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研究生:傅奕霖
研究生(外文):FU, YI-LIN
論文名稱:人工電子耳成人植入者聲調與音樂旋律辨識能力之探討
論文名稱(外文):Lexical Tone and Melodic Contour Identification of Adult Cochlear Implant Users
指導教授:錡寶香錡寶香引用關係
指導教授(外文):CHI, PAO-HSIANG
口試委員:楊雅惠羊蕙君
口試委員(外文):YANG, YA-HUIYANG, HUI-CHUN
口試日期:2017-06-02
學位類別:碩士
校院名稱:國立臺北護理健康大學
系所名稱:語言治療與聽力研究所
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:83
中文關鍵詞:人工電子耳聲調辨識聲調表達音樂旋律辨識
外文關鍵詞:cochlear implantlexical tone recognitiontone productionmelodic contour identification
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  本研究之目的在比較人工電子耳之成人植入者與聽力正常者在聲調及音樂旋律辨識的表現上是否有顯著差異,並進一步探討人工電子耳成人的聲調表達、音樂旋律辨識與聲調辨識的表現上是否具相關性。研究對象共納入30位人工電子耳成人植入者,以及30位聽力正常成人。所有研究參與者皆完成聲調辨識、聲調表達及音樂旋律辨識測驗。聲調辨識測驗包含單字詞聲調辨識及聲調對比測驗。聲調表達測驗中,收錄所有研究參與者唸讀15個華語雙字詞之語料,並以聽知覺及聲學分析進行後續評量。音樂旋律辨識測試,則包含六種不同音高之旋律,共計18題。
  研究結果顯示,聽常組受試者在聲調辨識、聲調表達及音樂旋律辨識表現上皆顯著優於人工電子耳植入者,尤以音樂旋律辨識表現差異最大。此一結果顯示,比起聲調辨識,電子耳植入者在音樂旋律辨識上顯得更為困難。在聲調辨識上,電子耳成人辨識正確率最高的是四聲(90.67%),三聲(81.33%)次之、接續為一聲(66.00%),而在二聲(58.00%)的辨識上顯得最為困難;其中,辨識正確率最低的二聲最常被誤聽為一聲。而在聲調表達測驗中,亦為四聲的表現最佳,二聲的表現最弱,此一結果顯示電子耳植入者可能因在知覺上即有明顯的困難,故在表達時亦難有良好的聽覺回饋進行自我監控及修正。
  此外,本研究亦發現人工電子耳組植入者之聲調辨識、聲調表達及音樂旋律辨識能力間具相關性,而由於聲調辨識、聲調表達、音樂旋律彼此間皆仰賴基頻變化作為感知線索來源,本研究乃推論加強聲調辨識或音樂旋律辨識應該都會有利於提升人工電子耳植入者在音高感知上的表現。

Purpose: This study aimed to compare the performance of lexical tone perception and melodic contour identification between adult cochlear implant (CI) recipients and normal-hearing (NH) adults, and to investigate the correlation between perceptual abilities of lexical tone and melodic pitch in Mandarin-speaking CI adults as well. Besides, Mandarin tone production skill was also investigated in order to examine the relationship between tone perception and production in adult CI users.
Method: 30 CI recipients and 30 normal-hearing adults were included in this study. Lexical tone recognition task and melodic contour identification (MCI) task were conducted to all subjects. Lexical tone recognition task was measured for four Mandarin tonal patterns. 30 tone tokens were recorded from each of the subjects as production data, and evaluated by native speakers of Mandarin Chinese. As for the melodic contour identification, 6 distinct melodic patterns were used in the MCI test. Each contour was composed of 5 notes with equal duration, and the interval between successive notes was 5 semitones.
Results: The subjects performed significantly differently on both tasks (p < 0.001) . Lexical tone-recognition performance of the CI group was 78.86% correct on average, and performance of the NH group was nearly perfect ( mean = 99.30% correct). MCI performance was also significantly better for NH group (mean = 90.37% correct) than for CI group ( mean=36.48% correct). The Pearson correlation coefficients between CI subjects’ performance in lexical tone recognition and MCI task were approximately 0.52. For CI subjects, Tone 4 was the easiest one to be perceived and produced, and Tone 2 was found to be the hardest one in both recognition and production task. Tone 2 was more often to be misperceived and produced as Tone 1.
Conclusion: The NH subjects performed significantly better than the CI group on both lexical tone recognition task and MCI test. Adult CI users' performance in lexical tone recognition and MCI test are moderately correlated, and this result implies that perception of melodic pitch and lexical pitch might share similar perceptual properties.

表次 …………………………………………………………………………………III
圖次 …………………………………………………………………………………IV
第一章
第二章 緒論 ………………………………………………………………………1
   第一節 研究背景及研究目的 ……………………………………………1
   第二節 研究問題 …………………………………………………………4
第二章 文獻探討 …………………………………………………………………5
   第一節 華語聲調特性及其聲學辨識線索 ………………………………5
   第二節 音樂旋律與華語聲調 ……………………………………………9
   第三節 聽覺機轉及人工電子耳之限制 …………………………………10
   第四節 人工電子耳植入者聲調及音樂旋律辨識之表現 ………………13
第三章 研究方法 …………………………………………………………………21
   第一節 研究架構 …………………………………………………………21
   第二節 研究對象 …………………………………………………………22
   第三節 研究工具 …………………………………………………………27
   第四節 研究流程 …………………………………………………………29
   第五節 資料處理與統計分析 ……………………………………………31
第四章 研究結果 …………………………………………………………………35
   第一節 聲調辨識能力 ……………………………………………………35
   第二節 聲調表達能力 ……………………………………………………40
   第三節 音樂旋律辨識能力 ………………………………………………44
   第四節 聲調辨識、聲調表達、音樂旋律辨識能力之關聯性 …………47

第五章 討論與結論 ………………………………………………………………51
   第一節 聲調辨識與聲調表達 ……………………………………………51
   第二節 音樂旋律辨識能力 ………………………………………………54
第三節 聲調辨識、聲調表達、音樂旋律辨識能力之關聯性 …………55
   第四節 研究限制與建議 …………………………………………………57
   第五節 臨床應用 …………………………………………………………57
   第六節 結論 ………………………………………………………………58

參考文獻 …………………………………………………………………………… 61
附錄 ………………………………………………………………………………… 70
   附錄一 人體試驗倫理委員會核可證明……………………………………70
附錄二 研究參與者基本資料表(聽損組)………………………………72
   附錄三 研究參與者基本資料表(聽常組)………………………………74
   附錄四 研究參與者知情同意書……………………………………………75
附錄五 聲調表達唸讀語料…………………………………………………79
附錄六 音高正規化前原始平均數據………………………………………80

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