Medicine and Health Sciences Commons^™

The Adverse Childhood Experiences Identification Gap In Speech Language Pathology, Mallory Prior

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Children exposed to adverse childhood experiences, a variety of potentially traumatic events occurring within the first 18 years of life, are at increased risk for speech and language disorders. Due to the high prevalence of trauma and its lasting effects, it is almost guaranteed that children who are experiencing the ongoing effects from adversity will be found on practicing Speech Language Pathologists’ caseloads. This scoping review was designed to identify current screening practices of Speech Language Pathologists (SLP) in comparison to other professionals (e.g., allied health and education), as well as additional information related to screening procedures for SLPs. The …

Services Provided To Aging Individuals With Intellectual Disabilities: Survey Of Speech Language Pathologists, Claire H. Gatewood

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Purpose: The present study explored current speech-language pathology service provision for aging individuals with intellectual disabilities in the United States, including areas and domains of services, factors restricting service provision, and reported knowledge and confidence of individuals within the field of speech-language pathology in providing services, to identify possible gaps of service and needed improvement.

Methods: Participants (n = 272) from across the United States completed an online survey to gather descriptive information about current speech-language pathology service provision for aging individuals with intellectual disabilities. Participants were recruited through state speech-language hearing associations and universities with speech-language pathology clinics …

Non-Nutritive Suck Burst Pattern Stability In Extremely Premature Infants, Alejandra Marquez

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The development of non-nutritive suck (NNS) burst dynamics in preterm infants reflects the integrity of the brain and is used clinically to assess feeding readiness and orofacial motor development (Mizuno and Ueda, 2005). The application of NNS analytics in the present report represents one outcome measurement set that is part of an ongoing clinical trial involving extremely preterm infants (EPI’s,[GA]) randomized to receive either pulsed orocutaneous stimulation therapeutics or a sham (blind pacifier), in conjunction with salivary sampling twice weekly to map gene expression of key proteins involved in neural development and molecular sensing of feeding related pathways in the …

Non-Nutritive Suck Burst Pattern Stability In Extremely Premature Infants, Alejandra Marquez

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The development of non-nutritive suck (NNS) burst dynamics in preterm infants reflects the integrity of the brain and is used clinically to assess feeding readiness and orofacial motor development (Mizuno and Ueda, 2005). The application of NNS analytics in the present report represents one outcome measurement set that is part of an ongoing clinical trial involving extremely preterm infants (EPI’s,[GA]) randomized to receive either pulsed orocutaneous stimulation therapeutics or a sham (blind pacifier), in conjunction with salivary sampling twice weekly to map gene expression of key proteins involved in neural development and molecular sensing of feeding related pathways in the …

Clinical Case Study: The Effects Of Real-Time Iemg Biofeedback On Facial Muscle Activation Patterns In A Child With Congenital Facial Palsy, Alyssa Molina

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Experimental findings are limited concerning efficacious procedures for facial reanimation following persistent idiopathic facial paralysis or paresis. Additional research examining the use of real-time integrated electromyography (iEMG) biofeedback for young children with persistent idiopathic facial paralysis is one approach to further understand the efficacy of electrophysiology biofeedback techniques in facial reanimation for this age group and etiology. iEMG research has applications in interventions for pathology of nerves and muscles affecting animation of the face. The proposed clinical case study will adopt real time iEMG visual biofeedback to facilitate facial reanimation in a preadolescent child. Quantitative measurements will determine orofacial muscle …

Automatic Feature Discrimination Of Non-Nutritive Suck Dynamics Among Extremely Preterm Infants., Mckenzie Ann Ochoa

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Prematurity is the leading cause of death in the first month of life. Neonates are forced to engage the extrauterine environment with an underdeveloped nervous systems, with limited connectivity between orofacial sensorimotor anatomy, brainstem pattern-generating circuits, and sensory-driven thalamocortical inputs to layer IV of the neocortex. This is correlated with an inability to produce the complex neuromotor behaviors of oral feeding. The NTrainer System is an assessment and treatment tool that promotes ororhythmic motor patterning in preterm infants though pulsed orocutaneous stimulation to improve NNS.

This report represents an interim analysis of NNS development among 42 extremely preterm infants enrolled …

Vocational Experiences Of Survivors Of Severe Tbi With Diverse Employment Patterns: An Explanatory Mixed Method Design, Erin J. Bush

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Employment status is a salient outcome following traumatic brain injury (TBI). A return to productive activity relates in complex ways to quality of life, and loss of employment competence has potentially devastating effects on survivors. Currently, inadequate information exists about the distribution of occupations held by survivors, post-injury employment stability, and the frequency that survivors return to their pre-injury occupations. The research presented herein addressed these issues. This study consisted of two phases. Through Phase 1, the researcher gathered quantitative employment data regarding a pool of 283 survivors of severe TBI. She then conducted telephone interviews of family members of …

Perceptual And Acoustical Comparisons Of Motor Speech Practice Options For Children With Childhood Apraxia Of Speech, Amy Nordness

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Children with childhood apraxia of speech (CAS) need intensive and accurate practice to establish an accurate motor plan and improve their speech production. Computer-led practice led to a greater quantity of practice and was preferred over parent-led practice. Further knowledge regarding children’s accuracy of speech during independent practice is needed to determine if computer-led practice is a viable practice tool. Twelve children diagnosed with CAS, between 3-0 and 7-11 years of age, participated in speech practice during computer-led, parent-led, and clinician-led practice. Comparisons of perceptual accuracy of consonants and vowels, acoustical accuracy of stops, vowels, and fricatives, and variability of …

Audibility As A Predictor Of Speech Recognition And Listening Effort, Ryan W. Mccreery

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Two studies were conducted to evaluate how audibility influences speech recognition and measures of working memory in children with normal hearing. Specifically, audibility limitations related to background noise and limited bandwidth were analyzed, as these factors are characteristic of the listening conditions encountered by children with hearing loss who wear hearing aids.

In the first study, speech recognition was measured for 117 children and 18 adults with normal hearing. Stimulus bandwidth and the level of background noise were varied systematically in order to evaluate predictions of audibility based on the Speech Intelligibility Index. Results suggested that children with normal hearing …

Writing Motivation Of Students With Specific Language Impairments, Kyle Lee Brouwer

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study was designed to compare the writing motivation of students with specific language impairments with their non-disabled peers. Due to the cognitive and linguistic demands of the writing process, students with language impairments face unique difficulties during the writing process. It was hypothesized that students with specific language impairments will be more likely to report lower levels of perceived writing competence and be less autonomously motivated to write. Students in grades 3-5 in 11 schools (33 with specific language impairments, 242 non-disabled peers) completed self-report measures, designed from a Self-Determination Theory perspective, which measured the degree that students are …

Attention Effects On Distortion Product Otoacoustic Emissions With Contralateral Speech Stimuli, Genaya Kae Timpe

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The purpose of the present study was to investigate the effect of attending to a speech stimulus on the amplitude of the distortion product otoacoustic emission (DPOAE). The distortion product otoacoustic emission is a measurement of the activity of the inner ear, specifically the outer hair cells in the ear. The activity of the outer hair cells depends upon the auditory nervous system; when it is stimulated, the outer hair cell activity is modified. Normal outer hair cells will create a large DPOAE amplitude. When a stimulus is presented to the opposite ear, the auditory nervous system acts upon the …