장애인의 언어장애 유무에 따른 사회인구학적 특성, 수단적 일상생활, 필요한 보건의료서비스의 차이

강소라,문종훈 대한통합의학회 2019 대한통합의학회지 Vol.7 No.1

Purpose : The aim of this study was to investigate the differences in sociodemographic characteristics, instrumental activities of daily living (IADL), and healthcare needs among disabled persons with and without language disorder. Methods : Using raw data from the National Survey of the Disabled Person (2017), this study compared 6,320 disabled persons without language disorder and 229 disabled person with language disorder among 6,549 persons with disabilities. The dependent variables included sociodemographic characteristics, IADL, and healthcare needs. Results : People with language disorder were younger (p<.001), illiterate (p<.001), and had higher family income (p=.003) than people without language disorder. In addition, people with language disorder had a higher disability grade than people without language disorder (p<.001), and the percentages of brain injury, hearing impairment, and intellectual disability were higher among type of disability (p<.001). People with language disorder showed significantly higher dependence on all items of IADL than people without language disorder (p<.001). As the first-ranked healthcare need, people without language disorder had the highest percentage of “chronic illness management,” and people with language disorder had the highest percentage of “disability management” (p<.001). Conclusion : The findings of the current investigation suggest that health care services are needed to improve IADL in people with language disorder and that the development of a disability management program for people with language disorder is required. Purpose : 본 연구는 장애인의 언어장애 유무에 따른 사회인구학적 특성, 수단적 일상생활, 보건의료 인식의 차이를 규명하고자 하였다. Methods : 연구자는 2017년 장애인 실태조사의 원시자료를 이용하여 장애인 6,549명 중 언어장애가 없는 장애인 6,320명과 언어장애가 있는 장애인 229명을 비교하였다. 종속변수는 사회인구학적 특성, 수단적 일상생활활동, 필요하다고 생각하는 보건의료서비스로 선정하였다. Results : 언어장애가 있는 장애인은 언어장애가 없는 장애인과 비교하여 나이가 젊었고(p<.001), 무학인 사람이 많았으며(p<.001), 월평균 총 가구 소득이 높았다(p=.003). 그리고 언어장애가 있는 장애인은 언어장애가 없는 장애인보다 장애등급이 더 높았으며(p<.001), 장애등록유형 중 뇌병선, 청각장애, 지적장애의 비중이 높았다(p<.001). 언어장애가 있는 장애인은 언어장애가 없는 장애인과 비교하여 전화하기, 물건사기, 식사준비, 청소하기, 빨래하기, 약 챙겨먹기, 금전관리, 대중교통수단 이용하기에서 의존도가 유의하게 높은 것으로 나타났다(p<.001). 필요한 보건의료서비스 1순위는 언어장애가 없는 장애인이 ‘만성질환 관리’의 비중이 가장 높았으며, 언어장애가 있는 장애인은 ‘장애관리’가 가장 높았다(p<.001). Conclusion : 본 연구의 결과는 언어장애가 있는 사람의 수단적 일상생활활동의 도움을 위한 보건의료서비스가 요구되며, 언어장애가 있는 사람을 위한 장애관리 프로그램 개발이 필요함을 시사한다.

소아 언어장애의 원인에 대한 분석

유정훈(Jung Hun Yew) 김영득(Young Deuk Kim) 이건수(Keon Su Lee) 대한소아신경학회 2004 대한소아신경학회지 Vol.12 No.1

Purpose : Language disorders are characterized by inadequate acquisition of language comprehension or expression. Language disorder involve the exclusion of etiologic or explanatory factors, such as sttutering, delayed speech and phonological disorders. It is important to rule out etiologic factors because delayed speech is often associated with other organic disorders or causes of secondary problems. There is no statistic analysis of the causes of language disorders in Korea. So, we analyzed the causes of language disorders. Methods : From March, 2001 to August, 2003, we examined 113 children with language disorders who had developmental and language tests in the language therapy center in Chungnam National University Hospital. Results : In 113 children with language disorders, 77% are male and 23% are female. Average age is 51.3 months. The causes of language disorders are mental retardation(42.4%), tongue-tie(12.3%), stuttering(10.6%), developmental language disorders(9.7%), articulation disorders(9.7%), autism(5.3%), cleft lips or cleft palates(4.4%), hearing disorders (26%), lack of teaching(2.6%). Conclusion : These data demonstrate that mental retardation is the most common cause of language disorders. It is important to pediatricians that early diagnosis and early therapy can prevent developmental or learning disabilities of children with language disorders. 목적 : 언어 장애란 의사 표현이나 소통을 위한 언어를 적절하게 사용하지 못하는 것을 의미한다. 언어 장애는 어떤 형태나 종류이든 간에 어린이의 지능과 정서 발달에 큰 영향을 주므로, 조기에 발견하여 치료해 주는 것이 중요하다. 언어 장애는 다른 기질적인 질환의 한 형태로 나타나는 경우가 많으며 이차적인 문제를 동반하기도 하기 때문에 원인에 대한 감별진단이 중요하다. 그러나 아직 우리나라에서는 언어 장애 환아들의 원인에 대한 통계분석이 없어 저자들은 본원 언어치료실에서 언어 장애로 2년간 치료받은 환아들을 대상으로 언어 장애의 원인에 대해 분석해 보고자 하였다. 방법 : 2001년 3월-2003년 8월까지 충남대학교 병원 언어치료실에 언어 장애를 주소로 내원하여 발달 및 언어검사를 받았던 113명의 소아를 대상으로 하였다. 언어검사는 구강조음기관 검사, 언어 표현 검사, 언어 이해력 검사를 실시하였고(REEL TEST, OMSE), 지능검사는 Korean Whechsler Inteligence Scale for Children(KWISC)로 시행하였다. 결과 : 대상 환아 113명 중 남아가 77%, 여아가 23%로 남녀비는 3.35:1이었으며 평균연령은 51.3개월로 48-59개월이 32.4%를 차지하였다. 환아들의 내원시 주소는 언어지연이 77%로 가장 많았고 그 외에 발음부정확 13.2%, 말더듬 6.19%, 사고 후 언어장애 1.76%, 전반적 지체 1.76%였다. 지능검사상 정신지체로 판정받은 환아군 42.4%로 언어장애의 가장 많은 원인을 차지하였으며, 그 외에 설소대 단축증 12.3%, 말더듬 10.6%, 발달성 언어장애 9.7%, 조음장애 9.7%, 자폐증 5.3%, 구개 ·구순열 4.4%, 난청 2.6%, 교육부족 2.6% 순이었다. 정신지체군에서는 동작지능보다 언어지능의 저하가 더 심하였고, 정신지체의 정도가 심할수록 더 심한 언어지연을 보였다. 결론 : 언어장애의 원인질환으로 정신지체가 가장 많은 것으로 나타났다. 언어장애는 여러 가지 원인질환을 가지고 있거나 다른 동반질환을 가지고 있어 이를 조기에 발견하여 적절히 치료함으로써 행동장애나 학습장애 등의 이차적인 문제를 예방할 수 있으므로 향후 보호자의 교육과 환아의 진단에 소아과 의사들의 관심이 요구된다.

단순언어장애로 진단된 환아의 임상적 고찰

최재용(Jae Yong Choi),김철암(Cheol Am Kim),송익진(Ick Jin Song),이균우(Kyun Woo Lee),강민정(Min Jung Gang),정민지(Min Ji Jung),손병희(Byeong Hee Son) 대한소아신경학회 2011 대한소아신경학회지 Vol.19 No.1

목적 : 언어 발달 문제를 주소로 내원하여 단순언어장애로 진단받은 아동의 임상적 경과를 관찰하고자 이 연구를 시행하였다. 방법 : 대동 병원 소아청소년과 외래에 2007년 7월부터 2008년 6월까지 말과 언어 지연을 주소로 내원하여 언어 및 발달 검사를 받았던 아동 125명 중 단순언어장애로 진단받은 아동 51명에 대한 치료 및 임상 경과를 조사하였다. 자료에 대한 설문조사는 전화 및 외래 방문 면담으로 시행하였다. 결과 : 단순언어장애로 진단 받은 51명의 아동 중 혼합 수용-표현언어장애는 39명(76.5%), 표현언어장애는 12명 (23.5%) 이었다. 추적관찰이 불가능한 10명과 치료를 하지 않았거나, 치료 도중 탈락한 아동 11명을 제외한 30명 중 혼합 수용-표현언어장애 아동은 23명(76.7%), 표현언어장애 아동은 7명 (23.3%)이었다. 이들 아동 30명 중에서 전체적인 치료기간은 혼합 수용-표현언어장애 아동은 18.1±10.0개월, 표현언어장애 아동은 8.6±3.6개월로 통계적으로 유의한 차이가 있었다(P=0.014). 언어치료를 받은 혼합수용-표현언어장애 아동 23명 중 13명(57%)과 표현언어장애 아동 7명중 모두(100%)에서 치료가 종결되었다. 그러나 언어치료가 종결된 아동에서 언어치료가 종결되기 까지의 기간은 혼합 수용-표현언어장애 아동에서 12.2±8.7개월, 표현언어장애 아동 군에서 8.6±3.6개월로 표현언어장애 아동에서 치료기간이 짧아 보였으나 통계적으로 유의한 차이는 없었다(P=0.287). 결론 : 이전의 논문들의 고찰 및 본 연구를 통하여 볼 때, 단순언어장애 아동을 외래에서 진료 시 혼합 수용-표현언어장애 아동과 표현언어장애 아동으로 구분하여 치료하는 것은 단순언어장애 아동의 치료기간 뿐만 아니라 언어치료에 대한 경과나 예후를 예측하는데 도움이 될 것으로 생각된다. 앞으로 소아청소년과 차원에서의 단순 언어장애 아동에 대한 조기평가와 효과적인 치료방법에 대한 관심이 절실히 요구된다. Purpose: The purpose of this study was to evaluate the clinical characteristics of children who had been diagnosed as specific language impairment as outpatients. Methods: One hundred twenty-five speech- or language-delayed patients were enrolled in Dae-Dong Hospital from July 2007 to June 2008. Fifty-one of 125 children were diagnosed as specific language impairment in whom clinical factors such as duration of therapy and progress after therapy were evaluated. Data were obtained from telephone or direct personal interviews. Results: Among 51 children diagnosed as specific language impairment, 39 (76.5%) had mixed receptive-expressive-type language disorder and 12 (23.5%) had expressive-type language disorder. Thirty children in total were studied as ten children were unavailable for follow-up and eleven dropped out during treatment. The final 30 children consisting of 23 with mixed receptive-expressive type language disorder and seven children with expressive-type language disorder were treated after diagnosis. Total average treatment duration of children with mixed receptive-expressive-type and expressive-type language disorder were 18.1 months and 8.6 months, respectively, a statistically significant difference (P=0.014). Thirteen (57%) of 23 children with mixed receptive-expressive-type language disorder and all (100%) seven children with expressive-type language disorder completed speech therapy with an average treatment duration of 12.2 and 8.6 months, respectively; however. this difference was not statistically significant(P=0.287). Conclusion: Classifying patients with specific language impairments into mixed receptive-expressive-type and expressive-type language disorder in an outpatient department can be useful for predicting duration of and prognostic effects of language therapy. as our study and other previous articles have shown. More attention is needed from pediatricians to ensure the effective assessment and management of specific language impairment.

학령기 언어발달 및 언어장애 문헌연구

진연선(Yeon Sun Jin),권유진(Eugene Kwon),이윤경(Yoonkyoung Lee) 한국언어청각임상학회 2008 Communication Sciences and Disorders Vol.13 No.4

배경 및 목적: 학령기 언어장애 비 율의 증가와 학문적 관심 증가로 인해 학령기 언어발달과 학령기 언어장애에 대한 관심이 커지고 있다. 본 연구에서는 국외와 국내의 언어병리학 분야에서 학술지에 발표된 논문을 분석하여 그 동안 의 연구를 종합하고 또한 추후 연구의 방향을 제시하고자 하였다. 방법: 1991년부터 2007년에 발표된 국내외 언어병리학 학술지를 중심으로 논문 선정 기준에 맞는 총 36편의 연구 논문을 선정하였다. 총 36편의 논문은 학령기 언어발달연구와 학령기 언어장애연구로 나누어 국외와 국내를 비교하였다. 결과: (1) 총 36편의 연구 논문 중, 국외 연구는 1991년부터 최근까지 총 29편, 국내 연구는 2002년을 시작으로 총 7편의 연구가 발표되었다. 국외논문의 경우 언어발달연구가 9편(31%)이었으며, 언어장 애 연구는 20편(69%)이었다. 국내연구의 경우 언어발달연구가 4편(57%)이었으며, 언어장애연구가 3편(43%)이었다. (2) 언어발달연구의 경우, 국외 연구는 초등학생(5편, 56%), 초등학생과 청소년(2편, 23%), 그리고 성인(1편, 21%)을 대상으로 하였으며, 언어영역별로는 담화(4편, 45%) 연구가 가장 많았 고 그 다음은 의미(3편, 33%), 문법(2편, 22%)영역 순이었다. 이에 반해 국내에서는 4편의 연구가 모두 초등학생을 대상으로 하였으며, 4편의 연구가 모두 담화 연구이었다. (3) 언어장애연구의 경우, 국외 논문은 단순언어장애를 대상으로 한 연구(11편, 55%)가 가장 많았고, 언어학습장애(5편, 25%), 언어장 애(3편, 15%), 학습장애(1편, 5%) 순으로 나타났다. 그리고 총 20편의 논문 중 담화(8편, 40%)영역에서 가장 많은 연구가 이루어졌고, 문법(7편, 35%), 화용(4편, 20%), 의미(1편, 5%)영역이었다. 반면 국내논 문은 단순언어장애(2편, 77%)와 학습장애(1편, 33%)를 대상으로 하였으며, 담화(1편, 33%)와 화용(2 편, 67%)영역에서 연구가 있었으나 의미와 문법영역에서는 연구가 없었다. 논의 및 결론: 연구결과를 바탕으로 국외 연구와 국내 연구를 비교하여 연구형태, 언어영역별로 요약하였고, 향후 국내에서 이 루어져야 할 후속연구의 방향을 제시하였다. Backgroud & Objectives: The purpose of this study was to review the recent research trend regarding language development and language disorders of school-aged children. Methods: We reviewed the articles published from 1991 to 2007 in the international and Korean journals that focus on speech-language pathology. A total of 36 articles were selected and divided into two research areas (language development and language disorders). The following information was extracted from each article and analyzed aspects of language, participants, research method, dependent variables, and major results. Results: (1) Of the 29 articles published abroad, nine (31%) focused on language development and 20 (69%) focused on language disorders. Of the seven articles published in Korea, four (57%) pertained to language development and three (43%) pertained to language disorders. (2) In the international articles pertaining to language development, the participants consisted of school-aged children (23%), school-aged children and adolescents (23%), and adults (21%). Most of the international articles focusing on the aspects of language development specifically analyzed discourse (45%) followed by semantics (33%) and grammar (22%). A of total four articles published in Korea analysed school-aged children, and they all focused on discourse studies. (3) In the articles on language disorders, the participants consisted of children with Specific Language Impairment (SLI)(55%), Language Learning Disability (LLD)(25%), Language Impairment (LI)(15%), and Language Disability (LD)(5%) in the international journals. Most of the international articles focusing on the aspects of language disorders specifically analyzed discourse (40%) followed by grammar (35%), pragmatics (20%), and semantics (5%). Participants in the Korean articles were children with SLI (77%) and LD (33%), and these articles focused on pragmatics (67%) and discourse (33%). Discussion & Conclusion: We discussed the results and suggested a direction for future research on language development and disorders of school-aged children.

The Clinical Features of Preschool Children With Speech and Language Disorder and the Role of Maternal Language

Hyeong Seop Kim,Heesuk Shin,Chul Ho Yoon,Eun Shin Lee,Min-Kyun Oh,Se-Woong Chun,Seung-Kyu Lim,Hoi Sik Min,Hayoung Byun 대한재활의학회 2021 Annals of Rehabilitation Medicine Vol.45 No.1

Objective To retrospectively review the characteristics of preschool children with speech and language disorders to determine their clinical features and compares the average degrees of language delay based on hospital visit purposes, language developmental delay causes, and maternal language. Methods One thousand one hundred two children (832 males, 270 females) with the chief complaint of language or speech problems who underwent language assessment for the first time were included. Their medical records, including demographic data, language environments, and family history of language problems and other developmental problems, were collected. Furthermore, the results of language and developmental assessments and hearing tests were collected. Results Among the children enrolled in this study, 24% had parental problems and 9% were nurtured by their grandparents. The average degree of language delay did not differ regarding purposes of hospital visits. The average degree of language delay was greatest in children with autism spectrum disorders and least in children with mixed receptive–expressive language disorders. In children with mothers who do not speak Korean as their native language, social quotients in the social maturity scale were less than 70. Conclusion Language environment is an essential factor that may cause speech and language disorders. Moreover, maternal language seems to affect the social quotient of the social maturity scale.

Correlations Between Values of Articulation Tests and Language Tests for Children With Articulation Disorder in Korea

Kwang Min Choi,유승돈,김동환,전진만,이승아,Young Rok Han,Myung Chul Yoo,Jae Joon Lee,Miryeong Yang,Young Hwa Choi,Min Ji Jung 대한재활의학회 2019 Annals of Rehabilitation Medicine Vol.43 No.4

Objective To evaluate correlations between values of articulation tests and language tests for children with articulation disorder in Korea. Methods Data of outpatients with chief complaint of an articulation problem were retrospectively collected. Patients who underwent Urimal Test of Articulation and Phonation (U-TAP) with Assessment of Phonology and Articulation for Children (APAC), Preschool Receptive-Expressive Language Scale (PRES), or Receptive and Expressive Vocabulary Test (REVT) simultaneously were identified. Patients whose word-level percentages of correct consonants in U-TAP (UTAP_wC) were more than 2 standard deviations below the mean as diagnostic criteria for articulation disorder were selected. Those whose receptive language age (P_RLA), expressive language age (P_ELA), or combined language age (P_CLA) in PRES was delayed more than 24 months compared to their chronological age in months as diagnostic criteria for language disorder were excluded. Results Thirty-three children aged 3–6 years were enrolled retrospectively. PRES and U-TAP showed significant correlations for most of value relationships. PRES and APAC showed significant correlations for all value relationships except for receptive language age. All values of REVT were significantly correlated with all values from U-TAP, but not with any value from APAC. Articulation tests U-TAP and APAC showed significant correlations between percentages of correct consonants. Language tests PRES and REVT showed significant correlations for all value relationships. Conclusion This study suggests that articulation abilities and language abilities might be correlated in children with articulation disorder.

Exploring the interaction of executive function and language processing in adult cognitive-communication disorders

Bijoyaa Mohapatra 한국언어재활사협회 2019 Clinical Archives of Communication Disorders Vol.4 No.3

Purpose: The neural basis of language processing partially overlaps with executive system processing mediated by a network of frontal, parietal, and subcortical areas of the brain, thereby suggesting the significant interaction of executive functioning on linguistic abilities. It is critical that speech language pathologists understand the nature of executive function (EF) and their relationship with respect to speech and language. The purpose of this paper is to analyze the literature and evaluate the role of EF on language processing and deficits in communication disorders. Methods: The following paper is a comprehensive literature review of the existing evidence regarding the influence of EF on language processing in adult neurogenic cognitive-communication disordered populations. The review includes relevant research studies from participants of all age groups and severities published in the last three decades. Results: Research evidence with relevance to major adult neurogenic cognitive-communication disorders including Aphasia, Traumatic Brain Injury, Right Hemisphere Damage, and Parkinson’s Disease are discussed. The paper addresses how the impact may vary with respect to the different components of language (semantics versus discourse pragmatics), different modalities of language (production versus comprehension), as well as complexities of language tasks. Several research studies provide support for the influence of different EF processes such as switching, shifting, inhibition, sequencing, working memory, and processing speed, on language processing in these clinical population. Conclusions: Through the information presented here, professionals, both clinicians and researchers in the field of communication sciences and disorders can gain a thorough knowledge of the interaction of language and executive functioning and a prospect to develop an integrative framework for assessment and intervention of cognitive-communication disorders.

청각처리장애와 언어학습장애 혹은 주의력결핍과잉행동장애의 중복에 대한 비평

김수진 ( Soo Jin Kim ) 한국특수아동학회 2006 특수아동교육연구 Vol.8 No.1

Auditory processing disorder(APD) is a very complicate area representing language learning disability, attention-deficit/hyperactivity disorder, or language disorders, which may be obscure or may occur in combination. Although the fundamental physiology and neurology of APD is not understood perfectly, a test battery approach is generally used for the assessment of APD that is needed to evaluate critically. The assessment of a child with APD is complex by a child` s problems with such factors as intelligence, linguistic features, short-term memory, attention, metacognition, metalingusistics, and motivation. Many children with learning disabilities or attention-deficit/hyperactivity disorders have auditory processing problems. Teachers and other professionals should have reasonable suspicion about the role of auditory processing problems in children with language disorders and the possibility of auditory processing disorders in children with language disorders. New assessment tools that define the role of APD in language disorders will enable us to identify children with APD, and more research is needed to find the most appropriate intervention for these children.

형제 참여 언어중재가 언어장애 아동의 언어능력에 미치는 효과

황보명 한국음성과학회 2003 음성과학 Vol.10 No.3

This study was aimed at clarifying the effects of sibling-involved language intervention in children with language disorders. Ten subjects were selected an assigned into two groups (language intervention group with sibling-involvement, a language intervention without sibling-involvement). Group 1 consisted of 5 children with language disorders. Group 2 consisted of 5 children with language disorders without sibling-involvement. To investigate the language and communication ability, Picture Vocabulary est. and the subjects's spontaneous speech sample were analyzed. To compare pre-treatment with post-treatment between two the groups, repeated-measures ANOVA and t-test were used. The results were as follows; First, the language intervention with sibling-involvement was not effective compared to without sibling-involvement in improving the picture vocabulary ability of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the picture vocabulary ability of the two groups. However, there was no significant difference in the post-trearment between the two groups. Second, the language intervention with sibling involvement was more effective compared to without sibling-involvement in improving the semantic aspects of language of children with language disorders. There was a significant difference between per-treatment and post-treatment in the number of semantic elations between the two groups in that group 1 showed a higher improvement than group 2. Third, the language intervention with sibling involvement was more effective in improving pragmatic aspects of language of children with language disorders. There was a significant difference between pre-treatment and post-treatment in the number of communicative intentions of the two groups. And there was a significant difference in the post-treatment between the groups in that group 1 showed a higher improvement than group 2.

국내 언어장애 판정기준에 대한 언어재활사의 인식 및 진단평가 실태에 관한 조사 연구

홍새미,박성종,유민영 한국언어치료학회 2018 言語治療硏究 Vol.27 No.2

Purpose: The Ministry of Health and Welfare (MOHW) notified diagnostic criteria for language disorders, and the speech language pathologists (SLPs) in charge of assessing language disorders have to recognize and consider them in clinical practice. This study investigated SLPs’ perception level of the diagnostic criteria by MOHW and current assessment approach of the language disorders to establish proper guidelines of diagnosis for language disorders. Methods: We conducted a nationwide online survey with 23 questions across 3 domains (responders’ characteristics, perception level of diagnostic criteria by MOHW and current assessment approach of language disorders) on SLPs registered with the Korean Association of Speech Language Pathologists. We analyzed the results of completed questionnaire received from 362 responders. Chi-squared test or Fischer's exact test were used to compare difference in perception level according to the certification level, working institution and period of clinical experience. Results: Overall, SLPs’ perception level of the diagnostic criteria by MOHW was low. However, SLPs with the first - level certification, those in a tertiary medical center and those with more than 10 years of clinical experience showed significantly higher perception level than the other groups. The assessment tools used in the diagnosis of language disorders and method of interpreting results varied widely. Conclusions: This study suggests that the perception level of diagnostic criteria for language disorders by MOHW should be improved. This study is expected to be used as the basis for establishing guidelines of diagnostic criteria for language disorders. 목적: 보건복지부는 언어장애 판정기준에 대해 고시하였으며, 언어장애 진단평가를 담당하고 있는 언어재활사들은 이에 대해 인지하고 임상에서 고려할 필요가 있다. 본 연구는 보다 공정한 언어장애 판정을 위한 진단평가 지침 수립을 위해 현재 고시되어 있는 언어장애 판정기준에 대한 언어재활사들의 인식도를 파악하고 언어장애 진단평가 실태를 살펴보고자 하였다. 방법: 한국언어재활사협회에 등록되어 있는 언어재활사에게 구글 설문지 주소를 포함한 문자를 발송하였고, 설문에 응답한 362명의 응답 내용을 분석하였다. 설문문항은 응답자의 배경정보에 관한 문항 9개, 장애 판정기준 인식에 관한 문항 5개, 장애 진단평가 실태에 관한 문항 9개로 총 23개 문항으로 구성하였으며, 진단평가 실태에 관한 문항 응답은 장애 유형별 진단 경험 유무에 따라 참여를 제한하였다. 자료의 분석을 위해서는 각 문항의 응답 빈도와 백분율을 산출하였으며, 참여자의 자격증 급수, 근무기관, 임상경험에 따른 인식도 차이가 있는지 살펴보기 위해 카이제곱검정 및 피셔의 정확검정을 실시하였다. 결과: 보건복지부가 고시한 언어장애 판정기준에 대한 언어재활사들의 인식도는 모든 언어장애 유형에서 전반적으로 낮았다. 1급 자격증 소지 집단, 3차 의료기관 종사 집단, 임상경험 10년 이상 집단은 상대적으로 다른 집단에 비해 인식도가 유의미하게 높은 것으로 나타났다. 언어장애 진단 시 사용되는 검사 도구 및 검사 결과 산출 방법은 다양한 것으로 나타났다. 결론: 본 연구의 결과는 언어장애 판정기준에 대한 언어재활사들의 인식도 향상의 필요성을 제기하였다. 본 연구에서 이루어진 국내 의료기관의 언어장애 진단평가 실태 조사 결과는 추후 언어장애 판정을 위한 진단평가 지침 수립을 위한 기초자료로 활용될 것이다.