- Volume 17 Issue 3
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Objective and Subjective Voice Examination in Korean Medicine
- Yu, Junsang (Department of Sasang Constitutional Medicine, Sangji University College of Korean Medicine)
- Received : 2014.07.02
- Accepted : 2014.09.10
- Published : 2014.09.30
Objectives: When a person speaks, voice problems usually include pain or discomfort and/or difficulties in terms of the pitch, the loudness and the quality of the voice. When patients with voice problems induced by stroke, Parkinson's disease, and systemic diseases involving the voice are examined, generally, of the Four Diagnoses (四診), a Diagnosis of Hearing can be used in current Korean medicine. The effects of acupuncture and herb medicine on voice problems have been reported for over 20 years. However, when it comes to improvements, objective and subjective evaluation methods need to be explained. Methods: Subjective methods for evaluating voice were studied through a literature search of old medicinal books containing Korean medicine diagnostics, and an objective evaluation method using Praat software is presented. Results: Korean medicine doctors analyze the patient's voice in clinical settings unconsciously on a daily basis. However, most voice diagnoses depend on the doctor's subjective evaluation. Voice qualities can be evaluated by using the Eight Principles (八綱), including Yin-Yang; the Five Elements (Phases); the Grade, Roughness, Breathy, Asthenic, Strained (GRBAS) score, and the Visual Analogue Scale (VAS) as subjective methods, and an acoustic analysis using the Praat program can be used as an objective method. Conclusion: A more complete voice examination can be achieved by using subjective and objective methods at the same time. For an objective explanation and management of patient's voice problems or systemic disorders, an objective method should be used in Korean medicine, which already has many subjective diagnostic methods. More research needs to be conducted, and more clinical evidence needs to be collected in the future.
Supported by : Sangji University
- Carole TF. [Speech science]. Seoul. SIGMA PRESS;2007. 9 p, 57 p, 60 p, 68 p, 163 p, 164 p, 173 p, 258 p. Korean.
- Heo J. [Dongeui science institute, treasured mirror of eastern medicine (東醫寶鑑)]. Seoul. Humanist;2002;(1). 682 p. Korean.
- Hirose K, Minematsu N. Use of prosodic features for speech recognition. Interspeech. 2004;1445-8.
- Ray DK, Charles R. [Acoustic analysis of speech]. 2nded. Seoul. Pakhaksa; 2007. 19 p. Korean.
- Lee SW. [Acoustic phonetics in korean academy of speech-language pathology and audiology. audiology for speech care professionals]. Seoul. Koon Ja Publishing Inc; 2002. 37 p. Korean.
- Yang BG. [Theory and reality of voice analysis using praat]. Busan. Mansu Publishing; 2002. 21 p. Korean.
- Joo MB. [Traditional chinese medicine diagnostics (中醫診斷學)]. Peking. China press of traditional Chinese medicine; 2002. 91 p. Chinese.
- Yu JS, Kim DR. [A study on the sasang constitutional diagnosis by perceptual voice analysis]. J Sasang Constitut Med. 2004;16(3):46-58. Korean.
- Baek YS, Jang YC. [A study on o-eum (五音) and oseong (五聲) in hwangjenaegyeong (黃帝內經) and akhakgwebeom (樂學軌範)]. The Journal of Korean Medical Classics. 2008;21(3):103-17. Korean.
- Zhang JB. [Accessory wing of classified classic (類經附翼)]. 2nded. Seoul. Hae-dong Medical Publishing; 2001. 85 p. Korean, Chinese.
- Ha KJ, Lee YT, Kim GC. [Analysis on the therapeutic music of chinese five-sounds]. Korean J Oriental Physiology & Pathology. 2002;16(6):1106-9. Korean.
- Japanese association of voice speech medicine. [Voice examination (clinical)]. Seoul. Koon Ja Publishing Inc; 1996. 188-93 p. Korean.
- Unknown. [Classic of difficult issues]. Peking. people's medical publishing House; 1989. 85 p. Chinese.
- Man J. [Manifestation of pediatrics (幼科發揮)]. Peking. China Press of Traditional Chinese Medicine; 2007. 5p. Chinese.
- Li C. [Introduction to medicine (醫學入門)]. Seoul. Dae Seong Publishing; 1994. 210 p. Chinese.
- Li G. [Treatise on the spleen and stomach (脾胃論)]. Taipei. Oju Publishing Co.; 1969. 118 p. Chinese.
- Changes After Voice Therapy in Acoustic Voice Analysis of Chinese Patients With Voice Disorders 2017, https://doi.org/10.1016/j.jvoice.2017.05.005