Speech Pathology and Audiology Commons^™

Sensorimotor Adaptation Of Speech Using Real-Time Articulatory Resynthesis, Jeffrey J. Berry, Cassandra North, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Sensorimotor adaptation is an important focus in the study of motor learning for non-disordered speech, but has yet to be studied substantially for speech rehabilitation. Speech adaptation is typically elicited experimentally using LPC resynthesis to modify the sounds that a speaker hears himself producing. This method requires that the participant be able to produce a robust speech-acoustic signal and is therefore not well-suited for talkers with dysarthria. We have developed a novel technique using electromagnetic articulography (EMA) to drive an articulatory synthesizer. The acoustic output of the articulatory synthesizer can be perturbed experimentally to study auditory feedback effects on sensorimotor …

The Comparison Of The Effectiveness Of Using A Traditional Approach To Speech Therapy To Using A Traditional Approach To Speech Therapy Plus Non-Speech Oral Motor Exercises In Children With Articulation Disorders, Alanna D. Buckley

Honors Theses

This study focuses on an area of debate in the field of Speech-Language Pathology with little prior research on the topic. The thesis considers the use of non-speech oral motor exercises in children with Articulation Disorders. Understanding the reasoning behind the use of these exercises as well as the reasons that cause the exercises to be controversial are discussed. Data is collected from four clients at the University of Southern Mississippi Speech and Hearing Clinic. All four clients have Articulation Disorders; non-speech oral motor exercises are used in therapy with two of the clients in addition to a Traditional Approach …

Assessment Of Morphosyntactic Development Of Preschool Children With Hearing Loss Using The Clinical Evaluation Of Language Fundamentals-Preschool Second Edition, Angela Anderson

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

It is recommended that children with HL are assessed using standardized assessments normed on hearing peers (Houston & Caraway, 2009; Joint Commission on Infant Hearing (JCIH), 2007). However, as these assessments are more commonly administered to children with HL there is reason to further investigate the sensitivity of these assessments particularly in their ability to identify weaknesses specific to HL. The CELF-Preschool 2 (Clinical Evaluation of Language Fundamentals – Preschool (Wiig, Secord & Semel, 2004)) has been found to be a valid tool for diagnosing language impairment in normal hearing children (Spaulding, Plante, & Farinella, 2006). However, this assessment has …

Art And Aphasia: A Literary Review And Exhibition, Jessica Parrish

Honors Theses

My honors thesis explores aphasia, my primary topic of interest, through procedures spanning both of my degrees. Communication makes interaction possible for exchanging ideas, feelings, concepts, and events. Aphasia, an acquired disorder, impacts language areas that are responsible for expression, comprehension, literacy, and symbolic understanding. Aphasia interrupts the mental process responsible for converting thought to language. Literature involving both traditional speech and art therapy is discussed. Once the aphasia disorder type is assessed, a speech language pathologist designs a therapy plan. Art, which has been used in therapy and research for rehabilitation, shares a connection with language and symbolic thought. …

Undergraduate Students’ Knowledge About Applying To And Attending Graduate School In Speech-Language Pathology: The Effect Of A Panel Presentation On The Topics, Chelsea Swadling

Honors Theses

The researcher of the following study recognized that undergraduate students in the speech-language pathology and audiology program at Western Michigan University feel unprepared and anxious about applying to and attending graduate school. The following study was conducted in order to determine the effectiveness of a panel presentation in preparing undergraduate students for applying to and attending graduate school. A professional panel of five nationally certified speech-language pathologists was gathered to give a presentation to the speech-language pathology and audiology undergraduates aiming to expand the knowledge base and reduce the anxiety that undergraduates possessed about attending and applying to graduate school. …

The Relationship Between Speaking Rate & Nasalance In Typical Adults, Rachel Whitney, Stephen M. Tasko, Helen M. Sharp, Greg Flamme

Research and Creative Activities Poster Day

This poster analyzes the relationship between speaking rate & nasalance in typical adults.

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

ETSU Faculty Works

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

A Comparison Of The Effects Of Soundfield Amplification On Acoustical Characteristics And Word Recognition Performance In Relocatable And Permanent Classrooms, Sarah M. Babin

Doctoral Dissertations

There are three acoustical characteristics that should be addressed when developing a good classroom listening environment: signal-to-noise ratio (SNR), reverberation time (RT), and levels of background noise. Previous research has shown that soundfield (SF) amplification systems help to improve these three characteristics, thus improving the classroom listening environment. In the present study, two seventh-grade classrooms were used: one relocatable classroom and one permanent classroom. Acoustical characteristics and speech levels were measured in both classrooms under two amplification conditions (unamplified and amplified). Word recognition abilities of 37 students were also measured under the two amplification conditions in both classrooms. Results showed …

Effect Of Noise On Transient-Evoked Otoacoustic Emissions And Pure-Tone Screening Audiometry, Laura Annette Wade

Doctoral Dissertations

Currently, the American Speech-Language Hearing Association (ASHA) recommends pure-tone audiometry as the preferred audiometric screening method of school-aged children; however, background noise is often present and can result in high referral rate. The current study's goal was to examine the effect of noise on the pass rate on transient-evoked otoacoustic emissions (TEOAEs) and pure-tone audiometric screening measures. Twenty normal hearing adults (M = 22.85), eighteen females and two males, were screened with TEOAEs and pure-tone audiometry in quiet and in different levels of noise (i.e., 40 dB SPL, 50 dB SPL, 60 dB SPL) in a sound-treated booth.

Pure-tone audiometry …

Let's Talk Speech! Volume 7 Issue 1, Barbara T. Schmidt Ph.D.

Communication Sciences and Disorders Newsletter

The 2013-2014 academic year has been filled with memorable events. As you read, I think you will get a sense of how our department has grown and how many things we are grateful for. First, this academic year brought us 20 new graduate students to add to the 19 we already had. Students coming from approximately 16 different undergraduate programs have filled the halls with activity. The clinical educators, faculty and staff welcomed all of them and have enjoyed working with them. We will be reluctant to see our 2 nd year students leave us in May, but we look …

The Effect Of Hearing Aid Program On The Perceived Sound Quality Of Music, Kalyn Kennedy Bradford

Doctoral Dissertations

Hearing loss affects many aspects of people's lives, including both communication and their ability to enjoy music. Currently, however, there is very little research on patient perception of music through hearing aids; therefore, the purpose of this study was to determine if there was a difference in the perceived listener satisfaction for music between a standard music program and the commonly used option for programming hearing aids (i.e., an automatic program). Data was collected using fifteen participants with symmetrical mild to moderately-severe sensorineural hearing loss with normal to near normal low frequency hearing. Participants were asked to listen to a …

The Relationship Between Speaking Rate And Nasalance In Typical Adult Speakers, Rachel Whitney

Masters Theses

Nasometry is a non-invasive tool frequently used to measure speech resonance in clinical populations. The instrument uses an acoustic recording system to derive a measure termed nasalance, which is an estimate of the relative amount of acoustic energy emitted from the nasal cavity. Nasometry protocols do not provide detailed instructions for speaking rate control during data collection. Studies attempting to establish a relationship between speaking rate and nasalance have yielded mixed results; therefore, it is important to identify the influence of speaking rate on nasalance in a variety of speaking tasks. If rate is found to influence nasalance values, protocols …

Concordance Between The Chang And The International Society Of Pediatric Oncology (Siop) Ototoxicity Grading Scales In Patients Treated With Cisplatin For Medulloblastoma, Johnnie Bass, Jie Huang, Arzu Onar-Thomas, Kay Chang, Shaum Bhagat, Murali Chintagumpala, Ute Bartels, Sridharan Gururangan, Tim Hassall, John Heath, Geoffrey Mccowage, Richard Cohn, Michael Fisher, Giles Robinson, Alberto Broniscer, Amar Gajjar, James Gurney

Faculty Publications

BackgroundReporting ototoxicity is frequently complicated by use of various ototoxicity criteria. The International Society of Pediatric Oncology (SIOP) ototoxicity grading scale was recently proposed for standardized use in reporting hearing loss outcomes across institutions. The aim of this study was to evaluate the concordance between the Chang and SIOP ototoxicity grading scales. Differences between the two scales were identified and the implications these differences may have in the clinical setting were discussed.ProceduresAudiological evaluations were reviewed for 379 patients with newly diagnosed medulloblastoma (ages 3–21 years). Each patient was enrolled on one of two St. Jude clinical protocols that included craniospinal …

The Effect Of Metalinguistic Strategy Instruction On The Oral And Written Expression Of School-Aged Children, Karen Lara Dudek

Theses and Dissertations

Vocabulary knowledge is critical for academic success; and research has indicated that students with low vocabularies can learn metalinguistic strategies that can improve their performance in school. In this study, I investigated the impact of metalinguistic strategy instruction on the oral and written expression abilities of elementary-aged children (third grade). The strategy was the Expanding Expression Tool (EET; Smith), which can help students to increase their oral and written expression by describing words using semantic features. I used a pretest-posttest-posttest between groups design to investigate the impact of three experimental conditions on oral and written expression over a nine week …

Aac Intervention As An Immersion Model, Janet L. Dodd, Megan Gorey

Communication Sciences and Disorders Faculty Articles and Research

Augmentative and alternative communication (AAC) based interventions support individuals with complex communication needs (CCN) in becoming effective and efficient communicators. However, there is often a disconnect between language models, communication opportunities, and desired intervention outcomes in the intervention process. This paper outlines a service delivery model that unites these elements of intervention. The social theory of language acquisition provides the foundation of this immersion model (Paul & Norbury, 2012; Pence & Justice, 2013) while adaptations of indirect language stimulation strategies create (Beukelman & Mirenda, 2013; Paul & Norbury, 2012) the support system necessary to develop an independent and functional communicator. …

Neurophysiological Bases Of Frequency Discrimination In Children With Auditory Processing Disorder Or Specific Language Impairment, Christine Rota-Donahue

Dissertations, Theses, and Capstone Projects

The purpose of this study was to determine if 10-12 year old children with Auditory Processing Disorder (APD) or Specific Language Impairment (SLI) could discriminate three different frequency changes behaviorally and electrophysiologically. Behavioral frequency discrimination and event-related potentials were examined using a 1000Hz pure tone base frequency. Typically developing children and children with APD or SLI differed in in their detection of frequency changes: behavioral results were below chance level and the MMN amplitude was smaller in the impaired population. Slight differences between children with APD and children with SLI were also found that might shed light on the controversy …

Language Trends Of Spanish/English Dual Language Learners, Cailin Amundsen

Honors Theses

This honors thesis project explores past and current research on the language and literacy development and assessment of Spanish-English bilinguals. The researched differences between Spanish and English language acquisition, cross-language development patterns and phenomena found in bilingual children, and holistic approaches to accurate and authentic assessment of language acquisition of bilinguals have lent support to future research questions and methodologies. The following literature review provides clear connections from current bilingual language acquisition and literacy development studies to the future research questions and ideas they rouse. Said questions and ideas have been organized into a research proposal addressing the language trends …

Graduate Bulletin, 2014-2015 (2014), Minnesota State University Moorhead

Graduate Bulletins (Catalogs)

No abstract provided.

Cultural Language Variations: An Examination Of Appalachian Discourse, Katherine Ward

Theses, Dissertations and Capstones

Examinations of discourse are essential for documenting the linguistic variations of a particular culture. In turn, linguistic variations across cultures may suggest similar variations in global discourse measures. It is imperative for clinicians to first understand the framework and cultural norms of a particular dialect or language to properly identify deficits in disordered language. By first looking closely at specific aspects of discourse such as story grammar within a normative or non-brain injured population, clinicians can improve treatment protocols for working with aphasic or brain-injured clients. With Appalachia being the heart of the “stroke belt,” research in intervention strategies for …

Receiver Position And Acceptance Of Noise, Speech Understanding, And Sound Quality Ratings, Anna L. Ford

Doctoral Dissertations

The effect of receiver position in a hearing aid on acceptance of background noise, speech intelligibility, sound quality judgments, and listener preference was measured in adults with normal to mild sloping to moderate to severe sensorineural hearing loss. Participants were fit with open-fit behind-the-ear (BTE) and receiver-in-the-ear (RITE) hearing aids. After a 3-week trial with each device, acceptance of noise levels, speech understanding in quiet and in noise, and sound quality ratings were conducted. At the conclusion of the study, listener preference between the devices was evaluated. Results revealed that receiver position did not significantly affect acceptance of background noise, …

Computational Multimedia For Video Self Modeling, Ju Shen

Theses and Dissertations--Computer Science

Video self modeling (VSM) is a behavioral intervention technique in which a learner models a target behavior by watching a video of oneself. This is the idea behind the psychological theory of self-efficacy - you can learn or model to perform certain tasks because you see yourself doing it, which provides the most ideal form of behavior modeling. The effectiveness of VSM has been demonstrated for many different types of disabilities and behavioral problems ranging from stuttering, inappropriate social behaviors, autism, selective mutism to sports training. However, there is an inherent difficulty associated with the production of VSM material. Prolonged …

Augmentative And Alternative Communication In The Intensive Care Unit, Jonathan Todd Sizemore

Online Theses and Dissertations

Current research is lacking on the frequency of augmentative and alternative communication (AAC) system use in intensive care units (ICU) and clinical decision making patterns. AAC is use of any alternative method of communication when oral communication cannot be achieved (ASHA, 2013). Patients in the ICU may become nonverbal for many reasons including tracheostomy, mechanical ventilation (McKinley, Pooke, & White, 2010) and intubation (Radtke, Bauman, Garrett, & Happ, 2011). Being nonverbal in the ICU may lead to poorer health outcomes (Patak, Wilson-Stronks, & Costello, 2009). AAC systems may improve outcomes by allowing patients to communicate more clearly with family, friends, …

The Influence Of Task Type And Working Memory On The Syntactic Complexity Of Narrative Discourse Production In Healthy Aging Adults, Kacie N. Gamm

Theses and Dissertations--Communication Sciences and Disorders

This study investigated the lifespan influences of task type and working memory on the syntactic complexity of narrative discourse production. Participants included 180 healthy adults across three age cohorts: 20-29 years (Young Group), 60-69 years (Older Group) and 75-89 years (Elderly Group). Participants completed standardized working memory measures and four discourse tasks (single/sequential picture description, storytelling and personal recount). Syntactic complexity for each sample was measured via clausal density yielding a complexity index. For analysis, participants were placed into one of two groups based on working memory scores above (High Working Memory Group) or below (Low Working Memory Group) the …

Articulatory Kinematics Of Alternating And Sequential Motion Rate Diadochokinesis, Jeffrey J. Berry, Scott Palahniuk, Emily Isaksson, Marki Romenesko

Speech Pathology and Audiology Faculty Research and Publications

No abstract provided.

Supporting Narrative Retells For People With Aphasia Using Augmentative And Alternative Communication: Photographs Or Line Drawings? Text Or No Text?, Julie Griffith, Aimee R. Dietz, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: The purpose of this study was to examine how the interface design of an augmentative and alternative communication (AAC) device influences the communication behaviors of people with aphasia during a narrative retell task.

Method: A case-series design was used. Four narratives were created on an AAC device with combinations of personally relevant (PR) photographs, line drawings (LDs), and text for each participant. The narrative retells were analyzed to describe the expressive modality units (EMUs) used, trouble sources experienced, and whether trouble sources were repaired. The researchers also explored the participants’ perceived helpfulness of the interface features.

Results: The participants …

Assessing Candidacy For Intensive Language Therapy: A Preliminary Study, Jessica N. Bellamy

Theses and Dissertations--Communication Sciences and Disorders

The goal of the present study was to examine changes in the speech and language performance of patients with chronic, non-fluent aphasia over the course of a three-hour group speech and language treatment session, a time allotment comparable to intensive therapy practices. Nine participants, (three groups of three), with chronic, non-fluent aphasia were seen for a single group therapy session three hours in length. Therapeutic activities were designed to be as similar as possible for each group of participants. Each participant was individually assessed before (time 1), during (time 2), and after (time 3) the group treatment session. Assessments included …

Social-Emotional Development In Children With Hearing Loss, Lori Gayle Harris

Theses and Dissertations--Communication Sciences and Disorders

Many positive outcomes have been documented for children with hearing loss utilizing current treatment approaches such as early identification and intervention, including appropriately fit sensory devices and communication modes that focus on listening and spoken language. However, challenges related to social-emotional development have been widely observed. The development of communication skills in children with hearing loss is impacted by many factors, including the degree of hearing loss, the child's age at onset and identification, the presence of other disabilities, and when the child receives intervention. While there are a variety of therapeutic options available for children with hearing loss to …

The Relationship Of Somatosensory Perception And Fine-Force Control In The Adult Human Orofacial System, Nicole M. Etter

Theses and Dissertations--Rehabilitation Sciences

The orofacial area stands apart from other body systems in that it possesses a unique performance anatomy whereby oral musculature inserts directly into the underlying cutaneous skin, allowing for the generation of complex three-dimensional deformations of the orofacial system. This anatomical substrate provides for the tight temporal synchrony between self-generated cutaneous somatosensation and oromotor control during functional behaviors in this region and provides the necessary feedback needed to learn and maintain skilled orofacial behaviors.

The Directions into Velocity of Articulators (DIVA) model highlights the importance of the bidirectional relationship between sensation and production in the orofacial region in children learning …

Structural And Functional Vocal Fold Epithelial Integrity Following Injury, Ciara Leydon, Mitsuyoshi Imaizumi, David T. Yang, Susan L. Thibeault, Marvin Fried

Communication Disorders Faculty Publications

Objectives/Hypothesis: An intact epithelium is an important part of vocal fold defense. Damage to the epithelium can compromise vocal fold homeostasis and protection of the host tissue from viral and bacterial invasion. Elucidating the effects of damage on epithelial architectural and barrier integrity provides insight into the role of epithelium in protecting vocal folds. Using an animal model, we evaluated the time course of structural and functional epithelial restoration following injury. Study Design: Prospective, controlled animal study. Methods: Forty rats underwent surgery to remove vocal fold mucosa unilaterally. Larynges were harvested at five time intervals between 3 to 90 days …

The Role Of Laryngeal Function In Breathing For Singing, Ellen V. Graham

Theses and Dissertations--Music

Poor breath management is problematic for singing. Voice students and singing teachers typically attribute breath management issues to abdominal-diaphragmatic breathing technique. The present study seeks to determine whether glottal insufficiency may also contribute to singer’s breath management problems. Studies have revealed a relationship between incomplete vocal fold closure and inefficiency in the speaking voice. However, the effect of incomplete vocal fold closure on vocal efficiency in singers has yet to be determined. Since the larynx cannot be observed without the assistance of clinical instrumentation, not readily available in the voice studio, issues at the glottal level may be underappreciated as …