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      • KCI등재
      • KCI등재

        증강현실을 이용한 중재가 조음음운장애 아동의 조음정확도 개선에 미치는 효과

        이창윤,박희준,김근효,권순복 대구대학교 특수교육재활과학연구소 2019 특수교육재활과학연구 Vol.58 No.1

        The treatment of articulation-phonological disorder has been mainly focused on traditional techniques such as phonetic placement procedure, paired-stimulus treatment. However, traditional techniques focus only on the accuracy of individual sounds, so there is a limit to the complex modulation of conversation and sentence level. We attempted to overcome the limitations of existing therapies by applying augmented reality, which is recently attracting attention, and to investigate the improvement of articulation accuracy and the mediation effect of rapid stimulation generalization by inducing active participation in therapy.The study was conducted on 10 children with articulation-phonological disorder aged 4 to 7 years, and the accuracy of articulation was less than -2 standard deviation. The groups were randomly divided into two groups and the accuracy of the articulation was measured at both word and sentence levels before and after the intervention. In both groups, we applied the articulation phonetic placement procedure and paired-stimulus treatment program, and used the augmented reality intervention program only in the experimental group. After intervention, both groups showed significant improvement in articulation accuracy at word and sentence level. Although not statistically significant, the number of treatments and treatment duration were shorter in the augmented reality group. Because the augmented reality program contains dynamic information based on the verb, the group applying the augmented reality is more generalized to stimulate the sentence level. Presenting the augmented reality stimulus corresponding to the target consonant enables the child to practice the sentence level at a higher concentration, and sometimes iteratively exercises in a longer sentence to show a faster intervention effect on the target sound will be. 조음음운장애 치료는 조음점 지시법과 같은 전통적 기법과 짝자극 기법 등이 주로 사용되어 왔다. 하지만 전통적 기법은 개별음의 정확성에만 초점을 맞추기 때문에 대화 및 문장수준의 복합적인 조음변화에 대해서는 한계가 있다. 우리는 최근 주목받고 있는 증강현실을 적용하여 기존 치료법의 한계점을 극복하고 능동적인 치료 참여를 이끌어 내어 조음정확도의 개선과 빠른 자극 일반화의 중재효과에 대해 알아보고자 하였다. 4세에서 7세의 조음장애 아동 10명을 대상으로 연구를 실시하였으며, 조음정확도가 모두 -2 표준편차 이하의 수준이었다. 무작위로 두 그룹으로 나누었으며 중재 전 후로 단어와 문장수준 모두에서 조음정확도를 측정하였다. 두 집단 모두 조음점지시법과 짝자극 기법 프로그램을 적용하였으며, 실험그룹에만 증강현실 중재 프로그램을 추가로 사용하였다. 중재를 실시 후, 두 그룹 모두 단어와 문장 수준에서 조음정확도가 유의미하게 개선된 것으로 나타났다. 통계적으로 유의미하지는 않았지만 증강현실을 적용한 그룹에서 치료 횟수와 기간이 더 짧은 것으로 나타났다. 증강현실 프로그램이 동사를 기반으로 하는 동적인 정보를 포함하기 때문에, 증강현실을 적용한 집단은 문장수준으로의 자극 일반화가 더 쉽게 이루어졌다. 목표자음에 해당하는 증강현실 자극을 제시하는 것은 아동에게 보다 더 높은 집중력에서 문장수준의 연습을 가능하게 하며, 때로는 더 긴 문장에서 반복적으로 연습을 하여 목표음에 대해 더 빠른 중재효과를 보일 수 있을 것이다.

      • 건축에 있어서 몽타주 이론의 적용에 관한 연구

        이창윤 김천과학대학 2010 김천과학대학 논문집 Vol.36 No.-

        Nowadays a montage, which means the way to create objective by combining different points, is more multifariously applied in the generation of mixture asking various meanings and signifier and it's been widely extended. This study intends to pursue a new methodical approach focused on a characteristic of the montage and puts the goal on deduction for an expressive way of a montage specificity practically indicated in the architecture through the space translation of the montage conception as well as plot of a movie. In conclusion, this study is how to be expressed of the montage expression method to understand.

      • 일측 성대마비 환자에 대해 음성치료와 성대주입술의 초기 치료 효과 비교 연구

        이창윤,안수연,장현,손희영,Lee, Chang-Yoon,An, Soo-Youn,Chang, Hyun,Son, Hee Young 대한후두음성언어의학회 2017 대한후두음성언어의학회지 Vol.28 No.2

        Background and Objectives : The purpose of this study was to classify patients with unilateral vocal fold paralysis according to their fixed location and to analysis the effects of two treatment methods by early voice therapy and injection laryngoplasty. Materials and Methods : Twenty patients who were classified as full abduction and slight abduction according to the position of paralysis were treated injection laryngoplasy, and 23 patients were treated by voice therapy. Twenty patients were treated injection laryngoplasy and 23 patients were treated voice therapy. Results were evaluated by acoustic analysis, electroglottography, cepstrum analysis before and after therapy. The voice therapy was conducted by improving the larynx movement and glottal contact, whilst removing hypertension of the supraglottic and use the breathing. Results : Significant improvement was found in the acoustic parameter, cepstrum parameter, and EGG before and after treatment in both groups. There was no significant difference between the two groups when compared before and after treatment to compare the effects of injection laryngoplasty and voice therapy. Conclusion : The initial treatments for unilateral vocal cord paralysis are injection laryngoplasty and voice therapy. however, there is no precise standard about which method should be applied first. Therefore, in this study, we tried to classify patients according to their paralysis position and then apply two methods. The results of this study suggest that voice therapy and Injection laryngoplasty at the initial stage is a very useful method to improve voice quality of vocal fold paralysis and improve laryngeal function.

      • KCI등재후보

        자기 조절 개념을 적용한 음성치료 기법이 발성장애 환자에게 미치는 효과

        이창윤,안수연,손희영 대한후두음성언어의학회 2019 대한후두음성언어의학회지 Vol.30 No.1

        Background and Objectives:The goal of this study is to present a strategy for improving the self-regulation (SR) ability and facilitating the change of vocal behavior by applying voice therapy using the SR concept to the patients with vocal cord nodule and muscle tension dysphonia. Materials and Method:The subjects were 80 patients and 80 patients who were diagnosed with muscle tension dysphonia and vocal nodules. As a control group, the results were compared among patients with the same dysphonia without using SR strategies. The concept of SR before voice therapy was explained to the patients, and the treatment was divided into three stages according to the goal of voice therapy. The treatment stages consist of 1) skill acquisition, 2) habit formation, and 3) habit changes. voice therapy was performed by applying SR strategies such as goal implementation intentions and a less routine behavior. Patient’s dropout rates were measured to compare the adherence of voice therapy. Results: Significant improvement was seen in all groups receiving voice therapy. However, in the group using the SR strategy, the voice analysis results showed a relatively low dropout rate of voice therapy. In the generalization confirmation stage, patients who applied SR concept showed better results. SR strategy did no longer be necessary to maintain newly adopted vocal behavior. Conclusion:The results of this study show that SR is one of the cognitive factors that can have a significant impact on the outcome of voice therapy, and also has a positive impact on the acquisition and generalization of new skills. A better understanding of SR and the development of therapeutic strategies using it will play an important role in solving voice problems in clinical settings.

      • KCI등재
      • KCI등재

        석회화된 앞세로칸 종괴와 유사하게 보이는 갈비뼈에서 발생한 골연골종: 증례 보고

        이창윤,함수연,오유환,이성호,김광택 대한영상의학회 2007 대한영상의학회지 Vol.57 No.6

        단순 흉부 촬영에서 전종격동 종괴와 유사하게 보이는 왼쪽 5번째 늑골의 앞쪽 활에서 자라난 합병증을 동반하지 않은 골연골종을 보인 22세 남자 환자에 대한 증례를 경험하였기에 영상소견을 병리소견과 함께 보고하고자 한다. In this report, we present an interesting description of an osteochondroma arising from the anterior arc of the left fifth rib mimicking an anterior mediastinal mass. Surgical excision confirmed the lesion to be a non-complicated osteochondroma of the rib abutting underlying the parent bone.

      • KCI등재

        초음파 검사로 진단된 넙다리 스파르가눔증: 증례 보고

        이창윤,홍석주,김경민,명재성,박철민 대한초음파의학회 2007 ULTRASONOGRAPHY Vol.26 No.4

        Sparganosis is an uncommon infection caused by sparganum, a migrating plerocercoid larva. Currently, various imaging modalities have been actively used for the diagnosis of sparganosis before surgery. We present a case of sparganosis arising in the subcutaneous layer of the thigh that was diagnosed only by an ultrasound examination. 스파르가눔증(sparganosis)은 Spirometra의 충미충(plerocercoid) 유충이 인체에 감염되어 생기는 질환으로 흔하지 않으나 세계적으로 분포한다. 최근에는 진단을 위해 만져지는 종괴에 대한 컴퓨터단층촬영(CT), 자기공영영상(MRI), 초음파 검사(US) 등의 영상 평가가 활발하게 사용되고 있한 스파르가눔증을 경험하였기에 보고하고자 한다.

      • F.L. 라이트의 주거디자인 접근에 관한 연구

        이창윤 김천과학대학 2009 김천과학대학 논문집 Vol.35 No.-

        Frank Lloyd Wright placed highest value on the human being and enjoyed presenting new ideas and forms to create better environment for the human through his architecture and house design projects. While he was presenting new ideas he continued to support design for democracy which has close relationship to the new frontier spirit of America. This research is an analysis of F.L. Wright's works from the floor plan system of house project. The research began with finding out the relationship between his architecture, nature and the supporting design elements (cubism, organic, Frobel system, 9 division) mentioned above. The purpose of the research is to analyze the relationship of the spatial organization and the design elements in Frank Lloyd Wright's architectural works from the point of floor plan system and provide the valuable guide line for the development of the modem house design.

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