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Analysis of Articulation of Laryngectomees with Esophageal Speech and Its Application to Rehabilitation

Research Project

Project/Area Number 10671612
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Otorhinolaryngology
Research InstitutionKitasato University

Principal Investigator

KOIKE Minako  Kitasato Univ., School of Allied Health Science, Lecturer, 医療衛生学部, 講師 (50276177)

Co-Investigator(Kenkyū-buntansha) HIRAYAMA Masatosi  Kitasato Univ., School of Medicine, Assistant Professor, 医学部, 助教授 (00208860)
KOBAYASHI Noriko  Kitasato Univ., School of Allied Health Science, Professor, 医療衛生学部, 教授 (30195797)
HIROSE Hajime  Kitasato Univ., School of Allied Health Science, Professor, 医療衛生学部, 教授 (80010031)
HIRAI Sawako  Kitasato Univ., School of Allied Health Science, Assistant
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥1,300,000 (Direct Cost: ¥1,300,000)
Fiscal Year 1999: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 1998: ¥800,000 (Direct Cost: ¥800,000)
KeywordsEsophageal speech / articulation / electropalatography / rehabilitation
Research Abstract

Training of articulation is essential for a good rehabilitation program for laryngectomees. In order to establish an effective rehabilitation program for esophageal speakers, perceptual and physiological studies were conducted and their articulation was analyzed. It was found that vowels were most intelligible, while voiceless plosives and /h/ sound were least intelligible. For fricatives, unskilled esophageal speakers generally showed low intelligibility. In skilled esophageal speakers, most sounds were perceived correctly except for a few mistakes in voiced-voiceless distinction and /h/ sound confusion. /h/ sound was often perceived with omittion, distortion to /ρ/ or addition of /k/. Articulation movements of selected esophageal speakers were analyzed using electropalatography. The examination revealed that all the esophageal speakers showed abnormal linguapalatal contact patterns. One of the esophageal speakers produced a correctly perceived /h/ sound by having bilateral marginal linguapalatal contacts near the back of the tongue, For articulation training of /h/, use of palatal frication seemed adequate, in which the back of the tongue was slightly lowered after having n articulatory posture for /k/ sound.

Report

(3 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • Research Products

    (21 results)

All Other

All Publications (21 results)

  • [Publications] 廣瀬肇: "音声障害の臨床"日耳鼻神奈川地方部会誌. 12(1). 84-87 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小池三奈子: "喉頭全摘の声のリハビリ"音声言語医学. 40(1). 76-77 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小池三奈子: "「電気喉頭を用いた音声」と「食道音声」の観察と評価"無喉頭音声セミナー報告書. 21-24 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小池三奈子: "食道音声の訓練"無喉頭音声セミナー報告書. 29-34 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 廣瀬肇: "音声障害の臨床"インテルナ出版. 170 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小池三奈子: "言語聴覚療法シリーズ14:音声障害"(株)建帛社. 160 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hajime Hirose: "Clinical aspects of voice disorders"J. Kanagawa Sec of Jpn. Soc. Otorhinolaryngology. 12-1. 84-87 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hajime Hirose: "Evaluation and pathophisiology of dysarthria"Research J. Kagoshima Aphasiology Soc.. 9-1. 1-19 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hajime Hirose: "Clinical aspects in voice disorders"Interna Pablishing. 170. (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minako Koike: "Speech rehabilitation after total laryngectomy"Jpn. J. Logopedics and Phoniatrics. 40-1. 76-77 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minako Koike: "Observation and evaluation of electrolarynx Speech and esophagealspeech"Reports of alaryngeal speech seminor. 21-24 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minako Koike: "Therapy for electrolarynx speech"Reports of alaryngeal speech seminor. 25-28 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minako Koike: "Therapy for electrolarynx speech"Reports of alaryngeal speech seminor. 29-34 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hajime Hirose: "Clinical aspects in oro-pharyngology"Igakushoin. 179 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Minako Koike: "Series of Speech Pathology No.18, Voice Disorders"Kenpakusya. 160 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 廣瀬肇: "変声障害の発生指導"日本耳鼻咽喉科学会専門医通信. 58. 10-11 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 小池三奈子: "言語聴覚療法シリーズ14.音声障害-無喉頭音声の訓練-"(株)建帛社. 160 (2000)

    • Related Report
      1999 Annual Research Report
  • [Publications] 廣瀬肇: "音声障害の臨床" 日耳鼻神奈川地方部会報. 12・1. 84-87 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 廣瀬肇: "運動性構音障害(dysarthria)の評価と病態整理" 鹿児島失語症研究会誌. 9・1. 1-19 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 廣瀬肇: "神経疾患と音声障害" 耳展. 41・5. 74-80 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 廣瀬肇: "口腔咽頭の臨床" 医学書院, 179 (1998)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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