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Full-Text Articles in Medicine and Health Sciences

The Effect Of Auditory Fatigue On Reaction Time In Normal Hearing Listeners, Beth I. Hulvey May 2015

The Effect Of Auditory Fatigue On Reaction Time In Normal Hearing Listeners, Beth I. Hulvey

Dissertations, 2014-2019

Hearing impaired individuals often report feeling fatigue at the end of the day. These individuals are forced to exert more cognitive effort throughout the day as they strain to understand speech in an ever-changing auditory environment through an impaired/degraded auditory system (Rabbitt, 1991). Today’s digital hearing aids attempt to increase audibility and relieve cognitive strain through advanced signal processing techniques such as digital noise reduction (DNR). Recent research regarding noise and its effects on auditory fatigue in hearing impaired listeners suggests that DNR may reduce the effects of auditory fatigue (Sarampalis et al, 2009). The overarching goal of a future …


Effect Of Adaptive Frequency Lowering On Phoneme Identification And Sound Quality Of Music In Hearing-Impaired Listeners, Kaitlyn A. Sabri May 2015

Effect Of Adaptive Frequency Lowering On Phoneme Identification And Sound Quality Of Music In Hearing-Impaired Listeners, Kaitlyn A. Sabri

Dissertations, 2014-2019

The most common type and configuration of hearing loss seen in clinics is high frequency sensorineural hearing loss. High-frequency hearing losses can lead to difficulties understanding speech in noise. Traditional amplification can aid in audibility of high-frequency information; however, its success is limited due to acoustic feedback, output limitations of the hearing aids, and loudness discomfort (Bohnert, Nyffeler, & Keilmann, 2010, Turner & Cummings, 1999). Cochlear dead regions further hinder the success of traditional hearing aids, as speech recognition may not improve with increased audibility (Turner & Cummings, 1999). Frequency-lowering algorithms, developed by four major hearing aid manufacturers, attempt to …


Examining Monaural And Binaural Measures Of Phase-Locking As A Function Of Age, Larissa M. Heckler May 2015

Examining Monaural And Binaural Measures Of Phase-Locking As A Function Of Age, Larissa M. Heckler

Dissertations, 2014-2019

Understanding speech in the presence of background noise is a common complaint of middle-aged and older listeners with clinically normal audiograms. There is great interest in understanding how age-related changes in auditory physiology make it harder for older adults to understand speech in difficult listening situations, compared to young listeners. It was recently reported that middle-aged and older normal-hearing listeners showed frequency-dependent, age-related declines in the behavioral and physiological detection of interaural phase differences (Grose & Mamo, 2010; Ross et al, 2007). There is also evidence of an age-related, frequency-dependent decline in the frequency-following response (FFR) (Clinard et al., 2010), …


Pre-Pulse Inhibition Assessment Of Sound Localization In Mice: Methodological, Functional, And Genetic Considerations, Megan Klingenberg May 2015

Pre-Pulse Inhibition Assessment Of Sound Localization In Mice: Methodological, Functional, And Genetic Considerations, Megan Klingenberg

Dissertations, 2014-2019

Sound localization is an important aspect of normal hearing. The Eph/ephin family of signaling proteins, studied here, is known to guide the formation of central auditory connections in early development, particularly topographic inputs from the lateral superior olive (LSO) to the inferior colliculus (IC). Processing in the LSO and its influences on the IC are known to be heavily involved in sound localization tasks. One way to study sound localization in mice is through pre-pulse inhibition (PPI). PPI is the phenomenon by which a weak prestimulus inhibits the response to a subsequent startle stimulus. In studying sound localization, the prestimulus …


Hyolaryngeal Kinematics And Swallow Patterning In Normal And Disordered Swallowing, Seng Mun Wong May 2015

Hyolaryngeal Kinematics And Swallow Patterning In Normal And Disordered Swallowing, Seng Mun Wong

Dissertations, 2014-2019

Hyoid and laryngeal movements contribute to laryngeal vestibule closure and upper esophageal sphincter (UES) opening for safe swallowing. However, the extent of movement required for achieving these goals, and the interaction between hyoid and laryngeal movements during swallowing are unknown. Despite impairment in vestibule closure and UES opening, patients with dysphagia may exhibit reduced, increased or similar hyolaryngeal displacements as healthy individuals. This limits the delineation between normal and disordered swallowing. We investigated whether anatomical differences in hyolaryngeal positions and the extent of laryngeal vestibule opening at rest would better predict hyolaryngeal displacements and the extent of vestibule closure during …


Functional Recovery: A Mixed Methods Study Of The Specific Variables Within A Post-Hospital Inter-Disciplinary Brain Injury Rehabilitation - Residential Program, Victoria Harding May 2015

Functional Recovery: A Mixed Methods Study Of The Specific Variables Within A Post-Hospital Inter-Disciplinary Brain Injury Rehabilitation - Residential Program, Victoria Harding

Dissertations, 2014-2019

The mixed methods explanatory design study examined specific constructs of Post Hospital Interdisciplinary Brain Injury Rehabilitation – Residential (PHIDBIR-R) programs that positively influenced gains in function. The investigation involved exploring the phenomenon of individuals’ experiences while participating in a PHIDBIR-R program as part of recovery from brain injury. The study’ primary purpose was to understand individuals who make the greatest gains in function while participating in these programs, as measured by the Mayo-Portland Adaptability Inventory-4 (MPAI-4) change scores from admission to discharge and what are the components of these programs that may contribute to individuals’ gains in function.

Data were …


Effects Of Training And Lung Volume Levels On Voice Onset Control And Cortical Activation In Singers, Nicholas A. Barone May 2015

Effects Of Training And Lung Volume Levels On Voice Onset Control And Cortical Activation In Singers, Nicholas A. Barone

Dissertations, 2014-2019

Singers need to counteract respiratory elastic recoil at high and low lung volume levels (LVLs) to maintain consistent airflow and pressure while singing. Professionally trained singers modify their vocal and respiratory systems creating a physiologically stable and perceptually pleasing voice quality at varying LVLs. In manuscript 1, we compared non-singers and singers on the initiation of a voiceless plosive followed by a vowel at low (30% vital capacity, VC), intermediate (50%VC), and high (80%VC) LVLs. In manuscript 2, we examined how vocal students (singers in manuscript 1) learn to control their voice onset at varying LVLs before and after a …


The Effect Of Taste On Swallowing Function, Rachel Mulheren May 2015

The Effect Of Taste On Swallowing Function, Rachel Mulheren

Dissertations, 2014-2019

This study investigated the effects of taste on swallowing frequency and cortical activation in the swallowing network. The effects of salivary flow and taster status were also examined, along with genetic taster status. The effects of a 3ml bolus compared sour, sour with slow infusion, sweet, water, and water with infusion. Swallowing frequency was significantly higher 0-15 seconds after bolus delivery than 16-30 seconds. Swallowing frequency was higher in the sour conditions, whereas sweet and water did not differ. Functional near-infrared spectroscopy recordings measured changes in blood oxygenation (HbO) in the right and left hemispheres in the premotor, S1 and …


Binaural Listening In Young And Middle-Aged Adults: Interaural Phase Differences And Speech-In-Noise Measures, Caitlin Cotter May 2015

Binaural Listening In Young And Middle-Aged Adults: Interaural Phase Differences And Speech-In-Noise Measures, Caitlin Cotter

Dissertations, 2014-2019

Difficulty understanding speech in the presence of noise is a common complaint of middle-aged and older adults with and without hearing loss. There is an incomplete picture of what contributes to difficulties understanding speech-in-noise in adults who have normal audiograms. As humans we listen binaurally, so declines in binaural processing may contribute to speech-in-noise difficulties. We examined the effects of age on the upper frequency limit of interaural phase difference (IPD) detection and IPD detection at fixed frequencies. We also examined a speech-in-noise measure of spatial separation across young and middle-aged, normal-hearing individuals.

Participants were young (n=12) and middle-aged (n=8) …


Speech Function In Persons With Parkinson's Disease: Effects Of Environment, Task And Treatment, Carrie E. Rountrey May 2015

Speech Function In Persons With Parkinson's Disease: Effects Of Environment, Task And Treatment, Carrie E. Rountrey

Dissertations, 2014-2019

Parkinson’s Disease (PD) is a degenerative neurological disease affecting aspects of movement, including speech. Persons with PD are reported to have better speech functioning in the clinical setting than in the home setting, but this has not been quantified. New methodologies in ambulatory measures of speech are emerging that allow investigation of non-clinical settings.

The following questions are addressed: Is speech different between environments in PD and in healthy controls? Can clinical tasks predict speech behaviors in the home? Is treatment proven effective by measures in the home? What can we glean from methods of measurement of speech function in …


Training To Avoid Distractions, Cara E. Sanderson May 2015

Training To Avoid Distractions, Cara E. Sanderson

Dissertations, 2014-2019

Introduction: Auditory training has been extensively studied and applied to training software that is currently available for children with attention, hearing, or speech/language difficulties. The extent to which training generalizes, or transfers to an untrained task, is of great theoretical value. To our knowledge, there has not been a study that examines transference to a non-sensory masking task.

Methods: 16 adults without ADHD were trained in a contralateral masking task over the course of two days, with 900 trials per day. False alarm rates, thresholds, and reaction times were measured. Pre- and post-tests of contralateral and informational masking were conducted …