Speech and Hearing Science Commons^™

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.

An Investigation Of Motor Speech And Motor Limb Movements Following A Sport-Related Concussion-An Extension Study, Linda Phan

Open Access Theses & Dissertations

Background: Minimal research is available regarding the effects on motor speech and motor limb movements following a sport-related concussion (SRC). A sensitive measure is necessary to detect subtle deficits in motor speech, as it may provide diagnostic insight involving return-to- play decisions.

Purpose: This research aimed at replicating and extending a previous research study, Hewitt (2015), conducted at the University of Texas at El Paso. The Hewitt (2015) study examined motor speech tasks and motor limb tasks which included the following: oral diadochokinetics (DDK): sequential motion rate (SMR)(i.e. /puh-tuh-kuh/) and alternating motion rate (AMR) (i.e. /puhpuhpuh/, /tuhtuhtuh/, /kuhkuhkuh/); speech rate …

The Effect Of A Fluent Signing Narrator On Quality Of Maternal Behavior During E-Book Shared Reading Interactions With Their Children With Hearing Loss, Mar Alejandra Bonilla Yáñez

Open Access Theses & Dissertations

Purpose: The average high school student with hearing loss graduates reading at a 4th grade level. A factor that may contribute to the literacy development in children with typical hearing is language modeling and support surrounding shared book reading. The shared book reading experiences of children with hearing loss (CHL) and their parents may be different in quantity and quality from their peers with typical hearing. There is evidence reporting parental frustration and feeling of incompetence when reading to their CHL due to a sensory mismatch between the childâ??s and the parentâ??s mode of communication and skills. This study investigated …

The Effects Of Bilingualism On Auditory Selective Attention In Normal-Hearing Adults, Francisco Fernandez

Open Access Theses & Dissertations

Bilingual speakers have been shown to be more adept than monolingual speakers at actively blocking useless information in the visual modalities. This advantage should be observed in both the visual and the auditory modalities using tasks of inhibitory control. However, very little is known regarding how bilingualism influences inhibitory control in the perception of auditory information. By using an auditory test of inhibition, such as the utilization of a Dichotic Listening task, bilinguals are expected to display an increased measure of cognitive ability.

Does Knowledge Of Concussion Symptoms Influence An Athlete's Self-Report Of A History Of Concussion Across Gender And Age?, Kara Ashlan Greco

Open Access Theses & Dissertations

Background: The incidence of sport-related concussion is debatable. While the Centers for Disease Control and Prevention report an extrapolated incidence of 1.6 to 3.2 million recreational/sports-related traumatic brain injuries a year, the suspicion is that the incidence is much higher (CDC, 2014). An important consideration in determining the incidence involves whether an athleteâ??s knowledge of what a concussion is influences their self-report of prior concussions.

Purpose: The purpose of this study is to replicate and extend Pfirman (2015) in determining whether providing information about concussion will increase the self-report of a history of concussion. Furthermore, this study investigates whether there …

Nature Of The Verbal Fluency Task In Concussed Athletes, Paulina Mejia

Open Access Theses & Dissertations

Background: Verbal fluency is a common test used to assess naming in individuals with brain injury. Troyer (1997) reported that naming components such as phonemic clusters and categorical switching might be more sensitive to the presence of brain injury than a reduction in the total number of words that is commonly used as a measure. Phonemic task refers to the F-A-S naming task while the semantic task refers to the animal naming task because of the frequent production of the phonemic cluster on the F-A-S and semantic clusters on the animal naming task (Troyer, 1997).

Purpose: The purpose of this …

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 …

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, …

Understanding The Stigma Of Hearing Loss And How If Affects The Patient And Treatment Process, Carolyn M. Zaitzew

Williams Honors College, Honors Research Projects

This project is a literature review on the topic of hearing loss related stigma and the effects it has on persons with hearing loss. There has not been very much research conducted on this topic, which limited the paper’s content. Through researching and analyzing previous studies, it was found that a stigma related to hearing loss still exists today and has multiple effects on persons with hearing loss. The stigma can put negative stress on patients with hearing loss, both psychologically and socially, and may even cause them to not seek or accept treatment when needed. Younger adults are more …

Under-Reactive But Easily Distracted: An Fmri Investigation Of Attentional Capture In Autism Spectrum Disorder, Brandon Keehn, Aarti K N Nair, Alan J. Lincoln, Jeanne Townsend, Ralph Axel Müller

Department of Speech, Language, and Hearing Sciences Faculty Publications

For individuals with autism spectrum disorder (ASD), salient behaviorally-relevant information often fails to capture attention, while subtle behaviorally-irrelevant details commonly induce a state of distraction. The present study used functional magnetic resonance imaging (fMRI) to investigate the neurocognitive networks underlying attentional capture in sixteen high-functioning children and adolescents with ASD and twenty-one typically developing (TD) individuals. Participants completed a rapid serial visual presentation paradigm designed to investigate activation of attentional networks to behaviorally-relevant targets and contingent attention capture by task-irrelevant distractors. In individuals with ASD, target stimuli failed to trigger bottom-up activation of the ventral attentional network and the cerebellum. …

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 …

Differential Effects Of Cdh23753a On Auditory And Vestibular Functional Aging In C57bl/6j Mice, Bruce E. Mock, Sarath Vijayakumar, Jessica Pierce, Timothy A. Jones, Sherri M. Jones

Department of Special Education and Communication Disorders: Faculty Publications

The C57BL/6J (B6) mouse strain carries a cadherin 23 mutation (Cdh23^753A, also known as Ahl), which affects inner ear structures and results in age-related hearing loss. The B6.CAST strain harbors the wild type Cdh23 gene, and hence, the influence of Ahl is absent. The purpose of the present study was to characterize the effect of age and gender on gravity receptor function in B6 and B6.CAST strains and to compare functional aging between auditory and vestibular modalities. Auditory sensitivity declined at significantly faster rates than gravity receptor sensitivity for both strains. Indeed, vestibular functional aging was …

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 …

Fundamental Frequency Characteristics Of Modal And Vocal Fry Registers, Heidi Brubaker, Jason Albertson Whitfield Ph.D., Jane Schoonmaker Rodgers D.M.A.

Honors Projects

This study examined the distribution of fundamental frequencies in the connected speech of 14 healthy young adults. Acoustic analysis of fundamental frequency was performed on previously collected speech samples of a phonetically balanced reading passage. For the first three sentences of the reading passage, fundamental frequency contours were extracted using PRAAT, a speech analysis software package. The accuracy of these contours were visually verified and manually corrected when needed. The distribution of the fundamental frequency histories for each sample were then analyzed using Gaussian Mixture Model analyses in MATLAB. For most speakers, four statistical modes were identified in the data …

Thyroid Disorders, Amanda Myers

University Honors Program

Thyroid disorders are highly prevalent worldwide. In order to obtain a better understanding of these disorders research was done by analyzing current data and scholarly literature. Questions answered by this research comprise different aspects of thyroid disorders and their affects. What types of thyroid disorders exist? How do they affect the body and how detrimental are they when left untreated? How do these disorders affect the daily living of the individuals affected? And how are third world populations affected by these disorders? Research suggests that over 750 million people worldwide suffer from a thyroid disorder. These disorders have detrimental effects …

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.

Analysis Of Speech-Language Pathology Graduate Students' Experience With Thickened Liquids, Mary Gorham-Rowan, Jade Coston

Internet Journal of Allied Health Sciences and Practice

Purpose: Thickened liquids are frequently recommended for patients with dysphagia to minimize aspiration. When discussing the use of thickened liquids with graduate students in Communication Sciences & Disorders (CSD), it is beneficial to discuss the potential effect(s) of this dietary recommendation. Graduate level preparation involving first-hand experience with thickened liquids may help future speech-language pathologists (SLPs) develop a more complete understanding of the effects of diet modification. The purpose of the current study was to examine the reactions of graduate students in CSD to a brief period of thickened liquid use as an experiential learning activity. Methods: Sixty-eight graduate students …

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

ETSU Faculty Works

No abstract provided.

Relationship Between Acoustic Measures And Speech Naturalness Ratings In Parkinson’S Disease: A Within-Speaker Approach, Marie I. Klopfenstein

SIUE Faculty Research, Scholarship, and Creative Activity

This study investigated the acoustic basis of across-utterance, within-speaker variation in speech naturalness for four speakers with dysarthria secondary to Parkinson’s disease (PD). Speakers read sentences and produced spontaneous speech. Acoustic measures of fundamental frequency, phrase-final syllable lengthening, intensity and speech rate were obtained. A group of listeners judged speech naturalness using a nine-point Likert scale. Relationships between judgements of speech naturalness and acoustic measures were determined for individual speakers with PD. Relationships among acoustic measures also were quantified. Despite variability between speakers, measures of mean F0, intensity range, articulation rate, average syllable duration, duration of final syllables, vocalic nucleus …

The Impact Of Lingual Resistance Training In Two Individuals With Amyotrophic Lateral Sclerosis: A Case Series, Raele Donetha Robison

USF Tampa Graduate Theses and Dissertations

Introduction: Amyotrophic Lateral Sclerosis (ALS) is a fatal and progressive disease characterized by the deterioration of motor neurons within the body. This degeneration leads to bulbar dysfunction in the form of an impaired ability to communicate and swallow. Currently, bulbar dysfunction is treated via compensatory methods aimed at maximizing comfort and safety that include environmental adaptations, augmentative and assistive communication and gastrostomy tube placement to replace speech and oral feeding. The role of active intervention is controversial in this patient population and no investigations have examined the potential role lingual exercise might play in ALS bulbar management. The purpose of …

Validity Of A Nonspeech Dynamic Assessment Of Phonological Awareness In Children From Spanish-Speaking Backgrounds, Bianca Angelica Loreti

USF Tampa Graduate Theses and Dissertations

Literacy development in Spanish-speaking children is a growing concern in the United States (Invernizzi, 2009). Phonological awareness is a predictor of literacy achievement in most alphabetic languages (Anthony et al., 2011; Davison & Brea-Spahn, 2012; Durgunoğlu, Nagy, & Hancin-Bhatt, 1993; Goikoetxea, 2005). Bilingual children with complex communication needs (CCN) demonstrate increased difficulties in speaking, reading, and writing, making learning two languages a difficult task (Toppelberg, Snow, & Tager-Flusberg, 1999). Literacy attainment in bilingual individuals who have CCN is important to improve their overall language development and communication interaction skills (Harrison-Harris, 2002). A valid and reliable phonological awareness assessment that does …

Towards An Automated Screening Tool For Pediatric Speech Delay, Roozbeh Sadeghian, Stephen A. Zahorian

Faculty Works

Speech delay is a childhood language problem that sometimes is resolved on its own but sometimes may cause more serious language difficulties later. This leads therapists to screen children for detection at early ages in order to eliminate future problems. Using the Goldman-Fristoe Test of Articulation (GFTA) method, therapists listen to a child's pronunciation of certain phonemes and phoneme pairs in specified words and judge the child's stage of speech development. The goal of this paper is to develop an Automatic Speech Recognition (ASR) tool and related speech processing methods which emulate the knowledge of speech therapists. In this paper …

Counseling Training For Audiology Students: Using Standardized Patients, Catherine Schroy

Arts & Sciences Graduate Student Theses and Dissertations

The implementation of Universal Newborn Hearing Screening (UNHS) has resulted in earlier diagnosis of hearing loss in children. Research shows that early diagnosis of hearing loss results in better outcomes in speech and language, socio-emotional, and cognitive development. Early diagnosis, however, often comes as a surprise to parents of newborns. When parents are told their child has a hearing loss, it is often before they have been able to observe behaviors that would lead to the suspicion of hearing loss. Parents are usually told about the hearing loss diagnosis by an audiologist and are often dissatisfied with how the news …

The Effect Of Background Music On The Visual Categorization Of Printed Words In Normal Younger And Older Adults, Sukhada Vaidya Mairal

Theses and Dissertations (ETD)

Aim: Research has shown that background music, with and without vocal content, has a detrimental effect on cognitive task performance. Research has also shown a decline in processing speed as age increases. The present study seeks to answer the following questions: 1. Will background vocal music have any detrimental effects on performance of a visual semantic word categorization task? 2. Does age have any effect on performance of visual semantic word categorization in the presence of background music?

Participants: Participants consisted of 36 adult native speakers of English with normal speech and language divided in to two groups based on …

Training And Application Of Correct Information Unit Analysis To Structured And Unstructured Discourse, Audrey Bretthauer Cohen

Dissertations and Theses

Correct Information Units (CIU) analysis is one of the few measures of discourse that attempts to quantify discourse as a function of communicating information efficiently. Though this analysis is used reliably as a research tool, most studies' apply CIUs to structured discourse tasks and do not specifically describe how raters are trained. If certified clinical speech-language pathologists can likewise reliably apply CIU analysis within clinical settings to unstructured discourse, such as the discourse of people with aphasia (PWA), it may allow clinicians to quantify the information communicated efficiently in clinical populations with discourse deficits. Purpose: The purpose of this study …

Pre-Pulse Inhibition Assessment Of Sound Localization In Mice, Kathryn C. Brooks

Senior Honors Projects, 2010-2019

The purpose of my Honors Research Project was to assist Dr. Megan

Klingenberg in completing part of the research in her final dissertation project. Dr.

Klingenberg’s project was based off of a study done by Allen and Ison in 2010.

This study tested the auditory spatial acuity of mice using pre-pulse inhibition of

the startle reflex as the response for detecting the sound stimulus. The goal of

Dr. Klingenberg’s AuD project was “to explore the methodological, functional, and

genetic influences on sound localization using pre-pulse inhibition of the acoustic

startle response in mice”. Dr. Klingenberg’s project was broken into three …

Binaural Listening In Young And Middle-Aged Adults: Interaural Phase Differences And Speech-In-Noise Measures, Caitlin Cotter

Dissertations, 2014-2019

Difficulty understanding speech in the presence of noise is a common complaint of middle-aged and older adults with and without hearing loss. There is an incomplete picture of what contributes to difficulties understanding speech-in-noise in adults who have normal audiograms. As humans we listen binaurally, so declines in binaural processing may contribute to speech-in-noise difficulties. We examined the effects of age on the upper frequency limit of interaural phase difference (IPD) detection and IPD detection at fixed frequencies. We also examined a speech-in-noise measure of spatial separation across young and middle-aged, normal-hearing individuals.

Participants were young (n=12) and middle-aged (n=8) …

Effects Of Training And Lung Volume Levels On Voice Onset Control And Cortical Activation In Singers, Nicholas A. Barone

Dissertations, 2014-2019

Singers need to counteract respiratory elastic recoil at high and low lung volume levels (LVLs) to maintain consistent airflow and pressure while singing. Professionally trained singers modify their vocal and respiratory systems creating a physiologically stable and perceptually pleasing voice quality at varying LVLs. In manuscript 1, we compared non-singers and singers on the initiation of a voiceless plosive followed by a vowel at low (30% vital capacity, VC), intermediate (50%VC), and high (80%VC) LVLs. In manuscript 2, we examined how vocal students (singers in manuscript 1) learn to control their voice onset at varying LVLs before and after a …