Medicine and Health Sciences Commons^™

Familiality Of Auditory Evoked Potentials: Preliminary Investigation Of The Auditory Brainstem Response And Late Latency Cortical Response, Matthew B. Lucas

Electronic Thesis and Dissertation Repository

Twenty-four participants, consisting of six sibling pairs and six non-sibling pairs, participated in this study investigating the familiality of auditory evoked potentials (AEPs). The auditory brainstem response (ABR) recorded at high stimulus rates, revealed that Wave V latency increases, while amplitude decreases as stimulus rate increases. ABR Wave V latency was also found to increase with click position within a stimulus train, plateauing by the third stimulus. No evidence for familiality was found with respect to the ABR Wave V under these conditions. The late latency response (LLR) components N1 and P2 were found to decrease between the first and …

The Effect Of Concurrent Cognitive, Linguistic And Motor Tasks On Speech Intensity In Parkinson’S Disease, Teresa J. Valenzano

Electronic Thesis and Dissertation Repository

This study investigated the effect of concurrent tasks on speech intensity in Parkinson’s disease (PD). Thirteen PD participants and twenty-two controls performed three tasks concurrent with a speech task. The speech task involved a repeated carrier phrase and a target word. The concurrent tasks involved math addition (cognitive), verb generation (linguistic), and manual visuomotor tracking (motor) at three levels of difficulty. All three concurrent tasks were associated with reduced speech intensity relative to the isolated speech task. The concurrent motor task was generally associated with the greatest reduction in speech intensity. Task performance measures were not significantly different for the …

Speech Compensation To Formant Perturbations In English And Vietnamese Talkers, Linh L.T. Nguyen

Electronic Thesis and Dissertation Repository

The purpose of this experiment was to examine mechanisms underlying the auditory feedback system using Vietnamese and English talkers in response to feedback perturbations. F1 discrimination thresholds, vowel goodness ratings, and vowel category bounds for English /ɪ/ were determined. Vowel spaces were collected for both languages and auditory feedback of F1 was manipulated for English and Vietnamese vowels. Speech compensation during perturbed auditory feedback occurred in English and Vietnamese vowels suggesting that the underlying mechanisms are universal. However, there were differences in speech compensation for some vowel conditions, which may have occurred due to vowel location in each language group’s …

Effect Of Head Movement On Sound Localization In Real And Simulated Cochlear Implant Users, Kassandra-Anne H. Birtch

Electronic Thesis and Dissertation Repository

Cochlear implant (CI) users’ limited ability to use acoustical cues for sound localization causes left/right confusions and front/back reversals. Head movement is beneficial in reducing these errors in acoustically hearing listeners. This study investigated the effect of head movement on localization throughout 360o of azimuth for both real and simulated CI users. Listeners in a bilateral electro-acoustic (CI with ipsilateral hearing aid) simulation derived the greatest head movement benefit in reducing front/back reversals. Left/right confusions were reduced in simulations with matched bilateral stimulation. Sensitivity to both timing and level cues for sound localization was correlated with sound localization performance without …

The Effect Of Multitalker Background Noise On Speech Intelligibility In Parkinson's Disease And Controls, Talia M. Leszcz

Electronic Thesis and Dissertation Repository

This study investigated the effect of multi-talker background noise on speech intelligibility in participants with hypophonia due to Parkinson’s disease (PD). Ten individuals with PD and 10 geriatric controls were tested on four speech intelligibility tasks at the single word, sentence, and conversation level in various conditions of background noise. Listeners assessed speech intelligibility using word identification or orthographic transcription procedures. Results revealed non-significant differences between groups when intelligibility was assessed in no background noise. PD speech intelligibility decreased significantly relative to controls in the presence of background noise. A phonetic error analysis revealed a distinct error profile for PD …

Loudness Perception And Speech Intensity Control In Parkinson's Disease, Jenna Paula Clark

Electronic Thesis and Dissertation Repository

This study investigated the role of loudness perception and selected auditory processes in 17 participants with hypophonia related to Parkinson’s disease (PD) and 25 controls. For most of the five loudness perception tasks (magnitude estimation, imitation, speech-to-noise judgment, magnitude production, magnitude production in noise), the PD participants produced a significantly different pattern and used a more restricted range than the controls in their self-generated estimates of speech intensity and judgments of speech loudness. Results from two self-assessment questionnaires (CETI-M, M-SAPP) found that the PD participants perceived themselves as less effective communicators than controls. An audiometric evaluation suggested that the PD …

Exploring Intelligibility In Tracheoesophageal Speech: A Descriptive Analysis, Lindsay E. Sleeth

Electronic Thesis and Dissertation Repository

Despite literature that suggests tracheoesophageal (TE) voice restoration to have the highest intelligibility of the three alaryngeal modes of speech, previous studies have shown that TE speech is less intelligible than “normal” speech. It is important to understand where problems related to intelligibility currently exist in order for members of the rehabilitation team to provide the best therapy/prostheses to each individual using TE speech as a mode of communication. This study evaluated the intelligibility of 15 male and female tracheoesophageal speakers. Eighteen normal-hearing, naive, young adult listeners assessed digital voice samples of 15 adult male and female TE speakers. Listeners …

Factors In The Client-Clinician Interaction That Are Perceived To Influence Hearing Aid Adoption In First Time Hearing Aid Candidates And Their Rated Importance By Clients And Clinicians, Laya Poost-Foroosh

Electronic Thesis and Dissertation Repository

The purpose of this dissertation was to gain a better understanding of the impact of the client-clinician interaction in the hearing aid adoption process. The specific goals of this dissertation were: 1) to identify factors in client-clinician interactions that were perceived by clients and clinicians to influence hearing aid adoption in first time adult hearing aid candidates, 2) to investigate the importance of the identified factors from clients and clinicians perspectives, and 3) to compare the importance of the identified factors between clients and clinicians. These goals were achieved using a mixed-methods approach.

Three studies were undertaken. In the first …

Development And Evaluation Of An Audiological Outcome Measure Guideline For Use With Infants, Toddlers, And Preschool Children, Marlene P. Bagatto

Electronic Thesis and Dissertation Repository

The goals of the current work were to: 1) identify caregiver report questionnaires for inclusion in an outcome evaluation guideline for infants, toddlers, and preschool children who wear hearing aids and 2) evaluate the chosen tools to determine their usefulness for the population of interest. A critical review of auditory-related subjective outcome evaluation tools for infants, toddlers, and preschool children is presented (Chapter 2). Good psychometric properties and clinical feasibility were considered important elements for the guideline (Andresen, 2000). Existing norms for the chosen questionnaires were validated with normal hearing children from Canadian English-speaking families (Chapters 3 and 5). Finally, …

An Integrated Knowledge Translation Experience: Use Of The Network Of Pediatric Audiologists Of Canada To Facilitate The Development Of The University Of Western Ontario Pediatric Audiological Monitoring Protocol (Uwo Pedamp V1.0)., Sheila T F Moodie

Electronic Thesis and Dissertation Repository

The goals of this project were: (1) to determine the important factors that influence implementation of evidence-based practice by Canadian audiologists; and (2) to utilize the knowledge-to-action process (Graham et al., 2006) during the development of a guideline for outcome measures to evaluate the auditory development and performance of young children who wear hearing aids, to facilitate clinical uptake and identify barriers to implementation (Bagatto, Moodie & Scollie, 2010; Bagatto et al., 2011; Bagatto, Moodie, Seewald, Bartlett, & Scollie, 2011; Moodie, Bagatto et al., 2011; Moodie, Kothari et al., 2011).

Two projects (Chapters 3 and 4) included the participation of …