Communication Sciences and Disorders Commons^™

Musical Training Influences Auditory Temporal Processing, Saravanan Elangovan, Nicole Payne, Jacek Smurzynski, Marc A. Fagelson

ETSU Faculty Works

Background: A link between musical expertise and auditory temporal processing abilities was examined.

Material and methods: Trained musicians (n=13) and non-musicians (n=12) were tested on speech tasks (phonetic identification, speech recognition in noise) and non-speech tasks (temporal gap detection).

Results: Results indicated musicians had shorter between-channel gap detection thresholds and sharper phonetic identification functions, suggesting that perceptual reorganization following musical training assists basic temporal auditory processes.

Conclusions: In general, our results provide a conceptual advance in understanding how musical training influences speech processing, an ability which, when impaired, can affect speech and reading competency.

Implementing Ipe In An Academic Health Science Center: Changing Attitudes, Beliefs, & Knowledge, Kerry Proctor-Williams, Elizabeth Alley

ETSU Faculty Works

Completion of 3-year pilot Interprofessional Education Program involving graduate students in an Academic Health Science Center yielded pre- and post-program evaluations of attitudes, beliefs, and knowledge of students and faculty. This session offers a description of a program without curricular level changes, presentation of research outcomes, and resulting planned modifications.

Person-Centered Outcomes In Culturally And Diverse Contexts: International Application Of The Icf, Karla Washington, Jane Mccormack, A. Lynn Williams, Brenda Louw, Nancy Thomas-Stonell, Tammy Hopper

ETSU Faculty Works

This session is developed by, and presenters invited by, Cultural and Linguistic Considerations Across the Discipline. This session was developed by the Convention Program Committee to increase SLPs’ awareness regarding research and clinical applications of the International Classification of Functioning, Disability and Health (ICF) across pediatric and adult populations around the world. Discussants provide perspectives from Australia, Brazil, Canada, Jamaica, and the United States.

What’S The Evidence For Involving Parents In Intervention For Speech Sound Disorders?, Eleanor Sugden, Elise Baker, Natalie Munro, A. Lynn Williams

ETSU Faculty Works

This systematic overview examines the evidence base for parent involvement in intervention for phonology-based speech sound disorders. Of the 175 identified papers, 61 reported including parents and/or home-based tasks in intervention. However, insufficient detail reported within these papers limits replication and implementation. The clinical and research implications are discussed.

Academic Preparation In Cleft Palate For Speech-Language Pathologists: Is The Icf-Cy (Who, 2007) Alive And Well?, Mary B. Graham, Jackie Palmer, Brenda Louw

ETSU Faculty Works

The purpose of this project is to determine inclusion of the ICF-CY in CLP training curricula for SLPs. Survey research was conducted with course instructors across the nation. Results describe the application of the ICF-CY in CLP courses at the graduate level. Recommendations for including the ICF-CY framework are made.

Perceptions Of Medical Students Of The Role Of The Speech-Language Pathologist In Hiv/Aids Intervention, Kendal Klein, Emily Wagner, Kristi Moore, Tanvi Amin, Brenda Louw

ETSU Faculty Works

Survey research was utilized to explore Medical students’ perceptions of Speech-Language Pathologists’(SLP) and Medical Practitioner’s roles in meeting the healthcare needs of people living with HIV/AIDS(PLWHA). Results identified participants’ knowledge and perceptions. Recommendations suggest interprofessional education and training for both professions, at the pre-professional and professional levels.

Tinnitus And Trauma, Marc A. Fagelson

ETSU Faculty Works

Trauma-provoked tinnitus challenges patients and clinicians. Effects of trauma may exacerbate tinnitus, and patients with both tinnitus and posttraumatic stress disorder rate distress levels as higher than patients who experience only one or the other. This presentation will highlight links between tinnitus and trauma histories relevant to clinical audiologists.

Characteristics Of Speech (Part 1) And Language (Part 2) For Hearing Devices (Aids), Earl E. Johnson

ETSU Faculty Works

No abstract provided.

Caps: Implications For Collaboration Between Teachers And Speech-Language Therapists Working In Schools, Anna-Marie Wium, Brenda Louw

ETSU Faculty Works

This critical review addresses the implications of the Curriculum and Assessment Plan Statement (CAPS) for collaboration between teachers and speech-language therapists (SLTs) in schools. A historical perspective on changes in the roles and responsibilities of SLTs is provided, reflecting a shift from supporting the child to supporting the teacher. Based on the role of SLTs and audiologists in schools, an innovative approach to the support of teachers is conceptualized. The curriculum content and methods support learners who experience challenges and barriers to learning in main stream classrooms. The implementation of the curriculum necessitates close collaboration between teachers and SLTs in …

Student Training In A University Setting Voice Clinic- How Do We Do It?, Chaya D. Nanjundeswaran (Guntupalli), Celia Bassich, Robin Samlan

ETSU Faculty Works

This presentation will discuss the challenges that clinical supervisors face when trying to balance efficient graduate student training and patient welfare in university voice clinics. We will propose a model in which we seek to balance the needs of the patient, student clinician, and clinical instructor.

Development Of Metalinguistic Awareness: Evidence From Children’S Overt Productions, Laura Kirkby, Mallory Dingess, Jamesa Ewing, Whitney Salvers, Kerry Proctor-Williams

ETSU Faculty Works

This study examined whether metalinguistic frequency increases or utterance type changes with age in children with typical language. Overt metalinguistic productions of 32 children, 3;0-5;7, were collected during recast intervention. Overall, the data showed changes in frequency and proportion of types with age.

Students’ Attitudes And Perceptions Toward Interprofessional Education, Rabia Foreman, Lacey Harris, Kathryn Mcguire, Kerry Proctor-Williams, Katie Baker

ETSU Faculty Works

Three scales were administered to measure attitudes of graduate students in health professions prior to their participation in an interprofessional education (IPE) pilot program. Overall, results indicated that students’ attitudes toward IPE were generally positive, but there is room for improvement. Additionally, medical students’ attitudes differed from the other disciplines.

A Proposed Holistic Model Of Assessment For Children With Cleft Palate Within The Icf-Cy Framework, Rabia Foreman, Jamesa Ewing, Olivia Hawley, Mariana De Cassia Macedo, Naiara Rodrigues Carlota Do Nascimento, Brenda Louw, Luciana Maximino

ETSU Faculty Works

The purpose of this project is to describe a proposed model for the assessment of children with cleft palate within the framework of the ICF-CY (WHO, 2007). Suggestions for clinical application and cleft palate curricula are made, and future research needs are identified.

Parental Perspective: Toddlers With Clefts Using Touch Screen Technology, Cortney Vineyard, Alexandra Coup, Chelsey Hazelett, Rachel Janes, Brenda Louw

ETSU Faculty Works

This investigation assessed the parental perspectives of parents of toddlers with cleft lip and palate and their use of touchscreen technology. Findings will highlight parental perspectives on touchscreen technology in early intervention with their toddler.

Neurodevelopmental Outcomes For Infants With Neonatal Abstinence Syndrome: Implications For Speech-Language Pathologists And Audiologists, Kerry Proctor-Williams

ETSU Faculty Works

The causes and neurodevelopmental outcomes of children exposed to drugs and/or alcohol prenatally are presented. The incidence of this population is rising rapidly and appearing in increasing numbers on the caseloads of speech-language pathologists. Topics include prevalence, common drugs, Neonatal Abstinence Syndrome, longer-term neurodevelopmental outcomes, and treatment challenges.

An Internationalized Classroom Using Research Teams, A. Lynn Williams, Brenda Louw

ETSU Faculty Works

Overview: (1) What is internationalization of the curriculum (loC)? (2) Why is loC important to SLP/A? (3) How can we internationalize student learning? (4) How can we assess cross-cultural awareness or effectiveness?

A Comparison Of Nal And Dsl Prescriptive Methods For Paediatric Hearing-Aid Fitting: Predicted Speech Intelligibility And Loudness, Teresa Y.C. Ching, Earl E. Johnson, Sanna Hou, Harvey Dillon, Vicky Zhang, Lauren Burns, Patricia Van Buynder, Angela Wong, Christopher Flynn

ETSU Faculty Works

Objective: To examine the impact of prescription on predicted speech intelligibility and loudness for children. Design: A between-group comparison of speech intelligibility index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. Study sample: Participants were 200 children, who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing-aid data at 3 years of age were used. Results: On average, SII calculated on the …

Hearing-Aid Safety: A Comparison Of Estimated Threshold Shifts For Gains Recommended By Nal-Nl2 And Dsl M[I/O] Prescriptions For Children, Teresa Y. C. Ching, Earl E. Johnson, Mark Seeto, John H. Macrae

ETSU Faculty Works

Objective: To investigate the predicted threshold shift associated with the use of nonlinear hearing aids fitted to the NAL-NL2 or the DSL m[i/o] prescription for children with the same audiograms. For medium and high input levels, we asked: (1) How does predicted asymptotic threshold shifts (ATS) differ according to the choice of prescription? (2) How does predicted ATS vary with hearing level for gains prescribed by the two prescriptions? Design: A mathematical model consisting of the modified power law combined with equations for predicting temporary threshold shift (Macrae, 1994b) was used to predict ATS. Study sample: Predicted threshold shift were …

Update On The Clinical Utility Of Vestibular Evoked Myogenic Potentials, Faith W. Akin, Owen D. Murnane

ETSU Faculty Works

Vestibular-evoked myogenic potentials (VEMPs) supplement the vestibular test battery by providing diagnostic information about otolith organ function. The purpose of this presentation is to provide an update on the clinical use of the cervical VEMP and ocular VEMP as clinical tests of otolith function

Modern Prescription Theory And Application: Realistic Expectations For Speech Recognition With Hearing Aids, Earl E. Johnson

ETSU Faculty Works

A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160?10000?Hz) and input levels (e.g., 50?75?dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories?Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) …

Alternative Ear-Canal Measures Related To Absorbance, S. T. Neely, S. Stenfelt, Kim S. Schairer

ETSU Faculty Works

Abstract:

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound…

Audiology Services At Remote Area Medical Expeditions In Southern Appalachia, Marc A. Fagelson

ETSU Faculty Works

This presentation summarizes the preparation for, and execution of, audiology series provided by East Tennessee State University's Audiology, Program at Remote Area Medical (RAM) expeditiors in the Southern Appalachian region. In 2010 and 2012, ETSU audiology faculty and students evaluatd 281 patients and subsequently fit 178 hearing aids.

Slps And Auds Go Global: A Research-Based Cross-Linguistic Consortium, A. Lynn Williams, Brenda Louw

ETSU Faculty Works

No abstract provided.

Hearing Loss In The Dental Office: The Effects Of High Speed Dental Drills On Dentists' Hearing, Krisztina Johnson, Jacek Smurzynski, Saravanan Elangovan, Marc Fagelson

ETSU Faculty Works

Hearing test results of 23 dentists obtained before and after working hours are compared to determine if dentists experience any temporary hearing loss. The aim of the project is to determine whether dental drills cause hearing loss and to document the consequences of the loss. Hearing evaluations include pure-tone audiometry, middle-ear testing, and measurements of otoacoustic emissions. The results are expected to convince dentists of the danger of noise exposure and the need for hearing protection

Military Trauma And Its Influence On Loudness Perception, Marc A. Fagelson

ETSU Faculty Works

Excerpt: It is often the case that veterans who experience hyperacusis have hearing loss and tinnitus; what sets the patient with PTSD apart is an increased likelihood that will rate sound tolerance problems as more severe than tinnitus and hearing loss.

Assessment Of Single-Word Production For Children Under Three Years Of Age: Comparison Of Children With And Without Cleft Palate, Nancy J. Scherer, A. Lynn Williams, Carol Stoel-Gammon, Ann Kaiser

ETSU Faculty Works

Background. This study reports comparative phonological assessment results for children with cleft lip and/or palate (CLP) to typically developing peers using an evaluation tool for early phonological skills. Methods. Children without clefts (NC = noncleft) and 24 children with CLP, ages of 18–36 months, were evaluated using the Profile of Early Expressive Phonological Skills (PEEPSs) [1]. Children interacted with toy manipulatives to elicit a representative sample of target English consonants and syllable structures that are typically acquired by children between 18 and 27 months of age. Results. Results revealed significant differences between the two groups with regard to measures of …

Graduate Student Research Projects: A Path For Productive Research, Kerry Proctor-Williams, Jessica Fitzpatrick, Nicole Vaughn, Jessica Qualls, Angelica Wiggins

ETSU Faculty Works

No abstract provided.

The Development Of A Neonatal Communication Intervention Tool, Esedra Strasheim, Alta Kritzinger, Brenda Louw

ETSU Faculty Works

Neonatal communication intervention is important in South Africa, which has an increased prevalence of infants born with risks for disabilities and where the majority of infants live in poverty. Local literature showed a dearth of information on the current service delivery and roles of speech-language therapists (SLTs) and audiologists in neonatal nurseries in the South African context. SLTs have the opportunity to provide the earliest intervention, provided that intervention is well-timed in the neonatal nursery context. The aim of the research was to compile a locally relevant neonatal communication intervention instrument/tool for use by SLTs in neonatal nurseries of public …

Effects Of Degree And Configuration Of Hearing Loss On The Contribution Of High- And Low-Frequency Speech Information To Bilateral Speech Understanding, Benjamin W. Y. Hornsby, Earl E. Johnson, Erin Picou

ETSU Faculty Works

Objectives: The purpose of this study was to examine the effects of degree and configuration of hearing loss on the use of, and benefit from, information in amplified high- and low-frequency speech presented in background noise.

Design: Sixty-two adults with a wide range of high- and low-frequency sensorineural hearing loss (5 to 115+ dB HL) participated in the study. To examine the contribution of speech information in different frequency regions, speech understanding in noise was assessed in multiple low- and high-pass filter conditions, as well as a band-pass (713 to 3534 Hz) and wideband (143 to 8976 Hz) condition. To …

Intervention Intensity For Speech Sound Disorders: How Much And For How Long?, Elise Baker, A. Lynn Williams

ETSU Faculty Works

Seminar Outline 1) What is intervention intensity? 2) What do we know about the intensity of intervention for SSD in children? 3) How might SLPs use the evidence on intervention intensity in their everyday management of SSD in children?