Communication Sciences and Disorders Commons^™

The Implementation Of The Therapeutic Alliance In Aphasia Rehabilitation Research: A Narrative Review, Shelby Swiercz

Honors Theses

Background: The therapeutic alliance (TA), defined as the collaborative relationship between clinician and client, is widely recognized as a key factor influencing rehabilitation outcomes. However, within aphasia rehabilitation, its role remains underexplored and inconsistently measured

Methods: This narrative review examined peer-reviewed studies published between 1990 and 2025 that focused on adult aphasia rehabilitation and addressed the client-clinician relationship. Studies were identified through database searches, including PubMed, CINAHL, ComDisDome, EBSCO, and Google Scholar, and analyzed using thematic analysis.

Results: Most of the studies employed qualitative methodologies, particularly thematic analysis and semi-structured interviews, to explore patient and clinician perspectives. The therapeutic alliance …

The Effect Of Vibrotactile Sensory Input Devices On Improving Subjective Speech Perception For Those With Normal Hearing, Elizabeth Kalinowsky

Honors Theses

The purpose of this study was to evaluate how vibrotactile sensory augmentation can improve speech understanding in adverse listening conditions for those with normal hearing by providing auditory speech cues. It aimed to investigate whether there is any value of AVT devices for those with normal hearing in adverse hearing situations, where understanding speech is difficult due to background noise, reverberation, or other factors. This research project is a preliminary case study involving one participant. Tympanometry and distortion product otoacoustic emission (DPOAE) tests were conducted to verify that the participant did not appear to have hearing loss due to middle …

Influence Of Hearing Loss On Self-Reported Hearing Ability And Listening Fatigue In Persons With Aphasia, Ashlyn Kilgore

Honors Theses

Aphasia is an acquired disorder, often caused by stroke, that results in language deficits. It can greatly impact a person's ability to communicate with others. Cognitive deficits may accompany aphasia. Additionally, hearing loss is a disability likely to co-occur with aphasia, as they both most commonly impact the same age group. When a person has hearing loss, the quality of the auditory signal is degraded when it reaches the brain. The poor signal quality, compounded with linguistic and possible cognitive deficits that are associated with aphasia, makes it more difficult for persons with aphasia (PWA) to comprehend speech.

For all …

The Impact Of Hazardous Noise Levels On The Hearing Mechanism Of Marching Band Students, Margaret Westbrook

Honors Theses

Marching band participants are exposed to hazardous noise levels, and they are at risk of developing hearing loss. In this study, the impact of marching band noise on the hearing mechanism of marching band students was examined. Participants who were not in the marching band and were not exposed to noise were used as controls. Detailed case history and noise exposure history were collected using a noise exposure questionnaire (NEQ). The pure tone audiometry test was conducted to examine their hearing, distortion product otoacoustic emissions (DPOAEs) were recorded to examine the inner ear function, and auditory brainstem responses (ABR) were …

Deaf Community, Cochlear Implants, And Language Access, Amelia Segroves

Honors Theses

This thesis looks at how getting a cochlear implant can affect a Deaf or Hard-of-Hearing person’s identity, language development, and sense of belonging. It compares people who see deafness as part of a rich culture (big “D” Deaf) with those who see it more as a medical condition (little “d” deaf). By reviewing studies and articles, the research explores how early exposure to language, school environments, and family choices influence how people communicate and see themselves.

This thesis looks at how getting a cochlear implant can affect a Deaf or Hard-of-Hearing person’s identity, language development, and sense of belonging. It …

Neurodivergent Experiences In Communication Sciences And Disorders Programs As Reflected In Reddit, Shadha Al Kalbani

Honors Theses

By definition, neurodivergent students are those whose brain function differs significantly from societal expectations (Walker, 2014). The term ‘neurodivergent’ is associated with the Neurodiversity Movement. Although the Neurodiversity Movement was spearheaded by the Autistic1 community, the term commonly includes other forms of neurodivergence such as ADHD and dyslexia. The purpose of this study was to explore the experiences of neurodivergent students in Communication Sciences Disorders (CSD) programs, where systematic data on their demographics and experience is relatively limited. Specifically, this study analysed posts from the online social media platform Reddit that are dedicated to the college experience of neurodivergent students …

Moca Normative Data On Young Adults Using An Adapted Version And Remote Administration Via Zoom, Elizabeth Johns

Honors Theses

Overview:

Cognitive decline is often associated with the emergence of dementia and other negative developments in health. Due to the potential for harm that cognitive decline can cause, it is essential that clinicians are able to detect and identify when it is occurring. The Montreal Cognitive Assessment (MoCA) is useful clinically mainly because of the test’s ability to identify mild cognitive impairment. Following the pandemic in 2020, telehealth has become prominent. Previous studies considering MoCA have mostly used samples of older adults, but it is important to understand the impact of traumatic brain injuries on young adults. The following study …

Functional Connectivity Of The Hippocampus In Autism Spectrum Disorder, Noah Watts

Honors Theses

Autism spectrum disorder (ASD) is a neurological developmental disorder that affects around 1/44 of individuals in the United States. ASD individuals tend to struggle with things such as communication and socialization. This disorder has been found to affect many brain regions; however, autism’s effect on the hippocampus has been heavily understudied. Since the hippocampus is not commonly referred to as the brain region affected by autism, the importance of the hippocampus in ASD may have been unrecognized. While ASD hippocampi have been very narrowly researched (only size and shape), there is compelling evidence that the hippocampus could be another part …

Understanding The Clinician's View Of Pragmatics In Pediatric Therapy, Shelby Oliver

Honors Theses

Pragmatics is one of the most integral components of language, yet it often seems to receive little attention in therapy settings. Previous research indicates the importance of intentionally targeting pragmatic skills for children with language disorders and/or autism spectrum disorders, as well as the lack of current pragmatic evaluations. This thesis used an online survey to record how clinicians view pragmatics, how they evaluate pragmatics, and how they target pragmatics. Participants were all certified clinicians, and the research survey featured a variety of open and closed questions. Results revealed a deep pragmatics knowledge base. However, results indicated the use and …

Speech-Language Pathologists' Experiences Diagnosing Swallowing Disorders, Katelyn Baxter

Honors Theses

This study explores the factors that inform a Speech-Language Pathologist’s (SLP’s) process for diagnosing dysphagia (disordered swallowing) and seeks to determine what barriers they perceive to performing their standard of care. To achieve a qualitative data set, 10 SLPs were interviewed using a semi-structured format and their responses were analyzed using Reflexive Thematic Analysis to produce four themes. Theme one gave insight into the SLPs prerogative to provide patient-centered care. Theme two expounded upon this, emphasizing how the SLPs treat dysphagia as part of a collection of disorders, and not in isolation. Theme three explained a lack of understanding as …

Full-Body Movements In Speech Treatment Sessions: Speech-Language Pathologists’ Perspectives, Natalie Hurdle

Honors Theses

This author aims to determine the speech-language pathologist’s perspective on the use of full-body movements during speech therapy sessions with children with autism. A survey was distributed to speech-language pathologists and speech-language pathology aides/ speech-language teachers. The author used the source, Qualtrics, to obtain and analyze data. The findings of the current study were promising, as most speech-language pathologists were incorporating full body-movements and reported beliefs that this positively impacted children’s engagement. This study provided additional knowledge about the benefits of using full-body movements in speech treatment sessions and some insight on how much time is misused when full-body movements …

The Implementation Of Music Within Communication Intervention And Its Effect On Communication Development, Rebecca Dunn

Honors Theses

The purpose of this study was to evaluate how and under what circumstances licensed speech-language pathologists incorporate music within communication intervention and to better understand perceptions towards the incorporation of music within speech or language therapy. A survey was developed based on the review of related literature and then entered on the Qualtrics^ã server for data collection and analysis. Once IRB approval was secured, the survey was then disseminated via a Facebook group for licensed speech-language pathologists. The author used Qualtrics^ã to collect and analyze the data, which was then used to determine when and how music was …

Deaf And Hard Of Hearing Children’S Resources In K-12 Mainstream American Schools, Ashley Green

Honors Theses

The purpose of this thesis is to find out what mainstream schools have to offer for Deaf and Hard of Hearing children’s education. This thesis includes a survey given to a few school districts in Michigan as well as literature review. To take this survey, participants must be qualified staff members who work in a school with Deaf and Hard of Hearing children. The survey was sent out via email to school principals in the district, to be distributed to qualified staff. Once the staff members agreed to the study, they were given access to a twelve-question anonymous survey regarding …

The Effects Of Neuromuscular Electrical Stimulation On Chronic Dysphagia Following Anterior Cervical Disc Fusion Surgery: A Case Report, Anna Munson

Honors Theses

Background: Current literature is lacking an understanding of the physiological mechanisms underlying dysphagia (impairment in swallowing function) that manifests as the result of anterior cervical discectomy and fusion (ACDF). ACDF is a common cervical spinal procedure that, due to its anterior to posterior (front-to-back) approach, risks significant injury to the larynx, which is critical for swallowing food and liquid safely. Furthermore, the general therapeutic approaches available to individuals with dysphagia after ACDF lack specificity of what is being targeted (Ko, et al. 2022). This project is a single subject case report of an individual who underwent ACDF and received neuromuscular …

Botulinum Toxin For Abductor Type Spasmodic Dysphonia: A Systematic Review, Keyona Sutton

Honors Theses

A systematic review was conducted to show that BTX (Botulinum Toxin) is the most effective treatment for Abductor Spasmodic Dysphonia (ABSD). There were a total of 117 records screened for inclusion in this review. After the initial screening, there were seven successive rounds of screening for eligibility. This process produced a total of three eligible records that met the following conditions: patients presented with spastic abduction, electromyography BTX type A injection into the posterior cricoarytenoid muscle, and measurement of results with acoustic dimensions. After surveying all eligible studies, it was concluded that BTX is an effective treatment for ABSD. Every …

Telepractice-Based Language Intervention Training For Parents Of Children With Autism Spectrum Disorders, Sarah Bryan

Honors Theses

This study closely examined the progression and fidelity of strategy implementation of parents undergoing an ASD language intervention training program. This instructional, interactive program was designed for parents of children with autism, thus catering to the needs of participants involved. This study assessed the use of parent comments and redirects, two kinds of parent strategies, during each parent-child interaction to provide more information about the impact of training sessions. The researchers hypothesized that by the end of training, parent participants would increase their fidelity of strategy implementation, increase their use of comments rather than redirects, and employ more open-ended questions …

An Examination Of The Research Addressing Evidence-Based Communication Approaches For Students With Autism, Sydni Kaye Mcatee

Honors Theses

The meta-analysis examines scholarly articles regarding research on evidence-based communication for students with Autism Spectrum Disorder. More specifically, this research involves different forms of Alternative and Augmentative Communication. This form of communication is used without a voice. A variety of interventions for Manual Signing (MS), Speech Generating Devices (SGD), and Picture Exchange Communication Systems (PECS) are reviewed within the research study. The purpose of this research is to define which evidence-based Alternative and Augmentative Communication (AAC) interventions are most effective for children with Autism. More specifically, determining which form of communication can help lead children to more expressive language and …

Verb Tense Production Differences Across Various Discourse Tasks In People With Fluent And Nonfluent Aphasia, Madeline Ann Zurbrugg

Honors Theses

Background: Fluent and nonfluent aphasia are both seen to exhibit varying degrees of morphosyntactic difficulties, with particular difficulties in verb tense production. There is disagreement regarding why tense is particularly impaired, which type of aphasia is more impaired and why, and whether some tense forms are more impaired than others. There is also evidence that language elicitation tasks affect language production measures because they require different linguistic and cognitive processes. This is likely also true for verb tense production. To date, no studies have examined discourse elicitation task effect on verb tense production in both fluent and nonfluent aphasia. The …

The Existence Of Stuttering-Like Disfluencies In American Sign Language, Katherine King

Honors Theses

For over a century, data have documented fluency disorders and stuttering-like disfluencies (SLDs) in multiple expressive modalities outside of speech, including musical expression, writing, and American Sign Language (ASL). The presence of SLDs in multiple expressive modalities presents the argument that SLDs are not limited to speech. This study specifically surveys fluent ASL signers relative to SLDs, analyzes SLD manifestations, and documents specific examples of stuttering behaviors in ASL.

This study analyzes SLD manifestations in ASL by conducting a survey developed from all known research within the SLD paradigm. Based on all previous research, SLD manifestations are categorized and represented …

The Effects Of Calmer On The Quality Of Life In Adults With Level 1 Autism Spectrum Disorder, Madilyn Morris

Honors Theses

Level 1 autism spectrum disorder (ASD) is a high-functioning neurodevelopmental disorder (Hodges et al., 2020; Hosseini & Molla, 2023). Several features of level 1 ASD negatively impact quality of life (QOL), and auditory sensitivity (specifically hyperacusis) is one of the most prevalent and disabling features (Danesh et al., 2015, 2021; Kuiper et al., 2019; Williams et al., 2021). Hyperacusis significantly impacts QOL in the level 1 ASD population, as current hyperacusis treatment strategies often result in various forms of social isolation (Adams et al., 2021; Danesh et al., 2015; Neave-DiToro et al., 2021).

However, Flare Audio markets a product (“Calmer”) …

The Relationship Between Coping Behaviors And Misophonia Symptom Severity And Impairment, Ruth Emmon Tyson

Honors Theses

Misophonia is a complex disorder that is characterized by an extreme disliking of sounds. Individuals with misophonia may engage in anxiety-driven coping behaviors that constitute avoidance and safety behaviors. Current literature shows that while coping behavior may offer temporary relief of anxiety and distress, they can lead to persisting anxiety and avoidance of experiences. Given preliminary evidence demonstrating a link between coping behaviors and maintained or worsening symptoms, additional research is warranted to further understand the role of coping behaviors in misophonia. However, few studies have investigated the relationship between coping behaviors and maintenance or worsening of misophonia symptom severity …

Functional And Location Context Effects On Reading Sentences In Healthy Young Adults: Evidence From Eye Tracking Methods, Elizabeth Baird

Honors Theses

Spreading activation theory proves the way our brains are semantically wired to accept outside information and understand it. Previous studies have demonstrated the effects of spreading activation theory in different settings and activities. These effects are important to understand because they can be used in therapy and assessment for communication disorders. This study explores how the context of sentences affects reading time on noun targets in healthy young adults using an eye tracking method. Specifically, we compared functional and location context types and manipulated the context to be incongruent or congruent to the targets. Our research questions were (1) whether …

Resting-State Functional Connectivity Of The Dorsolateral Prefrontal Cortex In Parkinson's Disease: A Longitudinal Study, Kaler Terry

Honors Theses

Understanding the role of brain network reallocation and adaptation within neurodegenerative disorders, such as Parkinson’s disease, is key in tracking disease progression and identifying potential biomarkers. In recent years, resting-state functional magnetic resonance imaging (rs-fMRI) has been applied in order to better understand the cognitive decline and overall pathophysiology in individuals with Parkinson’s disease. The present study aimed to determine the potential role of functional connectivity changes in the dorsolateral prefrontal cortex in individuals with Parkinson’s disease. This is a key brain region associated with cognitive skills and executive functions. Using rs-fMRI, clinical, and demographic data obtained from the Parkinson's …

The Role Of The Pcc And Acc In Autism Spectrum Disorder: A Functional Connectivity Study, Claudia Gonzalez

Honors Theses

Background: Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder that impacts behavior control and social skills. Currently, ASD diagnoses are largely qualitative; thus, having more quantitative means of identification would aid in earlier diagnosis of ASD. However, more research is needed to pinpoint observable neurobiological markers of ASD. Our study focused on the posterior cingulate cortex (PCC) due to past evidence suggesting its involvement in ASD symptomatology. The PCC has been linked to behavioral control and executive functioning. Moreover, previous studies support executive functioning’s responsibility for the repetitive and restricted behaviors (RRB) in ASD.

Method: Our study sought to …

Our Voices: Getting To Know Autism, Katherine Rasberry

Honors Theses

This study was done in effort to understand the thoughts and feelings of autistic adults relative to life transitions and resources available. We surveyed key stakeholders; specifically autistic students, but also family/caregivers of adults. Six surveys were created, each based upon different themes: camouflaging, life transitions, managing mental health, overstimulation, social communication, and family and caregiver perceptions. Our surveys were marketed on Western Michigan University’s campus and through social media and are still ongoing. Trends in the data, however, suggest that overall autistics have concerns about how their disabilities impact life in or shortly after college. Many respondents expressed they …

A Survey Of Speech-Language Pathologists' Academic Preparation In Craniofacial Anomalies, Francesca Myerski

Honors Theses

Craniofacial anomalies occur in 1 of 750 newborns a year with the three main types being cleft lip, cleft palate, and cleft lip and/or cleft palate. There are six main factors that affect craniofacial anomalies that are focused on in this research, including genetics, environmental factors, medications, diet, health risks, and surgical procedures/surgeons. The research found that there is a lot of information on craniofacial anomalies and speech-language pathologists need to learn about as much as possible. The lack of knowledge and academic preparations speech-language pathologists have in craniofacial anomalies has decreased their awareness in the birth defect and has …

Indirectly And Directly Involved Students' Perspectives On Multi-Modal Communication Treatment In Persons With Aphasia, Emily Lewis

Honors Theses

Our study investigated the perspectives of students who were either directly or indirectly involved in the Multi-modal communication treatment (MCT) sessions for persons with aphasia. Two undergraduate and two graduate students were recruited from the University of Mississippi who participated in the MCT sessions. We collected their perspectives through semi-structured interviews and used thematic qualitative analysis to analyze our data. We reported themes from the indirectly involved students and the directly involved students and compared how the themes were similar and different between the indirectly and directly involved students. We discussed that both direct and indirect experience for clinical therapy …

Resilience Training & Parental Support For Children Who Stutter - A Systematic Review, Rachel Elizabeth Davis

Honors Theses

The objective of this study was to investigate the relationship between emotional resilience and family/parental/caregiver support for children who stutter, and to review existing research on resilience training and family support relative to enhancing the quality of life in children who stutter. Thus, A systematic review of appropriate published studies was conducted utilizing the electronic databases PubMed and Google Scholar. Analysis revealed that there is an abundance of research supporting parental support and resilience training; however, there was limited direct clinical application relative to the unification of these concepts. Data indicates that the clinical application of emotional resilience and cognitive …

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 …

Resilience Training And Quality Of Life In Stuttering Therapy: A Systematic Review, Ashley Koehler

Honors Theses

Abstract

This study investigated correlations between resilience and quality of life relative to stuttering therapy. A systematic review and meta-analysis of articles published with focuses on stuttering, resilience training, and quality of life was conducted. Electronic databases, PubMed, and Google Scholar, were used to gain results of relevant published articles. Both search engines in this review produced relevant articles. Google Scholar produced more articles that met all 3 inclusion criteria, while PubMed produced more results that met at least 1 or 2 inclusion criteria. From both databases, numerous articles included the need for a multidimensional therapy emphasizing personal resilience. However, …