Speech Pathology and Audiology Commons^™

Voice Therapy Techniques In Combination With The Group Therapy Setting For Individuals With Parkinson’S Disease, Zoë E. Sommers

Williams Honors College, Honors Research Projects

This report aims to provide background information related to voicing in Parkinson’s Disease (PD), review the various therapeutic approaches used to benefit individuals diagnosed with PD, and examine how voice impairments affect the lives of individuals with PD. Specifically, therapy techniques focusing on voice and techniques applied in the group therapy setting will be reviewed. PD has a multitude of consequences on an individual’s life, and speech is an area that is greatly affected. This project will highlight some of the interventions that can positively impact the lives of those with Parkinson’s Disease and reflect on how the group therapy …

Pediatric Feeding Disorder: Consensus Definition And Conceptual Framework, Praveen S. Goday, Susanna Y. Huh, Alan Silverman, Colleen T. Lukens, Pamela Dodrill, Sherri S. Cohen, Amy Delaney, Mary B. Feuling, Richard J. Noel, Erika Gisel, Amy Kenzer, Daniel B. Kessler, Olaf Kraus De Camargo, Joe Browne, James A. Phalen

Speech Pathology and Audiology Faculty Research and Publications

Pediatric feeding disorders (PFDs) lack a universally accepted definition. Feeding disorders require comprehensive assessment and treatment of 4 closely related, complementary domains (medical, psychosocial, and feeding skill-based systems and associated nutritional complications). Previous diagnostic paradigms have, however, typically defined feeding disorders using the lens of a single professional discipline and fail to characterize associated functional limitations that are critical to plan appropriate interventions and improve quality of life. Using the framework of the World Health Organization International Classification of Functioning, Disability, and Health, a unifying diagnostic term is proposed: “Pediatric Feeding Disorder” (PFD), defined as impaired oral intake that is …

Examining Sensory Ability, Feature Matching And Assessment-Based Adaptation For A Brain–Computer Interface Using The Steady-State Visually Evoked Potential, Jonathan S. Brumberg, Anh Nguyen, Kevin M. Pitt, Sean D. Lorenz

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: We investigated how overt visual attention and oculomotor control influence successful use of a visual feedback brain-computer interface (BCI) for accessing augmentative and alternative communication (AAC) devices in a heterogeneous population of individuals with profound neuromotor impairments. BCIs are often tested within a single patient population limiting generalization of results. This study focuses on examining individual sensory abilities with an eye toward possible interface adaptations to improve device performance.

Methods: Five individuals with a range of neuromotor disorders participated in four-choice BCI control task involving the steady state visually evoked potential. The BCI graphical interface was designed to simulate …

Visual And Verbal Semantic Productions In Children With Asd, Dld, And Typical Language, Allison Gladfelter, Barron Kacy, Erik Johnson

Faculty Articles, Papers, and Other Scholarship

Purpose

Associations between visual and verbal input allow children to form, augment, and refine their semantic representations within their mental lexicons. However, children with autism spectrum disorder (ASD) and with developmental language disorder (DLD; also known as specific language impairment) process visual and verbal information differently than their typically developing peers, which may impact how they incorporate visual and verbal features into their semantic representations. The purpose of this exploratory study was to investigate how children with ASD and DLD use visually and verbally presented input to produce semantic representations of newly learned words.

Method

Semantic features produced by 36 …

Reflections On Changing Pedagogy Of Augmentative And Alternative Communication, Kelly Kleinhans, Lauren E. Bland, Richard Dressler

Journal of Excellence in College Teaching and Learning

Augmentative and alternate communication (AAC) is a service delivery area in the field of speech-language pathology. Individuals with significant and complex communication impairments benefit when a speech-language pathologist develops a communication system that either replaces or augments traditional speech. AAC includes the use of assistive technology designed to represent language and produce voice output. The profession's credentialing body, the American Speech-Language Hearing Association, requires university training programs to document student's knowledge and skills in AAC for working with clients across the lifespan. The authors reflect on how pedagogy associated with AAC has been transformed over time by external influences like …

Speech-Language Pathology And Psychology Students' Perceptions Of An Interprofessional Autism Intervention: An Exploratory Case Study, Haley Marie Nelson

Graduate Student Theses, Dissertations, & Professional Papers

The purpose of this qualitative case study was to understand how the interprofessional collaboration (IPC) experience of Youth Engagement Through Intervention (YETI) changes perceptions and knowledge regarding scope of practice of pre-service professionals in the Communicative Sciences and Disorders (CSD), School Psychology, and Clinical Psychology programs. Semi-structured interviews were conducted with pre-service professionals participating in YETI as student clinicians at three different time periods. The results contribute to the existing literature base affirming that interprofessional experiences during pre-professional programs are beneficial. For the Departments of Communicative Sciences and Disorders and Department of Psychology at University of Montana, findings have the …

Implications Of Dual Language Scoring Of The Preschool Language Scale-Fifth Edition Spanish For Bilingual Preschool-Aged Children, Callie Mae Mathis

Open Access Theses & Dissertations

Purpose: Spanish versions of standardized tests used in language evaluations are not well studied. The purpose of this study is to further examine the appropriateness of the Preschool Language Scale, Fifth Edition Spanish (PLS-5S) in a U.S./Mexico border community by comparing the Dual language scores versus the Spanish only scores and comparing the normative sample of the PLS-5S to the population of El Paso, TX.

Method: Twenty-three bilingual preschool aged children in the El Paso area completed the Spanish Edition of the PLS-5S. The parents and teachers of the participants completed two language proficiency questionnaires (Bilingual Input Output Survey; BIOS …

The Effectiveness Of The Natural Ear On Adults Ability To Accurately Match Pitch, Kendra Nicole Rosales

Open Access Theses & Dissertations

Background: Many theories, such as oral motor, perceptual, and sensorimotor deficits, have been posited to explain inaccurate pitch matching abilities. The current study identifies with the sensorimotor deficit theory and found it to be the most plausible explanation for inaccurate singing abilities. The Natural Ear (NE) program was designed to process voice productions in real-time and filter out the discordant harmonics, allowing a person to hear only their F0.

Purpose: The purpose of this study was to examine the effectiveness of the Natural Ear program in increasing pitch matching accuracy in singers.

Methods: A total of 50 participants were included …

Grammatical Error Types Using A Picture Description Task In English And Spanish With Young Children, Lisa Valles

Open Access Theses & Dissertations

Purpose: The current study was part of a larger project examining diagnostic accuracy of various assessment tools for bilingual children living in a border community. The purpose of this project was to examine language sample measures in young children using a picture description task (Eisenberg & Guo, 2013) by answering the following questions:

1. What were the frequent types of errors exhibited by young children in English and Spanish?

2. Were there distinct types of grammatical errors across languages in bilingual children?

Methods: Participants were recruited from a large city on the US/Mexico border. There were 47 participants in the …

Amplification Vs The Natural Ear: A Test On The Effectiveness Of The Natural Ear On Adults Ability To Match Pitch In Song, Celeste Orozco

Open Access Theses & Dissertations

Background: Singing is a natural enjoyment of life; however, individuals tend to isolate themselves from this enjoyment due to their inability to match pitch accurately. A new technology, the Natural Ear provides altered auditory feedback to the user while singing. It is hypothesized that this feedback may aid in the userâ??s ability to match pitch.

Purpose: The purpose of this study is to compare the effects of the Natural Ear to amplification and no amplification conditions on pitch matching accuracy in song.

Study Design: This study used a complex counterbalance within-subjects design.

Methods: 50 adults from the El Paso Metropolitan …

The Role That Language Proficiency Variables Play On Grammaticality, Morphosyntax, And Semanitc Skills In Bilingual Children, Stephanie Escobar

Open Access Theses & Dissertations

Purpose: A number of experiential factors contribute to bilingual development. Factors such as opportunities to hear and use language, age of first exposure, context of learning, social value of a language, education and others have been discussed in other studies. (Bedore et al 2016; Bedore et al 2012). Language questionnaires and self-reports have been used to quantify language variables and current usage of a language. The current study was part of a larger project examining diagnostic accuracy of various assessment tools for Spanish English bilingual children living in a US/Mexico border city (Curtis, Summers, Stubbemann, & Smith, 2017). The purpose …

Attitudes And Barriers Affecting Hearing Aid Use In Hispanics Living In The U.S. Borderland Region, Loren Renee Sotelo

Open Access Theses & Dissertations

Hearing loss can affect a person's overall quality of life, and has been linked to depression and dementia in older adults (Brewster, Ciarleglio, Brown, Chen, Kim, Roose, Golub & Rutherford, 2018; Ciorba, Bianchini, Pelucchi, & Pastore, 2012). In the largest study to date of hearing loss among Hispanic adults residing in the U.S., researchers found that nearly 1 in 7 has hearing loss, which is close to the overall national average (National Institutes of Health, 2015). Currently, hearing aids are the primary/most effective treatment for an age-related hearing loss; Unfortunately, the adult uptake rates are low (Chien & Lin, 2012; …

Visual Feedback In Voice Therapy For Individuals With Parkinson's Disease, Rachel Brooke Convey

University of the Pacific Theses and Dissertations

Parkinson ’s disease (PD) is a progressive neurological disorder that affects one’s movement. As the disease develops, individuals begin to present with symptoms that include but are not limited to bradykinesia, rigidity, tremors, and hypokinetic dysarthria. These symptoms affect a person’s entire body, including his/her voice. The Lee Silverman Voice Treatment (LSVT) program for treating individuals with PD is supported by over twenty-five years of research. It is considered a safe, non-invasive method to improve vocal loudness and speech clarity in individuals with PD. However, simply because LSVT is effective in its current state, it does not mean that the …

Perseveration Or Perseverance: Investigating Interpretations Of Echolalia, Self-Stimulatory Behaviors, And Intervention Approaches For Children Who Have Autism, Ashlynn Rae Kufleitner

Senior Independent Study Theses

The broad purpose of this study was to examine professionals’ perceptions of self-stimulatory behaviors in school-age children who have autism and the relation of these behaviors to communication. More specifically, I investigated whether and how speech-language pathologists and applied behavior analysis therapists address these behaviors during therapy by analyzing what factors may influence the selection of intervention methods and how these methods may be used to shape restrictive behaviors into functional communication. Through pursuing this topic, I hoped to increase research concerning the ways that echolalia and self-stimulatory behaviors are perceived by clinicians who work with clients on the autism …

Language Of Disability, Language Of Disorder: An Investigation Of Lived Experiences And Perspectives Of Individuals On The Autism Spectrum With Respect To Communicative Interventions, Rebekah Burkhart

Senior Independent Study Theses

The primary purpose of this study was to investigate the lived experiences and first-person perspectives of individuals with Autism Spectrum Disorder (ASD) with respect to interventions for communicative differences and/or deficits characteristic of autism. This study extends limited research into autistic experiences of interventions in the domain of communication. Furthermore, by extending prior research into neurodiverse values among speech-language pathologists (SLPs), this research contributes to the body of professional literature through exploration of autistic voices as in-group sources of expertise on ASD. The researcher recruited participants online, utilizing mixed methods in the form of quantitative surveys and qualitative interviews to …

Effects Of A Sensory Diet On Attention And Participation In Children With Autism, Leighanne Smith-Mrkaja

Theses and Dissertations

This applied dissertation was designed to provide initial knowledge regarding sensory diets and sensory-based interventions. The need for classroom-based sensory interventions are not always considered, especially with the high number of students diagnosed with ASD at the researcher’s school. Often sensory intervention may not be considered educationally relevant, especially in the prekindergarten level. With the proper training and materials, as well as the guidance of the school-based occupational therapist, teachers, other therapists, classroom assistants, parents, and school-based staff might be able to utilize sensory-based activities like sensory diets to increase participation, positive behaviors, and attention. The following applied research study …

A Resource Manual For Speech-Language Pathology Graduate Students On Culturally Relevant Therapy Materials, Anna Yates, Heidi M. Harbers, Ciera M. Lorio

Graduate Independent Studies - Communication Sciences and Disorders

This literature review will discuss the effects of shared book reading interventions on the language outcomes of young children from mainstream and diverse backgrounds. The first three studies will identify parent-child shared book reading interventions with children from the dominant culture. The next three studies will discuss the effects of providing shared book reading interventions to children who are bilingual. The final four studies will examine the use of culturally relevant materials in bilingual shared book reading interventions.

Differentiated Social Skills Curriculum For Individuals With Cognitive Impairments, Morgan Bails, Tricia Larkin, Ann Beck

Graduate Independent Studies - Communication Sciences and Disorders

While communication may seem simple and inherent to many individuals while interacting with family, friends, or co-workers, communication may be more challenging for individuals with cognitive impairments. Whether the difficulty is related to expressive language, receptive language, semantics, pragmatics, etc., any deficits in these areas can create difficulty for individuals while socializing with others in their environment. Social skills intervention for individuals with cognitive impairments is imperative so that these individuals are able to communicate as effectively as possible in numerous settings with various communication partners. Individuals with Autism Spectrum Disorder (ASD) may have difficulty with social skills in particular …

Strategies To Address Challenging Behaviors In Children With Down Syndrome, Emily Sproat, Ciera M. Lorio, Kimberly Adelman Ms Ccc-Slp

Graduate Independent Studies - Communication Sciences and Disorders

As a future speech-language pathologist, it is imperative to develop knowledge and skills regarding how to provide therapy while managing challenging behaviors. Challenging behaviors could have long and short-term effects on the individual themselves and multiple entities in the child’s environment including caregivers, teachers, peers and other professionals. The presence of challenging behaviors can significantly impact learning as well as impede social interaction with peers. The purpose of this literature review is to inform speech-language pathologists about behavioral aspects of individuals with Down syndrome, with a focus on challenging behavior, and the best application of strategies and interventions for success. …

Communication Sciences And Disorders Graduate Students' Strengths And Vulnerabilities Related To Resilience: A Survey Of Graduate Programs, Janet Tilstra, Megan Coffman, Teresa Gonia, Caroline Koziol, Ellen Liebe

Internet Journal of Allied Health Sciences and Practice

Burnout in health care professionals may pose a threat to the quality of care provided in any setting. The purpose of this project was to examine dimensions related to future resilience in CSD graduate students. METHODS: In this project, 146 master’s degree students from Communication Sciences and Disorders (CSD) programs in the Midwest completed an online survey regarding lifestyle stresses affecting resilience, and patterns in five areas correlated with resilience. RESULTS: Top lifestyle stresses affecting academics were general stress, maintaining mental health, and sleep difficulties. Notably, more than half of the participants reported feeling rested three or fewer days …

An Investigation Of Therapeutic Rapport Through Prosody In Brief Psychodynamic Psychotherapy, Carolina De Pasquale, Charlie Cullen, Brian Vaughan

Conference Papers

Therapeutic alliance, a concept closely related to rapport, is one of the most important variables in psychotherapy. High degrees of synchrony/coordination in the therapeutic session are considered to contribute to rapport, and have received attention in the psychotherapy literature. Coordinative behaviours are observable in speech, and they manifest in phenomena such as prosodic accommodation, a dynamic phenomenon closely related to conversational success. A preliminary investigation of interpersonal prosodic dynamics in psychotherapy was performed on a database obtained in collaboration with the University of Padua, consisting of 16 recordings making up the entire course of a brief psychodynamic psychotherapy intervention for …

Assistive Devices For Communication Use With The Elderly, Corrine Koepsell, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Hearing loss is one of the prevalent medical conditions in older adults. Although it has been documented that hearing loss is associated with various aspects of social and physical health, hearing assistive technologies and audiologic rehabilitation have been infrequently tapped clinical solutions. Cost and user problems in background noise are two common reasons why hearing aids are underutilized by seniors, and by younger age groups as well. Alternative tools, such as assistive listening devices, may be helpful for older listeners, even though they are used less frequently than hearing aids. To identify if assistive listening devices are satisfactory, a pilot …

Barriers To Change For Augmentative And Alternative Communication, Lauren E. Brown

Murray State Theses and Dissertations

The purpose of this study was to identify the effects of counseling training on speech language pathologists’ (SLPs) perceived competency to address Attitude Barriers within the augmentative and alternative communication (AAC) assessment process as presented by Beukelman and Mirenda (2005). Counseling techniques, such as the use of the Readiness to Change© tool, are within the scope of practice for SLPs. Unfortunately, there is a lack of research on how to apply these tools and techniques with individuals who use AAC .

A training seminar was conducted to educate participants in the use of the Readiness to Change© tool. Data was …

The Effect Of The Cycles Phonological Remediation Approach: A Case Study, Elizabeth A. Packard

Murray State Theses and Dissertations

The speech-language pathologist has many options regarding the course of action they deem the most efficient in remediating a phonological disorder. The purpose of this case study was to research the efficacy of using the Cycles Phonological Remediation Approach (Cycles Approach) as written by Hodson and Paden (Hodson & Paden, 1983; Hodson & Paden, 1991; Hodson, 2006; Hodson, 2007) on a six-year-old child with a moderate-to-severe phonological disorder with low intelligibility. This study included three phases: initial assessment, intervention, and the final assessment. One cycle of intervention over the course of approximately two semesters was administered to target three of …

Feeding And Oral Care Guidelines For Certified Nursing Assistants Working With Patients With Head And Neck Cancer, Emma Eisert

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Augmentative And Alternative Communication In The Intensive Care Unit: A Service Delivery Model, Beverly Lloyd, Ann R. Beck, Amy L. Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

Patients in the intensive care unit (ICU) often find it difficult or impossible to verbally communicate due to mechanical ventilation, tracheostomy tubes or increased fatigue and delirium. Augmentative and alternative communication (AAC) can provide ICU patients with a way to communicate during their ICU admittance. However, few hospitals currently have a systematic service delivery model in place for providing AAC tools and supports to ICU patients. This resource manual provides an outline for creating and implementing an AAC service delivery model along with AAC materials and resources appropriate for an ICU. Explanations of how each material is used, who they …

Feeding And Oral Care Guidelines For Certified Nursing Assistants Working With Patients With Head And Neck Cancer, Emma Eisert

Graduate Independent Studies - Communication Sciences and Disorders

No abstract provided.

Mainstream Tablets As Speech Generating Devices: Considerations In Decision Making, Kaylee Sienza, Ann R. Beck, Amy L. Yacucci

Graduate Independent Studies - Communication Sciences and Disorders

In the last several years, the field of augmentative and alternative communication (AAC) has seen significant technological advances that are both innovative and exciting. One of the main advances in technology comes in AAC applications on mainstream tablet devices like iPads. Tablet devices with AAC applications are being explored as an alternative to dedicated speech generating devices due to cost and convenience. But, before choosing between a mainstream tablet AAC device and a dedicated AAC device, there are several foundational elements of AAC to be understood. All of the AAC basics and considerations should be part of the assessment process …

Examining The Learning Of Students Participating In An Interactive Simulated Patient Experience, Mary Smyers

Theses and Dissertations

Simulated patients are becoming increasingly used in the educational program of future speech-language pathologists. The use of standardized patients provides the opportunity to teach students clinical skills in a controlled environment (Bradley, 2006; Zraick, 2012). Simucase, a speech-language pathology software program, allows clinicians to practice their assessment and treatment skills on virtual patients and is a valid method when teaching clinical skills. Thus, this project examined five undergraduate senior clinicians’ performance and reflection about the Simucase program and their own clinical knowledge. The undergraduate student clinicians engaged in controlled simulation experiences that shared similar characteristics to their current clients, and …

Let's Talk About Dementia: The Effects Of Dementia On Communicative Functions, Mary Kate Hoeve

Honors Projects

A general outline and presentation designed for a seminar setting aimed toward an audience of medical staff in skilled nursing facilities. The purpose of this training is to educate frequent communication partners of those with dementia about effective communication tactics, as well as, a brief definition of dementia. Additionally, a small portion is dedicated to dysphagia. The possible role of a speech-language pathologist in dementia care is also discussed throughout the training.