Speech Pathology and Audiology Commons^™

Dysphagia Practice Patterns Of Virginia Speech-Language Pathologists, Molly Kathleen Dailey

Theses & Honors Papers

Currently, there are a variety of screening tools, clinical, and instrumental assessments used by speech-language pathologists (SLPs) to diagnose dysphagia and plan for treatment. Anecdotal reports and empirical evidence suggest that dysphagia assessment and treatment practice patterns vary considerably across patient populations, work settings, and clinicians. Understanding the SLP assessment and treatment practices across settings and factors that may influence their decisions will help inform future directions in dysphagia education, training, and clinical practice components. These findings will enable the provision of quality care that will ultimately lead to positive patient health outcomes. Thus, this survey study was designed to …

Entertainment-Related Excessive Sound Exposure (Erese): Associated Audiometric-Threshold Patterns, Ashley Lenard, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Previous studies have reported that exposure to hazardous sounds can result in a mild to profound degree of temporary and permanent hearing loss. Typically, individuals exposed to loud industrial noise develop a notch or dip at or near the pure-tone test frequency 4,000 Hz. Exposure to hazardous recreational and work-place sound has been associated with noise-induced hearing loss (NIHL) and tinnitus has been associated with exposure to high-intensity concert sound as well. The purpose of this project was to report whether audiometric patterns have been reported in the literature that may be associated with entertainment-related excessive sound exposure (ERESE). Over …

The Speech-Language Pathologist's Role In Supporting The Development Of Self-Regulation: A Review And Tutorial, Amanda Binns, Janis Oram Cardy

PRECISe Preschool Speech and Language Publications

Purpose

Children’s engagement in self-regulation is a strong and positive predictor of their social and academic success, making self-regulation an important focus for caregivers and clinicians. The aims of this article are to provide a framework for understanding self-regulation and to identify strategies speech-language pathologists can use to integrate self-regulation work into their clinical practice.

Method

Empirically supported considerations describing the developmental progression from co-regulation to self-regulation are outlined, and the effects of stress on self-regulation are discussed. A clinical framework is provided to guide speech-language pathologists in considering stress and self-regulation in their clinical work. Strategies are provided to …

Individualized Frequency Importance Functions For Listeners With Sensorineural Hearing Loss, Sarah E. Yoho Leopold, Adam K. Bosen

Communicative Disorders and Deaf Education Faculty Publications

The Speech Intelligibility Index includes a series of frequency importance functions for calculating the estimated intelligibility of speech under various conditions. Until recently, techniques to derive frequency importance required averaging data over a group of listeners, thus hindering the ability to observe individual differences due to factors such as hearing loss. In the current study, the “random combination strategy” [Bosen and Chatterjee (2016). J. Acoust. Soc. Am. 140, 3718–3727] was used to derive frequency importance functions for individual hearing-impaired listeners, and normal-hearing participants for comparison. Functions were measured by filtering sentences to contain only random subsets of frequency bands …

Interprofessional Education For Pre-Service School-Based Professionals: Faculty And Student Collaboration, Julie Strunk, Debi Kipps-Vaughan, Stacey L. Pavelko, Dannette Allen-Bronaugh, Karen Myers, Tammy Gilligan, Michele Kielty, Elizabeth Richardson, Joseph Tacy

Teaching and Learning in Communication Sciences & Disorders

Interprofessional collaboration is necessary for school-based professionals who provide services for students with disabilities. Most pre-service training, however, takes place in separate programs and does not afford students opportunities to learn effective collaborative techniques. This study examined the effects of a one-day interprofessional learning experience for pre-service school-based professionals. The goals were twofold: 1) increase students’ understanding of the core competencies for interprofessional collaborative practice (Interprofessional Education Collaborative, 2016) and 2) provide an opportunity for students to participate in interprofessional collaboration within a simulated school-based context. A mixed method design examined changes in students’ knowledge of the IPEC competencies. Students …

Speech-Language Pathology Students’ Motivation For Learning, Amie M. King, Steffany M. Chleboun

Teaching and Learning in Communication Sciences & Disorders

The primary purpose of this exploratory study was to attempt to gain a better understanding of speech-language pathology students’ motivations for learning. Motivation was assessed in undergraduate and graduate students in two categories of coursework. Results showed statistically significant differences between undergraduate and graduate students in the overall areas of Intrinsic and Extrinsic Motivation, while there were no significant differences in other areas of motivation. These results were situated in potential implications for students, professors, and programs as well as the need for follow-up studies.

What’S In A Question? A Comparison Of Student Questions In Two Learning Spaces, Julie Griffith, Mary Lou Vercellotti, Hannah Folkers

Teaching and Learning in Communication Sciences & Disorders

Active learning pedagogy is thought to allow more opportunities for student interaction. Given that students are more interactive, student questions may reveal how active learning pedagogy may enhance student learning outcomes. The purpose of this research was to investigate the frequency, distribution, and type of questions asked by students during class meetings in two instructional contexts: a traditional lecture classroom and an interactive learning space classroom. A neuroanatomy and neurophysiology for speech, language and hearing course was taught in the two spaces in subsequent semesters. A total of 99 enrolled students gave consent. Six 75-minute class meetings from each classroom …

Training Students Through A Community Outreach Program To Support Families Of Children With Autism Spectrum Disorder, Joann P. Benigno`, John W. Mccarthy, Sarah O. Taylor, Bridget Gornichec Wright, Chao-Yang Lee

Teaching and Learning in Communication Sciences & Disorders

This outreach program involved training eight graduate and 19 undergraduate students to create evidence-based communication supports for families of children with autism spectrum disorder (ASD) within the context of a two-course sequence on ASD. During the training program, ten families in rural Appalachia benefited from our services. Student and family satisfaction data with the outreach program was highly positive. Undergraduate and graduate university students participating in the program met or partially met 97% of their goals set at the beginning of each semester. Undergraduate students’ self-ratings of their own knowledge about material covered in the course were significantly higher than …

Influence Of Supervision And Clinical Experiences On Professional Development Of Graduate Speech Language Pathology Students, Sarah Rapillard, Laura Plexico, Allison M. Plumb

Teaching and Learning in Communication Sciences & Disorders

As with the first companion manuscript, this study used a grounded theory approach to develop and describe a hierarchical model of clinical development of speech-language pathology graduate students. Eight female students attending the speech-language pathology graduate program participated in structured interviews prior to graduate training as well as following each of five subsequent semesters. The interviews were then qualitatively analyzed to create the model of clinical development. This is the second of two companion papers and summarizes three of the five main findings identified. These findings indicate that academic experiences provide foundational skills that students need for clinical development; however, …

Influence Of Graduate Speech Language Pathology Student’S Learning Style And Coping Strategies On Training And Development, Sarah Rapillard, Laura W. Plexico, Allison M. Plumb

Teaching and Learning in Communication Sciences & Disorders

A hierarchical model using grounded theory analysis was used to investigate clinical development of speech-language pathology graduate students. Eight female students attending a graduate speech-language pathology program participated in interviews prior to beginning graduate training and after each of five subsequent semesters. The interviews were then qualitatively analyzed to create the model of clinical development. This is the first of two companion papers and summarizes two of the five main findings identified. These findings indicated that both stress and the coping strategies used by students influenced clinical abilities and the student’s feelings of self-efficacy throughout graduate training. The results support …

Parent Challenges, Perspectives And Experiences Caring For Children Who Are Deaf Or Hard-Of-Hearing With Other Disabilities: A Comprehensive Review, John J. Whicker, Karen F. Muñoz, Lauri H. Nelson

Communicative Disorders and Deaf Education Faculty Publications

Objective: The purpose of this literature review was to explore parent challenges in caring for children who are deaf or hard of hearing with other disabilities and discuss implications for audiologists related to supporting families.

Design: A comprehensive literature review was conducted, and through qualitative analysis, emergent themes were identified, and a narrative summary generated.

Study sample: Nine research studies were included in this review. Combined, these studies reflect a sample of 111 children, 23 families and 41 parents.

Results: Three broad themes were identified, and include parent-reported challenges related to family, professional and child variables. Sub-themes were identified within …

A Child With Congenital Aglossia: A Narrative Review And Descriptive Case Study, Betty Mcmicken

Communication Sciences and Disorders Faculty Articles and Research

This article details an account of a young female with congenial aglossia. Because of the low incidence of this anatomical and physiological presentation, this narrative review includes a brief historical review of the disorder and a detailed description of: (1) reports in the literature of congenital hypoglossia and aglossia, (2) characteristics of speech in children with congenital aglossia below the age of 18 years, and (3) the medical history, speech acquisition, and course of intervention of a 5-year-old girl with congenital aglossia currently in speech treatment.

Voice Disorders Secondary To Thyroidectomy: A Case Study, Samantha D'Agostino

ETD Archive

The thyroid is an important gland that aids in development. Located anteriorly at the base of the neck, the thyroid produces hormones that regulate metabolism. Thyroid dysfunction can lead to excess or reduced production of hormones known as hyper and hypothyroidism. Usually affecting women, hyper and hypothyroidism can be life-threatening. A well-known treatment is a thyroidectomy, or removal of the thyroid gland. Many people report vocal change secondary to thyroidectomy. Dysfunction can result from intubation during surgery or damage to laryngeal nerves and/or muscles. A participant’s low intensity and difficulty with projection prompted a case-study to examine the laryngeal area …

Speech Language Pathology Graduate Handbook - 2018-2019, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

No abstract provided.

Speech-Language Pathologists' Collaboration With Interpreters: Results Of A Current Survey In California, Terry Saenz, Henriette W. Langdon

Faculty Publications

One of the challenges of bilingual speech and language assessment, intervention, and conferencing is the effective collaboration with interpreters in such interpreted interactions when the professional does not share the same spoken language with the client. A survey of California speech-language pathologists who were members of the California Speech-Language-Hearing Association (CSHA) was performed to obtain information on their training to collaborate with, experiences with, and opinions of interpreters. In addition, these professionals were surveyed about the training of the interpreters and suggestions for improvement in interpreted interactions. Findings from 229 participants indicated that: (a) Most of the speech-language pathologists had …

Deaf Education: The Past, Present, And Future, Diana Burke

Senior Honors Projects, 2010-2019

Back in the 1800's, sign language was banned from schools because of the prevailing view that sign language inhibited children who are deaf from interacting with the hearing society. Today, due to the growth of technology, children who are deaf can communicate using sign language and spoken language. These children can attend mainstream schools or schools for the Deaf. This paper will focus on the history of schools for the Deaf and my observations as a student observer at the Virginia School for the Deaf and Blind (VSDB). VSDB is a residential school providing students who are deaf and blind …

Hearing Studies In Old Mice: The Effect Of Pre-Pulse Inhibition On The Acoustic Startle Response, Ashley B. Hillyard, Nicolette S. Chuss

Senior Honors Projects, 2010-2019

The purpose of this study pertains to hearing in the species Peromyscus maniculatus (deer mice) — specifically their responses to a startling sound. Approximately seven mice were tested between four and five years of age, approaching the lifespan of this species. By means of an accelerometer, which measures a reflexive, motor response, the mice were presented with an acoustic startle-eliciting stimulus (SES) — that is a loud, startling, unexpected sound. During the study, the mice were also presented with a softer, less-intense stimulus — known as a pre-pulse — slightly before the more intense sound. This pre-pulse stimulus was in …

Perspectives Of Caregiver-Survivor Dyads Following Tbi: A Case Series, Shayleen Brennan

Senior Honors Projects, 2010-2019

A traumatic brain injury (TBI) is trauma to the brain triggered by an external force that causes the brain to crash violently against the skull and disrupt normal functioning. Following a TBI, the survivor often faces challenges that compromise independence. These can include challenges in communication, cognition, and overall physical functioning. Resultantly, reliance upon the individual’s loved ones as both advocates and caregivers is essential to functional recovery. This qualitative study investigates the experiences reported between both survivors and their primary caregivers. Using a qualitative approach, exploration of the convergent and divergent perspectives between survivors and caregivers post-TBI were researched. …

The Effect Of Electronic Nicotine Delivery Systems On The Vocal Folds, Hilary Gayle Sample

ETD Archive

Electronic Nicotine Delivery Systems (ENDS) are non-combustible tobacco products that are rapidly gaining in popularity worldwide. ENDS are marketed as safer alternatives to cigarettes; however, very little research is available to support or deny these claims. ENDS aerosol is inhaled over the vocal folds and into the lungs consistent with cigarette smoke. The larynx is among the primary locations affected by smoking; therefore, it is necessary to evaluate the effect, if any, of ENDS on the larynx. The goal of the present study was to evaluate the laryngeal appearance and function of seven ENDS users as compared to four cigarette …

Effectiveness Of Prophylactic Lingual Strengthening Exercises For Patients With Head And Neck Cancer A Systematic Review, Cassidy Pickens

Theses and Dissertations--Communication Sciences and Disorders

Radiation treatment for head and neck cancer has devastating effects on swallowing ability. Prophylactic swallowing exercises are often recommended. However, the evidence for these exercises is equivocal and information regarding critical components of an exercise program is lacking. The purpose of this systematic review was to examine the evidence regarding lingual strengthening exercises as a component of a prophylactic swallowing program.

Vocal Function Exercises For Normal Voice: The Effects Of Maximally Sustained Phonation, Mariah Elaine Morton

Theses and Dissertations--Communication Sciences and Disorders

Vocal Function Exercises (VFEs) is a well-known treatment program that consists of four exercises, in which the first and fourth tasks require maximally sustained phonation. However, the active ingredients responsible for treatment efficacy are still unknown. The primary purpose of this investigation was the explore the effects of maximally sustained phonation on the VFE outcome measure of maximum phonation time (MPT) in individuals between the ages of 18-40 with normal voice. Participants were randomized into three experimental groups that completed VFEs for six weeks. The baseline group sustained tasks one and four for as long as was achieved at the …

Contextual Interference In Speech Motor Learning Secondary To Similar Phonemes, Katelyn M. Bond

Capstones and Honors Theses

Purpose: The contextual interference (CI) effect is a motor learning phenomenon where learners experience difficulty during training resulting in poor performance; however, improved performance is observed in transfer conditions. Different variables elicit a CI effect, and the purpose of this study is to investigate whether phoneme (or sound) similarity may result in a CI effect during speech motor learning.

Method: The study included twenty-nine participants whose hearing and speech abilities were within the normal range. Participants were randomly assigned to one of two training sessions involving nonwords with either similar or dissimilar phonemes. Each training session included nonword repetition training …

Creating Head Space: Using Spaced Retrieval Practice To Teach Cranial Nerves To Graduate Slp Students, Rachel K. Johnson, Anne M.P. Michalek, Corrin Richels

Communication Disorders & Special Education Faculty Publications

The purpose of this study was to investigate the effectiveness of spaced retrieval practice on graduate speech-language pathology (SLP) student’s long-term retention of cranial nerves. This is a quasi-experimental design study using a repeated measures and between group design where the control group was not randomly assigned. The accuracy and quality of cranial nerve knowledge was measured in graduate SLP students who did not practice spaced retrieval (control), and those who practiced spaced retrieval for three (EG1) or four (EG2) semesters. The quality and accuracy of cranial nerve knowledge improved significantly for both experimental groups compared to the control group. …

The Impact Of Dysphagia And Gastrostomy On Quality Of Life In Caregivers Of Patients With Amyotrophic Lateral Sclerosis, Emily Clare Sither Goggin

Theses and Dissertations--Communication Sciences and Disorders

There is little research studying the relationship between caregiver quality of life and gastrostomy, a palliative intervention recommended to manage dysphagia and malnutrition in patients diagnosed with Amyotrophic Lateral Sclerosis (ALS). To facilitate a more comprehensive assessment of treatment effectiveness and to better guide patients and their families, this study investigated the relationship between gastrostomy, caregiver strain, and patient disease-related factors. Patients with bulbar-onset ALS and their caregivers were recruited regardless of their decision to accept or decline future gastrostomy. Caregivers completed the Modified Caregiver Strain Index (MCSI) to assess levels of caregiver strain as an index of quality of …

Auditory And Somatosensory Pre-Pulse Inhibition In Mice, Anna Louthan

Dissertations, 2014-2019

Both hearing and somatosensation are sensory responses to vibrations, and here we show a way to investigate such mechanoreceptive psychophysics alone and in combination. Pre-pulse inhibition (PPI) is a well-known, unconditioned, and reflexive technique for measuring sensory thresholds with a wide variety of stimuli and laboratory animals. In this paper, we explore interactions between auditory and somatosensory PPI in normal mice. Fifteen C57/BL6J mice were tested three times each. Ages varied between one and six months. Testing followed published procedures from our lab and others, except the pre-pulses were auditory, somatosensory (vibration of the test chamber), or both. The auditory …

The Impact Of Depression On Treatment Outcomes For Patients With Aphasia Who Participate In An Intensive Comprehensive Aphasia Program (Icap), Harley B. Kincheloe

Undergraduate Theses, Professional Papers, and Capstone Artifacts

Abstract

Background: Aphasia is a multi-modal impairment resulting from left-hemisphere stroke. Aphasia is often accompanied by post-stroke depression. Acquiring aphasia and depression is seen to hinder quality of life and rehabilitative outcomes. Traditional stroke therapy often does not monitor or treat psychological difficulties such as depression. Such psychological difficulties hinder progress in recovery and may need to be addressed in therapy to ensure the best possible outcomes.

Aims: In response to the lack of psychological support for persons with aphasia, this literature review aims to explore the impact of depression on functional outcomes. Furthermore, this literature review will explore how …

Examining The Effects Of Pause Times On Auditory Comprehension Utilizing Secondary Data Analysis, Katelyn Vera

Open Access Theses & Dissertations

In this secondary data analysis research study, existing data were analyzed in order to compare behavioral and electrophysiological performance in an individual with aphasia and an individual with no brain damage. The effects of pauses of different durations (i.e., 1, 2, or 3 seconds) inserted within a spoken message were analyzed by examining behavioral and electrophysiological data. Data analyzed included correct response rate, behavioral reaction time, and N400 event related potential (ERP) component amplitude and latency. The following research questions were examined: Is there a difference between the individual with aphasia and the individual with no brain damage for each …

The Perspectives Of Speech-Language Pathologists On The Development Of Self-Advocacy In High School Learners With Autism, Jordan Dann

Master's Theses and Doctoral Dissertations

This qualitative research study described how five speech-language pathologists (SLPs) view the development of self-advocacy in learners with autism spectrum disorder (ASD). The research literature on self-advocacy among the community of individuals with disabilities contained a small collection of studies; little to none of that research regarded learners with autism, specifically, especially within the field of speech-language pathology. Practicing SLPs who have worked with high school students who experience autism were interviewed. It emerged from the study that participants believe there is a need to collaborate with other disciplines and other entities when helping students on the spectrum self-advocate. Other …

Total Laryngectomy Surgery In The United States And Spain: A Tale Of Two Healthcare Systems, Anna Nyszczy

Williams Honors College, Honors Research Projects

For individuals entering the field of health professions, an understanding of variation among global health systems can foster more informed viewpoints when working with multicultural populations. To investigate this relationship between the Spanish and U.S. systems, I analyzed the macro-structure of the healthcare systems in the United States and Spain to better understand plans of treatment, economic burden to patients and quality of life of patients undergoing total laryngectomy surgery in each country. A critical review of scholarly journals and studies relating to the healthcare systems of each country and total laryngectomy surgeries showed a unique picture of each system. …

Patient Perspectives Of An Intensive Comprehensive Aphasia Program For Stroke Survivors, Anya A. Leyhe, Catherine A. Off, Carolyn R. Baylor, Jenna R. Griffin, Kirsten W. Murray

Graduate Student Theses, Dissertations, & Professional Papers

Introduction: Persons with aphasia (PWA) who participate in intensive comprehensive poststroke language rehabilitation programs make a variety of significant investments. While intensive aphasia programs and intensive comprehensive aphasia programs (ICAPs) are becoming increasingly prevalent across health care settings, patient perspectives of ICAPs have not been explored. The purpose of this qualitative study was to examine patient perspectives about the experience of participating in an ICAP at the University of Montana. The primary research question of this study was: “what is it like to be a PWA in an ICAP?” Methods: Researchers used an interpretive phenomenological approach to conduct …