Communication Sciences and Disorders Commons^™

Audiological Accommodations For Special Populations: A Capstone Case Series, Hannah Belke, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Deaf-blindness is a term that refers to people with dual sensory impairments who, typically, have some residual hearing and usable vision. Individualized attention should be employed when working with these patients to ensure effective intervention. Case Presentation: A young female presented to the clinic with cortical blindness and essentially unilateral (right-sided) sensorineural hearing loss. Discussion: For special populations, such as those with deaf-blindness, audiologists need to be aware of testing and environmental considerations due to challenges presented by comorbidities. Senses, such as touch, may be used when testing these patients. The use of paper material, placement of furniture, and …

The Racial Diversity Lag In Audiology: Improvement Of Recruitment And Retention Of Black Doctor Of Audiology Students, Jacquelyn Jouett, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

The racial composition of the Audiology workforce is, by no means, a reflection of the US population. Black and African American audiologists are disproportionately represented in the United States. Diverse audiologists are significantly underrepresented in clinical and academic fields. Inversely, students in the racial majority are overrepresented in Audiology and most medical specialties for that matter. This disparity may limit access to hearing-healthcare for some populations in the country. Several factors that contribute to this condition must be more fully understood before this issue can be corrected. Recruitment and retention must be improved to increase diversity, particularly students of color, …

A Young Female With Chronic Debilitating Tinnitus And A Middle-Aged Male With Life-Long Noise Exposure And Bothersome Tinnitus, Lindsey Petras, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is characterized by a sporadic or constant ringing, chirping, buzzing, or related characteristics that are perceived auditorily and can range in intensity. Case Presentation: A young adult female with normal hearing sensitivity presented to the clinic with constant unilateral pulsatile tinnitus in the right ear that was intensified with physical activity and caffeine. It was reported as sudden in onset and classified as severely debilitating. After extensive audiologic testing, personalized counseling, and a thorough medical evaluation, the patient received an open-fit monaural hearing aid to promote safe sound therapy and tinnitus habituation. Discussion: Thorough audiologic and medical evaluation, …

Vestibular Case Studies: A Case Of Cva And Vestibular Paroxysmia, Jennifer Banovic B.S., Nicholas Stanley Ph.D. Au.D.

AuD Capstone Projects - Communication Sciences and Disorders

Case 1:

Introduction: One of the leading causes of centrally based vestibular impairment is a cerebrovascular accident (CVA). Patients typically present with limb or facial weakness, dizziness and imbalance, impaired vision, and speech or language dysfunction, however, these symptoms can vary depending on the site of lesion. Case presentation: An 85-year-old female presented with dizziness, bilateral tinnitus, aural fullness, and aphasia, occurring after she suffered a CVA. Three months after the CVA, she was seen by a balance clinic for a videonystagmography (VNG) and audiologic evaluation. Discussion: CVAs can alter the blood supply to the inner ear and its nerve …

Pathogenesis And Onset Of Tinnitus And Use Of Holistic And Traditional Audiological Approaches For Management, Christy Mahrt, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is the subjective sensation of noise perceived at the peripheral or central level. Occasionally, tinnitus perception may be severe enough to present debilitating effects on daily activities. The occurrence of tinnitus can be related to occupational or non-occupational hazardous noise exposure. Case Presentation: A 60-year-old male presented with bilateral tinnitus with an initial onset at age 21. The progression of his tinnitus has caused disruptions in sleeping patterns and concentration. His history included extensive occupational and non-occupational noise exposure. Discussion: Hearing conservation is an important aspect of facilitating tinnitus management for individuals who have noise-related tinnitus. Hearing aids, …

Inner Ear Disorders Associated With Hearing And Vestibular Loss: A Case Series, Kelly Retzlaff

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Sudden sensorineural hearing loss (SSNHL), a hearing loss of at least 30 dB at three or more consecutive frequencies within a 72-hour period, is typically idiopathic. Potential causes are thought to include viral, autoimmune, vascular, neurologic, neoplastic, or traumatic origins. Treatment consists of steroids. Poor patient follow up and compliance with rehabilitation negatively affect outcomes. Poor follow-up also results in the inadequate medical documentation of outcomes. Case Presentation: a 20-year old female presented with unilateral SSNHL with high-frequency tinnitus in the right ear. Her audiological history includes a known profound hearing loss in the left ear, as well as, …

A Method Paper For Earplug-Fitting Augmentative Procedures Tested In Groups Of More Experienced And Less Experienced Users Of Hearing Protection, Natalie Dixon, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Although a long history of research has led to extensive knowledge about hearing protection devices (HPDs), there has been limited research about procedures that provide aid and verification during HPD insertion, although several studies have reported about HPD training. No standard methods have been established for training of earplug use (Takahashi, 2011).

A review of the literature revealed a need for tools that might be used to improve user ability to properly insert HPDs consistently, even in the absence of training, because training is rarely provided in the workplace. The prevailing research question was "Does the use of simple fitting …

Value Of Otoacoustic Emissions Testing In Pre-School Hearing Screenings: A Literature Review, Paige Stabrawa, Scott E. Seeman Phd

AuD Capstone Projects - Communication Sciences and Disorders

Unidentified hearing loss in children can have a potential effect on their speech and language, educational, cognitive, and social development. The goal of early detection is to minimize the effects of hearing loss through the appropriate referral for diagnosis and treatment. Hearing screenings throughout the preschool and school-age years are vital for the detection of a late-onset, late identified, or acquired hearing loss. Three influential organizations known as The American Academy of Audiology (AAA), The American Speech- Language-Hearing Association (ASHA), and The National Center for Hearing Assessment and Management (NCHAM), have considered behavioral pure tone screening as the “gold standard”for …

Assistive Devices For Communication Use With The Elderly, Corrine Koepsell, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is one of the prevalent medical conditions in older adults. Although it has been documented that hearing loss is associated with various aspects of social and physical health, hearing assistive technologies and audiologic rehabilitation have been infrequently tapped clinical solutions. Cost and user problems in background noise are two common reasons why hearing aids are underutilized by seniors, and by younger age groups as well. Alternative tools, such as assistive listening devices, may be helpful for older listeners, even though they are used less frequently than hearing aids. To identify if assistive listening devices are satisfactory, a pilot …

Development Of An Audiologic Rehabilitation Program Model For Adult Patients Receiving Care At A Graduate Training Facility, Amanda Mcfadden, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Research has shown that untreated hearing loss can negatively impact a person’s quality of life. The average person with hearing loss waits seven years from the onset of symptoms to pursue hearing aids (Hall, 2014). To decrease the negative effects of hearing loss, hearing technology, by itself, is typically not enough support for even the best users (Kelly et al., 2013). To provide supplementary support for these patients, audiologic rehabilitation (AR) is required. Audiologic rehabilitation is the modern term used to classify treatments that were previously so- called “aural rehabilitation.” Per Boothroyd (2007), aural [audiologic] rehabilitation may be defined as, …

Using Quicksin Speech Material To Measure Acceptable Noise Level For Adults With Hearing Loss, Lauren E. Bentley, Hua Ou

AuD Capstone Projects - Communication Sciences and Disorders

It is clinically useful to predict potential for hearing aid use success prior to the initial fitting of hearing aids. This information may be used to help with additional counseling for speech understanding in noisy listening environments and can also be used to describe the use of communication skills in combination with the dynamic functionality of hearing aids to guide patients that are hearing aid candidates towards success. The Quick Speech-In-Noise (QuickSIN) test and the Acceptable Noise Level (ANL) test have been recognized for their ability to predict hearing aid use success; however, the two measures use different stimuli and …

Developing A Revised Performance-Perceptual Test Using Quick Speech-In-Noise Test Material, Matthew Wetmore, Hua Ou

AuD Capstone Projects - Communication Sciences and Disorders

Objective: Two audiometric speech measures have been recognized to be useful to predict hearing aid use success: the Quick Speech-in-Noise (QuickSIN) test and the Performance-Perceptual Test (PPT). The PPT involves using the same speech test material (Hearing In Noise Test; HINT) twice, to evaluate patients’ objective and subjective speech recognition performance in noise and the discrepancy between the two measures (Performance-Perceptual Discrepancy; PPDIS). Utilizing the QuickSIN with the PPT (Revised-PPT) may provide a clinician with two important pieces of information from one test to help predict hearing aid use success and the need for counseling. This study aimed 1) …