¾Æµ¿¿ë Á¶À½±â°ü ±¸Á¶ ¹× ±â´É ¼±º°°Ë»ç: 3-12¼¼ Á¤»ó ¹ß´Þ ¾Æµ¿ÀÇ ¼öÇà Ư¼º Æò°¡
Speech Mechanism Screening Test for Children: An Evaluation of Performance in 3- to 12-Year-Old Normal Developing Children
Communication Sciences & Disorders 2018³â 23±Ç 1È£ p.180 ~ p.197
±èÀç¿Á(Kim Jae-Ock) - °³²´ëÇб³ ±³À°´ëÇпø ¾ð¾îÄ¡·á±³À°Àü°ø
½Å¹®ÀÚ(Shin Moon-Ja) - Á¶¼±´ëÇб³ ¾ð¾îÄ¡·áÇаú
¼ÛÀ±°æ(Song Yun-Kyung) - µ¿¸í´ëÇб³ ¾ð¾îÄ¡·áÇаú
Abstract
¹è°æ ¹× ¸ñÀû: º» ¿¬±¸´Â Á¤»ó ¹ß´Þ ¾Æµ¿¿¡°Ô ¡®¾Æµ¿¿ë Á¶À½±â°ü ±¸Á¶ ¹× ±â´É ¼±º°°Ë»ç(Speech Mechanism Screening Test for Children, SMST-C)¡¯¸¦ ½Ç½ÃÇÏ¿© ¼ºº°°ú ¿¬·Éº° Ç¥ÁØÈµÈ Á¡¼ö¸¦ Á¦½ÃÇÏ°íÀÚ ÇÏ¿´´Ù.
¹æ¹ý: ¸¸ 3-12¼¼ 236¸í(³²¾Æ 111¸í, ¿©¾Æ 125¸í)ÀÇ Á¤»ó ¹ß´Þ ¾Æµ¿À» ´ë»óÀ¸·Î SMST-C¸¦ ½Ç½ÃÇÏ¿© Á¶À½±â°ü ±¸Á¶¡¤±â´É, ¹ß¼º¡¤À½¼º¡¤Á¶À½¼±º°, Á¶À½±³´ë¿îµ¿À¸·Î ÀÌ·ç¾îÁø ÃÑÁ¡¼ö¿Í ÃÖ´ë¹ß¼ºÁö¼Ó½Ã°£(maximum phonation time, MPT), ¸»¼Óµµ ±×¸®°í /ÆÛ/, /ÅÍ/, /Ä¿/, /·¯/, /°Ï/, 5°³ ÀÏÀ½ÀýÀÇ ±³´ë¿îµ¿¼Óµµ(alternative motion rate, AMR)¿Í /ÆÛÅÍÄ¿/ÀÇ ÀϷÿ¼Óµµ(sequential motion rate, SMR)ÀÇ DDK ¼Óµµ¸¦ ÃøÁ¤ÇÑ µÚ ¼ºº°°ú ¿¬·É¿¡ µû¸¥ Â÷ÀÌÀÇ À¯ÀǼºÀ» °ËÁõÇÏ¿´´Ù.
°á°ú: SMST-CÀÇ ÃÑÁ¡¼ö´Â ¼ºº°°ú ¿¬·É¿¡ µû¶ó À¯ÀÇÇÑ Â÷ÀÌ°¡ ¾ø¾ú´Ù. MPT¿Í ¸»¼Óµµ´Â ¿¬·ÉÀÌ Áõ°¡ÇÔ¿¡ µû¶ó À¯ÀÇÇÏ°Ô Áõ°¡ÇÏ¿´´Ù. ¸ðµç ÀÏÀ½ÀýÀÇ AMR¿Í SMR ¶ÇÇÑ ¿¬·ÉÀÌ Áõ°¡ÇÔ¿¡ µû¶ó À¯ÀÇÇÏ°Ô Áõ°¡ÇÏ¿´´Ù. ÀÌ¿Í ´õºÒ¾î Ä¡°æÀ½ÀÎ /ÅÍ/ÀÇ AMRÀÌ ´Ù¸¥ ÀÏÀ½Àýµé¿¡ ºñÇØ °¡Àå »¡¶ú°í, ¿¬±¸°³À½ÀÎ /°Ï/ÀÇ AMRÀÌ °¡Àå ´À·È´Ù.
³íÀÇ ¹× °á·Ð: º» ¿¬±¸´Â SMST-C¸¦ ÀÌ¿ëÇÑ ¾Æµ¿ÀÇ Á¶À½±âÀü¿¡ °üÇÑ Á¤»ó ±âÃÊ ÀڷḦ Á¦°øÇÏ¿´°í, SMST-C´Â ¾ð¾îÀçÈ°»ç¿Í °ü·Ã Àü¹®°¡µéÀÌ ºñÁ¤»óÀûÀÎ Á¶À½ ±âÀüÀ» º¸ÀÌ´Â ¾Æµ¿À» ¼±º°ÇÏ´Â µ¥ µµ¿òÀ» ÁÙ °ÍÀ¸·Î º¸ÀδÙ.
Objectives: The purpose of this study was to establish standardized scores for the Speech Mechanism Screening Test for Children (SMST-C).
Methods: Two hundred thirty-six normal developing children (111 boys and 125 girls) from 3 to 12 years of age were included in the study. They were examined with the SMST-C, which yields a total score from three sub-systems: structure/function, phonation/voice/articulation, and diadochokinesis (DDK)/maximum phonation time (MPT)/speech rate/DDK rate. DDK rate consists of alternative motion rates (AMR) of 5 syllables (/pʌ/, /tʌ/, /kʌ/, /lʌ/, and /k?©¯/) and sequential motion rate (SMR) of /p?t?k?/.
Results: The total score of SMST-C was not significantly different according to age or gender. MPT and speech rate significantly increased with age. DDK rates in all syllables for AMR and SMR also increased with age. In addition, AMR of /t?/ (alveolar sound) was the fastest syllable among all mono-syllables and AMR of /k?©¯/ (velar sound) was the slowest.
Conclusion: The results of this study provided normative data for speech mechanisms of children using SMST-C. SMST-C would be helpful for speech-language pathologists and other related professionals to screen for children with abnormal speech mechanisms.
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¾Æµ¿¿ë Á¶À½±â°ü ±¸Á¶ ¹× ±â´É ¼±º°°Ë»ç, ÃÖ´ë¹ß¼ºÁö¼Ó½Ã°£, ¸»¼Óµµ, Á¶À½±³´ë¿îµ¿¼Óµµ
Speech mechanism screening test for children, Maximum phonation time, Speech rate, Diadochokinetic rate
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À¯È¿¼º°á°ú(Recomendation)
The total score of SMST-C was not significantly different according to age or gender.