Speech Pathology and Audiology Commons^™

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 …

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 …

Effects Of Talker Variability On Spectral Contrast Effects., Asim Mohiuddin

College of Arts & Sciences Senior Theses

Spectral contrast effects are context-dependent effects that influence the way we perceive certain sounds. Evidence of these effects can be seen in experiments where a precursor sound (e.g. a sentence) is followed by a target vowel sound (like /ɪ/ as in "bit" or /ɛ/ as in "bet"). If the precursor's frequency was emphasized in areas more consistent with the frequency of /ɛ/, listeners tend to perceive the target sound to be the opposite i.e. /ɪ/. A recent study shows using sentence precursors from 200 different talkers diminishes these effects questioning previous claims that talker variability has no influence on spectral …

Evaluation Of Hearing Aid Wearers’ Appearance By Individuals Who Do Not Wear Hearing Aid Devices, Lauren M. Lott

Honors Theses

This study focuses on the perception of individuals who do not wear hearing aids and their perception of their hearing aid wearing peers. This thesis considers the opinions of students at The University of Southern Mississippi through the use of a paper survey evaluating the participant’s perception of the following attributes: attractiveness, confidence, motivation, trustworthiness, education, friendliness, intelligence, disability, and body image. Data is collected from 150 students from ages 18-30. This study hopes to determine whether or not there will be a significant change in perception of an individual once they are viewed with a hearing aid.

The Effect Music Has In Speech Therapy, Emily K. Nester

Honors Theses

The purpose of this exploratory study was to determine the use of music in speech therapy. A survey was sent via email to Mississippi Speech-Language-Hearing Association (MSHA) certified speech-language pathologists to acquire knowledge on the use of music in their therapy sessions. The author used the source, SurveyMonkey, to collect and analyze the data. The data was used to determine the prevalence of music in speech therapy. In addition, when music was used, the data portrayed how music was incorporated into therapy and the particular gender, genre, and/or disorder preferred.

The Effect Of Easy Onset Time Treatment On Voice Onset Time In Stuttering, Candace M. Franklin

Honors Theses

For over 70 million people who stutter, it is a disorder that can affect a person’s social, emotional, and professional life on a daily basis (Gordon, 2002). Stuttering is defined as a fluency disorder that includes the repetition of words, pauses in speech, or sound prolongation (Hedge, 2001). Although there are many different theories as to what causes stuttering, the etiology of stuttering remains undetermined. As a result, much research has been done on various treatment approaches to try and ease the effects of stuttering. One particular approach is the Easy Onset Time approach. This approach encourages the client to …

List Equivalency Of The Azbio Sentence Test, Lauren C. Bush

Honors Theses

The AzBio Sentence Test was developed as a measure of speech perception abilities and intended to be more reliable and closer to real life conditions than the previous speech perception measures commonly used. The purpose of speech perception measures is to partially determine cochlear implant candidacy as well as pre- and post-outcomes of cochlear implantation. The AzBio Sentence test is composed of 15 lists of 20 sentences each. There is limited research conducted on the equivalency of each of these lists. Of the previous limited reasearch conducted, one study found that only 10 of the 15 lists were equivalent. The …

Variability In Clinically Measured Wideband Acoustic Immittance Over Time In Young And Old Adults, Allison G. Mcgrath

Dissertations, 2014-2019

Wideband acoustic immittance (WAI) measures of the middle ear have the potential to increase our ability to detect changes in the middle ear transfer function not seen using traditional tympanometry. In order to use this new tool diagnostically we must first understand its normal clinical variability. The present study aimed to investigate the variability that occurs when wideband acoustic immittance (WAI) is measured clinically within subjects as a function of subject age, as a function of time, and as a function of pressure. A total of thirty-six ears from eighteen subjects were studied (n=18 young adults ears, n=18 older adult …

Interprofessional Patient Simulation Training Compared To Online Training For Learning To Use In-Line Speaking Valves, Kristi A. Moore

Electronic Theses and Dissertations

Restoring speech in persons who are tracheostomy and ventilator dependent, through the use of a Passy-Muir Speaking Valve (PMSV), requires specific training. Methods of training interprofessional team members to assess in-line PMSVs are unclear. This study used a pretest/ post-test design to compare effects of online training and online training plus simulation training on knowledge acquisition, skills performance, and comfort levels when working with persons who are tracheostomy and ventilator dependent. Twenty-six students studying either respiratory therapy (N=13) or speech-language pathology (N=13) were assigned to the control group or experimental group. Results revealed that online training proved beneficial for increasing …

Comparison Of In Vivo Simulation Training Compared To Video Simulation Training For Identifying Clinical Markers Of Distress When Feeding Preterm Infants, Emily M. Wagner

Electronic Theses and Dissertations

Preterm infants have multiple health complications due to their underdeveloped neurological systems. Bottle-feeding difficulties are one complication that leads to pulmonary illness secondary to aspiration. Preterm infants exhibit clinical markers when experiencing distress during bottle-feeding. Training caregivers to identify clinical markers reduces the risk for aspiration. Simulation training provides a safe learning environment without harming patients. Twenty-two speech-language pathology and pre-requisite students divided into two simulation groups, video-simulation (N=12) and in-vivo simulation (N=10), were trained to document clinical markers of distress exhibited by preterm infants and make clinical judgments about bottle-feeding. Students rated their levels of anxiety during simulation training. …

Talking About Aphasia: The Two Voices Of Insight, Elizabeth O'Brien

College Honors Program

This thesis aims to understand the lived experience of communication disorders (CDs), including the challenges, stigmas, and misconceptions related to CDs. It draws upon in-depth interviews with speech-language pathologists (SLPs), participant observations of people with aphasia, and observations of aphasia forum websites. During the data collection process, people talked about the stigmas and hardships of CDs and the subjective experience of having trouble communicating with others. This thesis will use their words and ideas to highlight the important aspects of coping with and treating CDs. It discusses how people with aphasia think about space, their body, and time, and considers …

Genetic Candidate Variants In Two Multigenerational Families With Childhood Apraxia Of Speech, Peter Beate, Ellen M. Wijsman, Alejandro Q. Nato Jr., University Of Washington Center For Mendelian Genomics, Mark M. Matsushita, Kathy L. Chapman, Ian B. Stanaway, John Wolff, Kaori Oda, Virginia B. Gabo, Wendy H. Raskind

Biochemistry and Microbiology

Childhood apraxia of speech (CAS) is a severe and socially debilitating form of speech sound disorder with suspected genetic involvement, but the genetic etiology is not yet well understood. Very few known or putative causal genes have been identified to date, e.g., FOXP2 and BCL11A. Building a knowledge base of the genetic etiology of CAS will make it possible to identify infants at genetic risk and motivate the development of effective very early intervention programs. We investigated the genetic etiology of CAS in two large multigenerational families with familial CAS. Complementary genomic methods included Markov chain Monte Carlo linkage …

Verification And Quantification Of Surface Electromyographic (Emg) Activity Of The Masseter Muscle, Kelsey Bowles

Honors Theses

Purpose: The goal of the present study is to develop and evaluate an automated technique for measuring biting and chewing related surface electromyographic (EMG) activity of the masseter muscle.

Methods: Data from 28 neurologically healthy participants between the ages of 18-40 were selected for this study. The procedure for collecting the bite/chew data consisted of the participant biting down and chewing three small breath mints while an EMG sensor recorded the masseter muscle activity. A five-step Matlab-based algorithm was created to accurately identify onsets and offsets of each bite and chew event.

Results: Compared to manual measurements using standard …