Communication Sciences and Disorders Commons^™

A Tool For Differential Diagnosis Of Childhood Apraxia Of Speech And Dysarthria In Children: A Tutorial, Jenya Iuzzini-Seigel, Kristen M. Allison, Ruth Stoeckel

Speech Pathology and Audiology Faculty Research and Publications

Purpose:

While there has been mounting research centered on the diagnosis of childhood apraxia of speech (CAS), little has focused on differentiating CAS from pediatric dysarthria. Because CAS and dysarthria share overlapping speech symptoms and some children have both motor speech disorders, differential diagnosis can be challenging. There is a need for clinical tools that facilitate assessment of both CAS and dysarthria symptoms in children. The goals of this tutorial are to (a) determine confidence levels of clinicians in differentially diagnosing dysarthria and CAS and (b) provide a systematic procedure for differentiating CAS and pediatric dysarthria in children.

Method:

Evidence …

Prologue To The Forum: Care Of The Whole Child: Key Considerations When Working With Children With Childhood Apraxia Of Speech, Jenya Iuzzini-Seigel

Speech Pathology and Audiology Faculty Research and Publications

Purpose: This prologue introduces the LSHSS Forum: Care of the Whole Child: Key Considerations When Working With Children With Childhood Apraxia of Speech. The goals of the forum are to provide (a) an overview of several co-occurring conditions and challenges that may affect children in this population and (b) methods and materials to enhance diagnostic accuracy and treatment efficacy to help children with childhood apraxia of speech (CAS) to thrive.

Method: The prologue provides an overview of what it means to care for the whole child and introduces the five articles in the forum, including research and clinical focus articles …

Assessment And Diagnostic Practices Relating To Autism Spectrum Disorder In The United States And Mexico, Maria Valdez, Jessica R. Stewart, Wan-Lin Chang, Ruth Crutchfield, Ralph Carlson

Internet Journal of Allied Health Sciences and Practice

Purpose: The present study examined and compared professional assessment and diagnostic practices relating to autism spectrum disorder (ASD) in Mexico and the United States (U.S.). This information is of great importance because there is an extremely limited amount of information pertaining the assessment and diagnostic practices for ASD in Mexico and little is known about how these practices compare to those in the U.S. Methods: Archival data from a survey investigating ASD in the U.S. and Mexico was used for this study. Participants included 29 professionals from the U.S. and 7 professionals from Mexico. Professionals were from a variety of …

Understanding The Relationship Between Age-Related Hearing Loss And Alzheimer's Disease: A Narrative Review, Hadeel Y. Tarawneh, Dona M. P. Jayakody, Hamid R. Sohrabi, Ralph N. Martins, Wilhelmina H.A.M. Mulders

Research outputs 2022 to 2026

Evidence suggests that hearing loss (HL), even at mild levels, increases the long-term risk of cognitive decline and incident dementia. Hearing loss is one of the modifiable risk factors for dementia, with approximately 4 million of the 50 million cases of dementia worldwide possibly attributed to untreated HL. This paper describes four possible mechanisms that have been suggested for the relationship between age-related hearing loss (ARHL) and Alzheimer's disease (AD), which is the most common form of dementia. The first mechanism suggests mitochondrial dysfunction and altered signal pathways due to aging as a possible link between ARHL and AD. The …

Auditory Stream Segregation Of Amplitude-Modulated Narrowband Noise In Cochlear Implant Users And Individuals With Normal Hearing, Alexandria F. Matz, Yingjiu Nie, Harley J. Wheeler

Department of Communication Sciences and Disorders - Faculty Scholarship

Voluntary stream segregation was investigated in cochlear implant (CI) users and normal-hearing (NH) listeners using a segregation-promoting objective approach which evaluated the role of spectral and amplitude-modulation (AM) rate separations on stream segregation and its build-up. Sequences of 9 or 3 pairs of A and B narrowband noise (NBN) bursts were presented which differed in either center frequency of the noise band, the AM-rate, or both. In some sequences (delayed sequences), the last B burst was delayed by 35 ms from their otherwise-steady temporal position. In the other sequences (no-delay sequences), the last B bursts were temporally advanced from 0 …

A Survey Study Of Speech-Language Therapists’ Experiences With Teletherapy At The Onset Of The Covid-19 Crisis, Jason A. Rosas

Dissertations, Theses, and Capstone Projects

The present study aimed to understand how delivering pediatric treatment services via ‘teletherapy’ affected speech-language therapists (SLTs) during the initial outbreak of the COVID-19 pandemic crisis in 2020. SLTs reported on their experiences with the change from in-person to remote service delivery via two national surveys distributed at the start of the pandemic between April 2020 and July 2020. To explain SLTs’ survey responses, this dissertation introduced the Professional Adaptation Model (PA Model). The PA Model facilitated evaluation of the SLTs’ professional environment and the psychological constructs of their professional identity believed to influence the transition to speech-language teletherapy. Specifically, …

The Effects Of The Effortful Swallow Maneuver On Hyolaryngeal Movement And Tongue-To-Palate Pressure, Mariana Mendes Bahia

Dissertations - ALL

Purpose: The purpose of this study was to investigate the effects of the effortful swallow maneuver under two different instructions on tongue-to-palate pressure and hyolaryngeal displacement in healthy adults. Studying typical kinematic parameters and pressure generation in healthy individuals is critical for differentiating normal from pathological patterns and for determining swallowing parameters that can be targeted to optimize and individualize treatment plans for people with swallowing disorders. The primary objectives in this study were: (1) to determine the physiological effects of two different types of effortful swallows on anterior and posterior tongue pressure generation, hyoid displacement, and hyoid-larynx approximation in …

The Intersectionality Of Stuttering And Aging, Mary Elizabeth Herring

University Honors Theses

The purpose of this study is to explore relationships between stuttering and aging so that speech-language pathologists can be informed about the intersectionality of these identities.

Three adult men who stutter, all over the age of 65, were interviewed in semi-structured interviews. Interview transcripts were analyzed with in-vivo coding to find codes and themes between participants. From the interviews, 20 categories were identified. These categories were then funneled into four overarching themes: 1) Personal factors impacted by stuttering, 2) Stuttering perspectives across the lifespan, 3) Stuttering therapy experiences, and 4) Covert stuttering.

This study shows that attitudes, perspectives, and experiences …

A Delphi Study Of The Skills Necessary For A Speech-Language Pathologist Or Occupational Therapist To Be Successful In A Leadership Position, Jessica Miller

Dissertations

Purpose: The purpose of this Delphi study was to identify the skills necessary for a speech-language pathologist or occupational therapist to be successful in a leadership position using an expert panel. In addition, the purpose was to rate the identified skills based on importance and lastly to determine the activities experts recommend to acquire the top-rated skills. Methodology: This study used a three-round Delphi method to collect data from expert leaders in speech-language pathology and occupational therapy. In Round 1, the expert panel was asked to identify the skills necessary to transition from a speech-language pathologist or occupational therapist to …

Training The Next Generation Of Practitioners In Early Intervention And Telepractice: Three University Models, K. Todd Houston, Lauri Nelson, Kristina Blaiser

Journal of Early Hearing Detection and Intervention

The COVID-19 pandemic continues to shape the provision of family-centered early intervention services for children who are Deaf or Hard-of-Hearing and their families. In programs, schools, and centers, direct in-person contact with families have been significantly curtailed as a means to limit the exposure to and spead of the virus. Emergency remote learning has lead to an increase in telepractice, also referred to as teleintervention, as the designated model of service provision. Most early interventionists, speech-language pathologists, and teachers of the Deaf were not sufficiently trained to suddenly implement emergency remote teaching or telepractice services, but service providers had no …

Telepractice-Based Assessment Of Children Who Are Deaf/Hard-Of-Hearing: Focus On Family-Centered Practice, Kristina M. Blaiser, Lauri Nelson, K. Todd Houston

Journal of Early Hearing Detection and Intervention

Ongoing assessment and progress monitoring is considered best practice to serve children who are Deaf/Hard-of-Hearing (DHH) yet logistics related to provider shortages, distances between families, and illness make regular assessment difficult if not impossible. In the last ten years, telepractice has become a more commonly used service delivery model for serving children who are DHH and their families, however, many providers lack the training needed to adequately assess this population (Behl & Kahn, 2015). With explicit planning of the assessments and tools needed on both sides of the camera, providers can create a shared framework to collect the information needed …

A Review Of Current Pediatric Tele-Audiology Ehealth Platforms, Alex Meibos

Journal of Early Hearing Detection and Intervention

Purpose: The purpose of this study was to identify current pediatric tele-audiology hearing technology platforms for young children with hearing loss and their families.

Method: An exploratory, descriptive design was used to evaluate features of available pediatric tele-audiology platforms for parents and audiologists to implement for young children. The study explored internet resources including hearing industry websites, for information related to specific eHealth platform features designed to support pediatric hearing devices currently available to audiologists and families.

Results: Of the websites reviewed, only four major technology companies were found to have pediatric tele-audiology ready platforms designed to support young children …

Intra-Operative Language Assessment For Adult Brain Tumor Survivors: A Systematic Review, Carissa Jolley

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Awake craniotomy and language assessment procedures for brain tumor survivors can drastically affect patient outcomes and quality of life. The goal of intra-operative language mapping is to help preserve vital communicative functions. However, there is currently no standardized set of measures for intra-operative language assessment. This systematic review identified behavioral language measures used during intra-operative procedures and the resulting outcomes for adult brain tumor patients, with the aim of helping clinicians and researchers select intra-operative language assessments supported by the highest levels of evidence.

PRISMA guidelines were used to systematically identify articles. Patient demographic and medical information, neuroimaging data, intra-operative …

Non-Nutritive Suck Burst Pattern Stability In Extremely Premature Infants, Alejandra Marquez

College of Education and Human Sciences: Dissertations, Theses, and Student Research

The development of non-nutritive suck (NNS) burst dynamics in preterm infants reflects the integrity of the brain and is used clinically to assess feeding readiness and orofacial motor development (Mizuno and Ueda, 2005). The application of NNS analytics in the present report represents one outcome measurement set that is part of an ongoing clinical trial involving extremely preterm infants (EPI’s,[GA]) randomized to receive either pulsed orocutaneous stimulation therapeutics or a sham (blind pacifier), in conjunction with salivary sampling twice weekly to map gene expression of key proteins involved in neural development and molecular sensing of feeding related pathways in the …

Bias In Measurement Of Autism Symptoms By Spoken Language Level And Non-Verbal Mental Age In Minimally Verbal Children With Neurodevelopmental Disorders, Shuting Zheng, Aaron Kaat, Cristan Farmer, Audrey Thurm, Catherine A. Burrows, Stephen Kanne, Stelios Georgiades, Amy Esler, Catherine Lord, Nicole Takashashi, Kerri P. Nowell, Elizabeth A. Will Ph.D., Jane E. Roberts, Somer L. Bishop

Faculty Publications

Increasing numbers of children with known genetic conditions and/or intellectual disability are referred for evaluation of autism spectrum disorder (ASD), highlighting the need to refine autism symptom measures to facilitate differential diagnoses in children with cognitive and language impairments. Previous studies have reported decreased specificity of ASD screening and diagnostic measures in children with intellectual disability. However, little is known about how cognitive and language abilities impact the measurement of specific ASD symptoms in this group. We aggregated a large sample of young children (N = 1196; aged 31-119 months) to examine measurement invariance of ASD symptoms among minimally verbal …

A Systematic Review Of Research On Augmentative And Alternative Communication Brain-Computer Interface Systems For Individuals With Disabilities., Betts Peters, Brandon Eddy, Deirdre Galvin-Mclaughlin, Gail Betz, Barry Oken, Melanie Fried-Oken

Speech and Hearing Sciences Faculty Publications and Presentations

Augmentative and alternative communication brain-computer interface (AAC-BCI) systems are intended to offer communication access to people with severe speech and physical impairment (SSPI) without requiring volitional movement. As the field moves toward clinical implementation of AAC-BCI systems, research involving participants with SSPI is essential. Research has demonstrated variability in AAC-BCI system performance across users, and mixed results for comparisons of performance for users with and without disabilities. The aims of this systematic review were to (1) describe study, system, and participant characteristics reported in BCI research, (2) summarize the communication task performance of participants with disabilities using AAC-BCI systems, and …

Implications For Cross-Training Between Applied Behavior Analysis And Speech-Language Pathology, Katherine Lynn Isaacson

Speech and Hearing Sciences Publications

This paper is to provide clarity about the overlaps between the fields of Applied Behavior Analysis (ABA) and speech-language pathology, including evaluation, assessment, intervention planning, and treatment of language development, nine articles were selected for a review of terms and definitions, philosophical and theoretical underpinnings, and licensure/certification requirements pertaining to both scopes of practice. Behavior analysts and speech-language pathologists (SLPs) are likely to provide intervention alongside one another due to their frequent provision of intervention with individuals diagnosed with autism spectrum disorder (ASD). Despite broad, initial overlaps between the professions, the required educational coursework, supervised fieldwork and clinical practicums, and …

The Effects Of Food Reward In Childhood On Disordered Eating Habits In Young Adults, Ainsley H. Steinbrueck

Selected Honors Theses

Childhood is a critical time for the development of habits of a person. Food is frequently used to reward children for performing desired behaviors. Using food rewards can create a psychological connection to food that goes beyond metabolic need which may develop disordered eating habits, such as emotional eating, binge eating and food addiction. This thesis examines the roles of food rewards given in childhood and their impact on disordered eating habits in young adulthood. A survey was completed by 58 participants (9 male and 49 female) which evaluated the presence, if any, of food rewards in childhood, the current …

Exceptional And Able: Supporting The Social Communication Skills Of Gifted Neurodiverse Students In The Classroom, Victoria S. Henbest, Brenda L. Beverly

APLL Lab Presentations

These are the presentation slides from the 2022 MEGA Conference (Mobile, AL) sponsored by the Alabama State Department of Education.

Transcranial Alternating Current Stimulation As An Adjuvant For Nonfluent Aphasia Therapy: A Proof-Of-Concept Study, Lynsey Mcgrath Keator

Theses and Dissertations

Identifying effective and efficient rehabilitation tools is crucial to improve language outcomes for persons living with chronic aphasia. Speech entrainment has proved to be particularly successful in improving speech output in nonfluent aphasia. It is hypothesized that, for patients with aberrant oscillatory synchronization between anterior and posterior language regions of the left hemisphere, speech entrainment may act as an external gaiting mechanism to bolster an impaired efference copy and improve synchrony between these regions. Theoretical and empirical evidence supports this idea that speech production relies on anterior-posterior connectivity in the left hemisphere.

Transcranial alternating current stimulation (tACS) delivers low, periodically-alternating …

Measuring Orthographic Influences On Phonological Processing In Beginning Readers: An Eyetracking Study, Emily Grace Fisher

Theses and Dissertations

Purpose – Both orthographic and phonemic awareness are essential to reading. However, the role of orthographic knowledge in phonemic awareness has not been thoroughly investigated in beginning readers until recently. The purpose of this study was to examine if orthographic knowledge influenced phonological processing in beginning readers and to establish a proof of concept for the use of eyetracking measures to examine these skills in young children.

Method – 22 participants, aged 6-7 years, completed norm-referenced assessments of language and reading ability as well as experimental measures of orthographic and phonological awareness while their eye movements were monitored.

Results – …

A Novel Cognitive Stress Paradigm To Assess Subtle Cognitive Differences In Women With The Fmr1 Premutation, Jillian Margaret Gierman

Theses and Dissertations

Fragile X premutation (FXPM) is a genetic mutation of the FMR1 gene characterized by having between 55-200 CGG repetitions. FXPM women are at risk for a variety of reproductive, cognitive, and neuropsychiatric deficits, including fragile X-associated primary ovarian insufficiency (FXPOI) and fragile X-associated tremor/ataxia syndrome (FXTAS). FXTAS is a late-onset neurodegenerative disorder characterized by tremor, gait ataxia, cognitive decline, brain atrophy, and deficits in executive functions. With the evidence supporting premature aging, prevalence of cognitive deficits, and risk of developing FXTAS and dementia, it is imperative to find a reliable measure that identifies at-risk FXPM women and their subtle cognitive …

Feasibility And Preliminary Outcomes Of A 6-Week Mindful Walking Program To Maintain And Improve Cognition In Adults At Risk For Alzheimer’S Disease Or Other Related Dementias, Caroline Mannion Wood

Theses and Dissertations

The present study examined the impact of a 6-week Mindful Walking intervention. Participants completed 30 minute walking sessions twice a week for 6 weeks. Ten older adults attended 100% of the supervised walking sessions. Pre-post comparison of the Montreal Cognitive Assessment and examination of subtests of the Montreal Cognitive Assessment did not reveal a significant change in mean scores (p.05, one-tailed). The number of steps accumulated as a result of Mindful Walking and other activities measured with the ActivPAL and change in MoCA total scores did not reach significance. Generally, the Mindful Walking program was well-liked (4 on a scale …

Cortical Organization For Encoding And Perception Of Auditory Spectral And Temporal Cues In Younger And Older Adults, Jitpakorn Pichaitanaporn

USF Tampa Graduate Theses and Dissertations

Perception of spectral and temporal acoustic cues is fundamental to most auditory tasks including speech discrimination, sound localization, and segregation of speech in background competition. Although neuroimaging studies have shown hemispheric asymmetry in processing spectral and temporal features, where right hemisphere is dominant for spectral processing while left hemisphere is dominant for temporal processing, the effects of aging on hemispheric asymmetry and associated auditory perceptual consequences have not been well studied. Neurocognitive aging studies support that due to limited neural resources, older adults may use different neural circuits than younger adults to maintain perceptual and cognitive performance during the same …

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, …

Investigating The Impact Of Nonlinguistic Cognitive Reserve On Naming Pre- And Post-Treatment, Lillian Jarold

Theses and Dissertations

Background: The relationship between linguistic and nonlinguistic cognition in persons with aphasia is complex and often debated in the literature. Furthermore, the impact of nonlinguistic cognition on aphasia treatment outcomes is unclear. The present study sought 1) to examine the relationship between WAIS scores and performance on a test of naming and 2) to examine the relationship between WAIS scores and change scores on a test of naming between baseline and post-treatment in persons with chronic aphasia.

Method: This retrospective study utilized data from participants (N=102) who were recruited for a multi-center cross-over trial (POLAR: Predicting Outcomes of Language Rehabilitation). …

Intolerance Of Uncertainty, Sensory Processing, And Related Correlates In Autistic Children During The Covid-19 Pandemic, Mollie Bradley

Theses and Dissertations

The COVID-19 pandemic increased uncertainty and anxiety for most and was especially disruptive to autistic people and their families. Autistic children were particularly vulnerable due to their intolerance for increased uncertainty and disruption to their school and therapy support. This study aimed to investigate the effect that increased uncertainty had on autistic children, specifically their sensory behaviors and stress levels and on the stress levels of their primary caregivers. Parents and guardians of 47 autistic children completed an online survey consisting of questions investigating background and demographic information, their experiences during the first six months of the pandemic, information about …

A Comparative Study On The Expository Writing Abilities Of Kindergarten Students With And Without Developmental Language Disorder, Kristine Michelle Dayley Andrus

Theses and Dissertations

State standards require kindergarten students to produce expository writing, but little research has been done regarding their abilities in this area. This study describes expository writing samples of 47 typically developing (TD) kindergarteners and 43 kindergarteners with developmental language disorder (DLD). The Expository Language Measures (ELM) Flow Chart and the Systematic Analysis of Language Transcripts (SALT) software were used to detail the language complexity and text structure features the children in the sample produced. When comparing TD and DLD children's expository written samples, no significant differences in the language and text structure measures were found. It is important to continue …

The Impact Of Background Noise On The Communicative Experience Of People With Mild To Moderate Aphasia: A Qualitative Study, Riley Robertson Hegewald

Theses and Dissertations

This study examined how retelling stories with a variety different background noise conditions affected the communicative experiences of people with aphasia (PWA). Participants included 11 adults with mild to moderate aphasia and 11 age- and gender-matched controls. Participants participated in a semi-structured interview immediately following the experimental measure where they were asked open-ended questions regarding their experience retelling stories and how those experiences related to their everyday lives. Results revealed three themes related to how participants responded to communicating in noise: (a) cognitive reactions, (b) emotional reactions, and (c) social reactions. The findings suggest that PWA exert more effort when …

The Analysis Of Omission And Substitution Errors In Various Language Tasks In Bilingual Children, Macy Whiting

Theses and Dissertations

As the population of Spanish-English bilingual children in the United States steadily grows, the importance of accurately assessing and diagnosing developmental language disorder (DLD) has also grown. Understanding a child's underlying language learning system is critical in this process. Several studies have demonstrated the efficacy of nonword repetition (NWR) tasks in bilingual children across a wide range of development, however there is little information regarding guidelines for interpretation of NWR performance or analyzing error patterns. This study was conducted to address these gaps in the research. A sample of 26 Spanish-English bilingual school aged children (6;0-9;4) were administered English and …