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Speech Pathology and Audiology

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Full-Text Articles in Speech and Hearing Science

How Music Is Used To Facilitate Communication In Speech-Language And Music Therapy For Children With A Diagnosis Of Autism Spectrum Disorder, Anna Mcgreevy May 2025

How Music Is Used To Facilitate Communication In Speech-Language And Music Therapy For Children With A Diagnosis Of Autism Spectrum Disorder, Anna Mcgreevy

Honors College Theses

The goal of this research was to determine how music is being used in speech and music therapy sessions for children with a diagnosis of autism spectrum disorder, to discover the most common targets of these therapy sessions, and to examine the anatomical and physiological constructs that support the inclusion of music. This study was a review of literature, and included research from a variety of articles, several written in the past 25 years. Overall, results showed that music-based speech interventions such as Melodic Based Communication Therapy and Developmental Speech and Language Training, as well as music therapy interventions, are …


Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod Jun 2024

Development Of The Hearing Emotion/Activity Restrictions On Teenagers (Heart), Robin G. Axelrod

Dissertations, Theses, and Capstone Projects

DEVELOPMENT OF THE HEARING EMOTION/ ACTIVITY RESTRICTIONS ON TEENAGERS (HEART)

By: Robin Axelrod

Advisor: Barbara Weinstein

Background:

The Hearing Handicap Inventory for the Elderly is a self-assessment tool used to assess and quantify the impact of hearing loss on emotional and social wellness in the geriatric population. However, there is not an existing version for the teenage population. Hearing loss has the potential to impact social, emotional, and academic domains in the daily lives of teenagers with hearing loss. In this study, a new self-assessment tool called the Hearing Emotion/ Activity Restrictions on Teenagers (HEART) was created and distributed via …


Audiological Evaluation Of Persons With Dementia: A Systematic Review, Yehudis Hoch Jun 2024

Audiological Evaluation Of Persons With Dementia: A Systematic Review, Yehudis Hoch

Dissertations, Theses, and Capstone Projects

Background: Dementia and hearing loss are both prevalent, age-related conditions and recent research has established a correlation between the two. Audiological evaluations of persons with dementia are important due to a likely comorbidity of dementia and hearing loss, the detrimental effect that hearing loss has on cognition and cognitive tests, and because the similar presentation of the two conditions can cause hearing loss to be overlooked. Hearing loss intervention is critical for this population due to the positive effects that amplification has on cognition, social engagement, and listening effort. Despite the importance of hearing assessment and intervention, audiological evaluation of …


Toolkit For Users Of Over-The-Counter Hearing Aids, Sabrina Malasarte Jun 2024

Toolkit For Users Of Over-The-Counter Hearing Aids, Sabrina Malasarte

Dissertations, Theses, and Capstone Projects

Untreated hearing loss oftentimes has significant adverse effects on the quality of life of older adults. The associations include, but are not limited to loneliness, isolation, anxiety, and a decrease in cognitive function. Hearing aids significantly improve audibility, social interactions, and decrease feelings of loneliness or isolation. However, despite technological advances, and evidence of positive outcomes associated with hearing aid use, uptake and continued use of hearing aids remain low. Accessibility and affordability are considered barriers to uptake. Purchasing a prescription hearing aid from an audiologist is the traditional approach to receiving an amplification device, but the advent of over …


Best Practices For Healthcare Providers When Communicating With Individuals With Hearing Loss: A Systematic Review, Ashley Mccaig Jun 2024

Best Practices For Healthcare Providers When Communicating With Individuals With Hearing Loss: A Systematic Review, Ashley Mccaig

Dissertations, Theses, and Capstone Projects

Objectives: The purpose of this study is to conduct a systematic review of the literature to gather information about strategies to use when communicating with people with hearing loss, specifically in healthcare settings or environments where face masks are frequently used. The compiled literature was used to establish the best practices for healthcare providers to use when communicating with their patients with hearing loss, especially when utilizing face masks.

Methods: A comprehensive search of the literature was conducted using the Google Scholar, PubMed, and MEDLINE Complete databases. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was used to …


Knowledge And Attitudes Towards Usage Of Hearing Protection In Volunteer Firefighters, Rachel S. Combs Jun 2024

Knowledge And Attitudes Towards Usage Of Hearing Protection In Volunteer Firefighters, Rachel S. Combs

Dissertations, Theses, and Capstone Projects

Background: Occupational noise-induced hearing loss (NIHL) represents a substantial global public health concern. Regulatory agencies such as the Occupational Safety and Health Administration (OSHA) and the National Institute for Occupation Safety and Health (NIOSH) aim to establish noise exposure limits in occupational settings, yet certain professions, such as firefighting, remain at a heightened risk. Although research has been conducted on noise exposure and hearing protection in career firefighters, a lack of research exists on volunteer firefighters. The purpose of this study was to 1) establish the extent that volunteer firefighters are currently educated on hearing conservation and hearing protection 2) …


Supplemental High-Tech Augmentative And Alternative Communication Experiences: A Study On Graduate Student Self-Efficacy, Confidence, And Knowledge With Pre-Service Training, Emily Sikes May 2024

Supplemental High-Tech Augmentative And Alternative Communication Experiences: A Study On Graduate Student Self-Efficacy, Confidence, And Knowledge With Pre-Service Training, Emily Sikes

Master's Theses

Providing assessment and intervention with high-tech augmentative and alternative communication is within the scope of practice of American Speech-Language Pathologists (SLPS). Therefore, SLPs should be able to properly identify and implement assessment, intervention, and caregiver coaching strategies in this area of practice. Due to the lack of confidence ratings of current SLPs in providing assessment and intervention in AAC that is found in current research, this study was designed to find plausible solutions for which confidence ratings can be increased beginning at the graduate level of a Speech-Pathology Master’s program. The researchers sought to answer the following questions: “Do students …


Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris May 2024

Gestalt Language Processing In Accredited Communication Sciences And Disorders Programs, William Harris

Master's Theses

The language development and usage of autistic individuals has become a controversial topic in many of the disciplines and professions providing support to these individuals. As a result, two theories of language processing have been proposed. Analytical language processing suggests that children process and develop language from its most simple form, a phoneme, to its most complex form, a word or phrase. However, the theory of gestalt language processing proposes that some children may instead extract larger, more complex language such as whole words and phrases first and break it down to the simpler language. Gestalt language processing is often …


How Speech-Language Pathologists Account For Self-Determination Across The Progression Of Dementia, Emilee Mcgahee May 2024

How Speech-Language Pathologists Account For Self-Determination Across The Progression Of Dementia, Emilee Mcgahee

Master's Theses

Dementia diagnoses are continuing to increase, with the number of diagnoses expected to reach 231 million globally by 2050 (World Alzheimer’s Report, 2019). With this comes a greater need for Speech-Language Pathologists (SLPs) who are able to best treat those who are diagnosed. Providing person-centered and strengths-based treatment approaches for people with dementia (PWD) has been proven to increase positive engagement responses while decreasing negative engagement responses (Skrainer et al., 2007). The primary objective of this research study was to assess treatment approaches used by SLPs in dementia care setting, along with how SLPs provide person-centered dementia treatment throughout the …


The Role Of The Speech-Language Pathologist With Survivors Of Traumatic Brain Injury From Intimate Partner Violence And Providers’ Knowledge Of This Role, Nicolle Mcadams May 2024

The Role Of The Speech-Language Pathologist With Survivors Of Traumatic Brain Injury From Intimate Partner Violence And Providers’ Knowledge Of This Role, Nicolle Mcadams

Electronic Theses and Dissertations

Intimate partner violence occurs globally at alarming rates. Many experience adverse health impacts such as traumatic brain injury. Healthcare providers do not know the role of the speech-language pathologist, or the rehabilitation needs of survivors.

Aims: This scoping review aims to identify speech-language pathology services for survivors of intimate partner violence with a resulting traumatic brain injury, and knowledge of healthcare providers on the rehabilitation needs of this population. A search was completed in May to October 2023, resulting in a total of 13 articles reviewed.

Main contributions: Speech-language pathologists lack knowledge to provide services to intimate partner violence survivors …


“Your Legs Don’T Look All That Good” An Analysis Of Impoliteness And Politeness In Individuals With Traumatic Brain Injuries In The Workplace, Grace Kozal Jan 2024

“Your Legs Don’T Look All That Good” An Analysis Of Impoliteness And Politeness In Individuals With Traumatic Brain Injuries In The Workplace, Grace Kozal

Theses and Dissertations--Communication Sciences and Disorders

Background: Social communication disorders are a common outcome from traumatic brain injury (TBI). This social communication disorder can be seen through impolite speech acts during conversation. While politeness is a social norm for workplace discourse, instances of impoliteness may have poor consequences. This research explores the use of impoliteness in persons with TBI within computer generated work-based conditions.

Methods: Language samples from the Voicemail Elicitation Task (VET) and Feedback/Advice Spoken Task (FAST) were transcribed word-for-word. Transcripts from all 62 participants were coded for impoliteness using a developed Impoliteness Codebook and were analyzed to identify significant differences in the number of …


Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon Jan 2024

Understanding The Effects Of Hormone Treatments On The Transgender Singer: A Pedagogical Study And Voice Studio Guide, Erin M. Hannon

Theses and Dissertations--Music

Transitioning from one gender to another can be an arduous and emotionally charged experience, accompanied by many physical and mental transformations. The journey of self-discovery and vocal explorations is both unique and deeply personal. Modifications that emerge in an individual's vocal characteristics have a profound influence on their capacity to communicate and express themselves.

Transgender vocal students and professional singers must navigate the delicate balance between their vocal and gender identities while considering the possible risks of Gender Affirming Hormone Therapy. Though these therapies may significantly alter one's appearance and overall well-being, they are also capable of causing notable declines …


Lack Of Protocol Standardization For Vestibular Evoked Myogenic Potentials, Kendall J. Werhane Jan 2024

Lack Of Protocol Standardization For Vestibular Evoked Myogenic Potentials, Kendall J. Werhane

MSU Graduate Theses

Vestibular Evoked Myogenic Potentials (VEMPs) are used in the field of Audiology to allow us to evaluate otolith and vestibular nerve function, which provides us with information that prior testing could not exclusively identify. While the collection of data from VEMPs is useful for many audiologic and vestibular diagnoses, achieving accurate recordings can be challenging due to the complex nature of testing. The article below will take a deep dive into different VEMP devices and the protocol they used to record VEMPs on their participants. The purpose of developing state-of-the-art (SOTA) equipment for VEMP testing is to ensure that the …


The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley Jan 2024

The Influence Of Intensive Treatment In A Cohort Model On Psychosocial Well-Being Of Patients With Aphasia: An Investigation Of Patients’ Quality Of Life Across Three Service Delivery Models, Helena Riley

Graduate Student Theses, Dissertations, & Professional Papers

Aphasia, a common communication disorder following a stroke, significantly impacts psychosocial wellbeing and quality of life. Despite advancements in rehabilitation frameworks, traditional impairment-based interventions prevail, leaving gaps in addressing holistic needs. This study aims to compare patient-reported outcome measures (PROMs) between intensive comprehensive aphasia programs (ICAP), modified ICAPs (mICAPs) and individual usual care (UC) service delivery models for aphasia intervention. Eighteen participants with aphasia were broadly recruited for this study. Each completed a series of PROMs pre-and post-treatment examining psychosocial wellbeing, communicative participation, and health related quality of life. Results indicate that intensive programs show potential for greater gains in …


Numerical Investigation Of Subglottal Stenosis Effects On Human Voice Production, Dariush Bodaghi Dec 2023

Numerical Investigation Of Subglottal Stenosis Effects On Human Voice Production, Dariush Bodaghi

Electronic Theses and Dissertations

This dissertation aimed to advance knowledge of how subglottal stenosis impacts voice production physiology. An in-house fluid-structure-acoustic interaction approach based on the hydrodynamic/acoustic splitting technique was employed. This technique was rigorously verified for simulating phonation by matching the acoustic behavior to a compressible flow solver for phonation-relevant geometries. Simulations of an idealized 2D vocal tract model demonstrated the effects of supraglottal acoustic resonance on vocal fold kinematics and glottal flow waveform. Results showed that the acoustic coupling between higher harmonics and formats generated pressure oscillations, modifying vocal fold dynamics and glottal flow rate.

A major novelty was the incorporation and …


The Directional Effect Of Target Position On Spatial Selective Auditory Attention, Heesung Park Aug 2023

The Directional Effect Of Target Position On Spatial Selective Auditory Attention, Heesung Park

Dissertations, 2020-current

Spatial selective auditory attention plays a crucial role in listening in a mixture of competing speech sounds. Previous neuroimaging studies have reported alpha band neural activity modulated by auditory attention, along with the alpha lateralization corresponding to attentional focus. A greater cortical representation of the attended speech envelope compared to the ignored speech envelope was also found, a phenomenon known as 'neural speech tracking’. However, little is known about the neural activities when attentional focus is directed on speech sounds from behind the listener, even though understanding speech from behind is a common and essential aspect of daily life. The …


Caring For Individuals Who Are Experiencing Homelessness: An Audiologist’S Toolkit, Jenna Marie Sparacio Jun 2023

Caring For Individuals Who Are Experiencing Homelessness: An Audiologist’S Toolkit, Jenna Marie Sparacio

Dissertations, Theses, and Capstone Projects

National-level counts for individuals experiencing homelessness have been steadily on the rise. People experiencing homelessness face extraordinary barriers and challenges in accessing health care services, including hearing healthcare. Additionally, there is a high prevalence of self- reported hearing difficulties and hearing handicap among people experiencing homelessness. Hearing loss status and management is often not prioritized in healthcare settings, and treatment plans are not typically modified to best address the hearing needs of individuals who are homeless. This evidence-based toolbox for audiologists was developed to help understand and mediate healthcare barriers that people experiencing homelessness face, as well as to help …


Examining The Effect Of Talker Familiarity Using Familiar And Unfamiliar Talkers On Noise-Vocoded Speech Perception In Normal-Hearing Listeners: A Training Study, Daria N. Collins Jun 2023

Examining The Effect Of Talker Familiarity Using Familiar And Unfamiliar Talkers On Noise-Vocoded Speech Perception In Normal-Hearing Listeners: A Training Study, Daria N. Collins

Dissertations, Theses, and Capstone Projects

Auditory training studies utilizing stimuli that are applicable to real-world processing of speech have been shown to improve speech perception abilities in normal hearing populations, those with hearing loss, and cochlear implant wearers. In particular, exposing normal hearing adults to noise-vocoded speech via auditory training studies has been shown to not only simulate the perceptual experience of a cochlear implant wearer, but have demonstrated promising improvements on speech perceptual abilities via the training paradigm. Additionally, studies have highlighted various variables that impact speech perception, including, talker familiarity. Talker familiarity has been shown to enhance speech perception both in listeners with …


Audiological Management Of Children With Down Syndrome: A Toolkit For Caregivers, Natalie Lisiewicz Jun 2023

Audiological Management Of Children With Down Syndrome: A Toolkit For Caregivers, Natalie Lisiewicz

Dissertations, Theses, and Capstone Projects

Children with Down syndrome may have multiple medical co-morbidities. This can result in an overwhelming number of medical appointments and information for caregivers to keep track of. Middle ear dysfunction, among other otologic abnormalities, is common in the Down syndrome population, and the presence of these conditions will result in referrals to an audiologist to monitor hearing sensitivity. While hearing may not be the most pressing concern as compared to a possible life-threatening condition such as a heart defect, it is still a crucial factor in a child’s overall development.

This toolkit is designed with the intention of educating caregivers …


Exploring The Potential Of Hearing Screening Smartphone Applications To Enhance Access To Hearing Healthcare: A Literature Review, Adam Sulaiman Jun 2023

Exploring The Potential Of Hearing Screening Smartphone Applications To Enhance Access To Hearing Healthcare: A Literature Review, Adam Sulaiman

Dissertations, Theses, and Capstone Projects

In 2016, the National Academies of Sciences (NAS) published a landmark consensus report with several recommendations to enhance the availability and affordability of hearing healthcare in the United States. Among the most notable of the recommendations was the creation of a new category of FDA-approved Over-the-Counter (OTC) hearing aids. Unlike the traditional hearing aid model, which requires a comprehensive hearing test by a hearing health professional prior to purchase, OTC hearing aids would be directly available for sale to any American adult with a self-perceived mild-to-moderate degree of hearing loss. This proposal has now become reality with the passage of …


Examining The Effect Of Training Using Natural And Noise-Vocoded Sentences On Noise-Vocoded Speech Perception In Normal-Hearing Listeners, Alexis Leiderman Jun 2023

Examining The Effect Of Training Using Natural And Noise-Vocoded Sentences On Noise-Vocoded Speech Perception In Normal-Hearing Listeners, Alexis Leiderman

Dissertations, Theses, and Capstone Projects

Auditory training has been shown to be an intervention strategy that may improve speech perception abilities in individuals with and without hearing loss. Within the cohort of individuals with hearing loss, auditory training has also been shown to have an improvement on speech perception in cochlear implant users. In several training studies, normal-hearing listeners have been exposed to noise-vocoded speech using auditory training paradigms to mimic how cochlear implant users may in turn be affected by these paradigms. These studies have highlighted certain areas for improvement in speech perception abilities based off of the training paradigms put in place. Several …


Multilingualism And Augmentative Alternative Communication: A Review Of The Literature, Hannah N. Lamarca, Natalie R. Andzik May 2023

Multilingualism And Augmentative Alternative Communication: A Review Of The Literature, Hannah N. Lamarca, Natalie R. Andzik

Honors Capstones

Purpose: Individuals from culturally and linguistically diverse backgrounds who use Alternative and Augmentative Communication (AAC) are often offered English-only AAC systems that do not meet their language needs. Devices that host multiple languages often only offer one at a time.

Method: The authors reviewed the literature by searching relevant databases using a variety of search strings. Following our inclusionary and exclusionary criteria, 15 articles were yielded for analysis.

Results: Authors found that more than half of the included articles were discussion-based papers on AAC delivery, barriers to AAC and multilingualism, and codeswitching using AAC. The included interview studies aimed to …


The Effects Of An Intervention Using Pokemon Trading Card Game On The Decoding Abilities Of Children, Derek Emmett May 2023

The Effects Of An Intervention Using Pokemon Trading Card Game On The Decoding Abilities Of Children, Derek Emmett

Open Access Theses & Dissertations

The present study focuses on illustrating the relationship between word decoding instruction and word decoding abilities within the context of a trading card game. Additionally, an argument for reading motivation and improvement of literacy skills is made. Three participants between the ages of 9 and 13 were recruited for participation in this study. Several decoding strategies such as phonemic awareness and morphological awareness strategies were implemented and trained over the course of several trading card games. Performance in decoding of several lists of compiled nonwords following treatment phases were systematically measured by the researcher. Two of the three participants demonstrated …


The Effects Of Using Baby Sign Training On The Interactions Between Mothers And Infants, Ayzzar Gurrola May 2023

The Effects Of Using Baby Sign Training On The Interactions Between Mothers And Infants, Ayzzar Gurrola

Open Access Theses & Dissertations

Baby sign has been becoming more popular and known through the publication of parenting books and websites dedicated to its use. Research continues to blossom on the subject, demonstrating that it is indeed beneficial on many levels for both the infant and their caregiver. Several researchers have implicated the effects of baby sign on infantsâ?? cognitive and behavioral development. The purpose of this research is to analyze the effects of a baby sign training on the interactions of mothers and their babies. Five typically developing infants between the ages of eight and fourteen months and their parent participated in this …


Examining Perception And Understanding Of Stroke And Its Risk Factors In A Rural Population, Mackenzie King, Gabrielle Scarpa, Mary Gardiner Apr 2023

Examining Perception And Understanding Of Stroke And Its Risk Factors In A Rural Population, Mackenzie King, Gabrielle Scarpa, Mary Gardiner

Theses & Honors Papers

Stroke, also sometimes referred to as a brain attack, occurs when there is a blockage in blood supply to the brain or when a blood vessel bursts within the brain (CDC, 2022). Rural populations have a higher incidence of stroke and higher stroke mortality in the United States (Howard et al., 2017). Although there is a higher incidence rate of stroke in rural populations, researchers have also found that these populations appear to have limited knowledge on stroke and its risk factors. The current study employed a non-experimental descriptive design that explored stroke knowledge in adults residing in rural populations …


Late Talkers: Maternal Input And Attention Allocation In Mother–Child Dyad Play, Toby B. Mehl Feb 2023

Late Talkers: Maternal Input And Attention Allocation In Mother–Child Dyad Play, Toby B. Mehl

Dissertations, Theses, and Capstone Projects

Late talkers (LT) are two-year-old children with expressive language delays, who do not yet have a lexicon of fifty words, and do not combine words. Maternal child-directed language to these children, termed ‘maternal input’ may influence their language learning. The first aim of this study was to examine the relationship between a child’s language, as measured by expressive vocabulary, and the child-directed speech by the mother of the child. Maternal input to late-talking children was compared to the maternal input presented to two typical language matched groups: an age-matched group of children (AM) and a vocabulary-matched group of children (VM) …


Analysis Of Electrophysiological Markers And Correlated Components Of Neural Responses To Discourse Coherence, Kurt M. Masiello Feb 2023

Analysis Of Electrophysiological Markers And Correlated Components Of Neural Responses To Discourse Coherence, Kurt M. Masiello

Dissertations, Theses, and Capstone Projects

Constructing meaning from spoken language is invaluable for learning, social interaction, and communication. In clinical populations with developmental disorders of speech comprehension, the severity of disruption can persist and vary from limiting occupational opportunities to lower performance outcomes. Previous research has reported an event-related potential (ERP) neural positivity over right hemisphere lateral anterior sites in response to semantic and discourse processing. Although useful as a marker for clinical populations of autism spectrum disorder (ASD) and developmental language disorder (DLD), little is understood about the dynamics and neural sources of this biological marker. In addition to traditional methods of ERP analysis, …


Graduate-Level Leadership Training For Speech-Language Pathologists: Perceptions, Attitudes, And Potential Effect On Career, Sandra Kemper Jan 2023

Graduate-Level Leadership Training For Speech-Language Pathologists: Perceptions, Attitudes, And Potential Effect On Career, Sandra Kemper

Theses, Dissertations and Capstones

The aim of this study is to determine how a perceived lack of leadership training at the graduate level contributes to inadequate preparedness for the clinical, professional, and supervisory leadership roles professionals hold within the field of speech-language pathology (Kummer, 2017). More specifically, this study will seek to identify current leadership concerns of practicing SLPs, exploring whether and/or how lack of leadership training has affected their professional growth or career. The information can serve to guide the development of leadership training opportunities in speech-language pathology graduate programs. This descriptive, non-experimental study utilized purposive sampling of speech-language pathologists licensed in the …


The Effects Of Inspiratory Muscle Training On Exercise-Induced Laryngeal Obstruction In Young Adults, Allison Lyman Jan 2023

The Effects Of Inspiratory Muscle Training On Exercise-Induced Laryngeal Obstruction In Young Adults, Allison Lyman

Murray State Theses and Dissertations

Exercise-induced laryngeal obstruction (EILO) is a condition that results from abnormal vocal fold adduction upon inspiration (Abdel-Hamid, 2018). Symptoms of this ailment include dyspnea, choking sensations, an audible stridor, and/or coughing during physical exertion (Marcinow et al., 2014). These symptoms affect an individual’s ability to breathe adequately during exercise. A review of current literature suggests that there are a variety of interventions that can be used to reduce perceived dyspnea in individuals who suffer from EILO. One such intervention is known as inspiratory muscle training (IMT), which works to reduce dyspnea by strengthening the primary muscle of inspiration: the posterior …


The Effect Of Different Warm-Up Durations On Subjective And Objective Measures Of Singing In Choral Singers Over The Age Of 55, Jeremy A. Chesman Jan 2023

The Effect Of Different Warm-Up Durations On Subjective And Objective Measures Of Singing In Choral Singers Over The Age Of 55, Jeremy A. Chesman

MSU Graduate Theses

Choral singing is a popular activity in the United States. Choral singers are often encouraged to warm up vocally before they sing. Considering voice conditions, like presbyphonia, that can develop shortly after retirement, more research about vocal warm-ups is needed for those over the age of 55. This study assesses the effects of various durations of vocal warm-ups on subjective and objective measures of the singing voice using a within-groups design with randomized condition order. Nine participants performed vocal warm-ups for 0, 5, 10, and 15 minutes. A song sample was then recorded and sent to two expert raters who …