Speech Pathology and Audiology Commons^™

Hydration And Vocal Loading On Voice Measures, Anusha Sundarrajan

Open Access Dissertations

Vocal loading adversely affects the healthy larynx. The negative effects of vocal loading are thought to be exacerbated in dry environments, noisy environments, using non-habitual speaking patterns, and voice quality. Advancing age is also thought to be a risk factor for the negative effects of loading. To systematically tease out the effects of these factors on the healthy larynx, three different experiments were conducted. In each experiment, healthy participants produced 45-minutes of child-directed speech. In experiment 1, older, healthy adults produced loud child-directed speech, in the presence of background noise, in both low and moderate humidities, and voice was assessed. …

A History Of The Audiology Program At The University Of Nebraska-Lincoln: 1920 To 2015, T. Newell Decker

Department of Special Education and Communication Disorders: Faculty Publications

Programs for the hearing impaired have been in existence at the University of Nebraska for many years. However, there is no comprehensive history of these efforts. This work is an attempt to provide a complete picture of these programs and to detail the history and growth of the Audiology Program at the University of Nebraska-Lincoln. When the author came to the University in 1977 audiology was already well established at the University as well as in the State. After joining the faculty, the author served in the capacity of Coordinator of the Audiology and Hearing Science Program from 1977 until …

Feeding/Swallowing Disorders: Maintaining Quality Of Life In Persons With Intellectual Disability, Luis Riquelme, Rebecca Benjamin, Hannah Tahhan, Gracelynn Sandoval, Naga Alomari, Alexandra Soyfer

NYMC Faculty Publications

Persons with intellectual disability (ID) have received little attention in systematic studies of healthcare and quality of life. Less attention has been provided to specific disorders, such as those impacting the swallowing mechanism. In comparison to the general population, persons with ID experience noticeably greater healthcare inequalities and despite greater life expectancy, it is still lower than the general population. This paper serves as an introduction to healthcare colleagues regarding the risks involved in choking and swallowing disorders in persons with ID, how to evaluate these potential risks and possible treatments. Associated etiologies are presented. A discussion on feeding disorders …

Sleep Deprivation And Recovery: The Effects Of P300 Three And Six Hours Post Recovery, Kimberly A. Brauer

Graduate Theses/Dissertations

The P300 waveform is an auditory evoked potential (AEP) elicited through a decision making process. Due to the endogenous nature of the P300 response, which requires participants to actively respond to an auditory stimuli, it has been used as on objective measure to evaluate the cognitive processes of attention and memory. Previous studies have looked at the P300 before and after sleep deprivation as well as after brief rest periods. Evidence shows that a decline in P300 amplitudes and increase in latency are seen after 24 hours of sleep deprivation and improvements in the P300 are seen after a recovery …

Static And Dynamic Spectral Acuity In Cochlear Implant Listeners For Simple And Speech-Like Stimuli, Benjamin Anderson Russell

USF Tampa Graduate Theses and Dissertations

For cochlear implant (CI) listeners, poorer than normal speech recognition abilities are typically attributed to degraded spectral acuity. However, estimates of spectral acuity have most often been obtained using simple (tonal) stimuli, presented directly to the implanted electrodes, rather than through the speech processor as occurs in everyday listening. Further, little is known about spectral acuity for dynamic stimuli, as compared to static stimuli, even though the perception of dynamic spectral cues is important for speech perception.

The primary goal of the current study was to examine spectral acuity in CI listeners, and a comparison group of normal hearing (NH) …

Assessing Excessive Noise Exposure Of Music-Oriented Nightclub Employees, Aiyanna Fitzgerald

USF Tampa Graduate Theses and Dissertations

Much research has gone into noise-induced hearing loss (NIHL) and the effects of high intensity noise levels on the hearing mechanism of individuals. A study by the National Institutes of Health has established that high intensity sounds can cause hearing damage of either a temporary, or worse, a permanent nature; regardless of the age of the person. While sound levels below 75 decibels are considered comparatively harmless and have been found not to cause any kind of permanent hearing loss; sound levels greater than 85 decibels and regular exposure of approximately 8 hours per day, on an average, has been …

Development Of A Patient-Centered Health Literacy Toolkit For Audiology And Hearing Loss (The 'Hh Lit Kit'), Jennifer L. Gilligan

Dissertations, Theses, and Capstone Projects

The Patient-Centered Health Literacy Toolkit for Audiology & Hearing Loss (‘HH Lit Kit’) represents four years of inquiry into health literacy and Patient-Centered Care (PCC) in audiology. While awareness of health literacy continues to gain momentum in medicine and public health, there is a paucity of information on PCC and health literacy in audiology.

Low health literacy is linked to poorer health and poorer quality of life. Patients with hearing loss are at high risk for low health literacy. This presents a major concern because hearing loss affects the way information is processed, retained, and applied. Gaps have been identified …

Hearing Aid Use And Cognitive Function: A Systematic Review, Hershel Korngut

Dissertations, Theses, and Capstone Projects

This systematic review analyzed the research relating the use of hearing aids to cognitive function. Hearing aid use was examined to see if wearing hearing aids improves cognitive function, if the length of time hearing aids are worn impacts cognitive ability, if the type of hearing aid used has any impact on cognitive function, and if hearing aid use slows down cognitive decline. Ten studies met the criteria for this review. An analysis of the research revealed some evidence to support wearing hearing aids improves cognitive function, however, there is substantial evidence that shows no impact between wearing hearing aids …

Social Isolation, Social And Emotional Loneliness, And Self-Reported Hearing Difficulties In Older Adults With Hearing Loss, Yuliya Borik

Dissertations, Theses, and Capstone Projects

Hearing loss is known to affect communicative ability and has been associated with poor health-related outcomes such as impaired cognition, increased risk for falls, and psychotic manifestations. Social isolation and loneliness are also widely recognized to negatively impact mental and physical health. The purpose of this systematic review is to review literature that explores a relationship between hearing loss with and/or without self-reported hearing difficulties and social isolation and social and emotional loneliness in older adults with hearing loss ranging from mild to profound. The goal is to determine whether there is a direct relationship between subjective and/or objective hearing …

Language-Mixing In Discourse In Bilingual Individuals With Non-Fluent Aphasia, Avanthi Paplikar

Dissertations, Theses, and Capstone Projects

Language-mixing (LM) as defined by Chengappa (2009, p. 417) is an “intra-sentential phenomenon referred to as the mixing of various linguistic units (morphemes, words, modifiers, phrases, etc.), primarily from two participating grammatical systems”. LM is influenced by grammatical, environmental, and social constraints (e.g., Milroy & Wei, 1995; Bhat & Chengappa, 2005). Researchers have suggested that LM in patients with aphasia is a communicative strategy used to achieve successful exchanges between speakers; the effectiveness of this mixing, however, had yet to be demonstrated quantitatively.

In the current study we investigated whether LM is present in bilingual speakers with aphasia, and if …

Social Support, Social Companionship, And Social Distress In Young Adults With Cochlear Implants, Arta Ljubanovic

Dissertations, Theses, and Capstone Projects

Research has shown that social support has a positive impact on mental health and decreases levels of stress in young adults with normal-hearing sensitivity. Social relationships are one psychological construct that has not been previously studied in young adults with cochlear implants. In light of the importance of social support in the overall well-being of an individual and the lack of research on this topic in individuals with cochlear implants, the study purpose is to examine social relationships in young adults with cochlear implants and to determine the presence of any significant differences in social relationships between the group with …

Outcomes Of Auditory Brainstem Implantation In Adults With Postlingual Deafness: A Systematic Review, Jillian Friedman

Dissertations, Theses, and Capstone Projects

Objective:The purpose of this investigation is to conduct a systematic review of the long-term speech-recognition outcomes of ABIs in postlingually deafened adults, and to compare outcomes of ABIs in adults with NF2/tumors to adults without NF2.

Methods: A comprehensive search utilizing various peer reviewed databases via the City University of New York (CUNY) Graduate Center Library was conducted to identify relevant studies investigating speech-recognition outcomes in ABI patients with postlingual deafness, both with and without tumors. Inclusion criteria included studies that involved at least one adult ABI patient (with or without NF2) with postlingual deafness, who was seen for …

Annexin A5 Is The Most Abundant Membrane-Associated Protein In Stereocilia But Is Dispensable For Hair-Bundle Development And Function, Jocelyn F. Krey, Meghan Drummond, Sarah Foster, Edward Porsov, Sarath Vijayakumar, Dongseok Choi, Karen Friderici, Sherri M. Jones, Alfred L. Nuttall, Peter G. Barr-Gillespie

Department of Special Education and Communication Disorders: Faculty Publications

The phospholipid- and Ca²⁺-binding protein annexin A5 (ANXA5) is the most abundant membrane-associated protein of ~P23 mouse vestibular hair bundles, the inner ear’s sensory organelle. Using quantitative mass spectrometry, we estimated that ANXA5 accounts for ~15,000 copies per stereocilium, or ~2% of the total protein there. Although seven other annexin genes are expressed in mouse utricles, mass spectrometry showed that none were present at levels near ANXA5 in bundles and none were upregulated in stereocilia of Anxa5^−/− mice. Annexins have been proposed to mediate Ca²⁺-dependent repair of membrane lesions, which could be part of the …

Cultural Competence And Ethical Decision Making For Health Care Professionals, Brenda Louw

ETSU Faculty Works

Cultural competence and ethical decision making are two separate, yet intrinsically related concepts which are central to services rendered by all health care professionals. Cultural competence is based on ethical principles and informs ethical decision making. In spite of this important connection, the interrelationship of these two concepts does not receive the attention it deserves in the literature. This issue is addressed by appraising the training and assessment of cultural competence and ethical decision making in the health care professions. The integrated relationship of these two concepts is illustrated within the broader contexts of higher education, research and clinical practice. …

Type And Location Of Speech Disruptions In Adolescents With And Without Specific Language Impairment, Katherine E. Davies

Senior Honors Projects, 2010-2019

This research project analyzed the types and locations of speech disruptions in adolescents with and without Specific Language Impairment (SLI). The narrative samples of 12 adolescents with SLI and 12 typically developing (TD) adolescents were analyzed. Using Schwalbe’s (2012) classification system, the speech disruptions in the 24 narratives were coded for the type and reason for disruption. The broad category of speech disruptions were classified under revisions, repetitions, filled pauses and orphans, and silent pauses. The reason for the disruption was coded as the part of speech of the word that was determined to have caused the disruption. Comparisons were …

Reflection: Effect Of Age On Auditory Brainstem Responses In Mice With Epha4 Mutations, Erica L. Hoogerland

Senior Honors Projects, 2010-2019

Presbycusis, or age-related hearing loss is a condition that affects approximately 40% of the population over 65 years of age (Gates & Mills, 2005). Studying the effects of EphA4 mutations (wild type, heterozygous, and homozygous) mice is fundamental in understanding the relationship between onset of age-related hearing loss, in both the mammalian population and the human population. In order to further understanding of age-related hearing loss, the researchers evaluated thirty-six mice in a preliminary study from two months to nine months of age. Following data analysis, the researchers confirmed the results by continuing a second round of testing. The hearing …

Build-Up Effect Of Auditory Stream Segregation Using Amplitude-Modulated Narrowband Noise, Harley J. Wheeler

Senior Honors Projects, 2010-2019

Recent psychoacoustic experiments (Böckmann-Barthel et al., 2014; Deike et al., 2012) have re-examined research regarding stream segregation and the build-up effect. Stream segregation is the ability to discern auditory objects within a stream of information, such as distinguishing one voice amongst background noise or an instrument within an orchestra. Initial works examining this topic proposed that auditory information is not immediately distinguished as various streams, but rather that differences accumulate over time, allowing listeners to segregate information following a period of build-up (i.e., the build-up effect); whereas more current findings indicate a build-up period is unnecessary for segregation. This experiment’s …

Release From Masking: Behavioral And Physiological Masking Level Differences, Sarah L. Hodgson

Dissertations, 2014-2019

Binaural hearing offers several advantages over monaural hearing and is believed to be one factor that is involved in the ability to understand speech in background noise. Binaural hearing involves analysis of interaural timing and intensity differences in signals arriving at the two ears which provides listeners with sound localization cues as well as signal in noise detection. When sounds arrive at each ear at slightly different times, there may be a release from the effects of background noise, allowing listeners to detect softer sounds in noise. Masking Level Differences (MLDs) have been widely used to evaluate behavioral binaural processing. …

Wideband Acoustic Immittance And Dpoae Changes In Older Adults, Mandy M. Williams

Dissertations, 2014-2019

This study examined the effect of middle ear aging in adults using wideband acoustic immittance (WAI) measures. WAI and traditional 226 Hz tympanometry were measured in 25 young adult ears (ages 18-25) and 26 older adult ears (ages 50-71) with normal middle ear status. While minimal differences between older and younger adults were observed with 226 Hz tympanometry, significant age effects were seen with WAI measures. The older adults demonstrated a statistically significant increase in middle ear absorbance at lower frequencies (226-1,260 Hz) and decreased absorbance at higher frequencies (4,000-5,040 Hz) compared to the younger adult group. While the effect …

The Effect Of Auditory Fatigue On Reaction Time In Normal Hearing Listeners At Different Signal To Noise Ratios, Haley Athey

Dissertations, 2014-2019

This study examined the effect of listening fatigue on the reaction time of young, normal hearing listeners at +5 and +10 dB signal to noise ratio. Reaction time was measured in a single task paradigm on twenty listeners (ages 19-30 years) before and after a fatigue-inducing listening task. The participants also completed a subjective rating questionnaire at the two intervals. Results indicated that there was no significant difference between the reaction times before and after listening fatigue. However, for a subgroup of stimuli (nonsense syllables ending with consonants) the reaction time was 52 msec longer after listening fatigue. The participants …

Inter-Professional Collaboration: The Impact Of Serial Versus Merged Treatment On The Behavior Of Children With Autism Spectrum Disorder, Robyn Starry

Masters Theses, 2010-2019

Interdisciplinary collaboration is an innovative, resourceful approach to healthcare intended to positively affect patient outcomes. The purpose of the present study was to determine the efficacy of the serial exposure to three treatments, Applied Behavior Analysis, Speech Language Pathology, and Occupational Therapy, in comparison with an exposure to a merge of these treatments on child outcomes. During the serial treatment phases of intervention, three licensed professionals implemented core techniques from their respective disciplines. During merged treatment phases, a graduate clinician combined and implemented techniques from all three fields: differential attention, request sequences, sensory exposure, verbal/tactile cueing for postural alignment/control and …

Perceptions Fathers Have On Time Spent With Preschool Children And Its Impact On Language Outcome Measures, Megan E. Porter

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Research has shown there are differences between mother and father language usage with their children. There is no information on language use of fathers who spend a high quality amount of time with their children. This study attempted to identify language characteristics of fathers who report high participation in household and childcare activities.

Outcomes In Language And Social Skills As Seen In Children With Autism And Developmental Disabilities Participating In Equine Assisted Activities, Megan Koenigseder

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Individuals with developmental disabilities commonly present characteristics that include deficits in social and communicative abilities. A number of intervention strategies have been implemented, but none have proven to be most effective. A somewhat novel approach known as equine assisted activities and therapies (EAAT) involves the utilization of horses during intervention and has shown to be effective in areas concerning quality of life, social functioning, self-regulation, adaptive behaviors, motor control, and motivation.

The purpose of the current study is to examine the effects of EAA on social skills and expressive language in 2-4 children diagnosed with developmental disability. Participants engaged in …

Creating Therapy Materials To Improve Communication Of Young Children, Allison J. Corey

Senior Honors Projects

Once children start preschool, they should be able to speak in simple sentences and use basic syntax. When they complete preschool and begin kindergarten, they should be using complete, complex sentences, have an extensive vocabulary, and use correct grammar. However, sometimes a child’s language doesn’t develop as expected resulting in speech delays or impairments. This problem could arise for a multitude of reasons, for example, the child may be on the autism spectrum, he/she may have a specific language delay, or it may be due to an articulation/phonology problem. The role of a speech language pathologist (SLP) in a school …

Differences Between Two Head Start Locations Using The Developmental Indicators For The Assessment Of Learning (Dial) As A Measure Of Language And Concepts, Hailey Guthrie

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The study was conducted on a sample of 43 students between two Head Start locations, A and B. Sociodemographic information was obtained via questionnaires completed by parents at locations A and B. The Developmental Indicators for the Assessment of Learning, Fourth Edition (DIAL-4) was the screener used to assess each child’s performance with regards to language, concept, and motoric development. There was no significant difference between locations A and B for concept and language sub-test standard scores. DIAL motor sub-test scores for locations A and B were statistically significant. This study found that the DIAL is a reliable way to …

Spatial Irregularities Of Compound Action Potential Origination In Individual Cochleae, Kaitlyn M. Kennedy

Graduate Theses/Dissertations

The present study aims to evaluate the origin of compound action potential (CAP) responses in the guinea pig ear using the following method. Pipettes were sealed into the cochlear apex of 26 guinea pigs to inject ototoxic pharmaceuticals that inhibit nerve responses without affecting cochlear function. The rate of the injection was adjusted once each minute to account for variations in the diameter of the cochlea and to maintain a steady flow of pharmaceuticals. CAP measurements collected at around 90-second intervals using tone burst stimuli during the injections allowed evaluation of the neural responses over time. Responses to higher stimulation …

A Case Study Of Cochlear Implants And Complications, Carly E. Amurao

Senior Honors Projects

A cochlear implant is an electronic medical device that replaces the function of the damaged inner ear, allowing the individual access to sound. In recent years, there has been tremendous progress in developing technology in the area of cochlear implants to aid those with severe/profound hearing loss. Specifically, there has been a movement towards bilateral implantation. Each cochlear implant candidate has a unique hearing loss, and must reach required bench marks in order to be considered a viable candidate for a cochlear implant. This process includes: meeting the required level of hearing loss, a required trial with hearing aids that …

The Effect Of Grief On Bonding With A Deaf Child, Gabriela Cardona

Senior Honors Projects

Since hearing screenings for children happen after birth, there is no way for

parents to prepare themselves for having a child with hearing loss and any

lifestyle changes that will follow. Many parents have trouble coping with and

accepting the news of having a deaf or hard-of-hearing child. This diagnosis also

often brings along with it the stress of additional necessary appointments and

decisions. The parent’s idea of a “perfect and ideal” child is gone. Parents need

to grieve the loss of this idea while also tending to their child and giving their

child the opportunities and support needed for …

Parent Beliefs About Technology: A Comparison Of Homeschool And Formal Education Families, Eli L. Skelton

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to gain information about how technology is used by parents to assist school learning as well as their opinions and beliefs about the role of technology in the learning process. Specifically, using homeschool and educational networks as well as social media for distribution of a digital questionnaire, this study sought to gauge parents’ experience with, as well as responses to, attitudes, and values towards the use of technology in homeschool and classroom education. Sixty-five parents of children who are studying at the elementary grade levels participated in this study. Twenty of these were parents …

Toddlers And Technology: An Examination Of How The Digital Surround May Be Related To Prototypic Vocabulary Development And Social Interactions During Play, Hannah Biarnesen Hutcheson

Graduate Theses and Dissertations

This study sought to examine how the digital technology that surrounds young children may be related to prototypic vocabulary development and Social interactions during play. Twenty-six families in the Northwest Arkansas region with children between 15-36 months of age participated in the study. Thirteen children attended a campus preschool, six children attended a grant-funded local preschool, and seven children, all from the Northwest Arkansas area, were part of an earlier home-based study. The materials for the study included a developmental-technology use questionnaire and the MacArthur-Bates Communicative Development Inventories. Archival videotaped play sessions with the seven home-based children utilized a “Little …