Speech Pathology and Audiology Commons^™

Development Of 90th Percentile Norms For Ipsilateral Acoustic Reflex Thresholds: A Feasibility Study, Iris Wertheimer

Dissertations, Theses, and Capstone Projects

The acoustic reflex threshold has been well established in the literature as an involuntary bilateral contraction of the stapedius muscle in response to loud transient sounds. Additionally, the clinical utility of the acoustic reflex threshold has been established as it allows for the differential diagnosis of many different conductive, cochlear and retrocochlear pathologies. Gelfand, Schwander and Silman (1990) have established and validated 90^th percentile normative data for use with the contralateral acoustic reflex threshold. Much of the literature on the acoustic reflex threshold has focused on the contralateral acoustic reflex threshold; however, surveys have found that many clinicians are …

A Systematic Review Of Occupational Music-Induced Hearing Loss, Lilach Gez Saperstein

Dissertations, Theses, and Capstone Projects

The prevalence of noise induced hearing loss (NIHL) is a public health concern with government regulations (i.e. OHSA, NIOSH) in place to protect employees in occupational settings. Sound pressure levels (SPL) of various industries have been measured and exposure dosages monitored as per the national regulations. Previous research has demonstrated that occupational exposure to loud noise has led to audiometric evidence of NIHL. Thus, it raises the question about the impact of occupational exposure to music on hearing. For the purposes of this capstone, literature pertaining to occupational music exposure levels, and the effects on both hearing threshold levels and …

Music Perception Performance In Prelingually Deafened Children With Cochlear Implants Pre And Post Structured Music Training Postoperative Habilitation Programs: A Systematic Review, Jessica K. Woodson

Dissertations, Theses, and Capstone Projects

The goal of this project was to systematically review literature in order to analyze music perception performance in prelingually deafened children with cochlear implants before and after structured music training postoperative habilitation programs. Features of music which were evaluated included pitch, melody, timbre, rhythm, and appraisal. In six studies, these measures of music perception were compared pre and post formal music training; in one study, music perception performance was compared between prelingually deafened cochlear implant users and individuals with normal-hearing sensitivity. Overall, when the music training was sufficiently long, the findings indicated that music training significantly improves pitch perception ability. …

Methods And Professionals Involved In Evaluating Postural Control In The Autism Spectrum Disorder Population: A Systematic Review, Christina Melora

Dissertations, Theses, and Capstone Projects

The objective of this systematic review was to determine the methods in which postural stability and control are being quantified in persons with Autism Spectrum Disorder (ASD), with what instrumentation and which healthcare professionals are included in this process. It is well studied that persons with Autism Spectrum Disorder (ASD), which now include those with Pervasive Developmental Disorder Not Otherwise Specified (PDD-NOS) and Asperger Disorder, often suffer from vestibular modulation abnormalities (Rogers & Ozonoff, 2005; American Psychiatric Association, 2013.) These individuals may present with either an under- or over-responsiveness to vestibular inputs resulting in a variety of repetitive behaviors or …

Affordable And Accessible Hearing Healthcare Interventions In The United States: A Literature Review And Prospective Analysis, Garrett Thompson

Dissertations, Theses, and Capstone Projects

Age-related hearing loss is a significant public health concern with serious and far-reaching consequences including: social isolation, depression, faster cognitive decline, and increased risk of falls. Hearing loss is a widespread condition, it is in fact a leading cause of disability among older people. Hearing aids, the primary intervention for adults with hearing loss, are costly and inaccessible to many patients who need them. Among other reasons, these factors have led to a low uptake rate among the adult population; only one in seven adults who could benefit from wearing hearing aids utilizes them. Given the status quo of high …

Cochlear Implantation In Adults With Neurofibromatosis Type Ii: Outcomes, Benefits, And Limitations, Lydia Riehl

Dissertations, Theses, and Capstone Projects

The objective of the current study was to examine, in a retrospective case series, outcome in terms of word-recognition performance in patients with neurofibromatosis Type 2 (NF2) who have received a cochlear implant (CI) The primary independent variables were duration of deafness (DoD) and age at cochlear implantation. The secondary independent variables were status of hearing sensitivity in the ear contralateral to the one that received cochlear implantation and the type of tumor treatment.

The retrospective case series comprised eight patients who were implanted at New York University Medical Center, or who were receiving follow-up care there. All NF2 patients …

Hearing Related Concerns Among Parkinson’S Patients And Their Care Partners, Samantha Morgan

Dissertations, Theses, and Capstone Projects

The goal of this study is to evaluate the relationship between self-reported subjective hearing loss and objective measures of hearing in older adults with Parkinson’s Disease (PD), as well as the relationship between self-reported hearing handicap of those with PD and the report of their care partners. Twenty-four individuals, comprised of older adults with PD and their primary care partners, underwent subjective and objective hearing screenings and completed measures of self-reported hearing handicap. Results revealed no significant relationship between the subjective and objective hearing screening results of those with PD, nor any significant relationship between the self-report of hearing handicap …

Jaw Rotation In Dysarthria Measured With A Single Electromagnetic Articulography Sensor, Jeffrey J. Berry, Andrew Kolb, James Schroeder, Michael T. Johnson

Speech Pathology and Audiology Faculty Research and Publications

Purpose This study evaluated a novel method for characterizing jaw rotation using orientation data from a single electromagnetic articulography sensor. This method was optimized for clinical application, and a preliminary examination of clinical feasibility and value was undertaken.

Method The computational adequacy of the single-sensor orientation method was evaluated through comparisons of jaw-rotation histories calculated from dual-sensor positional data for 16 typical talkers. The clinical feasibility and potential value of single-sensor jaw rotation were assessed through comparisons of 7 talkers with dysarthria and 19 typical talkers in connected speech.

Results The single-sensor orientation method allowed faster and safer participant preparation, …

Using Quicksin Speech Material To Measure Acceptable Noise Level For Adults With Hearing Loss, Lauren E. Bentley, Hua Ou

AuD Capstone Projects - Communication Sciences and Disorders

It is clinically useful to predict potential for hearing aid use success prior to the initial fitting of hearing aids. This information may be used to help with additional counseling for speech understanding in noisy listening environments and can also be used to describe the use of communication skills in combination with the dynamic functionality of hearing aids to guide patients that are hearing aid candidates towards success. The Quick Speech-In-Noise (QuickSIN) test and the Acceptable Noise Level (ANL) test have been recognized for their ability to predict hearing aid use success; however, the two measures use different stimuli and …

Listening Effort Outcome Measures In Adult Populations, Melissa Tednes, Scott E. Seeman Phd

AuD Capstone Projects - Communication Sciences and Disorders

Listening effort is being considered clinically as an important indicator of patient success with amplification. Listening effort refers to “the mental exertion required to attend to, and understand, an auditory message”. (McGarrigle et al., 2014) Cognitive ability, age, and degree of hearing impairment all must considered when measuring the effort one is exerting on a specific task. Listening effort can be measured using subjective tools, electrophysiologic measures, or with a dual-task paradigm. Subjective tools include self-reports and questionnaires. Electrophysiologic measures can consist of measuring pupil dilation, heart rate variability, and skin conductance. A dual-task paradigm is set-up with two tasks …

Application Of The Dual-Route Model In Exploring Dyslexia And Dysgraphia In Arabic Speaking Adults With Aphasia: Clinical And Theoretical Implications, Maha Aldera

Seton Hall University Dissertations and Theses (ETDs)

Objective: The cognitive neuropsychology is based on the “universality” assumption, which suggest that all normal people have the same cognitive systems regardless of their culture and language (Coltheart, 2001). The aim of the study is to test the universality assumption of the dual-route model (DRM) for spelling and reading in modern Arabic language. The study follow the same architecture of the DRM taking into considerations specific variables that hold certain features of the Arabic script. Methods: The study results were secured by using case series method analysis of each individual participant’s performance. The Case series method offered the ability to …

Nonword Reading In Children Who Do And Do Not Stutter, Bailey Broxson, Laura Qualls, Tram Nguyen

Student Research Symposium

Stuttering is a multifactorial disorder characterized by disruptions in the forward flow of speech (ASHA). Previous research has demonstrated that children and adults who stutter have phonological working memory systems that are less efficient and accurate than children and adults who do not stutter. This difference in phonological working memory plays a key role in the production of stuttered speech. Anecdotally, speech-language pathologists who work with children who stutter report that three clients also demonstrate difficulty decoding novel works during reading tasks. To date, the link between phonological working memory, stuttered speech, and reading have not been explored. The purpose …

Comparison Of Training Models For Hearing Screening Personnel, Ryland Gallagher, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Early identification of permanent hearing loss begins with the competency of the individuals completing a hearing screening in being able to identify children who are at-risk for hearing loss. The appropriate management of hearing healthcare for children, during the developmental period from birth to school age, requires these individuals to possess knowledge related to screenings, protocols, and follow-up, for children in need of additional diagnostic services. The Early Childhood Hearing Outreach (ECHO) Initiative was formulated by the National Center for Hearing Assessment and Management (NCHAM) as an extension to newborn hearing screening programs. The program focuses on assisting hearing screeners …

Implementing A Two Class System For Monitoring Risk Indicators For Delayed-Onset Hearing Loss, Jessica Renee Stich-Hennen, Gabriel Anne Bargen

Journal of Early Hearing Detection and Intervention

Purpose: This manuscript discusses the importance of establishing risk indicator monitoring guidelines for state Early Hearing Detection and Intervention programs.

Method: Idaho Sound Beginnings (ISB) implemented a guideline which divided risk indicators associated with delayed-onset hearing loss into two classes (Class A and Class B). From 2012-2013, the incidence of delayed-onset hearing loss in the presence of Class A and Class B risk indicators were evaluated. For Class B risk indicators, ototoxic medication exposure and family history were analyzed.

Results: Of the 10,634 infants born, 1,175 were found to have passed the newborn hearing screening and have at least one …

Information Given To Parents Of Neonatal-Intensive Care Unit Graduates On Hearing, Cydney E. Gehring, Alisha L. Jones

Journal of Early Hearing Detection and Intervention

Preterm infants and neonatal intensive care unit (NICU) graduates are more likely to have risk factors associated with hearing loss than their full-term, healthy peers, making them more prone to experience hearing loss (Behrman & Butler, 2007). This study examined information presented to parents during and after the newborn hearing screening (NBHS). A 22 question survey was posted on NICU and preemie support websites for parents to access and participate in anonymously. Results of the survey were analyzed for respondents indicating that their child was born in the year 2007 to the present. Thirty-nine percent of responding parents were unaware …

Audiology Students’ Perception Of Hybrid Simulation Experiences: Qualitative Evaluation Of Debriefing Sessions, Ahmad A. Alanazi, Nannette Nicholson, Samuel R. Atcherson, Clifford A. Franklin, Naveen K. Nagaraj, Michael Anders, Laura Smith-Olinde

Journal of Early Hearing Detection and Intervention

Simulation-based research is still new in the audiology field and requires more research to better understand students’ perspectives on standardized patients/parents (SPs) and manikins use. There is also limited research about debriefing practices in audiology. This qualitative study used a baby simulator and SPs to evaluate audiology students’ reflection during three debriefing sessions conducted at the University of Arkansas for Medical Science (UAMS) Simulation Center. Seventeen Doctor of Audiology (AuD) students participated in the simulation event, and the data were collected using the transcripts of videotaped debriefing sessions. The qualitative content analysis of the transcripts revealed eight sub-themes: support, compassion, …

Effect Of Biofeedback And Exercise Type On Neural Swallowing Control, Rachel J. Rinehart

Senior Honors Projects, 2010-2019

The clinical efficacy of swallowing exercises is well established in swallowing literature, and biofeedback has been shown to augment cortical hemodynamic response (HDR) during normal swallowing. This study compared HDR during swallowing exercises with and without biofeedback to HDR during normal swallows with and without biofeedback. Healthy adult participants (n=6, mean age=50.83 male=2) were recruited and trained on the following conditions: normal swallowing, swallowing exercise in which a specific physiological target was given (skilled), and swallowing exercises in which no specific physiological target had to be achieved (non-skilled). Biofeedback consisted of submental surface electromyography (sEMG) signals displayed visually. HDR were …

Effects Of Age, Timbre, Pitch Contour, And Background Noise On Melodic Contour Identification And Sentence Recognition By Children, Lindsey M. Seyfried, Sarah A. Troy

Senior Honors Projects, 2010-2019

The researchers collaborated together with the help of Dr. Yingjiu Nie in the Lab of Auditory Perception in Children and Adults on the four research studies completed there. Through these projects, they were involved in all areas of the research process. While they cannot claim the research project as their own, by assisting the graduate students and Dr. Nie, they exposed themselves to how research is conducted in this field and gained valuable knowledge in the process. To conclude the project, they each wrote individual personals reflection to summarize and review the experience.

Interdisciplinary Skill Development During Summer Autism Clinic, Rachel F. Kagle

Senior Honors Projects, 2010-2019

The present paper focuses on the interdisciplinary skill development of speech-language pathology graduate student clinicians and occupational therapy graduate student clinicians in the treatment of children with Autism Spectrum Disorder. This paper explains the significance of these disciplines in the treatment of Autism before giving the results of the study. For the present study, data was collected at James Madison University’s Summer Autism Camp over a four-week period. There were ten speech-language pathology (SLP) clinicians that received the survey and eleven children with Autism that were enrolled in the program. It was hypothesized that the SLP clinicians would display skill …

Maladaptive Behavior And Communication Disorders Following Tbi: Survivor, Caregiver And Speech-Language Pathologists' Perspectives, Marena S. Jones

Senior Honors Projects, 2010-2019

Following traumatic brain injury (TBI), individuals often face neurobehavioral challenges (e.g., aggression) that hinder treatment. Research on the relationship between communication disorders and maladaptive behaviors is limited. Participants from a convenience sample of two survivors of TBI, a caregiver, and a speech-language pathologist were interviewed about their experiences and perspectives. The interviews reflected focused questions that were congruent across participants. Interviews were recorded, transcribed, and coded. Each coder coded the transcriptions individually, they were then compared using consensus coding for reliability, and finally analyzed for emergent themes. The two most referenced themes were “Communication challenges” and “Changes through rehab”. “Communication …

Mother’S Perceptions Of Their Personal Impact On Infant Language Development, Miranda Steinbeck

Senior Honors Projects, 2010-2019

During the early months of a child’s language development, their ability to perceive and process language is very fluid and the language input they receive can have a large impact on their language later in life. From the beginning, children need to be able to differentiate the sounds of speech from the rest of the sounds that occur in their environment (Golinkoff, Can, Soderstrom, Hirsh-Pasek, 2015). In other words, children are exposed to the different sounds in their environment and they begin to pick up on the speech sounds, such as conversation-like interactions, with their parents (Golinkoff et al., 2015). …

The Effects Of Age On The Perception Of Frequency In Noise, Mary E. Scherer

Dissertations, 2014-2019

Difficulty understanding speech in the presence of background noise is one of the most common complaints of older adults, both with and without hearing loss. One possible contributing factor is an age-related decline in neural synchrony (e.g., phase locking). Tones-in-noise were used in an attempt to disrupt rate-place coding of frequency and to encourage participants to use phase-locked, temporal representations of frequency during a behavioral frequency discrimination task. Fourteen adults participated in the study (five younger, aged 21-29; four middle aged, 41-50; and five older, aged 61-80). Participants had clinically normal hearing sensitivity (≤ 25 dB HL at octave frequencies …

Effect Of Age On Abrs In Mice With Epha4 Mutations, Melissa M. Teller

Dissertations, 2014-2019

It is known that EphA4 can influence the establishment of tonotopic pathways in the auditory system. This can be measured by an increase in thresholds on the auditory brainstem response test (ABR) in mice. It is also known that the aging population in humans tends to have poorer thresholds in the high frequency sounds as they age, termed presbycusis or age-related hearing loss. The C57BL/6J background strain of mice that is known to experience a presbycusis-like process, although it is not specified when this process begins and how it progresses through their life span. The goal of this study was …

The Neural Representation Of Frequency In Quiet And Noise Across The Adult Life Span, Alexandra Bove

Dissertations, 2014-2019

The purpose of the present study was to examine why older adults have trouble with speech-in-noise understanding. Difficulty with speech-in-noise comprehension has been associated with age-related degradation in frequency processing. Our study sought to investigate this relationship by examining the neural representation of frequency in quiet and in noise across the adult-life span. In order to do this, one behavioral correlate of frequency processing, frequency difference limens (FDLs), and one electrophysiological correlate, the frequency following response (FFR), was utilized. In the present study, we specifically focus on the electrophysiological measures of frequency processing across the adult life span. It was …

The Effect Of Workplace Noise Exposure On Reaction Time, Hollis T. Leidy

Dissertations, 2014-2019

This study examined the effect of listening fatigue on the reaction time of normal hearing listeners, who work in noisy places, at different signal to noise ratios (quiet, +5 and +10 dB). Reaction time was measured using a single task paradigm on twelve male listeners (ages 23-58 years) before and after an eight hour shift at a noisy power plant. The participants in the study also completed a subjective rating questionnaire at two intervals, before and after the fatigue-inducing condition. Results of the study indicated that the reaction time was significantly longer for the most difficult listening condition, indicating the …

Development And Deployment Of A Small Stereo-Hearing Testing System: Two Manuscripts, Sofia A. Ganev

Dissertations, 2014-2019

MANUSCRIPT #1 TITLE

Development of a Deployable Stereo-Hearing System

ABSTRACT

Objective: To investigate the effectiveness and efficiency of a portable stereo-hearing testing system with the intent of deployment for data collection in future studies. We quantify sound localization accuracy and speech-in-noise thresholds comparing unilateral (such as single-sided deafness) and bilateral subjects. We desired to design a small, inexpensive system that would show a large effect size between binaural and monaural subjects in a variety of stereo hearing tasks.

Methods: Subjects were tested on localization accuracy and speech understanding in noise using a laboratory-made stereo-hearing testing device. For the …

American English Speakers' Perception Of Non-Native Phonotactic Constraints: The Influence Of Training In Phonology, Bailey R. Pearson

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of the present study was to examine the differences between perceptions of non-native phonotactic rules and constraints by monolingual English-speaking undergraduate students in a program of communication disorders who had taken and passed a course in the study of phonology and by undergraduate students in communication disorders who had not yet taken a course in phonology. Participants listened to audio recordings of words from Hindi, Hmong, Kurdish, Russian, and Swedish recorded by speakers fluent in those languages. Each of the words contained at least one phonotactic constraint that is not permitted in American English phonology. Participants were instructed …

The Impact Of Technology On Individuals With Down Syndrome And Their Families, Morgan N. Fritz

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to determine the role technology plays in the everyday lives of individuals with Down syndrome and their families. Data was collected via an online questionnaire for parents of adolescents with Down syndrome and took place in two phases: the pilot phase and the large-scale data collection phase. The pilot phase consisted of constructing, giving, and modifying the questionnaire. The large-scale data collection phase included disseminating the questionnaire through social media and resulted in 107 responses. These revealed that technology is widely used by individuals with Down syndrome. As a main outcome, technology provided these …

A Qualitative Study Of The Effects Of The University Of Arkansas Autism Support Program, Jessica Post

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Abstract

Individuals who have been diagnosed with autism spectrum disorder are often united by the following characteristics: difficulty communicating and interacting with others, inhibited ability to function socially, difficulty functioning academically or at work, and trouble transitioning to independent lifestyles (Lord, 2013). The purpose of this study was to determine how undergraduate students with Autism Spectrum Disorder perceive the helpfulness of the University of Arkansas Autism Support Program in the following areas: reducing college- related stress, facilitating academic success, facilitating social success, and preparing individuals for independent adult roles. In short, the study sought to determine the effects of the …

Musical Ear Syndrome: What Do We Know?, Cara D. Pestel

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

The purpose of this study was to review the existing literature regarding Musical Ear Syndrome and other related auditory hallucinations. While the existence of auditory hallucinations is evident, their cause is unclear and widely understudied. There was a need for existing information to be compiled for use in the healthcare field. This review of existing literature will aid speech-language pathologists, audiologists, nurses, psychologists, and physicians in understanding this condition and what differentiates it from other various disorders. This will allow these professionals to better understand the experiences and needs of those with Musical Ear Syndrome.