Communication Sciences and Disorders Commons^™

The Prevalence Of Dysphonia: A Comparison Of Indoor And Outdoor Athletic Coaches, Keelyn Peacock

Student Theses and Dissertations

This investigation was conducted to assess the Prevalence of Dysphonia, while comparing indoor and outdoor athletic coaches. This investigation also looked at the prevalence of self-perceived vocal dysphonia symptoms within collegiate athletic coaches. This study was conducted by distributing a survey to the Division I athletic coaches in the state of Arkansas. The survey consisted of demographic questions, a questionnaire that explored the self-perceived vocal symptoms, clinician perspective vocal ratings, and acoustic parameters of voice recordings. The data collected revealed that there were vocal symptoms that were identified as an effect of occupational voice demand during the current season of …

Communication Disorders Graduate Student: Perspective Of Voice, Maycie Brentney Terrell / Blankenship

Student Theses and Dissertations

This study examined the influence of training in SPEAK OUT!® on the perceptual ratings of voice and speech made by communication disorders (CD) graduate students. The purpose of this study was to investigate the influence of SPEAK OUT!® training by comparing those who have undergone SPEAK OUT!® training with those who have not. To address this, 36 participants who attend communication disorders graduate programs within the United States were recruited. Data were collected through a Qualtrics survey distributed via email and analyzed using the Statistical Package for the Social Sciences (SPSS). The findings indicate that perceptual ratings across most voice …

Teachers’ Knowledge Of Pediatric Voice Disorders And Their Attitudes Toward Children With Voice Disorders, Hannah G. Hopper

Student Theses and Dissertations

Purpose: This study aims to observe elementary school teachers’ knowledge and attitudes of voice disorders in children. Method: Seventy-nine elementary school teachers electronically completed the survey on Qualtrics. Results: The results of this study support the theory that teachers have limited knowledge of voice and voice disorders and that children with abnormal voices are rated less favorably than their peers with normal voices. In addition, it was found that teachers' knowledge does not correlate with their attitudes toward pediatric voice samples. Conclusion: Data from the current study reveal that teachers have limited knowledge and often do not view children equally …

An Observational Study Of Discourse Tasks And Running Speech Sampling In The Assessment Of Paediatric Voice Quality, Victoria Reynolds, Kristin Scavo-Smith, Kate Oteng-Bediako, Sophie Scanlon

Speech-Language Pathology Faculty Publications

Introduction

Running speech sampling is an essential component of a paediatric voice evaluation, in that it should provide the examiner with a representative vocal sample of the child's everyday voice use outside of the clinic setting. Current speech sampling practices, consisting of reading tasks, informal conversation sampling and the voice question ('Tell me about your voice problem'), may not elicit consistent samples or samples of sufficient length to allow the examiner to make a reliable and valid judgement about vocal quality. The aim of this study is to compare the voice quality of children produced in response to existing running …

Lcd 106: Introduction To Communication Sciences And Disorders, Yael Neumann

Open Educational Resources

This course will provide an introduction to the development and disorders of speech, language, and communication in children and adults. Disorders such as autism, aphasia, stuttering, and learning disabilities will be discussed. Differences noted in culturally and linguistically diverse communities will also be addressed. The course activities will give students an experiential appreciation of the experience of communication challenges and supporting people with those challenges. Information about the professions of Speech-Language Pathology (SLP), Audiology, and Speech and Hearing Science will be reviewed as potential career paths.

Rehabilitation Treatment Specification System For Voice Therapy: Application To Everyday Clinical Care, Jeremy Wolfberg, John Whyte, Patricia Doyle, Shirley Gherson, Jason Muise, Brian Petty, Carol Jorgensen Tolejano, Robert E Hillman, Tara Stadelman-Cohen, Jarrad H Van Stan

Faculty, Staff and Student Publications

PURPOSE: Rehabilitation intervention descriptions often do not explicitly identify active ingredients or how those ingredients lead to changes in patient functioning. The Rehabilitation Treatment Specification System (RTSS) provides guidance to identify the critical aspects of any rehabilitation therapy and supported the development of standardly named ingredients and targets in voice therapy (Rehabilitation Treatment Specification System for Voice Therapy [RTSS-Voice]). This study sought to test the content validity of the RTSS-Voice and determine if the RTSS-Voice can be used to identify commonalities and differences in treatment (criterion validity) across clinicians in everyday clinical practice.

METHOD: Five speech-language pathologists from different institutions …

Laryngeal Symptoms Related To Motor Phenotypes In Parkinson's Disease: A Systematic Review, Zoë Thijs Ph.D., Matthew Dumican

Communication Sciences and Disorders: Faculty Publications

Objective This study aimed to systematically review the associations between motor clinical phenotypes in Parkinson's disease (PD) and laryngeal disease symptoms. Laryngeal dysfunctions such as dysphonia and dysphagia are ubiquitous in people with Parkinson's disease (PwPD). Similar to other disease symptoms, they manifest variably across PwPD. Some of the variability within PD has been explained by clinical phenotypes. However, it is unclear how laryngeal symptoms of PD express themselves across these phenotypes.

Methods Five databases were searched (MEDLINE, CINAHL, Web of Science, Embase, Scopus) in May 2022. After the removal of duplicates, all retrieved records were screened. Cohort, case–control, and …

The Effect Of Different Warm-Up Durations On Subjective And Objective Measures Of Singing In Choral Singers Over The Age Of 55, Jeremy A. Chesman

Graduate Theses/Dissertations

Choral singing is a popular activity in the United States. Choral singers are often encouraged to warm up vocally before they sing. Considering voice conditions, like presbyphonia, that can develop shortly after retirement, more research about vocal warm-ups is needed for those over the age of 55. This study assesses the effects of various durations of vocal warm-ups on subjective and objective measures of the singing voice using a within-groups design with randomized condition order. Nine participants performed vocal warm-ups for 0, 5, 10, and 15 minutes. A song sample was then recorded and sent to two expert raters who …

Corticosteroid-Laba Inhalers Increase Phonation Threshold Pressure (Ptp) And Flow (Ptf) In Rabbits, Christopher Dromey, Kristine Tanner, Heidi J. Robison, Maya Elena Stevens, Ray M. Merrill, Julie Barkmeier-Kraemer, Ben Christensen

Faculty Publications

Objectives: This study examined the effects of a combination corticosteroid plus long-acting beta2-adrenergic agonist inhaler (IC) on rabbit phonation. Methods: White New Zealand male rabbits were assigned randomly to experimental and control groups (n = 11 per group). The experimental group received twice-daily doses of Advair HFA™ (fluticasone propionate 45 mcg and salmeterol 21 mcg) via a veterinary facemask with 1-way valve and spacer; the control group received aerosolized saline. After 8 weeks, animals were euthanized, larynges excised, frozen, and subsequently thawed and mounted on a standard bench apparatus. Phonation was elicited during 15 successive trials, and phonation threshold pressure …

The Lived Experiences Of Transmasculine Speakers: A Phenomenological Investigation Of Vocal Quality And Function In Relation To Gender, Micah Wylie

Graduate Theses and Dissertations

The objective of this study was to learn how transmasculine individuals perceive the quality and function of their voices, and how those perceptions influence how they experience gender identity and communicate with others. This qualitative study adopted a hermeneutical phenomenological approach that involved using content analysis and thematic analysis to describe and interpret phenomena. This approach assumes that the researcher is not biased, but is a part of the world being studied and, therefore, understands the phenomenon by interpretive means. Saturation was achieved when all relevant information was introduced, and patterns of information had been identified. Sixteen interviews were conducted. …

The Effect Of Voice Demand On The Perception Of Voice In Collegiate Athletic Coaches, Olivia Faith Metzgar

Student Theses and Dissertations

This investigation was conducted to investigate the effect of voice demand on the perception of voice in collegiate athletic coaches. This investigation also examined the prevalence of self-perceived voice disorders within collegiate athletic coaches. This study was conducted by distributing a survey to the Division I athletic coaches in the state of Arkansas. The survey consisted of demographic questions and a questionnaire that explored the self-perceived vocal symptoms that were experienced during the current season of coaching. The data collected revealed that there were vocal symptoms that were identified as an effect of occupational voice demand during the current season …

Do Speech-Language Pathology Graduate Students Practice Daily Vocal Hygiene Regimens?, Jennifer Giddings

Student Theses and Dissertations

This survey was designed to help determine if students training to become speech-language pathologists (SLP) in the Master of Communication Disorders program at Arkansas State University practice daily vocal hygiene regimens and understand the importance of maintaining a healthy voice. The items within the survey consisted of closed ended questions and rating scales. The questions were placed into categories which included water/caffeine intake, vocal exercises, and vocal use. The results indicated that most SLP graduate students implement routines to maintain good vocal health practices. This study revealed a need to further investigate vocal hygiene regimens in other professional voice users …

Outcome Measures And Demographic Representation Of Voice Studies Of Transgender People: A Scoping Review, Rachel Anthony

Honors Projects

The LGBTQ+ population, specifically transgender individuals, tend to be overlooked in many healthcare services. One significant healthcare service is gender-affirming voice services, which is performed by a Speech-Language Pathologist. The purpose of this study is to perform a scoping review of voice production studies in transgender individuals with a focus on outcome measures and demographic characteristics. Search terms were identified and then applied across three different databases. The results of these databases were cross-checked for duplicates. A criterion was established, and studies were screened by reading the title, and abstract. Relevant articles were uploaded to RefWorks and lastly scanned by …

Speech-Evoked Brain Activity Is More Robust To Competing Speech When It Is Spoken By Someone Familiar, Emma Holmes, Ingrid S. Johnsrude

Communication Sciences and Disorders Publications

When speech is masked by competing sound, people are better at understanding what is said if the talker is familiar compared to unfamiliar. The benefit is robust, but how does processing of familiar voices facilitate intelligibility? We combined high-resolution fMRI with representational similarity analysis to quantify the difference in distributed activity between clear and masked speech. We demonstrate that brain representations of spoken sentences are less affected by a competing sentence when they are spoken by a friend or partner than by someone unfamiliar—effectively, showing a cortical signal-to-noise ratio (SNR) enhancement for familiar voices. This effect correlated with the familiar-voice …

The Acoustic Effect Of Masks On Speech And Singing, Anna Birkemeier

Honors Projects

Objectives / Introduction:

Mask-wearing has become commonplace for the public during the SARS-CoV-2 (COVID-19) pandemic. This has caused communication difficulties such as muffled speech, causing a lowered speech intelligibility and worse audibility. The purpose of this study was to determine the acoustic filtering effects of various masks.

Methods / Study Design:

The acoustic effects of a surgical mask, a Singer’s Mask, and an N95 mask were obtained. A single subject spoke (and repeated) the vowels /a,i,u/ and the consonants /s, ∫/, and sang the vowels on G4 and C5 with and without the masks, respectively. Spectra of the vowels and …

Voice Therapy: Racial Disparities In Adherence And Clinically Significant Outcomes, Amber D. Burks

LSU Master's Theses

Voice therapy is evidence-based, behavioral intervention that can reduce functional and organic voice disorders. Despite its proven effectiveness, non-adherence to voice therapy is still an issue. Research shows that an estimated 65% of patients who initiate voice therapy drop out before reaching therapeutic goals. Voice therapy outcomes are largely dependent on patients’ adherence to treatment regimens, but there is limited information concerning factors that may be associated with voice therapy adherence and therapeutic outcomes for patients who successfully complete voice therapy.

The purpose of this study was to investigate which demographic factors could be associated with higher adherence rates to …

Voice-Related Experiences Of Nonbinary Individuals (Veni) Development And Content Validity, Grace Shefcik, Pei-Tzu Tsai

Faculty Research, Scholarly, and Creative Activity

Transgender individuals may seek a variety of gender-affirming health and educational services, including voice modification from speech-language pathologists. Measuring the client's self-perception of their communication experiences is crucial for providing client-centered services and measuring outcomes. However, there is currently no validated assessment tool for the nonbinary population, a part of the transgender population. This study explores the voice-related concerns and experiences among the nonbinary population to create a valid measure of their self-perception of voice. Ten nonbinary individuals were surveyed about their voice-related concerns and experiences. A thematic analysis of the responses led to the development of the questionnaire, titled …

Lifting The Heavy Vocal Load: Slps And Their Vocal Habits, Sydney Sedlock

Murray State Theses and Dissertations

Novice speech-language pathologists (SLPs) are a vulnerable population that is at-risk for dysphonia. Previous literature has highlighted the high vocal-demand occupations of teaching and entertaining but there is minimal research to understand the prevalence of dysphonia in SLPs. The purpose of this investigation was to determine the prevalence of vocal fatigue and vocal loading in novice SLPs in western Kentucky to increase awareness of the vulnerability for dysphonia in this population. This investigation was descriptive in nature using a survey format and was sent to SLPs in the western Kentucky region. A total of 21 SLPs responded to the survey. …

Demonstrable Effect Of Vocal Changes On Singing Voices Of Post-Menopausal Women, Haley K. Griffith

Senior Honors Projects, 2020-current

There is little research concerning the impacts of menopause on the female singing voice, and few research studies examine any treatment methods or exercises to help sustain vocal quality throughout and after menopause. To determine areas in which more detailed studies could be completed, I completed a thorough literature review of current research studies that investigate relationships between menopause and the voice. Many studies examined vocal symptoms of menopause, such as a lowered fundamental frequency (F0) and decreased vocal quality. However, there exists no formally researched or published vocal exercises that help to mitigate these menopausal voice symptoms.

In response, …

Age-Related Changes In Speech And Voice: Spectral And Cepstral Measures, Christopher Dromey, Sammi Taylor, Shawn L. Nissen, Kristine Tanner, Dennis Eggett, Kim Corbin-Lewis

Faculty Publications

Purpose

This study examined differences in selected acoustic measures of speech and voice according to age and sex and across families.

Method

Participants included 169 individuals, 79 men and 90 women, from 18 families, ranging in age from 17 to 87 years. Participants reported no history of articulation disorders, stroke or active neurologic disease, or severe-to-profound hearing loss. They read aloud two passages to facilitate examination of the following speech and voice acoustic parameters: fricative spectral moments (center of gravity, standard deviation, skewness, and kurtosis), the proportion of time spent speaking, mean speaking fundamental frequency, semitone standard deviation (STSD), and …

Average Speech Directivity, Samuel D. Bellows, Claire M. Pincock, Jennifer K. Whiting, Timothy W. Leishman

Directivity

Speech directivity describes the angular dependence of acoustic radiation from a talker’s mouth and nostrils and diffraction about his or her body and chair (if seated). It is an essential physical aspect of communication affecting sounds and signals in acoustical environments, audio, and telecommunication systems. Because high-resolution, spherically comprehensive measurements of live, phonetically balanced speech have been unavailable in the past, the authors have undertaken research to produce and share such data for simulations of acoustical environments, optimizations of microphone placements, speech studies, and other applications. The measurements included three male and three female talkers who repeated phonetically balanced passages …

The Effectiveness Of The Natural Ear On Adults Ability To Accurately Match Pitch, Kendra Nicole Rosales

Open Access Theses & Dissertations

Background: Many theories, such as oral motor, perceptual, and sensorimotor deficits, have been posited to explain inaccurate pitch matching abilities. The current study identifies with the sensorimotor deficit theory and found it to be the most plausible explanation for inaccurate singing abilities. The Natural Ear (NE) program was designed to process voice productions in real-time and filter out the discordant harmonics, allowing a person to hear only their F0.

Purpose: The purpose of this study was to examine the effectiveness of the Natural Ear program in increasing pitch matching accuracy in singers.

Methods: A total of 50 participants were included …

Voice Therapy Techniques In Combination With The Group Therapy Setting For Individuals With Parkinson’S Disease, Zoë E. Sommers

Williams Honors College, Honors Research Projects

This report aims to provide background information related to voicing in Parkinson’s Disease (PD), review the various therapeutic approaches used to benefit individuals diagnosed with PD, and examine how voice impairments affect the lives of individuals with PD. Specifically, therapy techniques focusing on voice and techniques applied in the group therapy setting will be reviewed. PD has a multitude of consequences on an individual’s life, and speech is an area that is greatly affected. This project will highlight some of the interventions that can positively impact the lives of those with Parkinson’s Disease and reflect on how the group therapy …

The Effects Of Dance Therapy On Voice In Patients With Parkinson's Disease In A Multicultural Population, Ivon N. Ramirez

Theses and Dissertations

Current literature suggests that dance therapy in individuals with Parkinson’s disease shows noticeable improvement in motor functions, for example gait and balance improvement. Additionally, patients with Parkinson’s disease who participate in dance therapy may perceive positive benefits on their quality of life. Therefore, it is believed that increases in core support and improvements in posture, as a result of dance therapy, will have effects on the voice in patients with PD.

This thesis pulls from literature supporting treatment approaches in the field of speech-language pathology for voice patients with Parkinson’s disease. The aim of this study was to evaluate the …

Changes In Fundamental Frequency Of Voice In A Group Of Transwomen Following Voice Modification Therapy, Emily Marquez

Open Access Theses & Dissertations

The term transgender refers to an individual that identifies with a gender that is different to the one given at birth. Individuals that are transgender experience conflict between the gender the individual identifies with and the sex they are born with. Individuals that are transgender may elect to go through a transition process so that their outward appearance is congruent with their gender identity. Part of the transition process may include voice modification therapy. Transgender individuals may seek voice modification therapy so that the outward appearance matches the voice. However, there is limited information regarding the efficacy of traditional voice …

The Role Of The Speech-Language Pathologist When Working With Clients Who Are Transgender: A Guide Of Gender Identity And Cultural Competency, Brett Welch

Theses and Dissertations

It is within the scope of practice of a speech-language pathologist to work with a client who is transgender for voice. However, regardless of the setting, a speech-language pathologist is likely to encounter a person who is transgender on their caseload. The American Speech-Language-Hearing Association mandates that all of its members be culturally competent when working with clients from different cultural backgrounds, including those from the lesbian, gay, bisexual, transgender, and queer community.

This thesis pulls from sociological, linguistic, and queer theory literature to provide an in-depth understanding of identity, gender, and transgender identity formation. With this nuanced understanding of …

Vocalization Subsystem Responses To A Temporarily Induced Unilateral Vocal Fold Paralysis, Daniel J. Croake

Theses and Dissertations--Rehabilitation Sciences

Healthy voicing is thought to be dependent on a dynamic balance of three interactive subsystems: respiration, phonation, and resonance. Theoretically, multiple patterns of subsystem interactions likely underlie healthy voice production; however surprisingly little quantitative data exists defining the nature of these subsystem production patterns and interactions across individuals.

The central aim of this study was to quantify the interactions of the vocalization subsystems in a non-perturbed and perturbed condition (induced unilateral vocal fold paralysis) in 10 vocally healthy participants. Respiratory inductance plethysmography, laryngeal aerodynamics, and acoustic formant data were used to measure the proportional contributions of, and changes to, the …

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 …

Acoustic Analysis Of Prolonged Vowels In Adolescents And Young Adults With Friedreich's Ataxia, Kaylea Hardin

Electronic Theses and Dissertations

This study employed spectral analyses for acoustic measures of sustained vowel productions from a group of 20 adolescents and young adults with Friedreich's Ataxia (FA) and compared findings with a group of 20 age-equivalent and gender-matched normal control participants. State-of-the art spectral analyses from the Analysis of Dysphonia in Speech and Voice (ADSV) program, developed for various voice disorders from Kay Elemetrics, were applied to initial 2 second sustained vowel segments of the vowels /a/, /i/, and /o/. Spectral analyses included averages and standard deviations of Cepstral Peak Prominence (CPP), Cepstral Peak Prominence Standard Deviation (CPP SD), Low/High Spectral Ratio …

Perceptual Analysis Of Prolonged Vowels In Adolescent And Young Adults With Friedreich's Ataxia, Tara Varsallone

Electronic Theses and Dissertations

The purpose of this study was to conduct perceptual analyses, using the initial two-second portions, of prolonged vowels /a/, /i/, and /o/. Two groups of adolescents and young adults were analyzed- one group consisting of 20 individuals with Friedreich's ataxia who were compared to 20 individuals with normal voice (control participants). A trained group of 10 graduate students listened to 132 vowel samples (3 vowels X 40 participants, + 12 samples (10%) for reliability purposes) for a total of 132 perceptual judgments. The students listened to the samples which were randomized onto Dell computers (Optiplex 755) and played through headphones …