Communication Sciences and Disorders Commons^™

Dysphagia Management And Research In An Acute-Care Military Treatment Facility: The Role Of Applied Informatics, Nancy Pearl Solomon, Angela M. Dietsch, Katie E. Dietrich-Burns, Edda L. Styrmisdottir, Christopher S. Armao

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This report describes the development and preliminary analysis of a database for traumatically injured military service members with dysphagia.

Methods: A multidimensional database was developed to capture clinical variables related to swallowing. Data were derived from clinical records and instrumental swallow studies, and ranged from demographics, injury characteristics, swallowing biomechanics, medications, and standardized tools (e.g.. Glasgow Coma Scale, Penetration-Aspiration Scale). Bayesian Belief Network modeling was used to analyze the data at intermediate points, guide data collection, and predict outcomes. Predictive models were validated with independent data via receiver operating characteristic curves.

Results: The first iteration of …

Working Memory And Interference Control In Children With Specific Language Impairment, Klara Marton, Naomi Eichorn, Luca Campanelli, Lilla Zakarias

Publications and Research

Language and communication disorders are often associated with deficits in working memory (WM) and interference control. WM studies involving children with specific language impairment (SLI) have traditionally been framed using either resource theories or decay accounts, particularly Baddeley's model. Although significant interference problems in children with SLI are apparent in error analysis data from WM and language tasks, interference theories and paradigms have not been widely used in the SLI literature. A primary goal of the present paper is to provide an overview of interference deficits in children with SLI. Review of the extant literature on interference control shows deficits …

Learning By Doing: Students From Three Disciplines Work Together To Help People With Dementia With Their Communication And Physical Challenges., Tyson G. Harmon, Brenda Everett Mitchell, Anna Weinberg

Faculty Publications

None

Infant-Driven Feeding Vs. Scheduled Feeding: The Effect On Hospital Length Of Stay, Lori L. Messer

Walden Dissertations and Doctoral Studies

Developmental delays related to feeding dysfunction in premature infants can lead to lengthy hospitalizations and increased healthcare costs initially and throughout the first year of the child's life. The purpose of this project was to use readiness-to-feed assessments to evaluate the impact of an infant-driven feeding protocol on length of stay. The project compared the length of stay of 2 groups of infants: a demand fed according to a readiness-to-feed protocol (protocol group, n = 14) and a traditionally fed according to scheduled, volume-driven feedings (traditional group, n = 15). The logic model served as the change management framework and …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

A Brief But Intensive Language-Literacy Intervention For An Adolescent, Minako I. May

Graduate Student Theses, Dissertations, & Professional Papers

The current service delivery model most frequently used in a school setting involves short, infrequent sessions over a 180-day school year. To date, there is no research that supports the current service delivery model as being the most effective and efficient model of intervention. As students transition from elementary to middle school, this model is particularly problematic for the adolescent student because of a rotating school schedule, increasing language demands of the academic curriculum, and development of self-perception and academic self-concept. A brief but intensive language-literacy intervention that takes place outside of the school year may be an effective and …

The Effect Of A Fluent Signing Narrator On Children's Behavior During Technology-Enhanced Shared Reading With Children With Hearing Loss And Their Parents, Gabriela Itzel Rodriguez

Open Access Theses & Dissertations

Shared reading plays an essential role in the language and literacy development of children who are at risk of future problems in those areas. Children with hearing loss (CHL) are a group who usually experience limited and poor quality activities that foster literacy development such as shared reading (SR). Researchers examining high quality interactions have rated child behaviors, primarily attention and initiation, during shared reading and play based activities finding positive correlations between these behaviors and the overall development in typically developing children as well as in children with other impairments such as Autism Spectrum Disorder and Down syndrome (Kim …

Short Term Memory Performance In 7- And 8-Year-Old Children: The Relationship Between Phonological And Pitch Processing, Ashley G. Flagge, Julie M. Estis, Robert E. Moore

Ashley Flagge Publications

Purpose: The relationship between short term memory for phonology and pitch was explored by examining accuracy scores for typically developing children for five experimental tasks: immediate nonword repetition (NWR), nonword repetition with an eight second silent interference (NWRS), pitch discrimination (PD), pitch discrimination with an eight second silent interference (PDS), and pitch matching (PM).

Method: Thirty-six 7- and 8-year old children (21 females, 15 males) with normal hearing, language, and cognition were asked to listen to and repeat nonsense words (NWR, NWRS), make a same vs. different decision between two tones (PD, PDS), and listen to and then vocally …

Preparation Of Speech-Language Pathologists To Provide Effective Services For Children With Cochlear Implants In New Hampshire Public Schools, Carolyn A. Babeu

Honors Theses and Capstones

No abstract provided.

The Spanish-English Bilingual: A Cross-Classfication Comparison Of Maze Use In Children, Jessica Valles

Open Access Theses & Dissertations

With the continual increase of bilingual individuals in the United States, there is a critical need for research that can appropriately identify unique characteristics of language production for these individuals. In particular, maze use, or errors in production have been identified as a characteristic of language that typically occurs more in bilinguals' speech production than in monolingual productions. Research comparing bilingual maze use in individuals who are typically developing with bilingual maze use individuals who are language impaired is limited. To compare these bilingual children with language impairment with to their typically developing peers, children were paired by age, grade, …

Lingual Pressure Generation In Relation To Saliva And Water Swallowing In Healthy Young Adults, Anna Joerger

Dissertations and Theses @ UNI

Lingual strength and swallowing pressures have been studied extensively in dysphagia rehabilitation literature; however, little research has considered how lingual pressure generation may relate to parameters of swallowing speed and endurance. Additionally, little is known about the ability of the tongue to generate pressure to a given target, known as lingual control. This project collected measures of lingual pressure and measures of swallowing speed and endurance in 10 healthy, young adults. Specifically it explored if lingual strength or control of the anterior and posterior tongue correlate with endurance or speed during saliva and water swallowing tasks. Significant relations among lingual …

Aphasia Rehabilitation Service Delivery In A Stroke Rehabilitation Unit In Australia: A Clinical Audit Of Speech Pathology Practices, Laleh Rej, Sebastian Doeltgen, Amy Rodriguez, Willem Van Steenbrugge

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted …

The Contribution Of Self-Regulation To Reading Comprehension In Adolescent Learners, Rebecca Lynn Parker

LSU Doctoral Dissertations

The purpose of this study was to examine the dually implicated processes of language and self-regulation in reading comprehension and to determine if self-regulation contributes unique variance to reading comprehension beyond word recognition/decoding and oral language comprehension. The study also sought to determine if the unique contribution of self-regulation to reading comprehension differs for students with language/learning difficulties and students with typical language/learning histories. Thirty-two 6th, 7th, and 8th graders participated in this study. Of these participants, 17 students had language/learning difficulties and 15 students had typical language/learning histories. All participants attended a low performing public middle school located in …

Phonological Encoding Of Medial Vowels In Adults Who Stutter, Allison Elizabeth Jacobs

LSU Master's Theses

Previous data suggest the metrical properties of a word may influence the time course of phonological encoding, particularly in adults who stutter. The purpose of the present study is to examine phonological and metrical encoding skills in fluent and non-fluent adults, in particular the medial stress-bearing vowel. Investigators used a silent phoneme monitoring paradigm to assess reaction times for all phonemes within nonword CVCCVC stimuli. This paradigm required participants to manually identify target phonemes within a nonword to further isolate the level of phonological encoding from other processes. Eight participants were exposed to stimuli with initial-stress, and eight participants were …

Spatio-Temporal Progression Of Cortical Activity Related To Continuous Overt And Covert Speech Production In A Reading Task, Jonathan S. Brumberg, Dean J. Krusienski, Shreya Chakrabarti, Aysegul Gunduz, Peter Brunner, Anthony L. Ritaccio, Gerwin Schalk

Electrical & Computer Engineering Faculty Publications

How the human brain plans, executes, and monitors continuous and fluent speech has remained largely elusive. For example, previous research has defined the cortical locations most important for different aspects of speech function, but has not yet yielded a definition of the temporal progression of involvement of those locations as speech progresses either overtly or covertly. In this paper, we uncovered the spatio-temporal evolution of neuronal population-level activity related to continuous overt speech, and identified those locations that shared activity characteristics across overt and covert speech. Specifically, we asked subjects to repeat continuous sentences aloud or silently while we recorded …

Reliability Of Auditory-Perceptual Ratings Of Dysarthric Speech: Hypokinetic Dysarthria Secondary To Parkinson's Disease, Jessica Lynn Miller

LSU Master's Theses

Perceptual judgment has been the gold standard in clinical practice, especially regarding differential diagnosis and treatment of dysarthria. Thus, it is critical to establish the reliability of perceptual ratings of the speech characteristics associated with different types of dysarthria. Despite its importance, the reliability and sensitivity of perceptual ratings of speech disturbance have been somewhat questioned. The purpose of this study was to examine the interrater reliability of ratings of perceptual characteristics and the saliency of these characteristics as related to hypokinetic dysarthria. Due to the feasibility issue, the scope of the study was limited to hypokinetic dysarthria associated with …

Communication: How Do Females With Rett Syndrome Perform This Activity And What Factors Influence Performance?, Anna Urbanowicz

Theses: Doctorates and Masters

Background Rett syndrome is a neurodevelopmental disorder primarily caused by mutations in the X-linked methyl-Cp2G-binding protein 2 (MECP2) gene. The disorder affects approximately 1 in 9000 females and is usually associated with language, physical and intellectual impairments, each of which contributes to difficulties with communication. In Rett syndrome, eye gaze is considered a common form of communication and conventional methods, such as talking and gestures, less common. Females appear to use these forms of communication to serve a number of functions including choice making, requesting, social convention, bringing attention to themselves, and to reject, comment and answer. However, the literature …

A Randomized Controlled Trial Of Very Early Rehabilitation In Speech After Stroke, Erin Godecke, Elizabeth Armstrong, Tapan Rai, Sandy Middleton, Natalie Ciccone, Anne Whitworth, Miranda Rose, Audrey Holland, Fiona Ellery, Graeme Hankey, Dominique Cadilhac, Julie Bernhardt

Research outputs 2014 to 2021

Rationale:

The efficacy of rehabilitation therapy for aphasia caused by stroke is uncertain.

Aims and hypothesis:

The Very Early Rehabilitation of Speech (VERSE) trial aims to determine if intensive prescribed aphasia therapy (VERSE) is more effective and cost saving than non-prescribed, intensive (usual care-plus) and non-intensive usual care (UC) therapy when started within 15 days of stroke onset and continued daily over four weeks. We hypothesize that aphasia therapy when started very early after stroke and delivered daily could enhance recovery of communication compared with UC.

Sample size estimates:

A total of 246 participants (82 per arm) will provide 80% …

Stick Or Switch: A Selection Heuristic Predicts When People Take The Perspective Of Others Or Communicate Egocentrically, Shane Rogers, Nicholas Fay

Research outputs 2014 to 2021

This paper examines a cognitive mechanism that drives perspective-taking and egocentrism in interpersonal communication. Using a conceptual referential communication task, in which participants describe a range of abstract geometric shapes, Experiment 1 shows that perspective-taking and egocentric communication are frequent communication strategies. Experiment 2 tests a selection heuristic account of perspective-taking and egocentric communication. It uses participants' shape description ratings to predict their communication strategy. Participants' communication strategy was predicted by how informative they perceived the different shape descriptions to be. When participants' personal shape description was perceived to be more informative than their addressee's shape description, there was a …