Speech Pathology and Audiology Commons^™

Ototoxic Hearing Loss And Retinoblastoma Patients, Shaum Bhagat

Faculty Publications

Chemotherapy is often used in the conservative management of retinoblastoma. Chemotherapy drugs, while ameliorative, can produce long-lasting side effects that potentially can affect survivor quality of life. Carboplatin is a common chemotherapy agent with known ototoxic side effects that is used in the treatment of retinoblastoma (Rodriguez-Galindo et al., 2003). The potential for carboplatin-induced hearing loss is of concern to the medical professional, given that retinoblastoma is often diagnosed in early childhood and children with retinoblastoma have visual impairments. This chapter will outline the mechanisms underlying carboplatin ototoxicity. The extent of knowledge concerning the pathophysiology of carboplatin-induced hearing loss will …

Effect Of Parallel Talk On The Language And Interactional Skills Of Preschoolers With Cochlear Implants And Hearing Aids, Sharon A. Raver, Jonna Bobzien, Corrin Richels, Peggy Hester, Anne Michalek, Nicole Anthony

Communication Disorders & Special Education Faculty Publications

Children with profound congenital hearing loss often do not have the same prelinguistic opportunities for social and verbal interaction as their peers with typical hearing [14]. Consequently, language and social skills may be challenging for this group, even after they are provided with amplification or a cochlear implant. This pilot study examined the effectiveness of using a parallel talk intervention to increase the language and interactional skills of three preschoolers with deafnesss. Results revealed that all participants increased verbal turn-taking and that two of the three increased initiated and responded vocal/verbal comments, and initiated and responded nonverbal responses during a …

Augmented Input: The Effect Of Visuographic Supports On The Auditory Comprehension Of People With Chronic Aphasia, Sarah E. Wallace, Aimee R. Dietz, Karen Hux, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Background: Augmented input (AI), or the use of visuographic images and linguistic supports, is a strategy for facilitating the auditory comprehension of people with chronic aphasia. To date, researchers have not systematically evaluated the effects of various types of AI strategies on auditory comprehension.

Aims: The purpose of the study was to perform an initial evaluation of the changes in auditory comprehension accuracy experienced by people with aphasia when they received one type of AI. Specifically, the authors examined the effect four types of non-personalized visuographic image conditions on the comprehension of people with aphasia when listening to narratives.

Methods …

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 …

Endoscopic And Stroboscopic Presentation Of The Larynx In Male-To-Female Transsexual Persons, Derek Palmer, Angela M. Dietsch, Jeff Searl

Department of Special Education and Communication Disorders: Faculty Publications

Background. Male-to-female transsexual (MFT) persons often attempt to produce a female-sounding voice as part of the transition process. Endoscopic and stroboscopic data about how they accomplish this with an anatomically male larynx are lacking.

Objectives. To describe vocal fold activity in MFT persons producing their feminine voice and identify signs of vocal misuse or hyperfunction in MFT speakers, if any.

Study Design. Prospective, nonrandomized, descriptive study of a convenience sample of MFT persons.

Methods. All MFT persons had endoscopic and stroboscopic procedures completed. Images were rated on a range of parameters by two experienced voice therapists …

The Impact Of Literacy Through Movement In A 3rd Grade Hispanic Classroom, Daniel Peregrino

Open Access Theses & Dissertations

This case study examines the effects of a kinesthetic literacy-training program on the complexity of narrative production and performance on the Garfield Motivation to Read Survey in a group of four 3rd grade elementary students. The 3rd grade teacher attended a Literacy Through Movement workshop to learn a range of movement-based literacy activities and methods for the classroom. The LITMO program was then implemented as part of a language arts poetry module for 3 weeks in her classroom. Changes in four students' performance on the Garfield Survey and narrative samples were measured before and after the LITMO intervention. Results suggest …

Brain Maturation In The Adolescent Athlete And It's Implication On Concussion Management, Jacqueline Picone

Open Access Theses & Dissertations

As the adolescent brain develops, any event that interrupts the process, such as a concussion, may result in long-term academic and social effects (Dennis & Levin, 2004). To date, there is no specific assessment or protocol published that consider the cognitive and development of the adolescent brain when managing concussion (Patel, et al., 2005). Purpose: to investigate whether there is a statistically significant difference between the composite scores and sub-test scores in the subtests on the ImPACT battery: Word Memory, Design Memory, X's and O's, Symbol Match, Color Match, and Three Letters, of high school male athletes between the ages …

Comparison Of Performance Between Elderly Individuals And Collegiate Athletes On The Immediate Post-Assessment And Cognitive Test, Kevin Van Den Bogaard

Open Access Theses & Dissertations

Preventing falls in the elderly population requires a collaborative effort that includes medical treatment, rehabilitation, and environmental modification. Medical assessment of the elderly after a fall is designed to treat the potential conditions associated with the fall, such as broken limbs and trauma to the head resulting in a mild traumatic brain injury (mTBI). Currently, there is no standardized test or protocol accepted across health care facilities to track the cognitive-communicative recovery of elderly patients. A group of elderly individuals deemed healthy and capable of independent living were administered the baseline Immediate Post Assessment and Cognitive Test (ImPACT). This study …

Assessing Cortical Electrophysiologic And Behavioral Activity In Individuals With Aphasia And Participants With No Brain Damage Responding To Spoken Sentence Length Messages, Patricia Lara

Open Access Theses & Dissertations

In this study, six individuals with aphasia and twelve participants with no brain damage responded to spoken sentence length messages using a modified version of the Revised Token Test (McNeil & Prescott, 1978) while cortical activation was recorded using event related potentials (ERP). ERP is a non-invasive imaging procedure that measures cortical activation reflected in the electrical activity that is produced at the level of the cortex in response to internal or external stimulus.

Participants were presented with a visual display that provided eight different token arrangements per trial that were displayed on the computer screen. Spoken messages that increased …

Phonological Memory Associations Of Language Impairment In Bilingual Children, Marcela Susa

Open Access Theses & Dissertations

Knowledge-based assessments of language impairments have been found to contain bias for assessing performance in bilingual children from diverse cultural backgrounds. As an alternative, measures related to performance of phonological working memory are becoming more popular for bilingual children. The purpose of the current study was to investigate how bilingual children with language impairment (BILI) would perform on nonword repetition and sentence repetition when compared to typically developing peers (BITD). Also, the current study investigated the extent to which the nonword repetition task and sentence repetition task were associated with each other in bilingual (English-Spanish) children. Results demonstrated that typically …

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 …

Grammatical Morphology In School-Age Children With And Without Language Impairment: A Discriminant Function Analysis, Maura Jones Moyle, Susan Ellis Weismer, Brenda K. Gorman

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The purpose of this study was to test Bedore and Leonard's (1998) proposal that a verb morpheme composite may hold promise as a clinical marker for specific language impairment (SLI) in English speakers and serve as an accurate basis for the classification of children with and without SLI beyond the preschool level.

Method: The language transcripts of 50 school-age children with SLI (M_age = 7;9 [years;months]) and 50 age-matched typically developing peers (M_age = 7;9) were analyzed. Following the Bedore and Leonard (1998) procedure, 3 variables were measured: a finite verb morpheme composite, a noun …

Speaking Rate Effects On Normal Aspects Of Articulation: Outcomes And Issues, Jeffrey J. Berry

Speech Pathology and Audiology Faculty Research and Publications

The articulatory effects of speaking rate have been a point of focus for a substantial literature in speech science. The normal aspects of speaking rate variation have influenced theories and models of speech production and perception in the literature pertaining to both normal and disordered speech. While the body of literature pertaining to the articulatory effects of speaking rate change is reasonably large, few speaker-general outcomes have emerged. The purpose of this paper is to review outcomes of the existing literature and address problems related to the study of speaking rate that may be germane to the recurring theme that …

Temporal And Aerodynamic Aspects Of Velopharyngeal Coarticulation: Effects Of Age, Gender And Vowel Height, Fadwa Khwaileh

Theses and Dissertations (ETD)

Previous studies on the normal patterns of velopharyngeal coarticulation did not provide a multidimensional description of the phenomenon. The primary objective of this study was to determine the effects of age, gender and vowel height on the temporal and aerodynamic aspects of nasal airflow segments related to velar coarticulation in the normal speech of children and adults. A secondary objective was to determine the within speaker variability of the segments.

Speakers consisted of 20 children between the ages of 5 and 7 years, 20 children between 9 and 11 years and 20 adult speakers 18 years or older. Nasal and …

Effect Of Occlusion, Directionality And Age On Horizontal Localization, Lynzee Nicole Alworth

Theses and Dissertations (ETD)

Localization acuity of a given listener is dependent upon the ability discriminate between interaural time and level disparities. Interaural time differences are encoded by low frequency information whereas interaural level differences are encoded by high frequency information. Much research has examined effects of hearing aid microphone technologies and occlusion separately and prior studies have not evaluated age as a factor in localization acuity. Open-fit hearing instruments provide new earmold technologies and varying microphone capabilities; however, these instruments have yet to be evaluated with regard to horizontal localization acuity.

Thus, the purpose of this study is to examine the effects of …

Creative And Stylistic Devices Employed By Children During A Storybook Narrative Task: A Cross-Cultural Study, Brenda K. Gorman, Christine Fiestas, Elizabeth Peña, Maya Reynolds Clark

Speech Pathology and Audiology Faculty Research and Publications

Purpose: The purpose of this study was to analyze the effects of culture on the creative and stylistic features children employ when producing narratives based on wordless picture books.

Method: Participants included 60 first- and second-grade African American, Latino American, and Caucasian children. A subset of narratives based on wordless picture books collected as part of a larger study was coded and analyzed for the following creative and stylistic conventions: organizational style (topic centered, linear, cyclical), dialogue (direct, indirect), reference to character relationships (nature, naming, conduct), embellishment (fantasy, suspense, conflict), and paralinguistic devices (expressive sounds, exclamatory utterances).

Results …

Augmented Control Of A Hands-Free Electrolarynx, Brian Madden, James Condron, Eugene Coyle

Conference Papers

During voiced speech, the larynx acts as the sound source, providing a quasi-periodic excitation of the vocal tract. Following a total laryngectomy, some people speak using an electrolarynx which employs an electromechanical actuator to perform the excitatory function of the absent larynx. Drawbacks of conventional electrolarynx designs include the monotonic sound emitted, the need for a free-hand to operate the device, and the difficulty experienced by many laryngectomees in adapting to its use. One improvement to the electrolarynx, which clinicians and users frequently suggest, is the provision of a convenient hands-free control facility. This would allow more natural use of …

Augmentative And Alternative Communication Systems In The Classroom, Helen Angela Mezzomo

Walden Dissertations and Doctoral Studies

Augmentative-alternative communication (AAC) systems are used to give voice to individuals who are nonverbal. As AAC systems become more complex and prevalent in the classroom expectations of school-based professionals expand. However, the roles of those expected to support AAC systems, primarily teachers and speech-language pathologists (SLPs), are not clearly defined. Without clearly defined roles, professionals may not provide needed support to students who use AAC. Dewey's theory of community suggests that role confusion leads to insufficient and ineffective services. The purpose of this cross-sectional quantitative study was to determine how teachers and SLPs view their roles in supporting AAC. The …

Covariation Among Vowel Height Effects On Acoustic Measures, Jeffrey J. Berry, Maura Jones Moyle

Speech Pathology and Audiology Faculty Research and Publications

Covariation among vowel height effects on vowel intrinsic fundamental frequency (IF0), voice onset time (VOT), and voiceless interval duration (VID) is analyzed to assess the plausibility of a common physiological mechanism underlying variation in these measures. Phrases spoken by 20 young adults, containing words composed of initial voiceless stops or /s/ and high or low vowels, were produced in habitual and voluntarily increased F0 conditions. High vowels were associated with increased IF0 and longer VIDs. VOT and VID exhibited significant covariation with IF0 only for males at habitual

Feasibility Of Group Voice Therapy For Individuals With Parkinson’S Disease, Jeff Searl, Kristel Wilson, Karen Haring, Angela M. Dietsch, Kelly E. Lyons, Rajesh Pahwa

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The primary purpose was to demonstrate the feasibility of executing treatment tasks focused on increasing loudness in a group format for individuals with Parkinson’s disease (PD). A second purpose was to report preliminary pre-to-post treatment outcomes for individuals with PD immediately after they complete the group program.

Methods: The group intervention is described. Fifteen adults with PD who participated in the group and three clinicians leading the group provided feedback about the execution of the intervention. The participants also provided voice samples and self-ratings of voice handicap once before completing the 8-week voice group and once immediately …

Audibility As A Predictor Of Speech Recognition And Listening Effort, Ryan W. Mccreery

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

Two studies were conducted to evaluate how audibility influences speech recognition and measures of working memory in children with normal hearing. Specifically, audibility limitations related to background noise and limited bandwidth were analyzed, as these factors are characteristic of the listening conditions encountered by children with hearing loss who wear hearing aids.

In the first study, speech recognition was measured for 117 children and 18 adults with normal hearing. Stimulus bandwidth and the level of background noise were varied systematically in order to evaluate predictions of audibility based on the Speech Intelligibility Index. Results suggested that children with normal hearing …

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?

/Intɛli/ A Bilingual Computer Software Treatment Program For Apraxia Of Speech, Esnire Abigail Gomez

Open Access Theses & Dissertations

Apraxia of Speech (AOS) is a motor speech disorder characterized as difficulty planning and producing precise and refined movements of the articulators for intelligible speech (CASANA). Purpose: The purpose of this study was to explore the success of /Inteli/, an experimental computer program that incorporates melodic intonation therapy (MIT), modified eight step continuum, visual and auditory cues, and voice recordings for instant feedback to increase speech intelligibility. Method: A single subject multiple-baseline design was used to examine the effects of /Inteli/ on the speech intelligibility of a child diagnosed with severe AOS. Treatment was applied to 30 multisyllabic words in …

Unreported Concussion In High School Football Players, Princess Arcelia Puga

Open Access Theses & Dissertations

Recent research in sport-related concussions has begun to reveal more about the specific hazards of high school football. However, the national reports of incidence/prevalence of concussions in this population appear to be inaccurate, because only emergency department (ED) visits are accounted for in reporting the number of concussions sustained in football. Purpose: The purpose of this study was to investigate whether there is a statistically significant difference between the frequencies of concussion reports by athletic trainers (ATC) versus hospital records on concussion in high school football players in El Paso, Texas. Method: A questionnaire was delivered to athletic trainers through …

Speech-Language Pathologists' Reports Of Interprofessional Collaboration And Exposure During Graduate School, Carly Ruth Robalin

Open Access Theses & Dissertations

ABSTRACT

Although the importance and benefits of interprofessional education (IPE) and interprofessional collaboration (IPC) in healthcare have been well demonstrated, the majority of graduate programs in speech-language pathology (SLP) only offer discipline-specific coursework and related experiences. Purpose: The purpose of this study is to explore SLPs' perceptions of their graduate programs' success at preparing them to be interprofessional team-members in the medical work setting. Method: Medically-based SLPs in five Texas cities responded to a survey addressing IPE and IPC. Responses were collected regarding: 1. Interprofessional exposure to physical therapy (PT) and occupational therapy (OT) during graduate school, 2. IPE opportunities …

Monitoring Carboplatin Ototoxicity With Distortion-Product Otoacoustic Emissions In Children With Retinoblastoma, Shaum Bhagat, Johnnie Bass, Stephanie White, Ibrahim Qaddoumi, Matthew Wilson, Jianrong Wu, Carlos Rodriguez-Galindo

Faculty Publications

ObjectiveCarboplatin is a common chemotherapy agent with potential ototoxic side effects that is used to treat a variety of pediatric cancers, including retinoblastoma. Retinoblastoma is a malignant tumor of the retina that is usually diagnosed in young children. Distortion-product otoacoustic emission tests offer an effective method of monitoring for ototoxicity in young children. This study was designed to compare measurements of distortion-product otoacoustic emissions obtained before and after several courses of carboplatin chemotherapy in order to examine if (a) mean distortion-product otoacoustic emission levels were significantly different; and (b) if criterion reductions in distortion-product otoacoustic emission levels were observed in …

Intelligibility Of Electrolarynx Speech Using A Novel Actuator, Brian Madden, Mark Nolan, Ted Burke, James Condron, Eugene Coyle

Conference Papers

During voiced speech, the larynx provides quasi-periodic acoustic excitation of the vocal tract. Following a laryngectomy, some people speak using an electrolarynx which replaces the excitatory function of the absent larynx. Drawbacks of conventional electrolarynx designs include the buzzing monotonic sound emitted, the need for a free hand to operate the device, and difficulty experienced by many laryngectomees in adapting to its use. Despite these shortcomings, it remains the preferred method of speech rehabilitation for a substantial minority of laryngectomees. In most electrolarynxes, mechanical vibrations are produced by a linear electromechanical actuator, the armature of which percusses against a metal …

Psychometric Properties Of The Pyramids And Palm Trees Test, Gerasimos Fergadiotis, Heather Wright, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

The Pyramids and Palm Trees Test (PPT) is a nonverbal measure of semantic memory that has been frequently used in previous aphasia, agnosia, and dementia research. Very little psychometric information regarding the PPT is available. The purpose of this study was to investigate the psychometric properties of the PPT in a population of healthy college students. Results indicated that the PPT achieved poor test–retest reliability, failed to obtain adequate internal consistency, and demonstrated poor convergent validity, but showed acceptable discriminant validity. The results of this study suggest that the PPT lacks acceptable reliability and validity for use with a college …