Speech and Hearing Science Commons^™

The Effect Of Hearing Impairment On Word Processing Of Infant- And Adult-Directed Speech, Velma Sue Robertson

Theses and Dissertations (ETD)

Objective. Little is known about how children with hearing loss (CHL) process words. The Emergent Coalition Model (ECM) of early word learning proposes that multiple cues (e.g., perceptual, social, linguistic) are used to facilitate word learning. Because hearing loss influences speech perception, different word learning patterns may emerge in CHL relative to children with normal hearing (CNH). One perceptual cue used by young children to access word learning is infant-directed-speech (IDS). Specifically, twenty-one month-olds can learn words in IDS but not in adult directed speech (ADS); however, by 27 months children can learn words in ADS. Currently, it is unknown …

Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan

ETSU Faculty Works

This presentation will discuss the challenges that clinical supervisors face when trying to balance efficient graduate student training and patient welfare in university voice clinics. We will propose a model in which we seek to balance the needs of the patient, student clinician, and clinical instructor.

Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams

ETSU Faculty Works

This study examined whether metalinguistic frequency increases or utterance type changes with age in children with typical language. Overt metalinguistic productions of 32 children, 3;0-5;7, were collected during recast intervention. Overall, the data showed changes in frequency and proportion of types with age.

Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams

ETSU Faculty Works

The causes and neurodevelopmental outcomes of children exposed to drugs and/or alcohol prenatally are presented. The incidence of this population is rising rapidly and appearing in increasing numbers on the caseloads of speech-language pathologists. Topics include prevalence, common drugs, Neonatal Abstinence Syndrome, longer-term neurodevelopmental outcomes, and treatment challenges.

Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker

ETSU Faculty Works

Three scales were administered to measure attitudes of graduate students in health professions prior to their participation in an interprofessional education (IPE) pilot program. Overall, results indicated that students’ attitudes toward IPE were generally positive, but there is room for improvement. Additionally, medical students’ attitudes differed from the other disciplines.

Bilingual Language Assessment: Contemporary Practice Versus Recommended Practice, Graciela Arias

Theses and Dissertations

Due to the increasing number of culturally and linguistically diverse students within American school systems, speech-language pathologists (SLPs) in school settings must be prepared to distinguish between typically developing bilingual students and those with language impairments. The purpose of this study was to identify current practices of school-based SLPs for bilingual language assessment and compare them to both American Speech-Language-Hearing Association (ASHA) best practice guidelines, and mandates of the Individuals with Disabilities Education Act (IDEA). The study was modeled to replicate Caesar and Kohler's (2007) study to include a nationally representative sample. While the survey was opened over 400 times, …

Exploring Communication Apprehension And Its Relationship To Communication Attitude And Socio-Communicative Functioning In Children With Velopharyngeal Insufficiency, Agnieszka Dzioba

Electronic Thesis and Dissertation Repository

Myriad findings on children with velopharyngeal insufficiency (VPI) indicate the potential for this population of children to experience feelings of apprehension specific to communication and the potential for other psychological and social difficulties. The purpose of the present investigation was to explore the construct of communication apprehension (CA) and its potential relationship to social and communicative functioning in a diverse group of children with VPI. Potential linkages between CA and multiple socio-communicative constructs including attitude, speech satisfaction, speech and language skill, social competence, and speech severity were explored in a cohort of children with and without VPI, followed by an …

When Less Can Be More: Dual Task Effects In Stuttering And Fluent Adults, Naomi Nechama Eichorn

Dissertations, Theses, and Capstone Projects

The present study tested the counterintuitive hypothesis that engaging cognitive resources in a secondary task while speaking could benefit aspects of speech production. Effects of dual task conditions on speech fluency, rate, and error patterns were examined in stuttering and fluent speakers based on specific predictions derived from three related theoretical frameworks. Twenty fluent adults and 19 adults with confirmed diagnoses of stuttering participated in the study. All participants completed two baseline tasks: (1) a continuous speaking task in which spontaneous speech was produced in response to given prompts; and (2) a working memory (WM) task involving manipulations of WM …

Role Of The Cochlea And Efferent System In Children With Auditory Processing Disorder, Sriram Boothalingam

Electronic Thesis and Dissertation Repository

Auditory processing disorder (APD) is characterized by difficulty listening in noisy environments despite normal hearing thresholds. APD was previously thought to be restricted to deficits in the central auditory system. The current work sought to investigate brainstem and peripheral mechanisms that may contribute to difficulties in speech understanding in noise in children with suspected APD (sAPD). Three mechanisms in particular were investigated: cochlear tuning, efferent function, and spatial hearing. Cochlear tuning was measured using stimulus frequency otoacoustic emission (SFOAE) group delay. Results indicate that children suspected with APD have atypically sharp cochlear tuning, and reduced medial olivocochlear (MOC) functioning. Sharper-than-typical …

Evaluation Of Auditory Evoked Potentials As A Hearing Aid Outcome Measure, Vijayalakshmi Easwar

Electronic Thesis and Dissertation Repository

This thesis aimed to explore the applicability of Cortical Auditory Evoked Potentials (CAEPs) and Envelope Following Responses (EFRs) as objective aided outcome measures for use in infants wearing hearing aids. The goals for CAEP-related projects were to evaluate the effect of speech stimulus source on CAEPs, non-linear hearing aid processing on tone-evoked CAEPs, and the effect of inter-stimulus intervals on non-linear hearing aid processing of phonemes. Results illustrated larger amplitude CAEPs with shorter latencies for speech stimuli from word-medial positions than word-initial positions, and no significant effect of the tone burst onset overshoot due to non-linear hearing aid processing. Inter-stimulus …

The Effect Of Botulinum Toxin Type A On Speech Intelligibility In Oromandibular Dystonia, Beatriz Ysabel Domingo

Electronic Thesis and Dissertation Repository

Speech intelligibility of 10 individuals with OMD was measured before and after receiving BoNT-A injections. Intelligibility was assessed using the PIT (single-word intelligibility), SIT (sentence intelligibility), and a conversational speech task. Five listeners rated the speech intelligibility of these three intelligibility tasks via orthographic transcription and visual analogue scaling (VAS) techniques. BoNT-A was not associated with significant differences in speech intelligibility. Further analysis revealed a significant difference on the PIT VAS intelligibility ratings based on order of presentation, suggesting that listeners rated the first half of words on the PIT (words 1-29) as more intelligible than the second half of …

Psychophysical Auditory Filter Estimates Reveal Sharper Cochlear Tuning In Musicians, Gavin Bidelman, Jonathan Schug, Skyler Jennings, Shaum Bhagat

Faculty Publications

Musicianship confers enhancements to hearing at nearly all levels of the auditory system from periphery to percept. Musicians' superior psychophysical abilities are particularly evident in spectral discrimination and noise-degraded listening tasks, achieving higher perceptual sensitivity than their nonmusician peers. Greater spectral acuity implies that musicianship may increase auditory filter selectivity. This hypothesis was directly tested by measuring both forward- and simultaneous-masked psychophysical tuning curves. Sharper filter tuning (i.e., higher Q10) was observed in musicians compared to nonmusicians. Findings suggest musicians' pervasive listening benefits may be facilitated, in part, by superior spectral processing/decomposition as early as the auditory periphery.

Sensorimotor Adaptation Of Speech Using Real-Time Articulatory Resynthesis, Jeffrey J. Berry, Cassandra North, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Sensorimotor adaptation is an important focus in the study of motor learning for non-disordered speech, but has yet to be studied substantially for speech rehabilitation. Speech adaptation is typically elicited experimentally using LPC resynthesis to modify the sounds that a speaker hears himself producing. This method requires that the participant be able to produce a robust speech-acoustic signal and is therefore not well-suited for talkers with dysarthria. We have developed a novel technique using electromagnetic articulography (EMA) to drive an articulatory synthesizer. The acoustic output of the articulatory synthesizer can be perturbed experimentally to study auditory feedback effects on sensorimotor …

The Electromagnetic Articulography Mandarin Accented English (Ema-Mae) Corpus Of Acoustic And 3d Articulatory Kinematic Data, Jeffrey J. Berry, An Ji, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

There is a significant need for more comprehensive electromagnetic articulography (EMA) datasets that can provide matched acoustics and articulatory kinematic data with good spatial and temporal resolution. The Marquette University Electromagnetic Articulography Mandarin Accented English (EMA-MAE) corpus provides kinematic and acoustic data from 40 gender and dialect balanced speakers representing 20 Midwestern standard American English L1 speakers and 20 Mandarin Accented English (MAE) L2 speakers, half Beijing region dialect and half are Shanghai region dialect. Three dimensional EMA data were collected at a 400 Hz sampling rate using the NDI Wave system, with articulatory sensors on the midsagittal lips, lower …

An Internationalized Classroom Using Research Teams, A. Lynn Williams, Brenda Louw

ETSU Faculty Works

Overview: (1) What is internationalization of the curriculum (loC)? (2) Why is loC important to SLP/A? (3) How can we internationalize student learning? (4) How can we assess cross-cultural awareness or effectiveness?

Concordance Between The Chang And The International Society Of Pediatric Oncology (Siop) Ototoxicity Grading Scales In Patients Treated With Cisplatin For Medulloblastoma, Johnnie Bass, Jie Huang, Arzu Onar-Thomas, Kay Chang, Shaum Bhagat, Murali Chintagumpala, Ute Bartels, Sridharan Gururangan, Tim Hassall, John Heath, Geoffrey Mccowage, Richard Cohn, Michael Fisher, Giles Robinson, Alberto Broniscer, Amar Gajjar, James Gurney

Faculty Publications

BackgroundReporting ototoxicity is frequently complicated by use of various ototoxicity criteria. The International Society of Pediatric Oncology (SIOP) ototoxicity grading scale was recently proposed for standardized use in reporting hearing loss outcomes across institutions. The aim of this study was to evaluate the concordance between the Chang and SIOP ototoxicity grading scales. Differences between the two scales were identified and the implications these differences may have in the clinical setting were discussed.ProceduresAudiological evaluations were reviewed for 379 patients with newly diagnosed medulloblastoma (ages 3–21 years). Each patient was enrolled on one of two St. Jude clinical protocols that included craniospinal …

The Relationship Between Speaking Rate And Nasalance In Typical Adult Speakers, Rachel Whitney

Masters Theses

Nasometry is a non-invasive tool frequently used to measure speech resonance in clinical populations. The instrument uses an acoustic recording system to derive a measure termed nasalance, which is an estimate of the relative amount of acoustic energy emitted from the nasal cavity. Nasometry protocols do not provide detailed instructions for speaking rate control during data collection. Studies attempting to establish a relationship between speaking rate and nasalance have yielded mixed results; therefore, it is important to identify the influence of speaking rate on nasalance in a variety of speaking tasks. If rate is found to influence nasalance values, protocols …

The Effect Of Metalinguistic Strategy Instruction On The Oral And Written Expression Of School-Aged Children, Karen Lara Dudek

Theses and Dissertations

Vocabulary knowledge is critical for academic success; and research has indicated that students with low vocabularies can learn metalinguistic strategies that can improve their performance in school. In this study, I investigated the impact of metalinguistic strategy instruction on the oral and written expression abilities of elementary-aged children (third grade). The strategy was the Expanding Expression Tool (EET; Smith), which can help students to increase their oral and written expression by describing words using semantic features. I used a pretest-posttest-posttest between groups design to investigate the impact of three experimental conditions on oral and written expression over a nine week …

Potential Influences Of Compliance For Short-Term Recovery From Sports-Related Concussion, Erin R. Ewing

Open Access Theses & Dissertations

Currently, treatment of sports-related concussion dictates the prescription of physical and cognitive rest to allow the injured brain to recover and for concussion-related symptoms to subside. However, clinicians who prescribe rest are often met with resistance from athletes who do not recognize its therapeutic value in the recovery process. Research has shown that athletes often fail to comply with rest recommendations, resulting in protracted recovery and the persistence of symptoms. Method: This study employed a three-group pretest-posttest experimental design to compare the effects of three different concussion management protocols. Participants were recently concussed athletes ages 18-25 seen in the UTEP …

Nonword Repetition Performance Patterns In English - Spanish Bilingual Adults And English And Spanish Monolingual Adults, Nadia Arriazola Flores

Open Access Theses & Dissertations

Nonword repetition (NWR) is known to be a less biased measure for assessing language abilities of culturally and linguistically diverse (CLD) children (Dollaghan & Campbell, 1998). NWR is used to examine phonological short-term memory mechanisms (also called working memory), because the tasks require the capability to discriminate, store, remember and reproduce phonological sequences (Baddeley, 1989; Braddeley 1974). The purpose of this study was to collect normative data on the NWR performance of bilingual and monolingual adults. This may contribute to the interpretation of performance in bilingual children by providing the standard of adult-like performance. This study examined the performance patterns …

Structural And Functional Vocal Fold Epithelial Integrity Following Injury, Ciara Leydon, Mitsuyoshi Imaizumi, David T. Yang, Susan L. Thibeault, Marvin Fried

Communication Disorders Faculty Publications

Objectives/Hypothesis: An intact epithelium is an important part of vocal fold defense. Damage to the epithelium can compromise vocal fold homeostasis and protection of the host tissue from viral and bacterial invasion. Elucidating the effects of damage on epithelial architectural and barrier integrity provides insight into the role of epithelium in protecting vocal folds. Using an animal model, we evaluated the time course of structural and functional epithelial restoration following injury. Study Design: Prospective, controlled animal study. Methods: Forty rats underwent surgery to remove vocal fold mucosa unilaterally. Larynges were harvested at five time intervals between 3 to 90 days …

A Pilot Study: Examining The Microstructural And Macrostructural Narrative Measures In Bilingual Preschool Aged Children, Caroline Esparza

Open Access Theses & Dissertations

Purpose: Research has identified narratives as accurate and reliable predictors of language skills, yet little is documented on the microstructural and macrostructural narrative production of preschool aged bilingual children. This pilot study examined the microstructure and macrostructure elements of narratives in these children to provide preliminary data for further research.

Method: This study examined the narrative skills of 11 bilingual children between the ages of 3 and 4. Narrative retells in Spanish were elicited and were analyzed for the microstructural measures of lexical diversity (NDW) and productivity (TNW and MLU) measures and for the their macrostructural Narrative Scoring Scheme (NSS) …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

Services And Information Provided To Mothers In El Paso/Juarez Region, Christina Y. Perez

Open Access Theses & Dissertations

It is estimated that the Latino population will be the majority of the population by 2050 in the United States. There is research supporting the notion that the Latino population is under-served and under-diagnosed regarding physical and mental illnesses. Appropriately informed professionals and parents are the first step to reducing the number of under-diagnosed children that do not receive the treatment they require. This survey was conducted to determine what information Latino mothers from low socio-economic backgrounds possess concerning the developmental milestones of their children and the services available to them. Fifty mothers responded to the survey. Results revealed that …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

The Impact Of Interface Design During An Initial High-Technology Aac Experience: A Collective Case Study Of People With Aphasia, Aimee R. Dietz, Kristy S.E. Weissling, Julie Griffith, Miechelle L. Mckelvey, Devan Macke

Department of Special Education and Communication Disorders: Faculty Publications

The purpose of this collective case study was to describe the communication behaviors of five people with chronic aphasia when they retold personal narratives to an unfamiliar communication partner using four variants of a visual scene display (VSD) interface. The results revealed that spoken language comprised roughly 70% of expressive modality units; variable patterns of use for other modalities emerged. Although inconsistent across participants, several people with aphasia experienced no trouble sources during the retells using VSDs with personally relevant photographs and text boxes. Overall, participants perceived the personally relevant photographs and the text as helpful during the retells. These …

Supporting Narrative Retells For People With Aphasia Using Augmentative And Alternative Communication: Photographs Or Line Drawings? Text Or No Text?, Julie Griffith, Aimee R. Dietz, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The purpose of this study was to examine how the interface design of an augmentative and alternative communication (AAC) device influences the communication behaviors of people with aphasia during a narrative retell task.

Method: A case-series design was used. Four narratives were created on an AAC device with combinations of personally relevant (PR) photographs, line drawings (LDs), and text for each participant. The narrative retells were analyzed to describe the expressive modality units (EMUs) used, trouble sources experienced, and whether trouble sources were repaired. The researchers also explored the participants’ perceived helpfulness of the interface features.

Results: The participants …

Treating Myofunctional Disorders: A Multiple-Baseline Study Of A New Treatment Using Electropalatography, Alana Mantie-Kozlowski, Kevin M. Pitt

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This study assessed the benefit of using electropalatography (EPG) in treatment aimed at habilitating individuals with nonspeech orofacial myofunctional disorders (NSOMD).

Method: The study used a multiple-baseline design across 3 female participants who were referred for an evaluation and possible treatment of their NSOMD. Treatment sessions were 30 min and provided twice weekly. Participant 1 received 8 treatments, Participant 2 received 6 treatments, and Participant 3 received 4 treatments. The patterns of sensor activation produced when participants’ tongues made contact with the electropalate during saliva swallows were compared with the patterns of age-matched peers. Individualized goals were developed on …

Speech And Swallowing Rehabilitation In The Home: A Comparison Of Two Service Delivery Models For Stroke Survivors, Katy J. E. Stewart

Theses: Doctorates and Masters

Background and Aims

Speech and swallowing difficulties are common sequelae for people who have suffered a stroke. Recently, there has been an increase in early discharge, community rehabilitation and the use of therapy assistants to support health professionals in stroke rehabilitation. However, the impact of these factors on communication and swallowing outcomes remains under researched. This research explored Rehabilitation in the Home (RITH) Speech Pathology (SP) services for stroke survivors with dysarthria and dysphagia. More specifically, this research investigated whether traditional speech pathology interventions, supplemented with a home practice program are effective, as well as compare usual treatment to that …