학위논문.)
  27. Lee, O. B., & Kim, S. Y. (2009). A Comparison of Three Equally-appearing Interval Scales for Auditory-perceptual Evaluation : Preliminary Study. J speech & hearing disorders, Vol. 18, No. 2, 1-15. (이옥분.김소연 (2009). 음성장애 청지각적 평가를 위한 등간 척도법 비교. 언어치료연구, 18권 2호, 1-15.)
  28. Lee, Y. A. (2010). The Effect of perceptual training on the reliability of voice quality evaluation for graduate students in speech pathology program. M.A. Thesis, University of Kangnam (이영아 (2010). 청지각적 음성평가 훈련이 언어병리학 전공 대학원생의 음성평가 신뢰도에 미치는 효과. 강남대학교 교육 대학원 석사학위 논문)
  29. Lejska, M. (2004). Voice field measurements-a new method of examination: the influence of hearing on the human voice. J voice, Vol. 18, No. 2, 209-215. https://doi.org/10.1016/j.jvoice.2003.08.002
  30. Lenden, J. M. & Flipsen, P. (2007). Prosody and voice characteristics of children with cochlear implants. J communication disorders, Vol. 40, No. 1, 66-81. https://doi.org/10.1016/j.jcomdis.2006.04.004
  31. Mariana, C. L., Young, J. S., Marie-laurence, L., Marie-noelle, C., Sebastien, V., Stephanie, L., Sandrine, A., Olivier, D., & Bernard, F. (2003). Perception in Adult Cochlear Implant Recipients. Acta Otolaryonologica, Vol. 123, No. 7, 826-835. https://doi.org/10.1080/00016480310000386
  32. Maryn, T., Marc D. B., & Nelson, R. (2010). The Acoustic Voice Quality Index: Toward improved treatment outcomes assessment in voice disorders. J Communication Disorders, Vol. 43, 161-174. https://doi.org/10.1016/j.jcomdis.2009.12.004
  33. Oates, J. (2009). Auditory-perceptual evaluation of disordered voice quality: pros, cons and future directions. Folia Phoniatr Logop, Vol. 61, 49-56. https://doi.org/10.1159/000200768
  34. Qian-Jie, F., Sherol, C., & John, J. G. (2004). The Role of Spectral and Temporal Cues in Voice Gender Discrimination by Normal-Hearing Listeners and Cochlear Implant Users. J Assoc Res Otolaryngol., Vol. 25, No. 3, 253-260.
  35. Sabah, M. H., Khalid, H. M., Tamer A. M., Mohamad F,. Manal B,. & Thomas M. (2010). The effect of cochlear implantation and post-operative rehabilitation on acoustic voice analysis in post-lingual hearing impaired adults. Eur Arch Otorhinolaryngol, Vol. 268, 1437-1442.
  36. Schuppert, M., Munte, T. F., Wieringa, B. M., & Altenmuller, E. (2000). Receptive amusia: evidence for cross-hemispheric neural networks underlying music processing strategies. Brain: J neurology, Vol. 123 No. 3, 546-559. https://doi.org/10.1093/brain/123.3.546
  37. Sofranko, J. L. & Prosek, R. A. (2012). The effect of experience on classification of voice quality. J voice, Vol. 26, 299-303. https://doi.org/10.1016/j.jvoice.2011.07.003
  38. Ubrig, M. T., Goffi-Gomez, M. V. S., Weber, R., Menezes, M. H. M., Nemr, N. K., Tsuji, D. H., & Tsuji, R. K. (2011). Voice analysis of postlingually deaf adults pre-and postcochlear implantation. J voice, Vol. 25, No. 6, 692-699. https://doi.org/10.1016/j.jvoice.2010.07.001
  39. Webb, A., Carding, P., Deary, I., MacKenzie, K., Steen, N., & Wilson, J. (2004). The reliability of three perceptual evaluation scales for dysphonia. Eur Arch Otorhinolaryngol, Vol. 261, No. 8, 429-434.