Medicine and Health Sciences Commons^™

Objective Estimation Of Tracheoesophageal Speech Quality, Yousef S Ettomi Ali

Electronic Thesis and Dissertation Repository

Speech quality estimation for pathological voices is becoming an increasingly important research topic. The assessment of the quality and the degree of severity of a disordered speech is important to the clinical treatment and rehabilitation of patients. In particular, patients who have undergone total laryngectomy (larynx removal) produce Tracheoesophageal (TE) speech. In this thesis, we study the problem of TE speech quality estimation using advanced signal processing approaches. Since it is not possible to have a reference (clean) signal corresponding to a given TE speech (disordered) signal, we investigate in particular the non-intrusive techniques (also called single-ended or blind approaches) …

A Comparative Study Of Esl Children's Improvement In Reading, Writing, Listening, And Speaking Using The Grapeseed Program, Morgan Mainess

Honors Theses

GrapeSEED is a program currently administered in the Berrien Springs Public School System that is specifically designed to improve literacy (reading and writing), listening, and speaking skills for English as a Second Language (ESL) chi ldren. This study analyzed whether the GrapeSEED program would significantly improve participants' development when compared to their pre-tests. Empirical observational data was additionally collected at Mars Elementary during the 2018-2019 academic year. A statistical analysis indicated significant advancement in listening and literacy with increased improvement for younger participants in the GrapeSEED program.

Purpose

This study aimed to determine the improvement in participant's development in the …

Outcomes In Children With Additional Disabilities Following Cochlear Implantation: A Systematic Review, Rebecca M. Tuchman

Dissertations, Theses, and Capstone Projects

Background: Thirty percent of children with hearing loss have an additional disability. These children may be difficult to test according to standard audiologic behavioral test protocols. Additionally, progress within this population may present differently than in children with no additional disability. Currently, no evidence-based protocol exists for assessing cochlear implant benefit and outcomes in this population.

Objective: The purpose of this investigation is to perform a systematic review on the outcomes of cochlear implantation in children with additional disabilities. Specifically, this study focused on areas of function assessed, outcome measures used, and evidence of benefit observed.

Methods: A comprehensive search …

A Musician Centered Toolkit For Audiologists, Ava Bonavita

Dissertations, Theses, and Capstone Projects

The toolkit for audiologists working with musicians includes a set of materials for use in a musician centered audiology practice. Given the rise in streaming of music by individuals of all ages and the recognition of susceptibility of musicians to hearing loss, the prevalence of hearing loss is on the rise necessitating the need for materials and protocols to better protect, educate, and treat music lovers of all ages who may be prone to hearing loss. Music induced hearing loss typically falls under the category of recreational noise exposure, a subset of noise induced hearing loss (NIHL). Musicians are the …

Parkinsonian Speech And Voice Quality: Assessment And Improvement, Amr Gaballah

Electronic Thesis and Dissertation Repository

Parkinson’s disease (PD) is the second most common neurodegenerative disease. Statistics show that nearly 90% of people impaired with PD develop voice and speech disorders. Speech production impairments in PD subjects typically result in hypophonia and consequently, poor speech signal-to-noise ratio (SNR) in noisy environments and inferior speech intelligibility and quality. Assessment, monitoring, and improvement of the perceived quality and intelligibility of Parkinsonian voice and speech are, therefore, paramount. In the first study of this thesis, the perceived quality of sustained vowels produced by PD patients was assessed through objective predictors. Subjective quality ratings of sustained vowels were collected from …

The Role Of Auditory Feedback For Speech Intensity Regulation In Parkinson’S Disease, Dona Abeyesekera

Electronic Thesis and Dissertation Repository

Hypophonia (low speech intensity) has been found to be the most common speech symptom experienced by individuals with Parkinson’s disease (PD). Previous research suggests that, in the PD population, there may be abnormal integration of sensory information for motor production of speech intensity. In the current study, auditory feedback was systematically manipulated during sensorimotor conditions that are known to modulate speech intensity in everyday contexts. Twenty-six individuals with PD and twenty-four neurologically healthy controls were asked to complete the following tasks: converse with the experimenter with varying distances between the participant and listener (near and far distances), vowel prolongation, read …

Effects Of Visit Frequency On Swallowing Function During Organ Preservation For Head And Neck Cancer, Mathew Blaine Vansant

LSU Doctoral Dissertations

Chemoradiotherapy is not without risk of injury to the muscles and nerves associated with swallowing function. Current research supports the use of prophylactic behavioral swallowing exercise in the HNC population, however, wide variations in swallowing treatment methodologies exist and no optimal SLP-patient visit frequency has been established. In addition, poor patient adherence to swallowing exercise appears prevalent. The current study explored the impact of speech language pathologist (SLP)-patient contact time, adherence to prophylactic behavioral swallowing exercises, and explored effects of exercise intensity on immediate post-radiation swallowing outcomes. Groups included a high frequency group (5 weekly SLP-patient visits, n = 15), …

Neonatal Intensive Care Unit Speech-Language Pathologists’ Perceptions Of Infants With Neonatal Abstinence Syndrome, Lauren Fabrize

Electronic Theses and Dissertations

Objective: The purpose of this study was to determine the characteristics, assessment, and treatment of infants with Neonatal Abstinence Syndrome (NAS) as perceived by Speech-Language Pathologists (SLP) and whether it differed from those of other Neonatal Intensive Care Unit populations.

Methods: A secure web-based questionnaire with 62 questions collected information on NAS, caseloads, treatment environment, and demographics. Twenty-six respondents initiated the survey; 42% completed most or all questions. Response analyses included descriptive and nonparametric inferential statistics.

Results: Infants with NAS were on the caseloads of 73% of respondents. The majority (79%) only saw infants with NAS and feeding problems. Primary …

Exploration Of Early Spelling In Children With Hearing Loss, Carson Aho

Theses and Dissertations

Purpose: The purpose of this study was to determine differences in spelling errors between children with normal hearing and children with hearing loss in kindergarten.

Method: Participants included 21 children with normal hearing and 23 children with hearing loss. All children used spoken English as their primary language. The children with hearing loss all utilized a hearing amplification device. Participants completed three single-word spelling assessments, a language assessment, and an oral reading assessment. An independent samples t-test was used to determine if the groups had differences in the number of spelling errors and whether a difference was observed within the …

Developing A School-Age Language Screening For Sli, Logan Douglass

Theses and Dissertations

Purpose: This study explored past tense marking in oral reading as a clinical marker of specific language impairment (SLI). A School-Age Language Screening Assessment (SALSA) was evaluated to determine whether it can be used to improve the identification of school-age children with SLI. The first aim was to calculate overall accuracy with children with TL and SLI on reading regular and irregular past tense verbs in oral reading of connected text. The second aim was to determine the overall diagnostic accuracy of SALSA.

Method: 96 children with TL and 3 children with SLI (N = 99) in grades 2-4 were …

The Effect Of Retrieval Practice On Vocabulary Learning For Children Who Are Deaf Or Hard Of Hearing, Casey Krauss Reimer

Arts & Sciences Electronic Theses and Dissertations

The goal of the current study was to determine if students who are deaf or hard of hearing (d/hh) would learn more new vocabulary words through the use of retrieval practice than repeated exposure (repeated study). No studies to date have used this cognitive strategy—retrieval practice—with children who are d/hh. Previous studies have shown that children with hearing loss struggle with learning vocabulary words. This deficit can negatively affect language development, reading outcomes, and overall academic success. Few studies have investigated specific interventions to address the poor vocabulary development for children with hearing loss. The current study investigated retrieval practice …

Word Error And Word Frequency Correlation In Broca’S Aphasia, Breawna Heal

Honors Projects

Aphasia is a language disorder that is caused to the brain (Shames, Wiig, Secord, 1998) This damage may be caused by a stroke, traumatic brain injury, lesions to the brain, or degenerative neurological diseases(Shames, Wiig, Secord, 1998). Depending on the location of the brain damage, a person with aphasia will present with different communication impairments. People with fluent aphasia produce speech that may feature many grammatical errors or incorrectly produced words but their speech retains a typical speaking rhythm. People with fluent aphasia’s speech is much slower and more halting, and there tends to be frequent and lengthy pauses between …

Examining The Effectiveness Of Interprofessional Collaboration For Preprofessional Speech-Language Pathology And Occupational Therapy Graduate Students, Morgan Cornwell

Senior Honors Projects, 2010-2019

This study explores the effects of an emergent writing interprofessional collaboration experience for preprofessional speech-language pathology (SLP) and occupational therapy (OT) graduate students. The preprofessionals were split into two groups (SLP only and SLP-OT pairs) and delivered emergent writing interventions to preschoolers either individually (SLP only) or collaboratively (SLP-OT pairs). The purpose of this study was to investigate how working collaboratively versus working individually to deliver the interventions to preschoolers influences the preprofessionals’ knowledge of theInterprofessional Education Collaborative’s (IPEC) core competencies and emergent writing concepts. The results showed that paired preprofessionals reported higher levels of interprofessional competency than unpaired preprofessionals. …

Participant Accuracy And Impact Of Biofeedback On A Skilled Swallowing Task, Caris Giessler

Senior Honors Projects, 2010-2019

Biofeedback is as a visual way to self-assess muscle contraction, particularly during rehabilitative exercises. Speech language pathologists and otolaryngologists have investigated the use of visual biofeedback in swallowing therapy, especially for volitional swallowing rehabilitative exercises such as the effortful swallow, which requires the patient to maximally swallow with all their strength. In contrast to the effortful swallow, “effortful skilled swallowing” is the ability to swallow with a specific and precise amount of effort, which is an emerging topic in dysphagia research. Dysphagia, also known as disordered swallowing, can be an organic congenital disorder treated via feeding tubes, or an acquired …

The Feasibility Of Standardized Cognitive Assessments For Vestibular Patients, Brynn Morales

Senior Honors Projects, 2010-2019

Vestibular dysfunction, or impairments in the inner ear and/or brain structures that process sensory information and help control balance, has a high correlation with cognitive deficits, or problems with mental processes. This relationship negatively affects daily activities and quality of life in persons that live with vestibular dysfunction. Though there is sufficient research proving the relationship, few studies have applied that information in ways to better help the population with vestibular dysfunction. The purpose of this study was to assess the feasibility of a cognitive assessment battery (a set of correlated assessments delivered in one session) tailored to measuring performance …

Do Emg Monitoring And Amplitude Normalization Reduce Cvemp Variability In A Pediatric Population?, Brenna Murray

Senior Honors Projects, 2010-2019

Untreated balance disorders can cause anxiety, social withdrawal, and even slow motor development in children, making early and accurate diagnosis crucial to patient care. One of the leading tests for the diagnosis of balance disorders is known as the cervical vestibular evoked myogenic potential (cVEMP) test. The cVEMP test is the only clinically available tool that assesses the integrity of the organ of balance known as the saccule and its afferent pathway through the inferior vestibular nerve. The test is noninvasive and easy to administer, making patient diagnosis quick and effective rendering it crucial in the assessment of vestibular function …

Cervical Vestibular-Evoked Myogenic Potentials (Cvemps): "Differentiation Of Inter-Neck Emg Symmetry Between Children And Adults", Ellen Jones

Senior Honors Projects, 2010-2019

A cervical Vestibular-Evoked Myogenic Potential (cVEMP) is one of the few objective vestibular diagnostic tests available for pediatric populations. This test evaluates the functionality of the saccule end organ through an inhibitory reflex on the sternocleidomastoid (SCM) muscle that inhibits the level of electromyographic (EMG) activity (Wiener-Vacher, 2013). Because the saccule response is measured as an inhibition of EMG in the SCM, it is imperative that the SCM have a tonic contraction prior to eliciting the response and that the contraction of the SCM is equal on the right and left sides. It is generally accepted that young, healthy adults …

Subjective Differences Between Premium And Mid-Level Digital Hearing Aids, Dakota Sharp

Dissertations, 2014-2019

This study compared perceptual differences between premium and mid-level hearing aids from a major manufacturer in normal hearing listeners. Limited literature currently exists comparing perceptual differences between premium and mid-level digital hearing aids. This information is highly important in decision-making for clinicians and patients alike. Barry et al. (2018) evaluated four major hearing aid models’ noise reduction properties and determined that one manufacturer’s premium and mid-level devices demonstrated significant differences in noise reduction gain in frequencies associated with human speech. We programmed this device for a mild sloping to moderately-severe SNHL using the manufacturer’s proprietary fitting formula and noise reduction …

Audiologists’ Preferences In Programming Cochlear Implants, Leanne Browning

Dissertations, 2014-2019

Cochlear implants have become a viable option for those with severe to profound sensorineural hearing loss who gain little benefit from hearing aids and have poor word recognition ability. However, the techniques audiologists use to program these devices are not standardized (Sorkin, 2013). There is little data available which analyzes how audiologists handle clinical cochlear implant programming between the top manufacturers. These companies supply default settings in their products but is it unknown how often audiologists use these in practice in the United States.

In the present study, a questionnaire based on previous European data from Vaerenberg et al. (2014) …

Voice Quality As A Predictor Of Dysphagia, Lindsay Griffin

Dissertations, 2014-2019

The clinical swallowing evaluation (CSE) is a non-instrumental exam that informs speech-language pathologists about a patient’s cognition, readiness for instrumental evaluation, and swallowing symptoms. Because of the common neuroanatomy and physiology of the larynx during voicing and swallowing tasks, coughing or throat clearing after food and drink may indicate swallowing impairment. Also because of the shared mechanisms of the larynx, some clinicians also attribute voice changes after swallowing to dysphagia although many studies to date demonstrate conflicting results on the effectiveness of post-prandial voice assessment. The aim of this study was to assess if dysphonia and/or voice change after swallowing …

The Test-Retest Reliability Of Binaural-Processing Tasks At Home Versus A Clinical Environment, Logan Grace Faust

Dissertations, 2014-2019

Objective: Investigate the reliability of a custom-designed, portable, stereo-hearing testing system (as in the Ganev, 2017, Au.D. dissertation) when subjects self-administer two different stereo-hearing tasks at home. Results obtained under known and supervised conditions at a university clinic or lab versus unknown conditions at the participants’ homes were compared. Intra-subject comparison, and inter-subject trends, discerned the reliability of patient setup and self-administration of the two tasks.
Design: Ten subjects were evenly split among two conditions: five subjects each setup and self-administered the tasks first at home and then received direction in the clinic, and five received direction and did the …

Music And Speech Perception In Children Using Sung Speech: Effects Of Neurocognitive Factors, Victoria A. André

Dissertations, 2014-2019

The current study aimed to explore normal-hearing children's ability to utilize pitch and timbre cues and how these findings correlate with neurocognitive factors. Participants were recruited if they had English as their first language and no formal musical training or 3+ years of formal musical training. Twenty normal-hearing children, age 7.5-14.5 years (mean = 10.5; n=20) were recruited for the study. Nonverbal intelligence, receptive vocabulary, and auditory working memory were assessed using subtests of the Kaufman Brief Intelligence Test-2, Peabody Picture Vocabulary Test-4, and Comprehensive Test of Phonological Processing-2, respectively. Raw scores were used to analyze these neurocognitive abilities in …

Sex-Related Differences In Perception And Discrimination Of Different Speakers: An Analysis Of The Auditory Dorsal Stream Via Eeg, David Thornton

Theses and Dissertations (ETD)

Growing evidence that speech perception tasks elicit sensorimotor activity, and that this activity varies due to context, sex, cognitive load, and cognitive ability. However, it is unknown as to whether the sex of the speaker and demands of the task differentially effect males and females during speech perception tasks. This study investigated whether speaker sex and task demands (i.e. passive listening or active discrimination) influence sensorimotor and auditory cortical activity in males and females differently. Raw EEG data were collected from 27 males and 29 females during passive listening to, and discrimination of /ba/ and /da/ syllable pairs spoken by …

The Effect Of Motor Responses Versus Verbal Responses On Sound Localization Accuracy In Young Children With Normal Hearing, Karen Ann Martin

Theses and Dissertations (ETD)

Rationale. Sound localization is the ability to pinpoint the origin of a sound source within an auditory space. This ability is essential for safety, orientation, and communication. Poor sound localization abilities, especially in young children, can have a negative impact on academics and safety. This issue is exacerbated when there is a hearing loss. Young children do not localize as well as adults until age 6 or older. Data regarding sound localization accuracy in preschoolers and young children have been sparse. Recently, with the increasing numbers of cochlear implantation (especially in children) there have been more studies investigating sound localization …

Learning Style Preferences In Undergraduate Speech-Language Pathology And Audiology Students, Callahan Shirk

Honors Theses

Learning styles can be described as an individual’s unique way of assimilating new information based on his/her preferences and methods of acquiring knowledge. The awareness of a student’s learning style preference can be beneficial to both students and instructors. The goal of this project was aimed at identifying the learning style preferences of undergraduates in the Speech-Language Pathology and Audiology programs within the state of Mississippi. The researchers surveyed 137 participants involved in this study by utilizing the Kolb Learning Style Inventory and the VARK Questionnaire. Results from this study revealed that students enrolled as undergraduates in Speech-Language Pathology and …

Effect Of Consistent Singing On Maintenance Of Speech Intelligibility Following Lsvt®: A Retrospective Longitudinal Case Study, Rachel Ricca Beck

Graduate Theses and Dissertations

Parkinson’s Disease is a common neurodegenerative disease affecting one’s ability to hone and refine volitional movement. Many with Parkinson’s report significant effects on voice and communication. Speech-language pathologists have long targeted the achievement of increased vocal volume through intensive voice therapy, with the most common program being Lee Silverman Voice Treatment® (LSVT®) (Ramig et al., 1994). While LSVT® is the most prominent type of voice therapy for individuals with Parkinson’s, other researchers have begun investigating therapeutic singing because of the similar functions it employs (e.g., increased breath support, utilization of entire vocal range).

The current project is a retrospective, longitudinal …

The Effectiveness Of Interpersonal Communication And Active-Listening Skills With Individuals With Communication Disorders, Mandy C. Adams, Erinn Finke Dr.

Chancellor’s Honors Program Projects

No abstract provided.

Effects Of Primary And Secondary Cigarette Smoke On Auditory Function: A Systematic Review, Hilary Mcmanus

Dissertations, Theses, and Capstone Projects

Objective: The goal of this paper was to systematically review literature in order to investigate the effects of active and passive cigarette smoke on auditory function when assessing outcome measures including pure tone audiometry, otoacoustic emissions, high-frequency audiometry, and auditory evoked potentials.

Methods: A comprehensive search using the Medline Complete database was conducted to identify relevant studies published after 2005. Inclusion criteria included the use of pure tone audiometry, high-frequency audiometry, otoacoustic emissions, and/or auditory evoked potentials to examine the effect of primary or secondary cigarette smoke. Studies involving noise exposure or other confounding factors were excluded.

Results: A total …

Across Curriculums: A Need For Audiology Instruction For Teachers Of The Deaf And Hard Of Hearing, Jenna M. Morishita

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this project is to gain insight into the requirements of teacher education programs with regard to instruction in audiology for teachers of the deaf and hard of hearing. Though individual teacher preparation programs have vast differences as they pertain to philosophy and methodology, graduates of each of these programs seek to work with children with hearing loss and therefore should have more than a basic understanding of audiology.

Method: The websites and course catalogs (when available) were reviewed for the 48 graduate programs listed on DeafEd.net. Data was collected on courses with the term “audiology” in …

Caring For Persons With Autism Spectrum Disorder: A Toolkit For Audiologists, Melanie Rosenthal

Dissertations, Theses, and Capstone Projects

As the symptoms of Autism Spectrum Disorder (ASD) can mimic those of hearing loss, an audiologic evaluation is often a component of the differential diagnostic process. These audiologic evaluations can be complicated by social communication deficits, as well as sensory issues demonstrated by individuals with ASD. Typical testing procedures may need to be adapted, as well as multiple appointments may be needed, to obtain sufficient audiologic information. Although there is an abundance of literature suggesting that alternative approaches (i.e. visual schedules, social stories) should be utilized in the audiologic evaluation, there has yet to be a comprehensive toolkit for audiologists …