The Japan Journal of Logopedics and Phoniatrics
Online ISSN : 1884-3646
Print ISSN : 0030-2813
ISSN-L : 0030-2813
Volume 33, Issue 2
Displaying 1-8 of 8 articles from this issue
  • Fumi Tamai, Kimitaka Kaga
    1992 Volume 33 Issue 2 Pages 169-176
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    The case of a child suffering from agnosia for verbal and nonverbal sounds was reported. His development was normal until the age of 2 years and 7 months when he was afflicted with herpes simplex encephalitis. It was found that the patient did not respond to sounds or speak any words. CT scan and magnetic resonance imaging demonstrated bilateral lesions of the superior temporal gyrus. Auditory brain stem response showed a normal configuration at 80 dB HL, and normal threshold at 20 dB. The average threshold of conditioned orientation reflex audiometry was 105 dB. WPSSI nonverbal IQ was 61. Afterwards it became possible for the patient to respond to several sounds and voices in the environment, but he had difficulty with their differentiation. Behavioral audiometry revealed a moderate hearing loss, but the thresholds were not always stable.
    Speech therapy was started at three years of age. Until this time, the patient had communicated to others with gestures. Education of sign language was introduced, and at five years of age it became possible to use two- or three-word sentences for communication. Acquisition of finger spelling, letters and lip reading remained difficult.
    It is important to note that early speech therapy with sign language was helpful in overcoming auditory agnosia in this case.
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  • Yumiko Fukuda, Akira Yokkaichi
    1992 Volume 33 Issue 2 Pages 177-185
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    A method to evaluate speech perception ability by combined use of lip-reading and residual hearing was developed. The test materials consisted of sets of lists of Japanese syllables, words and sentences recorded on video tape. Phonemes, visemes (visual phememes), length and familiarity were evenly distributed among the lists for each set.
    Using this newly developed method, an experiment to evaluate speech perception ability was conducted on 22 congenitally hearing impaired students at a junior high school for the deaf. The results as folloes. (1) Nine among the 22 subjects showed positive results through combined use of auditory and visual perception, while 6 showed no effect and the rest showed moderate effect. (2) The hearing level of the subjects belonging to the each group, tended to decrease in order of positive, moderate and no-effect groups. (3) There was nosignificant difference in the number of correct answers for visual perception between the positive and no-effect groups, indicating that the difference in effect was due to auditory speech perception ability.
    These results suggest that it is indispensable to try utilizing the other perception channels for speech in case where a hearing aid serve no useful purpose for speech perception.
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  • Kazutomo Kitajima, Fumika Fujita, Kazunari Tanaka
    1992 Volume 33 Issue 2 Pages 186-191
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    The present study was designed to compare peak intraoral pressure against subglottal pressure during the production of /i : pi : /. Subglottal pressure was measured using a miniaturized pressure transducer inserted through the nose. The subjects were two normals and 13 patients with various laryngeal diseases. Results showed that Spearman's rank correlation between peak intraoral pressure and subglottal pressure was 0.95, indicating a positive correlation between these two pressures. Differences between the two pressures were larger in subjects with higher subglottal pressure (Spearman's rank correlation was 0.75) . The estimation of subglottal pressure by intraoral pressure during / i : pi : / production was confirmed to be useful in clinical practice. However the existence of discrepancies between the two pressures must also be kept in mind.
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  • Historical Development and Clinical Use
    T. Hacki, E. Loebell
    1992 Volume 33 Issue 2 Pages 192-202
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    This paper reviews the development of different kinds of voice range profile measurements from the past to the present stage.
    The combined measurements of the speakig, shouting, and singing voice range profiles are presented and the methold explained which was developed in Hannover.
    After analysis of more than 300 persons with normal voices and over 700 patients with voice disorders the relationship between the three voice profiles have been evaluated and described. The voice range profiles may be documented and superimposed for comparison before and after therapy.
    In functional voice disorders there is often some discrepancy between the singing, shouting, and speaking voice profiles.
    Despite a normal singing voice profile, the speaking voice area is restricted and displaced.
    In organic voice disorders the singing voice profile is found more or less reduced particularly in the head register, or all modalities of the voice production are effected.
    Voice range profile measurements have been proved useful in clinical practice. The method should become more attention for its use in diagnostics and for therapy monitoring in all kinds of voice disorders, exspecially for expert opinion.
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  • [in Japanese]
    1992 Volume 33 Issue 2 Pages 203
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1992 Volume 33 Issue 2 Pages 204-208
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    Download PDF (450K)
  • [in Japanese]
    1992 Volume 33 Issue 2 Pages 209
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    Download PDF (90K)
  • [in Japanese]
    1992 Volume 33 Issue 2 Pages 210
    Published: April 20, 1992
    Released on J-STAGE: June 22, 2010
    JOURNAL FREE ACCESS
    Download PDF (56K)
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