383 KB32 KB200820252021Jukić, SaraNabergoj, UrškaRatković, AjdaTivadar, HotimirŽumer, Ninaštevilka:2letnik:20str. 22-28ISSN:1580-9315COBISSID_HOST:93733123URN:URN:NBN:SI:doc-S1VOX549slUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)alaringealni govoralaryngeal speechlaringektomijalaryngectomyocena govoraperceptive tesperceptivni testSpeechspeech assessmentvoiced-voiceless soundszveneči-nezveneči glasoviAnaliza in zaznava ezofagealnega govora v slovenskem jeziku| Analysis and perception of esophageal speech in slovenian language|Background: Often, in patients with throat or hypopharynx cancer, the only possible solution is to remove the throat completely. The socalled laryngectomy leads to inability to produce voice, so patients are forced to learn one of the alternative forms of speech – oesophageal speech (ES) is one of them. In order to acquire it, patients have to learn new speech patterns. We can use perceptive tests and speech assessments to determine how successful patients are in learning the required new speech patterns and how others perceive their speech. The main purpose of the case study was to investigate the adequacy of articulation of a Slovenian oesophageal speaker according to intelligibility, acceptability and likeability of her speech. Methods: The case study investigated the speech of a speaker, who underwent laryngectomy 25 years ago. 18 participants, aged between 20 and 24 years, listened to audio recordings of her speech. In perception tests, they noted what they heard, and in speech assessment, they assessed the speech, comparing it with an “ideal” speaker, a speaker with rhoticism, and a hoarse speaker. Results: Perceptive tests have shown that the speaker pronounces most of the voices intelligibly; intelligibility is only worse in voiced sounds. In the first part of the test, participants recognized only 43 % of her voiced plosives, 31 % of her voiced fricatives, and none of her voiced affricates. In the second part, participants perceived 96 % of the spoken voiceless sounds as voiceless, but they only perceived 42 % of the voiced sounds as voiced. Speech assessment has shown that participants assessed ES as the least intelligible, the least acceptable, and the least likeable (compared to an “ideal” speech, hoarse speech and speech with rhoticism), but its assessments did not differ statistically significantly from a hoarse speech in any of the parameters. Conclusion: The ES speaker has difficulty pronouncing voiced plosives, fricatives, and affricates. Her speech is considered relatively intelligible, but unacceptable and very unlikeableIzhodišča: Pri pacientih z rakom grla ali spodnjega žrela je pogosto edina možna rešitev popolna laringektomija. V tem primeru so se osebe po kirurškem posegu primorane naučiti ene od nadomestnih oblik govora. Mednje sodi tudi ezofagealni govor (EG), ki od laringektomiranih oseb zahteva učenje novih govornih vzorcev. S perceptivnimi testi prepoznavamo, kako govor zaznavajo poslušalci, zato z njimi lahko ugotavljamo, kako uspešni so bolniki pri tem učenju; z oceno govora pa ugotavljamo, kako poslušalci ocenjujejo govorca glede na izbrane lastnosti njegovega govora. Glavni cilj študije primera je bil raziskati ustreznost izreke slovenske ezofagealne govorke ter razumljivost, sprejemljivost in všečnost njenega govora. Metode: V študiji primera je sodelovala ezofagealna govorka, laringektomirana pred 25 leti. Posnetki njenega govora so bili predvajani 18 preiskovancem, starim med 20 in 24 leti. V perceptivnih testih so opredelili, kaj slišijo; v oceni govora pa so njen govor primerjali z govorom “idealne” govorke, govorca z rotacizmom in hripavega govorca. Rezultati: Perceptivni testi so pokazali, da govorka večino glasov izgovarja razumljivo; razumljivost je slabša le pri zvenečih nezvočnikih – preiskovanci so ustrezno prepoznali zveneče zapornike le v 43 % primerov, zveneče pripornike v 31 % primerov, zvenečega zlitnika pa niso zaznali nikoli. V drugem delu testa so preiskovanci 96 % nezvenečih tarčnih glasov prepoznali kot nezveneče, medtem ko so le 42 % zvenečih tarčnih glasov prepoznali kot zveneče. Ocena ezofagealnega govora glede na druge govore (»idealni«, z rotacizmom, hripavi) je pokazala, da je poslušalcem EG najmanj razumljiv, najmanj sprejemljiv in najmanj všečen, vendar se ocene EG v nobenem parametru ne razlikujejo statistično značilno od hripavega govora. Zaključek: Govorka ima težave s tvorjenjem zvenečih zapornikov, pripornikov in zlitnikov; kljub relativni razumljivosti je njen EG ocenjen kot nesprejemljiv in zelo nevšečenTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča