Medicine and Health Sciences Commons^™

Audiologic And Vestibular Testing And Interpretation Of Outcome Data: A Case Series, Kelly Sarhage, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Nonorganic hearing loss is not typically associated with a detectable pathology.Both adults and children can present to the clinic with nonorganic hearing loss. It is often the result of psychosocial stressors and is more common in children, specifically 6 to 19 years old. Case Presentation: An 11-year-old child presented to the clinic with bilateral mild to moderate sensorineural hearing loss, but prior exams showed unilateral hearing loss on the left side. Discussion: Audiologists need to obtain a detailed case history, determine any underlying complications, inquire about additional auditory diagnoses, and employ objective testing to ascertain test reliability. …

Evaluation And Treatment Of Central Auditory Processing And Sound Tolerance Disorders, Aaliyah Gladney, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1

Introduction: Central auditory processing disorder (CAPD) affects how a listener understands speech even though their peripheral auditory system is intact. Case Presentation: An adult female was seen for a CAPD evaluation after experiencing recent listening difficulties following an automobile accident while 20 weeks pregnant. Results from a comprehensive audiological evaluation revealed audiometrically normal hearing in both ears. Results from the CAPD evaluation suggested a prosodic deficit. Discussion: Although results from testing were consistent with a prosodic deficit, the patient’s case history, original complaints, and recommendations were more consistent with an integration deficit. Conclusion: This case demonstrates that clinicians …

Collapsed Ear Canal And Sudden Sensorineural Hearing Loss, Emily Adelman

AuD Capstone Projects - Communication Sciences and Disorders

No abstract provided.

Alternative Techniques For Amplification: A Capstone Case Series, Toryn Davis, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Charcot-Marie-Tooth (CMT) disease is a rare and chronic hereditary disorder that causes motor and sensory damage to the peripheral nervous system. As the disease progresses, hearing sensitivity may worsen. Case Presentation: A young adult-aged patient presented to the clinic with congenital hearing loss and difficulty with conversational speech in quiet and noisy conditions. Discussion: When encountering a patient with CMT, clinicians should be cognoscente of amplification options, especially if nerve pathways begin to deteriorate. When audiologic testing reveals a progression of hearing loss, alternative amplification may be indicated because conventional hearing aids may not provide enough …

Audiological Intervention For Late-Identified Children And Teenagers With Hearing Loss, Melissa Wiedeman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1 - Introduction: The family of every child referred for definitive care after a newborn hearing screening should follow up with an audiologist to rule out hearing impairment. Early identification, diagnosis, and intervention are crucial for individualized planning and outcomes. Children who need binaural amplification and are not managed appropriately become exposed to sound deprivation, which leads to diminished speech audibility, sound localization, and speech and language development. Case Presentation: A young child presented to the clinic with an unspecified bilateral mild to moderate hearing loss at 500, 2000, and 4000 Hz. Discussion: Children with monaural amplification have shown …

Case Reports On Auditory Deprivation And Audiologic Management, Marysue Koelling, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: Long-term follow-up appointments are beneficial for cochlear implant (CI) users. Several factors can influence individual auditory performance, even after years of experience with amplification use. Maintaining routine follow-up appointments with an audiologist can provide verification measures, auditory monitoring, and ongoing counseling to achieve optimal performance with CI technology. Case Presentation: An elderly, female patient with a monaural CI presented to the clinic with a significant decline in speech perception after years of use. Discussion: The goal of CI programming is to effectively convert acoustic input into a usable electric signal for each stimulated electrode to produce adequate …

Ensuring Equitable Treatment For People Of Color Receiving Audiology Care, Isabel Guidotti, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Abstract 1- Introduction: As health care providers, serving patients equitably may require concurrent caring for the concerns and demands of family members as well. When striving to provide equitable care to patients of all backgrounds, familial participation throughout an appointment can play a substantial role. Case Presentation: An older adult male patient who used English as a second language presented with moderate, sloping to severe, mixed hearing loss, bilaterally. Hearing aid options were counseled and discussed in detail with the patient and his spouse. Discussion: The patient’s wife played an active role throughout the appointment and served as a valuable …

Audiological Accommodations For Special Populations: A Capstone Case Series, Hannah Belke, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Deaf-blindness is a term that refers to people with dual sensory impairments who, typically, have some residual hearing and usable vision. Individualized attention should be employed when working with these patients to ensure effective intervention. Case Presentation: A young female presented to the clinic with cortical blindness and essentially unilateral (right-sided) sensorineural hearing loss. Discussion: For special populations, such as those with deaf-blindness, audiologists need to be aware of testing and environmental considerations due to challenges presented by comorbidities. Senses, such as touch, may be used when testing these patients. The use of paper material, placement of furniture, and …

The Racial Diversity Lag In Audiology: Improvement Of Recruitment And Retention Of Black Doctor Of Audiology Students, Jacquelyn Jouett, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

The racial composition of the Audiology workforce is, by no means, a reflection of the US population. Black and African American audiologists are disproportionately represented in the United States. Diverse audiologists are significantly underrepresented in clinical and academic fields. Inversely, students in the racial majority are overrepresented in Audiology and most medical specialties for that matter. This disparity may limit access to hearing-healthcare for some populations in the country. Several factors that contribute to this condition must be more fully understood before this issue can be corrected. Recruitment and retention must be improved to increase diversity, particularly students of color, …

A Young Female With Chronic Debilitating Tinnitus And A Middle-Aged Male With Life-Long Noise Exposure And Bothersome Tinnitus, Lindsey Petras, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is characterized by a sporadic or constant ringing, chirping, buzzing, or related characteristics that are perceived auditorily and can range in intensity. Case Presentation: A young adult female with normal hearing sensitivity presented to the clinic with constant unilateral pulsatile tinnitus in the right ear that was intensified with physical activity and caffeine. It was reported as sudden in onset and classified as severely debilitating. After extensive audiologic testing, personalized counseling, and a thorough medical evaluation, the patient received an open-fit monaural hearing aid to promote safe sound therapy and tinnitus habituation. Discussion: Thorough audiologic and medical evaluation, …

Case Reports On Disorders Of Sound Tolerance: Misophonia And Hyperacusis, Madison Mcconville, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Misophonia is a rare disorder affecting approximately one in 1,500 people, of which, a small percentage are pediatric patients. Misophonia is characterized by the dislike of an explicit sound in a specific context. Treatment for misophonia includes a four-step program that can be modified for pediatrics. Case Presentation: A young female presented to the clinic with a significant distressed reaction when in the presence of specific sounds that included chewing, clicking pens, and loud music bass tones. Discussion: Treatment of misophonia is comparable to a care-plan for both tinnitus and hyperacusis. For this case, a four-step approach was used …

Vestibular Case Studies: A Case Of Cva And Vestibular Paroxysmia, Jennifer Banovic B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

Case 1:

Introduction: One of the leading causes of centrally based vestibular impairment is a cerebrovascular accident (CVA). Patients typically present with limb or facial weakness, dizziness and imbalance, impaired vision, and speech or language dysfunction, however, these symptoms can vary depending on the site of lesion. Case presentation: An 85-year-old female presented with dizziness, bilateral tinnitus, aural fullness, and aphasia, occurring after she suffered a CVA. Three months after the CVA, she was seen by a balance clinic for a videonystagmography (VNG) and audiologic evaluation. Discussion: CVAs can alter the blood supply to the inner ear and its nerve …

Working With Bilingual Children: Speech Language Pathology, Paola Prado

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

The Effects Of Complex Listening Environments On Semantic Processing In Young And Middle-Aged Adults, Emily Ferguson B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

The purpose of this research study is to determine how young adults and middle-aged adults process speech in different complex listening environments. Young adult and middle-aged adult volunteers will complete a cognitive screening and audiological evaluation to establish inclusionary status for experimental speech understanding in noise testing. If they meet the requirements of the study and wish to participate further, they will continue with a semantic judgement task, in which they will be asked to listen and respond to words presented in different background noises. Within the task, participants will be asked to identify word pairs into either a "match" …

Pathogenesis And Onset Of Tinnitus And Use Of Holistic And Traditional Audiological Approaches For Management, Christy Mahrt, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is the subjective sensation of noise perceived at the peripheral or central level. Occasionally, tinnitus perception may be severe enough to present debilitating effects on daily activities. The occurrence of tinnitus can be related to occupational or non-occupational hazardous noise exposure. Case Presentation: A 60-year-old male presented with bilateral tinnitus with an initial onset at age 21. The progression of his tinnitus has caused disruptions in sleeping patterns and concentration. His history included extensive occupational and non-occupational noise exposure. Discussion: Hearing conservation is an important aspect of facilitating tinnitus management for individuals who have noise-related tinnitus. Hearing aids, …

Feeding And Swallowing Development In Children, Lauren Kaiser, Taeok Park

Graduate Independent Studies - Communication Sciences and Disorders

The feeding and swallowing developments are involved in maturation of anatomy, food textures, and utensils. As children grow, the dependence of feeding moves to self-feeding. Understanding and educating individuals about feeding and swallowing development is critical. The knowledge of feeding and swallowing development can help parents support nutrition and growth in their children by learning timelines and normal feeding and swallowing expectations. This project is to provide clinical resources in order to assist in providing proper care for patients, recognizing signs demonstrating difficulty swallowing, and implementing appropriate self-feeding and consistency development timetables. Caregivers and clinicians will benefit from this information.

Sound Exposure Characterization For Student Musicians: A Hearing Loss Prevention Initiative, Heather Maze, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

There is an increased risk for occupational and recreational noise induced hearing loss (NIHL) and tinnitus among those who are exposed to prolonged and elevated sound intensities. For musicians, education and hearing conservation programs are rarely accessible. The purpose of this project was to measure, quantify, and more clearly understand the exposure risk for student musicians. Dosimetry and area sound level data were used to evaluate the exposure levels of students in a university music department while they practiced in ensemble rooms and a concert performance hall. Sound maps were used to illustrate the most intense positions in each music-practice …

Inner Ear Disorders Associated With Hearing And Vestibular Loss: A Case Series, Kelly Retzlaff

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Sudden sensorineural hearing loss (SSNHL), a hearing loss of at least 30 dB at three or more consecutive frequencies within a 72-hour period, is typically idiopathic. Potential causes are thought to include viral, autoimmune, vascular, neurologic, neoplastic, or traumatic origins. Treatment consists of steroids. Poor patient follow up and compliance with rehabilitation negatively affect outcomes. Poor follow-up also results in the inadequate medical documentation of outcomes. Case Presentation: a 20-year old female presented with unilateral SSNHL with high-frequency tinnitus in the right ear. Her audiological history includes a known profound hearing loss in the left ear, as well as, …

Differentiated Social Skills Curriculum For Aac Users, Braden Mccarty, Ann Beck, Tricia Larkin

Graduate Independent Studies - Communication Sciences and Disorders

Communication is a basic human right. Every day, people express their ideas, emotions, wants, and needs with various conversational partners. Once young children learn to talk, social communication instruction usually does not take place in a formal setting. Children often learn appropriate means of conducting themselves in a social situation through daily interactions, a skill that continues to develop as a person ages. For individuals that require an augmentative and alternative communication (AAC) device to express themselves, social communication can become a difficult task. AAC users are often individuals that have difficulty with expressive language, but there are some circumstances …

Vocal Health Preservation For Teachers Of Music: A Literature Review, Lyndsay Byers, Lisa Vinney Phd Ccc-Slp, Kimberly Adelman Ms Ccc-Slp

Graduate Independent Studies - Communication Sciences and Disorders

This literature review explores research findings regarding risk factors of voice disorders for teachers of music. It summarizes current research regarding personal, environmental, and occupational practices teachers of music can implement to help preserve their voices. This document also reviews literature findings regarding when, where, and how music teachers can seek assistance for voice symptoms.

Assessing Bilingual Children With A Language Disorder, Ana Franco, Tricia Larkin, Ann Beck

Graduate Independent Studies - Communication Sciences and Disorders

The population in the United States is rapidly diversifying, and it is estimated that 4.9 million English-Language Learning (ELL) students are currently in the United States (National Center for Education Statistics, 2019). ELL students come from diverse linguistic backgrounds and have varying proficiencies in English and their native language. The linguistic and cultural differences bilingual ELL students present when they attend public schools have created challenges for the current assessment and treatment services available for those bilingual children with communication disorders. Speech-language pathologists (SLPs) are required to assess bilingual children suspected of having a language disorder, one of the most …

Long-Term Effects Of A Short-Term Study Abroad On Mindset, Madasyn Hofstedt, Heidi Harbers, Amy Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

This literature review will examine 10 studies. The first section will discuss one study regarding common personality traits that practicing SLPs and SLP graduate students possess. The next section will review four studies about studying abroad. The final section will summarize four studies about the impact of mindset on life experiences and one study on how a growth mindset may potentially affect a study abroad experience.

University Clinical Media Resource: Best Practices To Create, Maintain, And Maximize Visibility On A Social Media Platform, Megan Stone, Salwa Khan, Payton Chandler, Isabella Korsgard, Michelle Escue, Ann Beck Phd, Ccc-Slp, Heidi Verticchio Ms, Ccc-Slp

Graduate Independent Studies - Communication Sciences and Disorders

This paper reviews the need for social media platforms as a tool for healthcare facilities to provide resources, market their business, and interact directly with clients. Steps to creating a social media platform will be discussed, in addition to how healthcare facilities should frequently review competing healthcare providers’ social media pages to stay competitive with the target population. Special considerations for the audiology and speech-language pathology programs at Illinois State University will be explored, and ethical considerations for engaging in healthcare on a social media platform will also be analyzed in this paper. The Eckelmann-Taylor Speech and Hearing Clinic at …

A Method Paper For Earplug-Fitting Augmentative Procedures Tested In Groups Of More Experienced And Less Experienced Users Of Hearing Protection, Natalie Dixon, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Although a long history of research has led to extensive knowledge about hearing protection devices (HPDs), there has been limited research about procedures that provide aid and verification during HPD insertion, although several studies have reported about HPD training. No standard methods have been established for training of earplug use (Takahashi, 2011).

A review of the literature revealed a need for tools that might be used to improve user ability to properly insert HPDs consistently, even in the absence of training, because training is rarely provided in the workplace. The prevailing research question was "Does the use of simple fitting …

Value Of Otoacoustic Emissions Testing In Pre-School Hearing Screenings: A Literature Review, Paige Stabrawa, Scott E. Seeman Phd

AuD Capstone Projects - Communication Sciences and Disorders

Unidentified hearing loss in children can have a potential effect on their speech and language, educational, cognitive, and social development. The goal of early detection is to minimize the effects of hearing loss through the appropriate referral for diagnosis and treatment. Hearing screenings throughout the preschool and school-age years are vital for the detection of a late-onset, late identified, or acquired hearing loss. Three influential organizations known as The American Academy of Audiology (AAA), The American Speech- Language-Hearing Association (ASHA), and The National Center for Hearing Assessment and Management (NCHAM), have considered behavioral pure tone screening as the “gold standard”for …

Recreational Sound Risk For A University Student: Case Study, Michele Wattman, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Concern about noise exposure in recreational settings is growing and unsafe levels of sound are frequently being experienced in a variety of non-occupational settings such as pubs, nightclubs, concerts, parties, and fitness classes. Damage to the auditory system may occur with regular participation in these loud activities. A case study was conducted to estimate sound exposure levels and risk associated with common activities. Findings demonstrated that pubs presented a hazardous sound environment, so information about health-oriented behavior is essential to effectively improve hearing conservation awareness for university students. Public awareness and personal hearing protection should be strongly considered to prevent …

Entertainment-Related Excessive Sound Exposure (Erese): Associated Audiometric-Threshold Patterns, Ashley Lenard, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Previous studies have reported that exposure to hazardous sounds can result in a mild to profound degree of temporary and permanent hearing loss. Typically, individuals exposed to loud industrial noise develop a notch or dip at or near the pure-tone test frequency 4,000 Hz. Exposure to hazardous recreational and work-place sound has been associated with noise-induced hearing loss (NIHL) and tinnitus has been associated with exposure to high-intensity concert sound as well. The purpose of this project was to report whether audiometric patterns have been reported in the literature that may be associated with entertainment-related excessive sound exposure (ERESE). Over …

Assistive Devices For Communication Use With The Elderly, Corrine Koepsell, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is one of the prevalent medical conditions in older adults. Although it has been documented that hearing loss is associated with various aspects of social and physical health, hearing assistive technologies and audiologic rehabilitation have been infrequently tapped clinical solutions. Cost and user problems in background noise are two common reasons why hearing aids are underutilized by seniors, and by younger age groups as well. Alternative tools, such as assistive listening devices, may be helpful for older listeners, even though they are used less frequently than hearing aids. To identify if assistive listening devices are satisfactory, a pilot …

A Resource Manual For Speech-Language Pathology Graduate Students On Culturally Relevant Therapy Materials, Anna Yates, Heidi M. Harbers, Ciera M. Lorio

Graduate Independent Studies - Communication Sciences and Disorders

This literature review will discuss the effects of shared book reading interventions on the language outcomes of young children from mainstream and diverse backgrounds. The first three studies will identify parent-child shared book reading interventions with children from the dominant culture. The next three studies will discuss the effects of providing shared book reading interventions to children who are bilingual. The final four studies will examine the use of culturally relevant materials in bilingual shared book reading interventions.

Differentiated Social Skills Curriculum For Individuals With Cognitive Impairments, Morgan Bails, Tricia Larkin, Ann Beck

Graduate Independent Studies - Communication Sciences and Disorders

While communication may seem simple and inherent to many individuals while interacting with family, friends, or co-workers, communication may be more challenging for individuals with cognitive impairments. Whether the difficulty is related to expressive language, receptive language, semantics, pragmatics, etc., any deficits in these areas can create difficulty for individuals while socializing with others in their environment. Social skills intervention for individuals with cognitive impairments is imperative so that these individuals are able to communicate as effectively as possible in numerous settings with various communication partners. Individuals with Autism Spectrum Disorder (ASD) may have difficulty with social skills in particular …