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The Effect Of Telepractice On Vocal Interaction Between Provider, Deaf And Hard-Of-Hearing Pediatric Patients, And Caregivers., Abigail Betts May 2022

The Effect Of Telepractice On Vocal Interaction Between Provider, Deaf And Hard-Of-Hearing Pediatric Patients, And Caregivers., Abigail Betts

Electronic Theses and Dissertations

The purpose of this thesis is to examine how telepractice affects a vocal interaction between a speech-language pathologist (SLP), deaf and hard-of-hearing children who received cochlear implants (n = 7), and caregivers as they engage in speech-language interventions conducted in-person and via telepractice (tele). Frequency of vocalizations, vocal turns, pause duration, fundamental frequency (F0) mean and range, utterance duration, syllable rate per utterance duration, and mean length of utterance (MLU) were examined. The SLP vocalized more during in-person than tele-sessions, opposite result for the mother. There were more SLP-child turns during in-person sessions than tele-sessions; opposite result for mother-child turns. …


Critical Thinking Or Critical Creativity: Applying De Bono's Six Thinking Hats To Speech-Language Pathology Education And Practice., Samantha Hahn May 2022

Critical Thinking Or Critical Creativity: Applying De Bono's Six Thinking Hats To Speech-Language Pathology Education And Practice., Samantha Hahn

Electronic Theses and Dissertations

Decision-making is a fundamental skill that health care professionals use daily which involves the interaction of many cognitive systems. Critical and lateral thinking are two approaches to decision-making often cited in literature. Critical thinking emphasizes reasoning and systematic analyzation, while lateral thinking encompasses imagination and creativity. Speech-language pathology (SLP) is a prime example of a profession that amalgamates creative processes with organized methodologies. Edward de Bono described six styles of lateral thinking – each style is equated to a colored “hat”. This study sought to determine if an association exists between a given SLP student’s level of clinical experience and …


Hearing Loss: Investigating The Comfort, Confidence, Knowledge, And Preparedness Of Kentucky School-Based Speech-Language Pathologists., Amanda Matsumoto May 2020

Hearing Loss: Investigating The Comfort, Confidence, Knowledge, And Preparedness Of Kentucky School-Based Speech-Language Pathologists., Amanda Matsumoto

Electronic Theses and Dissertations

Due to advances in technology, the number of users with hearing devices have increased. These users are often mainstreamed into classrooms with typical hearing peers. However, even with these devices, speech and language impairments may still persist. This study was conducted to analyze school-based speech-language pathologists’ (SLP) comfort, confidence, knowledge, and preparedness in treating students with hearing loss in Kentucky schools. 48 SLPs practicing in all levels of school including elementary, middle, and high, completed an anonymous online survey through the Qualtrics® platform. Responses were received from SLPs representing 11 out of the 15 regions throughout Kentucky. Spearman’s rank …


Autism Spectrum Disorder: Investigating Predictive Adaptive Behavior Skill Deficits In Young Children., Emma L. Feige May 2020

Autism Spectrum Disorder: Investigating Predictive Adaptive Behavior Skill Deficits In Young Children., Emma L. Feige

Electronic Theses and Dissertations

Autism Spectrum Disorder (ASD) is a lifelong neurodevelopmental disorder that consists of difficulties with social communication and language, as well as the presence of restricted and repetitive behaviors. These deficits tend to present in early childhood and usually lead to impairments in functioning across various settings. Moreover, these deficits have been shown to negatively impact adaptive behavior and functioning. Thus, early diagnosis and intervention is vital for future success within this population. The purpose of this study was to further examine the subscales that comprise the adaptive behavior section of the Bayley-III to determine which of the ten subscales are …


Investigating Predictive Relationships Between Speech-Language Pathology Graduate Students' Sense Of Classroom Community, Perceived Learning, And Perceived Anxiety., Emily B. Schantz May 2019

Investigating Predictive Relationships Between Speech-Language Pathology Graduate Students' Sense Of Classroom Community, Perceived Learning, And Perceived Anxiety., Emily B. Schantz

Electronic Theses and Dissertations

Mental health is an all-encompassing term that focuses on a person’s ability to achieve work-life balance inclusive of positive mental health and mental ill-health. Current trends suggest an overall increase in mental ill-health for undergraduate and graduate students. McMillan and Chavis’ sense of community theory provided the theoretical framework for this study. This study aimed to examine whether speech-language pathology graduate students’ sense of classroom community and perceived learning predict anxiety levels while controlling for demographic variables. Three-hundred-sixteen master’s level speech-language pathology students completed an online survey containing the Generalized Anxiety Disorder Questionnaire, Perceived Learning Scale, and Classroom Community Scale. …


Inspiratory Muscle Recruitment During Swallow And A Comparison Across Airway Behaviors., Allison V. English May 2019

Inspiratory Muscle Recruitment During Swallow And A Comparison Across Airway Behaviors., Allison V. English

Electronic Theses and Dissertations

During swallow, a negative esophageal pressure is present that, along positive pressure from the tongue, which works to move the bolus through the pharynx into the esophagus. This negative esophageal pressure is thought to be produced via recruitment of chest wall inspiratory muscles (diaphragm and parasternal). This current study aimed to examine respiratory muscle recruitment across behaviors which have known inspiratory muscle activity (eupnea, augmented breath and cough) and compare to swallow. It was hypothesized that there would be no significant difference in amplitude and muscle recruitment over 75 ms between swallow and eupnea, but cough and augmented breath would …


Alterations In Rhythmic Licking Behaviors Following Fibrosis In The Rat Mylohyoid Muscle., Brittany Fletcher May 2019

Alterations In Rhythmic Licking Behaviors Following Fibrosis In The Rat Mylohyoid Muscle., Brittany Fletcher

Electronic Theses and Dissertations

Muscle injury is a common side effect of radiation treatment for head and neck cancer. To increase understanding of muscle injury related dysfunction, we investigated the effects of oral swallowing function after cryoinjury to mylohyoid muscle in rats. The hypothesis is that injury to the mylohyoid delays the temporal licking pattern, resulting in aberrant drinking behaviors. Six rats received bilateral mylohyoid injuries by applying a 3mm cryoprobe. Licking behavior was measured by electrophysiological recordings of rhythmic tongue movements in a ten-minute drinking session taken pre-and post-injury (one-and two-weeks). Lick frequency and total licks per cluster decreased significantly one-and two-weeks post-injury …


Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel May 2018

Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel

Electronic Theses and Dissertations

Swallowing motility disorders (dysphagia) are a major complication following radiation treatment for head and neck cancer, affecting ~50% of those treated. One reason for this is that radiation causes muscle damage, provoking sensorimotor pathologies. Previous work has suggested that injury may cause discoordination between breathing and swallowing behaviors. We sought to determine if muscle injury provokes changes in this behavior. We hypothesized that acute suprahyoid muscle damage would alter cross-behavior excitability, causing destabilization of the respiratory-swallow pattern. Swallowing was evoked in anesthetized spontaneously breathing cats via injection of a 3cc bolus of water into the oropharyngeal cavity. A suprahyoid injury …


A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn Mcclure May 2018

A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn Mcclure

Electronic Theses and Dissertations

The fusion of the second cervical vertebrae to the occipital bone (O-C2 fusion) for head stabilization can result in postoperative dysphagia and dyspnea, negatively impacting the patient’s quality of life. Currently, the O-C2 angle is used for head placement, which may not place the head neutrally. We hypothesize that aligning the external auditory meatus with midline of the C2 will reduce oropharyngeal stenosis, reducing dysphagia. One male patient with poor swallow quality of life who required a revision of a previous O-C2 surgery was evaluated via videofluoroscopy and completed the standard swallow quality of life questionnaire (SWAL-QOL) before and after …


Autism Spectrum Disorder : Investigating Predictive Diagnostic Relationships In Children Three Years-Of-Age And Younger., Kaitlin Juergensen May 2018

Autism Spectrum Disorder : Investigating Predictive Diagnostic Relationships In Children Three Years-Of-Age And Younger., Kaitlin Juergensen

Electronic Theses and Dissertations

Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental disorder whose symptoms may involve deficits across three domains: communication, socialization, and atypical behaviors or interests. With a high prevalence across populations and a tendency to impact males more so than females, early and accurate diagnosis appears critical. The most current literature on ASD provides a myriad of difficulties associated with diagnosis under the age of three years. The purpose of this study was to determine if a predictive relationship exists between a child’s individual developmental domain standard deviation (SD) subscale scores (motor, language, cognitive, social-emotional, and adaptive skills) on the Bayley …


Neural Coding Of Natural And Synthetic Speech., Allison Brown May 2017

Neural Coding Of Natural And Synthetic Speech., Allison Brown

Electronic Theses and Dissertations

The present study examined whether natural and synthetic speech are differentially encoded in the auditory cortex. Auditory event-related potential (ERP) waveforms were elicited by natural and synthetic fricative-vowel stimuli (/sɑ/ and /ʃɑ/) in a passive listening paradigm in adult listeners with normal hearing. ERP response components were compared across conditions. The results indicated that peak latencies to natural speech were significantly earlier than those to synthetic speech. Natural speech also produced significant electrode hemisphere site effects, whereas synthetic speech activated left, midline, and right electrode hemisphere sites equally. Overall, the results suggest that cortical processing of natural and synthetic speech …


Spontaneous Vocal Matching In Mothers And Their Hearing Impaired Infants With Cochlear Implants : A Quantitative Analysis., Lydia Doggett May 2017

Spontaneous Vocal Matching In Mothers And Their Hearing Impaired Infants With Cochlear Implants : A Quantitative Analysis., Lydia Doggett

Electronic Theses and Dissertations

Vocal matching, the ability to imitate phonetic properties of speech, was examined in spontaneous interactions of sixteen dyads of mothers and their hearing-impaired (HI) infants with cochlear implants and age-matched normal-hearing (NH) infants. Mother-infant dyads came to three sessions at three, six, and 12 months post-implantation. Vocal matching was defined as an instance of perceptual and acoustic similarity of vowels and consonants between adjacent maternal and infant utterances. Vocal matching occurred in 25% to 50% of infant and in 17% to 64% of mother vocalizations across dyads. Both mothers and infants in the HI group produced fewer matches as compared …