Medicine and Health Sciences Commons^™

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 …

Transitioning From Face-To-Face To Telehealth Speech And Language Services Due To The Covid-19 Pandemic: Perceptions Of Persons With Aphasia And Their Ehelpers, Emma Logan

USF Tampa Graduate Theses and Dissertations

The purpose of this research study was to investigate the perceptions of the aphasia community, as well as their caregivers, that are provided speech and language services and how their services were affected due to transitions because of the COVID-19 pandemic. The recency and novelty of the pandemic warrants research of many areas related to health care, including that of speech language pathology.

An online survey was completed by nine persons with aphasia and three eHelpers. Participants were recruited through a university clinic and by informational fliers through social media. Participants with aphasia qualified by having experiences with speech and …

Intensive, Interprofessional Therapy: A Case Approach, Emma C. Schrotenboer

Honors Theses

This research looks at the impacts of intensive, interprofessional therapy for children with disabilities. There is very little literature currently published on this topic, although what is available generally finds that more intense therapy is more beneficial. The child who was studied was a camper at Adam’s Camp therapy camp, a week-long program that involves six hours of therapy each day with therapists from five different fields. Her progress over the week, as well as her retention of skills several weeks later, were determined by pre- and post-camp surveys sent to the mother and the therapists’ notes from during the …

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 …

The Influence Of Side-Lying Position On Oropharyngeal Swallow Function In At-Risk Infants: An Exploratory Study, Julian White

Dissertations, 2020-current

Speech-Language Pathologists (SLP) are the primary healthcare providers responsible for the evaluation and treatment of infant feeding and swallowing disorders. At-risk infants, such as those born prematurely or with certain medical conditions, are more prone to swallowing impairments (i.e., dysphagia). Dysphagia in at-risk infants can have severe consequences such as chronic respiratory symptoms, pneumonia, progressive lung disease, undernutrition, and death. Therefore, it is important to have methods of examining an infant’s swallow functioning that are both safe and accurate. A leading method of evaluating infant swallowing is the Modified Barium Swallow Study (MBS). The works contained within this dissertation document …

Rehabilitation Of Post-Stroke Aphasia In Ghana, Keren Sarpomaa Kankam

Electronic Thesis and Dissertation Repository

Aphasia is one of the most common consequences of stroke and affects the communication and social functioning of approximately 30-35% of stroke survivors. Despite the importance of speech-language pathology (SLP) services for individuals with post-stroke aphasia, aphasia rehabilitation services in sub-Saharan Africa are riddled with challenges. Through interviews, demographic information, and syllabi reviews, we examined the SLP assessment and treatment services available for individuals with post-stroke aphasia in Ghana and the challenges the stakeholder groups encounter in providing and identifying such services. Results of the study identified challenges with the current post-stroke aphasia services in Ghana, and thus the need …

Outcome Measures For Chronic Cough: A Literature Review, Sarah Campbell

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Background: Approximately 9-10 percent of adults experience chronic cough. Chronic cough is a cough that lasts greater than eight weeks, with significant impacts on an individual's quality-of-life in social, psychological, and physical domains. Current treatment is not successful for all patients, and a lack of validated outcome measures makes it challenging to determine the efficacy of experimental chronic cough interventions.

Aims: The purpose of this review is to determine the optimal protocols for outcome measures needed to ascertain the efficacy of chronic cough treatment.

Main contribution: Inconsistent correlations were found between objective and subjective outcome measures. The strongest outcome measure …

Programmatic Desensitization Of The Cough Reflex In Patients With Refractory Chronic Cough, Emma Bozarth Dailey

Graduate Student Theses, Dissertations, & Professional Papers

Aim: The purpose of this blinded, randomized, placebo-controlled pilot clinical trial was to determine the potential of treating refractory chronic cough (RCC) using a progressive desensitization model paired with behavioral cough suppression.

Methods: Twelve adults with chronic cough who had failed behavioral cough treatment enrolled in and completed the study. Participants were randomly assigned to a treatment (n=8) or placebo group (n=4). The study consisted of three phases. During Phase I, participants completed baseline testing, including cough sensitivity testing with capsaicin, the Leicester Cough Questionnaire (LCQ), urge-to-cough-testing, and 24-hour cough frequency testing. During Phase II, participants practiced behavioral cough suppression …

Speech-Language Pathology And Psychology Students' Perceptions Of An Interprofessional Autism Intervention: An Exploratory Case Study, Haley Marie Nelson

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this qualitative case study was to understand how the interprofessional collaboration (IPC) experience of Youth Engagement Through Intervention (YETI) changes perceptions and knowledge regarding scope of practice of pre-service professionals in the Communicative Sciences and Disorders (CSD), School Psychology, and Clinical Psychology programs. Semi-structured interviews were conducted with pre-service professionals participating in YETI as student clinicians at three different time periods. The results contribute to the existing literature base affirming that interprofessional experiences during pre-professional programs are beneficial. For the Departments of Communicative Sciences and Disorders and Department of Psychology at University of Montana, findings have the …

Effects Of Divided Attention On Speech In Parkinson's Disease, Melissa Inkley

Theses and Dissertations

The effects of divided attention on speech in Parkinson's disease (PD) have been studied for a variety of tasks in recent years. Much of the previous research studied gait patterns while participants concurrently performed another task. There have been few studies regarding the effects of divided attention on speech in individuals with PD. The ability to communicate effectively relies in part on an appropriate rate of speech, vocal intensity, and fundamental frequency control. This study included 27 participants: 8 with PD, 12 neurologically healthy older (HO) adults, and 7 healthy younger (HY) adults. Each participant was given a list of …

Exploring Student-Led Interprofessional Education Through A Community Service Project, Lindsay Ann Doerschuk

EWU Masters Thesis Collection

Purpose: The purpose of this research was to explore the effectiveness of a student-led interprofessional education (IPE) workshop in improving student attitudes and perceptions toward IPE. Students from four health science programs including Dental Hygiene, Communication Sciences and Disorders/Speech and Hearing, Health Services Administration and Occupational Therapy participated in a community service event. Students provided screenings to veteran patients including a health history intake, hearing test, and sleep screening while other students observed.

Methods: Students were asked to attend an orientation, the Vets Day IPE workshop, and a debrief session. This mixed methods approach study utilized the Readiness for Interprofessional …

An Evaluation Of Interprofessional Knowledge And Attitudes In Graduate Students From Six Programs In Health Sciences After An Interprofessional Education Workshop Experience, Joanna Velasco

Open Access Theses & Dissertations

Interprofessional Education (IPE) occurs when two or more disciplines learn about, from, and with each other to provide interprofessional patient-centered care which ultimately improves patient health care outcomes (WHO, 2010). Through collaboration, students not only bring their own expertise, but are given an opportunity to learn what the other disciplines can offer for the same patient. Although IPE's importance is highly recognized, many universities do not engage in IPE practice because of scheduling difficulties, lack of faculty involvement, implementation challenges for various levels of competency, and uncertainty of how to measure the effectiveness of IPE activities (Johnson et al., 2015). …

Effects Of Two Gait Tasks On Language Complexity In Parkinson's Disease, Betty Ann Marquardt

Theses and Dissertations

The effects of dual tasking in Parkinson's disease (PD) have been studied for a number of years. Previous research has generally focused on changes in gait patterns while another task has been performed concurrently. Very few studies have focused on the impact of a concurrent task on speech or language. Language is key for communication: to express wants and needs, to maintain familial relationships, and for social interaction. Thirty-seven individuals participated in the study: 10 with PD, 14 neurologically healthy older (HO) adults, and 13 healthy younger (HY) adults. The participants were given a list of topics to consider and …

Communication: How Do Females With Rett Syndrome Perform This Activity And What Factors Influence Performance?, Anna Urbanowicz

Theses: Doctorates and Masters

Background Rett syndrome is a neurodevelopmental disorder primarily caused by mutations in the X-linked methyl-Cp2G-binding protein 2 (MECP2) gene. The disorder affects approximately 1 in 9000 females and is usually associated with language, physical and intellectual impairments, each of which contributes to difficulties with communication. In Rett syndrome, eye gaze is considered a common form of communication and conventional methods, such as talking and gestures, less common. Females appear to use these forms of communication to serve a number of functions including choice making, requesting, social convention, bringing attention to themselves, and to reject, comment and answer. However, the literature …

Flow Experiences Among Individuals With Aphasia, Thomas W. Sather

Dissertations

Flow has been described as positive experiences of intense concentration, distorted time passage, and loss of self-consciousness. While flow has been reported for multiple populations in various settings, it has not been studied among individuals with aphasia. The purpose of this three paper dissertation is to examine flow experiences among individuals with mild aphasia, including environmental and personal factors associated with flow. Advocates of life participation approaches to aphasia stress the importance of interventions that support full engagement in life. Research on flow experiences and related environmental and personal factors may foster improved service delivery and outcomes for this population. …

Early Intervention Of Parent-Infant Interactions In Preterm Infants: A Systematic Review, Stacey Osborne

Theses : Honours

Every year approximately 15 million babies are born preterm. These infants are at an increased risk of language, and other developmental delays due to their immature brain development and higher incidence of brain abnormalities. They also have poorer health outcomes in the early stages of life which may go on to hinder successful parent-infant interactions. Successful parent-infant interactions are important for infant developmental outcomes such as language, cognition and behaviour. While interventions targeting the promotion of positive interactions have been found to have positive effects in a number of populations to date, interactions involving preterm infants have not been explored. …

Indirect Approaches: A Systematic Review Of Paediatric Dysphagia Interventions, Bianca Piano

Theses : Honours

Background and purpose: Dysphagia can be described as difficulty within the oral, pharyngeal and/or oesophageal phases of deglutition and occurs in approximately 80% of children with developmental disabilities, according to the American Speech and Hearing Association (2015). It occurs when there is impairment to the motor and/or sensory aspects of swallowing, due to a range of disorders affecting the voluntary and reflexive components of deglutition. The ability to swallow safely is essential in preventing medical complications, sustaining life and maintaining social participation. Paediatric interventions can be categorized into three broad approaches; direct, indirect and mixed. At present, two systematic reviews …

Treatment Efficacy Of Manual Therapy On Speech Outcomes In Children With Spastic Cerebral Palsy: A Single-Subject Experimental Design, Chantelle B. Varnado

LSU Doctoral Dissertations

ABSTRACT Objective – The present study aimed to determine if a treatment effect is present on speech outcomes in children with spastic cerebral palsy (CP) given 5 sessions of a manual therapy treatment protocol. Methods – A single-subject experimental design (ABAB) study was devised to establish the treatment efficacy of a manual therapy protocol on speech outcomes in children with spastic CP. The protocol was administered to 5 participants, 4-6 years old. It included five intercostal stretches administered in 15-minute sessions for five sessions. During the withdrawal phase, a sham treatment was administered that included an equal dosage of treatment. …

Characterizing Spoken Discourse In Individuals With Parkinson Disease Without Dementia, Angela C. Roberts

Electronic Thesis and Dissertation Repository

Background: The effects of disease (PD) on cognition, word retrieval, syntax, and speech/voice processes may interact to manifest uniquely in spoken language tasks. A handful of studies have explored spoken discourse production in PD and, while not ubiquitously, have reported a number of impairments including: reduced words per minute, reduced grammatical complexity, reduced informativeness, and increased verbal disruption. Methodological differences have impeded cross-study comparisons. As such, the profile of spoken language impairments in PD remains ambiguous.

Method: A cross-genre, multi-level discourse analysis, prospective, cross-sectional between groups study design was conducted with 19 PD participants (M_age = 70.74, M …

Reflective Practice And Professional Knowledge: A Grounded Theory Study Of Speech-Language Pathologists Working In Head And Neck Cancer Rehabilitation, Marie-Eve Caty

Electronic Thesis and Dissertation Repository

Reflective practice is defined in this dissertation as a process of thinking 'about' and 'through' one's doings, such that practitioners become more skillful, and aware of the nature and impact of their performance within their professional practices. Because it is presumed to enable healthcare delivery practices that are more sensitive to patient needs and more in-line with evidence- based practices, RP is frequently noted as an essential attribute of competent clinical practice. Yet, little is known about the processes by which RP contributes to the professional learning of health-care practitioners in general, and Speech- Language Pathologists (SLPs) in particular.

This …

Assessing Candidacy For Intensive Language Therapy: A Preliminary Study, Jessica N. Bellamy

Theses and Dissertations--Communication Sciences and Disorders

The goal of the present study was to examine changes in the speech and language performance of patients with chronic, non-fluent aphasia over the course of a three-hour group speech and language treatment session, a time allotment comparable to intensive therapy practices. Nine participants, (three groups of three), with chronic, non-fluent aphasia were seen for a single group therapy session three hours in length. Therapeutic activities were designed to be as similar as possible for each group of participants. Each participant was individually assessed before (time 1), during (time 2), and after (time 3) the group treatment session. Assessments included …

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 …

The Effects Of Respiratory Muscle Strength Training On Individuals With Parkinson's Disease, Elizabeth A.S. (Elizabeth Ann Stevenson) Lewis

WWU Graduate School Collection

The purpose of this study was to determine if respiratory muscle strength training (RMST) results in increased measures of respiratory function, improved vocal quality, and improved quality of life as perceived by the participants. Data obtained by this study adds to the body of knowledge regarding clinical use of RMST for SLPs working with patients with Parkinson's disease (PD). The study was comprised of a 13-week ABAB within-subject design with a baseline period, five weeks of respiratory training (Phase 1), three weeks without training (Detraining Phase), and five weeks with training (Phase 2). Three individuals with moderate PD (1M, 2F) …

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 …

Effects Of Two Different Behavioral Swallowing Exercise Protocols Performed During Radiation Therapy On Swallowing Physiology, Function, Quality-Of-Life And Weight Outcomes Following Organ-Preservation Treatments For Head And Neck Cancers, Aneesha Virani

LSU Doctoral Dissertations

Objective: The purpose of this study was to investigate the effects of two different prophylactic behavioral swallowing exercise regimens performed by head and neck cancer/s (HNC) patients during radiation therapy with/without chemotherapy (RT/C) on swallowing physiology, function, quality-of-life (QOL) and weight outcomes at the completion of RT/C. Feeding tube (PEG) status at 3 months post-treatment was also compared. Methods: This study was conducted via a prospective design. 50 patients diagnosed with HNC who were to undergo RT/C were recruited at pre-treatment based on the inclusion criteria: functional swallowing abilities; without prophylactic PEG tubes; ability to comprehend and perform therapy tasks …

The Effects Of Interactive Songs On Syllable Production In A Child With Agenesis Of The Corpus Callosum, Kelly D. Beens

Masters Theses

Agenesis of the corpus callosum is a disorder which has been the focus of clinical research on various tasks involving interhemispheric transfer of information. However, therapeutic intervention for individuals with this disorder has not been located in the literature by this researcher. Speech-language therapy for a five-year-old male incorporating interaction with songs was employed to activate various portions of the congenitally separated cerebral hemispheres and to encourage information transfer through non-traditional ways to facilitate syllable production.

The child received speech-language therapy for 15, 30-minute sessions. He was prompted to participate physically (with actions or manipulation of props) and verbally in …