연인두기능장애 환자의 언어치료 효과: 사례 보고

• 영문명: Effectiveness of Speech Therapy on Patients with Velopharyngeal Dysfunction: Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 최성희(Seong Hee Choi)
• 간행물 정보: 『대한구순구개열학회지』제23권 제1호, 35~42쪽, 전체 8쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.06.30

영문 초록

Purpose: Velopharyngeal dysfunction (VPD) is most common in cleft palate that can cause hypernasality and/or nasal emission during speech. Although VPD with non-cleft causes often present in clinical practice, in some cases, they may not be properly diagnosed or treated. This case report introduces the effectiveness of speech therapy for patients with velopharyngeal dysfunction due to faulty vocal pattern and articulation habits. Case Report: This report describes the speech therapy for 2 patients with resonance disorders: case 1 patient, a 22-year-old man, produced /i/ vowel only with nasality and case 2 patient, a 24-year-old man, presented moderate hypernasality. For case 1, a total of 8 sessions of speech therapy were conducted once a week, 40 minutes per session using tongue protrusion /i/, yawn-sigh, opening mouth with chewing approach. Case 2 underwent speech therapy (5 sessions, once a week, 40 minutes per session) and facilitating techniques with posture alignment correction and focus method were used. All training sessions were conducted by the same speech-language pathologist. The speech intelligibility test was implemented and nasalance was measured using a nasometer before and after therapy. Significantly improved speech intelligibility and reduced hypernasality were achieved following speech therapy. Conclusions: Inappropriate phonation and articulation habits may cause hypernasality and nasal emission. Tongue protrusion/i/, opening mouth with chewing, yawn-sigh method help reduce hypernasality and nasal emission especially in high vowel /i/ by releasing tongue tension and airflow through the mouth. In addition, posture correction, opening mouth, and focus(voice placement) may be useful as a stimulability technique for patients who have hypernasality to modify the vocal pattern and change the poor articulation habits.

목차

서론

증례보고

고찰

키워드

VPD Speech therapy Hypernasality Speech intelligibility