Speech and Hearing Science Commons^™

Hearing-Aid Safety: A Comparison Of Estimated Threshold Shifts For Gains Recommended By Nal-Nl2 And Dsl M[I/O] Prescriptions For Children, Teresa Y. C. Ching, Earl E. Johnson, Mark Seeto, John H. Macrae

ETSU Faculty Works

Objective: To investigate the predicted threshold shift associated with the use of nonlinear hearing aids fitted to the NAL-NL2 or the DSL m[i/o] prescription for children with the same audiograms. For medium and high input levels, we asked: (1) How does predicted asymptotic threshold shifts (ATS) differ according to the choice of prescription? (2) How does predicted ATS vary with hearing level for gains prescribed by the two prescriptions? Design: A mathematical model consisting of the modified power law combined with equations for predicting temporary threshold shift (Macrae, 1994b) was used to predict ATS. Study sample: Predicted threshold shift were …

A Comparison Of Nal And Dsl Prescriptive Methods For Paediatric Hearing-Aid Fitting: Predicted Speech Intelligibility And Loudness, Teresa Y.C. Ching, Earl E. Johnson, Sanna Hou, Harvey Dillon, Vicky Zhang, Lauren Burns, Patricia Van Buynder, Angela Wong, Christopher Flynn

ETSU Faculty Works

Objective: To examine the impact of prescription on predicted speech intelligibility and loudness for children. Design: A between-group comparison of speech intelligibility index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. Study sample: Participants were 200 children, who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing-aid data at 3 years of age were used. Results: On average, SII calculated on the …

Update On The Clinical Utility Of Vestibular Evoked Myogenic Potentials, Faith W. Akin, Owen D. Murnane

ETSU Faculty Works

Vestibular-evoked myogenic potentials (VEMPs) supplement the vestibular test battery by providing diagnostic information about otolith organ function. The purpose of this presentation is to provide an update on the clinical use of the cervical VEMP and ocular VEMP as clinical tests of otolith function

Developing A Drug Delivery System For Treatment Of Vocal Fold Scarring, Aaron Michael Kosinski

Open Access Dissertations

Vocal fold scarring is an affliction that results in the formation of a disorganized and stiff extracellular matrix (ECM) with abnormal ECM component densities & structures including a significant increase in collagen deposition. It is caused by improper healing post injury and results in profound changes in the biomechanical properties of the vocal folds impairing their ability to generate a normal mucosal wave during phonation.

Finding an effective treatment for vocal fold scarring has been elusive. Currently, treatments seek temporary solutions that correct glottal incompetence and reduce stiffness caused by the scar through the augmentation of the vocal folds using …

Predicting Language Impairment Status: A Risk Factor Model, Johanna Maria Rudolph

Open Access Dissertations

The etiology of specific language impairment (SLI) is multifactorial. Research has shown that genetic, environmental, and developmental factors may influence the course of its development. Because many of these factors are present even before a child is born, it is possible that a child's risk of developing the disorder can be identified long before grammatical deficits are observed. The goal of this study was to develop and validate a screening tool to discriminate between children with SLI and typically developing (TD) children using risk factor information including gender, family history of communication or reading disorders, socioeconomic status, maternal and paternal …

Measuring Global Coherence In Aphasia, V. Galetto, S. Kintz, T. West, Heather Harris Wright, Gerasimos Fergadiotis

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence may be conceptualized as representing the listener's ability to interpret the overall meaning conveyed by the speaker. Discourse schemas serve as the organizing frameworks for placing the essential discourse elements within a language sample (Bloom, Borod, & Santschi-Haywoor, Pick, & Obler, 1996; Peterson & McCabe, 1983). When the essential elements are provided a logical consistency of the discourse schema is maintained and the listener perceives the discourse as coherent (Ditman & Kuperberg, 2010; Trabasso, van den Broek, & Suh, 1989; van den Broek, Virtue, Everson, Tzeng, & Sung, 2002). Global coherence refers to the ability to semantically relate …

Effects Of Truncation On Language Sample Analysis In Aphasia, Gerasimos Fergadiotis, Heather Harris Wright

Speech and Hearing Sciences Faculty Publications and Presentations

The goal of this study is to determine if the length of a language sample elicited from a person with aphasia (PWA) is of consequence when making inferences about the patient's functional language ability. When conducting a language sample analysis, a sample representing a snapshot in time is used to make inferences about an individual's language capacity in general. However, current findings are inconclusive regarding the ideal length of the language sample necessary to draw valid conclusions about patients (e.g. Heilman, Nockerts, & Miller, 2010).

Modern Prescription Theory And Application: Realistic Expectations For Speech Recognition With Hearing Aids, Earl E. Johnson

ETSU Faculty Works

A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160?10000?Hz) and input levels (e.g., 50?75?dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories?Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) …

Alternative Ear-Canal Measures Related To Absorbance, S. T. Neely, S. Stenfelt, Kim S. Schairer

ETSU Faculty Works

Abstract:

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound…

Effects Of Noise On Cognitive Function During Dual Tasks Across Normally Aging Adults, Jennine Harvey

Theses and Dissertations (ETD)

This study expands upon methods used to investigate cognition and speech perception which have been limited by lack of (a) pre-screening of cognitive function in participants, (b) reporting visual or auditory accuracy and reaction time measures across experimental conditions that examine reaction times, and (c) comprehensive test battery that includes performance across multiple levels of dual task paradigms (DTPs). This study aims to examine group performance on dual tasks (DT) increasing in cognitive (task difficulty) and perceptual load (noise) with age. Participants were divided into two groups based upon age. Group 1 consisted of 14 listeners (Female=11) who were 40-59 …

Slps And Auds Go Global: A Research-Based Cross-Linguistic Consortium, A. Lynn Williams, Brenda Louw

ETSU Faculty Works

No abstract provided.

Effects Of Aging And Spectral Shaping On The Sub-Cortical (Brainstem) Differentiation Of Contrastive Stop Consonants, Dania A. Rishiq

Theses and Dissertations (ETD)

Purpose: The objectives of this dissertation are to: (1) evaluate the influence of aging on the sub-cortical (brainstem) differentiation of voiced stop consonants (i.e. /b-d-g/); (2) determine whether potential aging deficits at the brainstem level influence behavioral identification of the /b-d-g/ stimuli, (3) investigate whether spectral shaping diminishes any aging impairments at the brainstem level; and (4) if so, whether minimizing these deficits improves the behavioral identification of the speech stimuli.

Subjects: Behavioral and electrophysiological responses were collected from 11 older adults (> 50 years old) with near-normal to normal hearing and were compared to those of 16 normal-hearing younger …

Vocabulary Comprehension In Children With Autism, Melissa A. Pierro

FIU Electronic Theses and Dissertations

An open question in autism research is how to assess language abilities in this population. We investigated language development in monolingual and bilingual children with varying degrees of autism, ages 3 to 9, with the aim of better understanding vocabulary comprehension. Two different methodologies were used: the Receptive One-Word Picture Vocabulary Test (ROWPVT) and eye-tracker technique.

We examined whether the eye-tracker could help in the assessment of these children because it does not require the child to point during the test. Four typically developing control children, 14 monolingual English children with moderate/mild autism, and 4 children (2 monolingual English, 2 …

Rhea Paul Joins Shu’S New Speech-Language Pathology Master’S Program, Rhea Paul

Rhea Paul

No abstract provided.

Language Of Intervention In Bilingual Children With Autism Spectrum Disorder, Alejandra Carrillo

Open Access Theses & Dissertations

Over the last few decades the United States has seen a heavy increase in the incidences of Autism Spectrum Disorder. Also increasing in the United States is the increase in multicultural and multilingual groups. Although both of these populations are increasing there is very limited information regarding the language abilities of bilingual individuals with Autism Spectrum Disorder, the language used for intervention, and those servicing them. A survey was developed to gather information regarding the current practice trends used by Speech-Language clinicians with bilingual children with ASD. The study was conducted in El Paso, Texas a city located on the …

Time-Frequency Analysis Of Transient-Evoked Otoacoustic Emissions In Children Exposed To Carboplatin Chemotherapy, Shaum Bhagat, Johnnie Bass, Ibrahim Qaddoumi, Rachel Brennan, Matthew Wilson, Jianrong Wu, Carlos-Rodriguez Galindo, Alessia Paglialonga, Gabriella Tognola

Faculty Publications

The aims of this study were to characterize and quantify time-frequency changes in transient-evoked otoacoustic emissions (TEOAEs) recorded in children diagnosed with retinoblastoma who were receiving carboplatin chemotherapy. A signal processing technique, the wavelet transform (WT), was used to analyze TEOAE waveforms in narrow-band frequency components. Ten children (aged 3–72 months) diagnosed with unilateral or bilateral retinoblastoma were enrolled in the study. TEOAEs were acquired from the children with linear sequences of 70 dB peak equivalent SPL clicks. After WT analysis, TEOAE energy, latency and normalized energy in the narrow-band frequency components were compared before and during carboplatin chemotherapy treatment …

Age-Related Changes To The Production Of Linguistic Prosody, Daniel Richard Barnes

Open Access Theses

The production of speech prosody (the rhythm, pausing, and intonation associated with natural speech) is critical to effective communication. The current study investigated the impact of age-related changes to physiology and cognition in relation to the production of two types of linguistic prosody: lexical stress and the disambiguation of syntactically ambiguous utterances. Analyses of the acoustic correlates of stress: speech intensity (or sound-pressure level; SPL), fundamental frequency (F0), key word/phrase duration, and pause duration revealed that both young and older adults effectively use these acoustic features to signal linguistic prosody, although the relative weighting of cues differed by group. Differences …

Modeling Hrtf For Sound Localization In Normal Listeners And Bilateral Cochlear Implant Users, Douglas A. Miller

Electronic Theses and Dissertations

Mathematical models can be very useful for understanding complicated systems and for testing algorithms through simulation that would be difficult or expensive to implement. This dissertation presents a model that attempts to simulate the sound localization performance of persons using bilateral cochlear implants. The expectation is that this model could prove to be a useful tool in developing new signal processing algorithms for neural encoding strategies.

The head related transfer function (HRTF) is a critical component of this model, and in the ideal case, provides the base characteristics of head shadow, torso and pinna effects. This defines the temporal, intensity …

Event Related Potential Changes In A Two-Stimulus Auditory Oddball Task In Concussed College Athletes: A Linguistic Component, Paola G. Sanchez

Open Access Theses & Dissertations

"Return to Play" decisions are done based on cognitive-communicative testing and clinical assessments; concussed athletes may benefit from electrophysiological testing for a more accurate representation of their recovery. The purpose of this study is to investigate the electrophysiological performance post-concussion analyzing the attentional differences using the traditional "oddball" paradigm with a CV linguistic component. Participants for this study were 6 male college athletes with a history of concussion and 10 participants with no history of concussion (controls). Athletes were evaluated using event-related potentials (ERPs) that were recorded during a consonant-vowel (CV) auditory oddball task. Both the P300a and P300b components …

Treatment For Children With High Functioning Autism: A Comparison Of Social Stories To Musically Adapted Social Stories, Veronica M. Torres

Open Access Theses & Dissertations

The incorporation of music and social stories has been seldom tested, thus a study which uses a single-subject, alternating treatment design assesses the effects of standard social stories versus musically adapted social stories on the pragmatic abilities of an individual with high-functioning autism is presented. The goal of this project was to determine whether read social stories versus musically adapted social stories would be more beneficial in reducing problem behaviors in a child with high-functioning autism. Both types of social stories were implemented with the participant and the data supported the effectiveness of both treatments. Though the musically adapted social …

The Impact Of Baby Sign On The Development Of Pragmatic Skills In Typically Developing Children, Lyna Marie Sullivan

Open Access Theses & Dissertations

The purpose of this study was to determine the impact of Baby Sign on the pragmatic development of typically developing children. The participants for the study were 11 typically developing children. A one group pretest posttest case study design was used to evaluate the impact of baby sign. Prior to parents and caregivers attending a 5 week course on baby sign language, each child was administered the Developmental Assessment of Young Children (DAYC). Although, measurements were taken of the child's social, cognitive, physical, adaptive, and communication skills, standard scores of only the social subtests from the pretest to the posttest …

Examining Articulatory Kinematics Using Diadochokinesis In Concussed And Non-Concussed Individuals, Lindsay Deann Dolan

Open Access Theses & Dissertations

ABSTRACT

Cognitive and communicative deficits associated with traumatic brain injury are an active area of research. However, no research to date has reported on the functionality of motor speech following a concussion. A common tool used to evaluate the motor speech status of potentially impaired individuals is the measurement of the diadochokinetic speech rate. The purpose of this study is to investigate diadochokinetic speech rates in individuals who experience a sports-related concussion. Determining the nature and extent of motor speech involvement post concussion will contribute to the diagnosis, prognosis, and management of recovery. The present investigation will determine; (i) if …

A Comparison Of Performance On The Wii Basic Balance Test Between Concussed And Non-Concussed Collegiate Students, Vanessa Eileen Fernandez-Vivar

Open Access Theses & Dissertations

The Wii Board Basic Balance Test has served as a useful tool for assessing balance in concussion management. In the event that an athlete is concussed, baseline data will be useful when managing a concussion. In cases where baseline data is not available, having normative data is useful to refer to in order to make appropriate return-to-play decisions. To date, normative data on the Wii Board Basic Balance Test is not available. Purpose: This study will compare the performance of concussed and nonconcussed individuals on the Wii Basic Balance Test. Method: A between subject design between the two groups of …

The Impact Of Baby Sign On Motor Development In Typically Developing Infants And Toddlers, Melissa Garcia

Open Access Theses & Dissertations

"Baby Sign is an augmentative communication approach that teaches babies keyword signing that they can use to communicate before they talk." (Sneddon 2003). Baby sign has become popular among parents of infants as a means to communicate before the child can verbally express wants and needs. Programs and classes are now becoming available in many areas of the country to help teach parents basic signs to use with their children. This study aimed to assess the impact of baby

sign on motor development in typically developing infants. The study found that the impact of baby sign language on motor development …

Preschool Language And Phonological Proficiencies In Predicting Stuttering Recovery Or Persistence, Caroline E. Spencer

Open Access Theses

The purpose of this study was to investigate the relationship between expressive and receptive language, phonological, and verbal working memory proficiencies in the preschool years and eventual recovery from or persistence in stuttering. Participants included 40 children who stutter (CWS). At ages 3-5 years, participants were administered the Test of Auditory Comprehension of Language, 3rd edition (TACL-3), the Structured Photographic Expressive Language Test, 3rd edition (SPELT-3), Bankson-Bernthal Test of Phonology--Consonant Inventory subtest (BBTOP--CI), Test of Auditory Perceptual Skills--Revised (TAPS--R) auditory number memory and auditory word memory subtests, and the Dollaghan & Campbell Nonword Repetition Test (NRT). Stuttering behaviors were tracked …

Effects Of Augmentative And Alternative Device On Echolalia In Autism, Cynthia Valenzuela

Open Access Theses & Dissertations

This study was a systematic replication of Mueller and Forbes (n.d.), which evaluated the effects of a high-tech and low-tech augmentative alternative communication (AAC) device on reducing echolalia in a verbal child with autism during conversational speech. The participant for this study was a verbal eleven-year male, who was diagnosed with autism prior to the study. A single subject alternating treatment research design was used to evaluate the effect of a high-tech speech generating AAC device (Proloquo2go) on echolalia. The participant was seen periodically twice a week for two months and periodically for one month. A functional analysis(Prizant & Rydell, …

Self-Ratings Of Communication Style And Discourse Performance Of Healthy Aging Adults, Hayley E. Besten

Theses and Dissertations--Communication Sciences and Disorders

This study investigated the accuracy of healthy aging adults‟ self-rating of communication style, as measured by quantifiable measures of discourse performance. Ninety cognitively healthy adults participated and comprised three age cohorts (20s, 40s, 60s). Participants completed discourse tasks that included recounting a vacation, telling a story, and describing a picture. Participants also self-rated their communication style, placing them in a talkative or reserved cohort. Communication style was measured by discourse performance variables of interest: length of output (TNW) and informativeness (%IU). When presented with an unconstrained task (recounting a vacation), talkative and reserved groups, regardless of age, produced a similar …

Evaluation Of Language Of Intervention On Expressive-Receptive Lexical Skills For Preschool Bilingual Children, Blanca Estela Cisneros

Open Access Theses & Dissertations

The purpose of the study was to evaluate the expressive-receptive lexical skills gained in bilingual preschool children for both their native language (L1) and second language (L2) when provided a bilingual vocabulary intervention and compared to contrasting monolingual and controlled conditions. This group study assessed four treatment conditions: monolingual English intervention, monolingual Spanish intervention, bilingual English-Spanish intervention, and a controlled intervention condition receiving math instruction. English and Spanish expressive and receptive lexical skills were the dependent variables measured at pretest and posttest. After a brief 4 week intervention block, the bilingual group achieved greater gains in Spanish expressive lexical skills …

Benefits Of Baby Sign On Cognitive Development In Infants, Clarissa Navedo

Open Access Theses & Dissertations

Research in the area of baby sign language has increased dramatically over the past several years, however there is still a lack of research regarding baby signs effects on typical infant development, specifically in the area of cognition. The hypothesis of this study was that instruction of baby sign would be correlated with a significant increase in the development of cognition and language acquisition for infant participants. This study provided a five-week instructional course on baby sign for parents/caregivers to implement with their typically developing infants (n=11). The course provided instruction of baby signs, methods of implementation and encouragement to …

Bilingual Adult Nonword Repetition Performance Patterns In English And Spanish, Gabriela Villaneda

Open Access Theses & Dissertations

Nonword repetition (NWR) is known to assess phonological working memory. During NWR, the individual listens to made-up words and repeats them back. This study evaluated NWR performance patterns, and the relationship between NWR and language recall tasks among forty English and Spanish bilingual adults. Bilingual adults' ages ranged from 18-67 years. Four language recall tasks were administered, including NWR tasks (assessed by PPC), language questionnaire to assess participants' language usage in English and Spanish, sentence repetition task (assessed by raw score), and a story retell (assessed by NDW). All recall measures were administered in a counterbalanced manner across English and …