Medicine and Health Sciences Commons^™

Validation Of A Virtual Auditory Space, And Its Use To Investigate How Pitch And Spatial Cues Contribute To Perceptual Segregation Of Auditory Streams, Nima Zargarnezhad

Electronic Thesis and Dissertation Repository

The human auditory system can decompose complex sound mixtures into distinct perceptual auditory objects through a process (or processes) known as Auditory Scene Analysis. Pitch and spatial cues are among the sound attributes known to influence sequential streaming (Plack 2018). In this project, the fidelity of a virtual acoustic space (the Audio Dome) in reproducing precisely located sound sources with a 9^th-order ambisonics algorithm was validated. The estimated horizontal Minimum Audible Angles aligned with previously reported values (Mills 1958) homogeneously across the space, and a robust low-frequency presentation was identified. Then, the Audio Dome was utilized to test …

Loudness Matching In Individuals With Parkinson’S Disease And Hypophonia, Catherine Johnson

Electronic Thesis and Dissertation Repository

The purpose of the present study was to investigate speech loudness perception in 15 individuals with Parkinson’s disease (IWPD) and hypophonia (reduced speech intensity) and 15 healthy control (HC) participants. A loudness matching procedure was used to examine conditions involving speech loudness targets presented at various levels (60 to 80dB SPL). The loudness response conditions included manually controlled audio playback of external speech, self-vocalized speech, amplified self-speech, and speech projected to a distance of 2 meters. For most of the loudness matching conditions, the PD group did not demonstrate the predicted deficit in loudness matching. In some loudness matching conditions, …

Development Of Psychoacoustic Screening Tests For Hearing Assessments, Minh Vu Duong

Electronic Thesis and Dissertation Repository

The evaluation of suprathreshold listening abilities in audiological assessment is often minimized despite the valuable insight it produces about auditory discrimination skills. These capabilities can be assessed from psychoacoustic tests. However, measuring these abilities requires a significant amount of time. Therefore, screening tests were developed for frequency discrimination, gap detection, and amplitude modulation tests to identify individuals for whom these skills are most likely to be useful. The purpose of this project was to determine the ability of this screening tool to predict good performers and determine who is likely to have reduced skills and require full threshold assessment. Thirty …

Myeloarchitectonic Maps Of Cat Auditory Cortex, Austin Robertson

Electronic Thesis and Dissertation Repository

The cerebral cortex contains myriad cortical areas that differ in structure, function, and connectivity. Current methods of delineating cortical structures and their subregions are insufficient for in vivo applications, either being highly invasive or requiring a detailed knowledge of a region’s tuning properties. To address this, we seek to establish a structural biomarker capable of delineating the cortex that possesses a non-invasive correlate. We explore myelin as a potential candidate by evaluating its efficacy in parcellating the feline auditory cortex through the generation of depthwise myelin density profiles for each of the 13 auditory cortical subregions. Our analyses revealed significant …

User Preferences For Hearing Aid Features: Outcomes, Concepts, And Test Construction, Hasan Saleh

Electronic Thesis and Dissertation Repository

Modern hearing aids can vary in both digital signal processing (DSP) and non-signal processing (non-DSP) features. The complexity and availability of these features can differ at opposite ends of the technology spectrum, potentially influencing aided benefit and preference. Furthermore, the amount of feature choices in modern hearing aids has led to increasing complexity in the selection process.

The first aim of this dissertation was to investigate the aided benefit and preference differences between premium and entry-level hearing aids, and to investigate the drivers of any preference differences. No significant differences were found between the entry-level and premium hearing aids in …

Approaches To Examining The Role Of Auditory Evoked Potentials In Early Language Development, Alyssa Janes

Electronic Thesis and Dissertation Repository

Previous research has suggested a relationship between auditory evoked potentials (AEPs) and spoken language proficiency, but their interactions during the earliest stages of development are not well understood. AEP-Age, an index that estimates the maturity of a child’s AEP relative to same-aged peers, has been effective in investigating this relationship in school-aged children, but has yet to be applied to younger populations. This thesis includes two Stage 1 Manuscripts (Registered Reports) for future studies to (a) assess the utility of AEP-Age to predict chronological age and language ability in 18-48-month-old children, and (b) investigate the relationship between AEP-Age and …

The Role Of Working Memory And Linguistic Knowledge On Language Performance, Theresa Ai Vy Pham

Electronic Thesis and Dissertation Repository

The language system is highly flexible and draws on distinct but interconnected cognitive mechanisms, including verbal working memory and long-term linguistic knowledge. Verbal working memory is the ability to manipulate verbal information in mind. Long-term linguistic knowledge refers to our knowledge of the language (i.e., phonology, semantics, syntax), stored in long-term memory. The close interaction between verbal working memory and linguistic knowledge highlights a pressing need to investigate the construct of verbal working memory, its separability and its relationship with linguistic knowledge. To understand the way working memory influences and interacts with language abilities in children and adults, I ask …

Typical And Atypical Development Of Compensation To Altered Auditory Feedback, Caitlin E. Coughler

Electronic Thesis and Dissertation Repository

Auditory feedback, how we hear ourselves speak, plays an important role in the acquisition and maintenance of fluent speech. Although there is wide acceptance of the importance of auditory feedback control throughout development, little is known about how this develops or how the reliance on auditory feedback control may shift compared to other elements of speech motor control. This dissertation aimed to improve our understanding of the development of auditory feedback control and speech motor control in typically developing children and pediatric clinical populations through the exploration of responses to altered auditory feedback. In altered auditory feedback paradigms, small, often …

The Similarities And Differences Between Distortion-Product Otoacoustic Emission Testing Instruments And Accuracy Settings, Maximilian Tran-Luong

Electronic Thesis and Dissertation Repository

Advanced measures of the auditory system like otoacoustic emission (OAE) testing are essential for highlighting the subtle expressions of hearing loss if clinical care is to remain up to date with current scientific knowledge. The purpose of this study was to compare distortion product OAE (DPOAE) testing across three different measurement systems (Interacoustic Titan, Bio-logic Scout and Vivosonic Integrity) to determine if there are differences in DPOAE testing. Secondly, the study will look to evaluate the effect if varying accuracy settings on DPOAE testing within the Integrity system. DPOAE tests evaluating levels, noise floor levels, probe fit check time and …

Objective Measurement Optimization In Early Hearing Detection And Intervention, Matthew J. B. Urichuk

Electronic Thesis and Dissertation Repository

Following the fitting of amplification devices, outcomes need to be evaluated to determine benefit of intervention. Objective measurements, which generally require rapid acoustic or electrophysiological measurement without active participation of the individual, are one subset of evaluation methods.

This thesis aimed to improve the reliability, accuracy, and efficiency of a subset of objective outcome measurements: the speech-evoked Envelope Following Response (EFR), and the wideband real-ear-to-coupler-difference (wRECD), which are used in hearing aid validation and verification respectively.

The speech-evoked EFR, a neural response reflecting phase-locked activity to the envelope of a speech stimulus, can be detected using a variety of statistical …

Modelling Loudness: Acoustic And Perceptual Correlates In The Context Of Hypophonia In Parkinson’S Disease, Daryn Amory Cushnie-Sparrow

Electronic Thesis and Dissertation Repository

Hypophonia (quiet speech) is a common speech symptom associated with Parkinson’s disease (PD), and is associated with reduced intelligibility, communicative effectiveness, and communicative participation. Studies of hypophonia commonly employ average speech intensity as the primary dependent measure, which may not entirely capture loudness deficits. Loudness may also be affected by the frequency components of speech (i.e. spectral balance) and speech level variability. The present investigation examined relationships between perceived loudness and intelligibility with acoustic measures of loudness, speech intensity, and spectral distribution in individuals with hypophonia secondary to Parkinson’s disease (IWPDs) and neurologically healthy older adults (HOAs).

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The Relation Of Auditory Temporal Processing To Language Development And Other Cognitive Processes: Methodological And Conceptual Considerations, Rachael E. Smyth

Electronic Thesis and Dissertation Repository

Separate lines of research have demonstrated relations between auditory temporal processing and language ability and between information processing speed and intelligence. Because these processes have rarely been studied in the same sample, it is unclear how auditory temporal processing and information processing speed may operate together and how they may relate to cognitive functions including language. The overarching aim of this dissertation was to integrate these lines of research to better understand whether auditory temporal processing has a unique relation with language, or whether it relates more broadly to language and other cognitive functions as a part of global information …

Speech-Language Pathology Interventions And Ingredients That Support Social Communication And Language Of Preschoolers With Autism, Amanda Binns

Electronic Thesis and Dissertation Repository

One of the best predictors of long-term outcomes for autistic children is development of language and social communication skills. Therefore, it’s not surprising that speech and language therapy is one of the most frequently accessed interventions for children with suspected or diagnosed autism. From a public health and family well-being perspective, identifying effective social communication interventions and better understanding the specific components that contribute to their effectiveness is critical. However, there is a lack of clarity about the most effective interventions. This dissertation addressed this important topic through three studies.

Study 1 examined the literature on interventions provided by speech-language …

An Exploration Of Audiologists' Readiness To Adopt Connected Hearing Healthcare For Remote Hearing Aid Fitting, Luisa Natalia Perez Velez

Electronic Thesis and Dissertation Repository

Background: Globally, the increasing prevalence of hearing loss and need for improved access to hearing healthcare services, highlights the growing need for alternative service delivery models. A Connected Health model emerges as a solution for this need, focusing on the use of telecommunication technologies. This model, extended to audiology, can help to better ‘connect’ a patient to their own care process and to their provider during audiological diagnostics, treatment, and management services, at a distance and in an effective and timely manner. The strong capacity for and underutilization of Connected Audiology within current aural (re)habilitation service models have led to …

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 …

Advanced Phenotyping Of Otosclerosis In An Ontario Population And Two Large Newfoundland Families, Matthew B. Lucas

Electronic Thesis and Dissertation Repository

Otosclerosis is a relatively common hearing loss disorder characterized by abnormal bone growth in the otic capsule leading to stapes fixation. In approximately half of cases, otosclerosis is inherited as an autosomal dominant trait. Typically, gene discovery efforts rely on surgical confirmation, audiometry and occasionally acoustic reflexes to identify affected cases of otosclerosis within families, requiring that the otosclerosis was at an advanced stage to be detected. This makes it difficult to identify individuals with early otosclerosis. The use of advanced phenotyping to identify cases of otosclerosis was tested in an Ontario otosclerotic population as well as in two large …

Exploring The Temporal Variability Of Speech Intensity, Speech Intelligibility, And Communicative Participation In Individuals With Hypophonia And Parkinson’S Disease, Cynthia Mancinelli

Electronic Thesis and Dissertation Repository

Hypophonia, or reduced speech intensity, is frequently observed in individuals with Parkinson’s disease (PD). This speech deficit can impact speech intelligibility and communicative participation. However, there is little empirical evidence exploring the day-to-day variability of speech and communicative participation in individuals with PD. The purpose of this study is to investigate the temporal variability of acoustic and perceptual speech measures and psychosocial measures in individuals with hypophonia and PD. Additionally, this study seeks to examine the relationships among measures of speech intensity, speech intelligibility, self- and proxy-rated communicative participation, demographic factors, and non-speech factors. Twenty-three participants with PD, 23 primary …

Behavioural And Objective Assessment Of Binaural Hearing In Adult Listeners With Acquired Unilateral Conductive Hearing Loss Before And After Middle Ear Surgery, Parvaneh Abbasalipour

Electronic Thesis and Dissertation Repository

In normally hearing listeners, binaural hearing relies on symmetrical input from the two ears. Previous studies on human listeners have assessed the effect of induced unilateral conductive hearing loss (UCHL) during adulthood via earplugging. These experiments indicated initial difficulty in sound localization followed by gradual improvement due to adaptation to the perturbed binaural cues. The limited duration of earplug use does not represent the consequences of chronic UCHL secondary to disease. Furthermore, there is insufficient information regarding the adaptation of binaural hearing abilities after treatment of late-onset UCHL.

The current study assessed the binaural hearing abilities of adult listeners with …

Changes In Speech Intelligibility And Acoustic Distinctiveness Along A Speech Rate Continuum In Parkinson’S Disease, Thea Knowles

Electronic Thesis and Dissertation Repository

Asking a person to speak slowly is a common technique in speech therapy for people with Parkinson’s disease (PD). Slowed speaking rates are thought to bring about changes in speech production that make it easier for people with speech impairments associated with PD to be understood, but this is not always the case. Furthermore, research suggests that using faster speech does not necessarily lead to decreases in speech intelligibility for some people with PD. Most studies of rate modification in PD have only included one or two rate adjustments to investigate the relationship between speech rate, intelligibility, and acoustic aspects …

Multi-Frequency Electrophysiological Estimates Of Auditory Temporal Acuity, Negar Ahzan

Electronic Thesis and Dissertation Repository

Auditory temporal acuity, a listener’s ability to discriminate rapid changes in the envelope of an auditory signal over time, is crucial for understanding speech. Electrophysiological measurement of auditory temporal acuity is beneficial when we cannot achieve reliable behavioural responses. The envelope following response (EFR) evoked by a changing (swept) amplitude-modulated (AM) stimulus is significantly correlated with behavioural measures of temporal acuity in humans. Previous research using AM broadband noise carriers may have been affected by the cancellation of evoked potentials at the measurement electrodes due to out-of-phase interference of parallel responses initiated at different times due to cochlear travelling wave …

Amplitude Modulation Perception In Children With Auditory Processing Disorder, Winnie Ly

Electronic Thesis and Dissertation Repository

Children with developmental delays in auditory processing are more prone to experience difficulty in a classroom setting. Temporal cues are reported to be important for speech understanding in noisy and quiet conditions. One method to assess the ability to discriminate temporal cues is the amplitude modulation task. The purpose of this thesis was to examine amplitude modulation perception in listeners (children with auditory processing disorder (APD), typically developing children and adults) through an adaptive amplitude modulation task, estimation of psychometric functions for this task study and verification of the amplitude modulation task on a portable device (iPaas-based Application Suite …

Ipad Use To Enhance Conversations Between Persons With Dementia And Their Family Caregivers, Kelsey Dynes

Electronic Thesis and Dissertation Repository

Electronic conversational memory notebooks, a more current application of previous hardcopy versions, consist of personally relevant photographs and accompanying sentences. The notebooks help persons with dementia access memories during conversations. Person-centred communication (PCC) recognizes the individual, accommodating for personal beliefs and intentions. The purpose of the current study was to determine whether persons with dementia and their family caregivers could be educated and trained to use PCC while using an iPad-based electronic conversational memory notebook. Seven persons with mild to moderate dementia and their family caregiver completed the six-week study. Participants were educated and trained to use PCC while conversing …

Identification Of The Smallest Perceivable Interaural Time Differences, Sinthiya Thavam

Electronic Thesis and Dissertation Repository

Several studies have reported human threshold interaural time differences (ITDs) near 10 μs; however, none of these studies aimed to find the stimulus and experimental method that yields the lowest threshold. The goal of the current study is to systematically determine the stimulus and the experimental paradigm that yields the smallest threshold ITD and to provide an accurate reference value. We systematically varied seven parameters: stimulus waveform, stimulus level, stimulus duration, adaptive versus constant stimulus procedure, number of reference intervals, inter-stimulus pause duration, and inclusion versus exclusion of onset and offset ITD. The condition yielding the lowest threshold ITD was …

Manipulation Of Auditory Feedback In Individuals With Normal Hearing And Hearing Loss, Le Truc Linh Vaccarello

Electronic Thesis and Dissertation Repository

Auditory feedback, the hearing of one’s own voice, plays an important role in the detection of speech errors and the regulation of speech production. The limited auditory cues available with a hearing loss can reduce the ability of individuals with hearing loss to use their auditory feedback. Hearing aids are a common assistive device that amplifies inaudible sounds. Hearing aids can also change auditory feedback through digital signal processing, such as frequency lowering. Frequency lowering moves high frequency information of an incoming auditory stimulus into a lower frequency region where audibility may be better. This can change how speech sounds …

It’S All About Context: Investigating The Effects Of Consonant And Vowel Environment On Vowel-Evoked Envelope Following Responses, Emma Bridgwater

Electronic Thesis and Dissertation Repository

The envelope following response (EFR) has proven useful for studying brainstem speech processing. Previous work, however, demonstrates that its amplitude varies across stimuli. This thesis investigates whether this variation is attributable to the consonant or vowel context of the stimulus, or some interaction of the two. Experiment 1 evoked EFRs in 30 participants using seven English vowels embedded in four CVC environments. A strong effect of vowel and a minor effect of consonant on EFR amplitude were found. In Experiment 2, 64 listeners heard four different tokens of one of four possible English vowels (16 participants/vowel), embedded in the same …

Physiological And Behavioral Evidence Of Auditory Processing Deficit In Children Suspected Of Auditory Processing Disorder, Sangamanatha Ankmnal Veeranna

Electronic Thesis and Dissertation Repository

A series of studies were carried out to examine the neural and behavioral processing of acoustic stimuli in children with suspected auditory processing disorder (sAPD).

The click-evoked auditory brainstem responses recorded from children with sAPD and adults were analyzed using traditional clinical measures and detailed analysis seeking to explore the separate contributions of axonal conduction and synaptic transmission. Clinical measures revealed significant prolongation of absolute latencies and interwave intervals in children with sAPD compared to adults. Examination of responses delineating axonal vs. synaptic transmission showed frequent delays in synaptic factors and fewer instances of delays related to axonal conduction in …

Exploring The Self-Regulatory Behaviors Of Elementary Students With Hearing Loss In Inclusive Classrooms, Kendra Di Bacco

Electronic Thesis and Dissertation Repository

An exploratory, mixed-method and multi-level research design was employed to examine relationships among students’ hearing loss, academic achievement and self-regulation (SR), classroom background noise levels, teachers’ perceptions of inclusion of students who are hard of hearing (HH) and features of classroom instruction that support SR. Data consisted of 10 elementary teachers’ perceptions of the inclusion, and ratings of 131 students’, of whom 8 were hard of hearing, SR and academic achievement scores. Classroom observations were conducted to obtain background noise levels and to examine whether and how teachers implement the features of classroom contexts to support SR within their classroom. …

The Auditory Brainstem Response And Envelope Following Response: Investigating Within-Subject Variation To Stimulus Polarity, Rebekah Taggart

Electronic Thesis and Dissertation Repository

Though the envelope following response (EFR) has potential to become an effective tool for hearing aid validation, studies have observed a considerable degree of within-subject variation with stimulus polarity that could affect its clinical usefulness. This study investigated whether a relationship exists between the polarity-sensitive variation observed in EFR amplitude and that observed in the latencies of a related neural response, the auditory brainstem response (ABR). Low frequency masked clicks and the dual-f₀ stimulus /susaʃi/ were used to evoke alternating polarity ABRs and EFRs, respectively, in 31 normal hearing adults. Maximum and median differences between polarity conditions were calculated. …

Identification Of Participation-Related Activities To Be Used As Part Of The Development Of A Self-Efficacy Questionnaire For Adolescents With Hearing Loss, Sahar S. Zimmo

Electronic Thesis and Dissertation Repository

Investigating self-efficacy beliefs among adolescents with hearing loss is imperative as these perceptions affect a broad range of age-related functioning. Validated self-efficacy questionnaires for use with persons with hearing loss are currently limited to four adult measures. Development of an adolescent-relevant questionnaire aims to quantify self-efficacy for participation in daily activities and to individualize treatment interventions for adolescents with hearing loss.

Developing the self-efficacy questionnaire was based on a scoping literature review to develop a list of activities performed by typically developing adolescents. The questionnaire was piloted on a sample of youth with hearing loss.

The Adolescent Self-Efficacy Questionnaire for …

The Relation Between Auditory Integration, Inspection Time, And Language In Children, Rachael E. Smyth

Electronic Thesis and Dissertation Repository

It has been proposed that impairment in auditory temporal integration (ATI) may be related to impaired language development in children, although results have been inconsistent. We investigated the relation between ATI and language development and whether it is domain-specific (i.e., isolated to the auditory system) or domain-general (i.e., part of a larger, global processing system) using behavioural measures. We measured ATI and global processing speed using experimental tasks, and language and intelligence using standardized tests, in 26 5-6 year old children with typical development. Results revealed no significant relations between ATI and language, between ATI and global processing speed, or …