Speech Pathology and Audiology Commons^™

The Role Of Laryngeal Function In Breathing For Singing, Ellen V. Graham

Theses and Dissertations--Music

Poor breath management is problematic for singing. Voice students and singing teachers typically attribute breath management issues to abdominal-diaphragmatic breathing technique. The present study seeks to determine whether glottal insufficiency may also contribute to singer’s breath management problems. Studies have revealed a relationship between incomplete vocal fold closure and inefficiency in the speaking voice. However, the effect of incomplete vocal fold closure on vocal efficiency in singers has yet to be determined. Since the larynx cannot be observed without the assistance of clinical instrumentation, not readily available in the voice studio, issues at the glottal level may be underappreciated as …

Augmentative And Alternative Communication In The Intensive Care Unit, Jonathan Todd Sizemore

Online Theses and Dissertations

Current research is lacking on the frequency of augmentative and alternative communication (AAC) system use in intensive care units (ICU) and clinical decision making patterns. AAC is use of any alternative method of communication when oral communication cannot be achieved (ASHA, 2013). Patients in the ICU may become nonverbal for many reasons including tracheostomy, mechanical ventilation (McKinley, Pooke, & White, 2010) and intubation (Radtke, Bauman, Garrett, & Happ, 2011). Being nonverbal in the ICU may lead to poorer health outcomes (Patak, Wilson-Stronks, & Costello, 2009). AAC systems may improve outcomes by allowing patients to communicate more clearly with family, friends, …

The Impact Of Interface Design During An Initial High-Technology Aac Experience: A Collective Case Study Of People With Aphasia, Aimee R. Dietz, Kristy S.E. Weissling, Julie Griffith, Miechelle L. Mckelvey, Devan Macke

Department of Special Education and Communication Disorders: Faculty Publications

The purpose of this collective case study was to describe the communication behaviors of five people with chronic aphasia when they retold personal narratives to an unfamiliar communication partner using four variants of a visual scene display (VSD) interface. The results revealed that spoken language comprised roughly 70% of expressive modality units; variable patterns of use for other modalities emerged. Although inconsistent across participants, several people with aphasia experienced no trouble sources during the retells using VSDs with personally relevant photographs and text boxes. Overall, participants perceived the personally relevant photographs and the text as helpful during the retells. These …

Treating Myofunctional Disorders: A Multiple-Baseline Study Of A New Treatment Using Electropalatography, Alana Mantie-Kozlowski, Kevin M. Pitt

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This study assessed the benefit of using electropalatography (EPG) in treatment aimed at habilitating individuals with nonspeech orofacial myofunctional disorders (NSOMD).

Method: The study used a multiple-baseline design across 3 female participants who were referred for an evaluation and possible treatment of their NSOMD. Treatment sessions were 30 min and provided twice weekly. Participant 1 received 8 treatments, Participant 2 received 6 treatments, and Participant 3 received 4 treatments. The patterns of sensor activation produced when participants’ tongues made contact with the electropalate during saliva swallows were compared with the patterns of age-matched peers. Individualized goals were developed on …

The Effects Of Music Instruction On Phonological Awareness In Children With Hearing Impairment, Chelsea Fitch

Masters Theses

Phonological awareness skills are essential for reading development. Children with hearing loss lack access to essential auditory information that allows development of phonological awareness (Dillon, John, & Pisoni, 2011). Music instruction is becoming a popular approach to teach reading for typically developing children, and studies have supported beneficial effects from this treatment methodology. However, there is limited research regarding the use of music to teach phonological awareness and reading skills to children with hearing impairment (Gromko, 2005).

The effectiveness of a music program on increasing phonological awareness skills in children who are deaf or hard-of-hearing was evaluated in this study. …

Services And Information Provided To Mothers In El Paso/Juarez Region, Christina Y. Perez

Open Access Theses & Dissertations

It is estimated that the Latino population will be the majority of the population by 2050 in the United States. There is research supporting the notion that the Latino population is under-served and under-diagnosed regarding physical and mental illnesses. Appropriately informed professionals and parents are the first step to reducing the number of under-diagnosed children that do not receive the treatment they require. This survey was conducted to determine what information Latino mothers from low socio-economic backgrounds possess concerning the developmental milestones of their children and the services available to them. Fifty mothers responded to the survey. Results revealed that …

Nonword Repetition Performance Patterns In English - Spanish Bilingual Adults And English And Spanish Monolingual Adults, Nadia Arriazola Flores

Open Access Theses & Dissertations

Nonword repetition (NWR) is known to be a less biased measure for assessing language abilities of culturally and linguistically diverse (CLD) children (Dollaghan & Campbell, 1998). NWR is used to examine phonological short-term memory mechanisms (also called working memory), because the tasks require the capability to discriminate, store, remember and reproduce phonological sequences (Baddeley, 1989; Braddeley 1974). The purpose of this study was to collect normative data on the NWR performance of bilingual and monolingual adults. This may contribute to the interpretation of performance in bilingual children by providing the standard of adult-like performance. This study examined the performance patterns …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

Potential Influences Of Compliance For Short-Term Recovery From Sports-Related Concussion, Erin R. Ewing

Open Access Theses & Dissertations

Currently, treatment of sports-related concussion dictates the prescription of physical and cognitive rest to allow the injured brain to recover and for concussion-related symptoms to subside. However, clinicians who prescribe rest are often met with resistance from athletes who do not recognize its therapeutic value in the recovery process. Research has shown that athletes often fail to comply with rest recommendations, resulting in protracted recovery and the persistence of symptoms. Method: This study employed a three-group pretest-posttest experimental design to compare the effects of three different concussion management protocols. Participants were recently concussed athletes ages 18-25 seen in the UTEP …

The Effects Of Cognates On Receptive And Expressive Language Among Typically Developing Preschool Second Language-Learners, Jesica B. Zavala De Guerrero

Open Access Theses & Dissertations

This exploratory study considers the facilitating effects of cognates across language of intervention, seeking to assess potential cross-language generalizations among typically developing preschool bilinguals. Nine bilingual, English-Spanish speakers of preschool age were assigned to one of three experimental groups (an English only group, a Spanish only group, and a bilingual group) or to a control condition. Children in the experimental groups were introduced to a vocabulary intervention that incorporated cognates and non-cognates. Analysis of data suggests the absence of a cognate advantage among preschool age children; furthermore limiting any possible cross-language generalizations. It is plausible to suspect that age may …

A Pilot Study: Examining The Microstructural And Macrostructural Narrative Measures In Bilingual Preschool Aged Children, Caroline Esparza

Open Access Theses & Dissertations

Purpose: Research has identified narratives as accurate and reliable predictors of language skills, yet little is documented on the microstructural and macrostructural narrative production of preschool aged bilingual children. This pilot study examined the microstructure and macrostructure elements of narratives in these children to provide preliminary data for further research.

Method: This study examined the narrative skills of 11 bilingual children between the ages of 3 and 4. Narrative retells in Spanish were elicited and were analyzed for the microstructural measures of lexical diversity (NDW) and productivity (TNW and MLU) measures and for the their macrostructural Narrative Scoring Scheme (NSS) …

Carer Experiences With Rehabilitation In The Home: Speech Pathology Services For Stroke Survivors, Katy Stewart, Natalie Ciccone, Elizabeth Armstrong

Research outputs 2014 to 2021

Caring for a stroke survivor can be a complex role with carers at an increased risk of mental health difficulties. Early supported discharge from hospital with rehabilitation in the home (RITH) allows stroke survivors to return home at an earlier stage in the recovery process, potentially placing an extra burden on carers. Being involved in intensive therapy,in the home, in the early days post-stroke may be difficult with the role and experiences of carers in RITH being underresearched. This paper identifies the roles, experiences and preferences of ten carers of stroke survivors with dysarthia and dysphagia. Many carers were involved …

Speech And Swallowing Rehabilitation In The Home: A Comparison Of Two Service Delivery Models For Stroke Survivors, Katy J. E. Stewart

Theses: Doctorates and Masters

Background and Aims

Speech and swallowing difficulties are common sequelae for people who have suffered a stroke. Recently, there has been an increase in early discharge, community rehabilitation and the use of therapy assistants to support health professionals in stroke rehabilitation. However, the impact of these factors on communication and swallowing outcomes remains under researched. This research explored Rehabilitation in the Home (RITH) Speech Pathology (SP) services for stroke survivors with dysarthria and dysphagia. More specifically, this research investigated whether traditional speech pathology interventions, supplemented with a home practice program are effective, as well as compare usual treatment to that …

A Comparison Of Nal And Dsl Prescriptive Methods For Paediatric Hearing-Aid Fitting: Predicted Speech Intelligibility And Loudness, Teresa Y.C. Ching, Earl E. Johnson, Sanna Hou, Harvey Dillon, Vicky Zhang, Lauren Burns, Patricia Van Buynder, Angela Wong, Christopher Flynn

ETSU Faculty Works

Objective: To examine the impact of prescription on predicted speech intelligibility and loudness for children. Design: A between-group comparison of speech intelligibility index (SII) and loudness, based on hearing aids fitted according to NAL-NL1, DSL v4.1, or DSL m[i/o] prescriptions. A within-group comparison of gains prescribed by DSL m[i/o] and NAL-NL2 for children in terms of SII and loudness. Study sample: Participants were 200 children, who were randomly assigned to first hearing-aid fitting with either NAL-NL1, DSL v4.1, or DSL m[i/o]. Audiometric data and hearing-aid data at 3 years of age were used. Results: On average, SII calculated on the …

Hearing-Aid Safety: A Comparison Of Estimated Threshold Shifts For Gains Recommended By Nal-Nl2 And Dsl M[I/O] Prescriptions For Children, Teresa Y. C. Ching, Earl E. Johnson, Mark Seeto, John H. Macrae

ETSU Faculty Works

Objective: To investigate the predicted threshold shift associated with the use of nonlinear hearing aids fitted to the NAL-NL2 or the DSL m[i/o] prescription for children with the same audiograms. For medium and high input levels, we asked: (1) How does predicted asymptotic threshold shifts (ATS) differ according to the choice of prescription? (2) How does predicted ATS vary with hearing level for gains prescribed by the two prescriptions? Design: A mathematical model consisting of the modified power law combined with equations for predicting temporary threshold shift (Macrae, 1994b) was used to predict ATS. Study sample: Predicted threshold shift were …

Update On The Clinical Utility Of Vestibular Evoked Myogenic Potentials, Faith W. Akin, Owen D. Murnane

ETSU Faculty Works

Vestibular-evoked myogenic potentials (VEMPs) supplement the vestibular test battery by providing diagnostic information about otolith organ function. The purpose of this presentation is to provide an update on the clinical use of the cervical VEMP and ocular VEMP as clinical tests of otolith function

Predicting Language Impairment Status: A Risk Factor Model, Johanna Maria Rudolph

Open Access Dissertations

The etiology of specific language impairment (SLI) is multifactorial. Research has shown that genetic, environmental, and developmental factors may influence the course of its development. Because many of these factors are present even before a child is born, it is possible that a child's risk of developing the disorder can be identified long before grammatical deficits are observed. The goal of this study was to develop and validate a screening tool to discriminate between children with SLI and typically developing (TD) children using risk factor information including gender, family history of communication or reading disorders, socioeconomic status, maternal and paternal …

Developing A Drug Delivery System For Treatment Of Vocal Fold Scarring, Aaron Michael Kosinski

Open Access Dissertations

Vocal fold scarring is an affliction that results in the formation of a disorganized and stiff extracellular matrix (ECM) with abnormal ECM component densities & structures including a significant increase in collagen deposition. It is caused by improper healing post injury and results in profound changes in the biomechanical properties of the vocal folds impairing their ability to generate a normal mucosal wave during phonation.

Finding an effective treatment for vocal fold scarring has been elusive. Currently, treatments seek temporary solutions that correct glottal incompetence and reduce stiffness caused by the scar through the augmentation of the vocal folds using …

Effects Of Hearing Aid Amplification On Robust Neural Coding Of Speech, Jonathan Daniel Boley

Open Access Dissertations

Hearing aids are able to restore some hearing abilities for people with auditory impairments, but background noise remains a significant problem. Unfortunately, we know very little about how speech is encoded in the auditory system, particularly in impaired systems with prosthetic amplifiers. There is growing evidence that relative timing in the neural signals (known as spatiotemporal coding) is important for speech perception, but there is little research that relates spatiotemporal coding and hearing aid amplification.

This research uses a combination of computational modeling and physiological experiments to characterize how hearing aids affect vowel coding in noise at the level of …

Neural Encoding Of Complex Signals In The Healthy And Impaired Auditory Systems, Saradha Ananthakrishnan

Open Access Dissertations

Individuals with sensorineural hearing loss (SNHL) typically experience difficulty in understanding speech. Our current knowledge of deficits in speech perception and encoding consequent to SNHL is restricted to psychophysical studies in humans and single-unit experiments in animals. However, the nature of degradation in neural encoding of speech following hearing impairment in humans has not been extensively researched. The objective of this dissertation is to provide a systematic evaluation of neurobiological signature of hearing loss at the subcortical level using an objective electrophysiological non-invasive neural index, the frequency following response (FFR). Subcortical neural encoding of speech signals is explored by quantifying …

Measuring Global Coherence In Aphasia, V. Galetto, S. Kintz, T. West, Heather Harris Wright, Gerasimos Fergadiotis

Speech and Hearing Sciences Faculty Publications and Presentations

Discourse coherence may be conceptualized as representing the listener's ability to interpret the overall meaning conveyed by the speaker. Discourse schemas serve as the organizing frameworks for placing the essential discourse elements within a language sample (Bloom, Borod, & Santschi-Haywoor, Pick, & Obler, 1996; Peterson & McCabe, 1983). When the essential elements are provided a logical consistency of the discourse schema is maintained and the listener perceives the discourse as coherent (Ditman & Kuperberg, 2010; Trabasso, van den Broek, & Suh, 1989; van den Broek, Virtue, Everson, Tzeng, & Sung, 2002). Global coherence refers to the ability to semantically relate …

Effects Of Truncation On Language Sample Analysis In Aphasia, Gerasimos Fergadiotis, Heather Harris Wright

Speech and Hearing Sciences Faculty Publications and Presentations

The goal of this study is to determine if the length of a language sample elicited from a person with aphasia (PWA) is of consequence when making inferences about the patient's functional language ability. When conducting a language sample analysis, a sample representing a snapshot in time is used to make inferences about an individual's language capacity in general. However, current findings are inconclusive regarding the ideal length of the language sample necessary to draw valid conclusions about patients (e.g. Heilman, Nockerts, & Miller, 2010).

Modern Prescription Theory And Application: Realistic Expectations For Speech Recognition With Hearing Aids, Earl E. Johnson

ETSU Faculty Works

A major decision at the time of hearing aid fitting and dispensing is the amount of amplification to provide listeners (both adult and pediatric populations) for the appropriate compensation of sensorineural hearing impairment across a range of frequencies (e.g., 160?10000?Hz) and input levels (e.g., 50?75?dB sound pressure level). This article describes modern prescription theory for hearing aids within the context of a risk versus return trade-off and efficient frontier analyses. The expected return of amplification recommendations (i.e., generic prescriptions such as National Acoustic Laboratories?Non-Linear 2, NAL-NL2, and Desired Sensation Level Multiple Input/Output, DSL m[i/o]) for the Speech Intelligibility Index (SII) …

Relationship Between A Measure Of Social And Emotional Development And Early Communication Development In Young Children With Cleft Palate, Jenna L. Pugh

Electronic Theses and Dissertations

This study was an examination of responses to a standardized assessment of social-emotional behaviors and correlation with speech and language development in young children with cleft palate and/or lip. Twenty-eight participants aged 14-35 months with nonsyndromic cleft palate and or lip were included in this study. The Infant-Toddler Social and Emotional Assessment (ITSEA) was used to identify emerging social and emotional behaviors. Descriptive analysis of ITSEA results was completed. Pearson correlation coefficient and effect size estimates were calculated between ITSEA domain raw scores and measures of speech and language development. A small proportion of participants (14%) showed ITSEA scores beyond …

Brittany Bernal - Sensorimotor Adaptation Of Vowel Production In Stop Consonant Contexts, Brittany A. Bernal

Ronald E. McNair Scholars Program 2013

The purpose of this research is to measure the compensatory and adaptive articulatory response to shifted formants in auditory feedback to compare the resulting amount of sensorimotor learning that takes place in speakers upon saying the words /pep/ and /tet/. These words were chosen in order to analyze the coarticulatory effects of voiceless consonants /p/ and /t/ on sensorimotor adaptation of the vowel /e/. The formant perturbations were done using the Audapt software, which takes an input speech sample and plays it back to the speaker in real-time via headphones. Formants are high-energy acoustic resonance patterns measured in hertz that …

Alternative Ear-Canal Measures Related To Absorbance, S. T. Neely, S. Stenfelt, Kim S. Schairer

ETSU Faculty Works

Abstract:

Several alternative ear-canal measures are similar to absorbance in their requirement for prior determination of a Thévenin-equivalent sound…

Executive Functions And Social Interactions: Developing Social Scenarios, Mackenzie Waite

Masters Theses

The aim of this study was to develop a series of vignettes to form the basis for an assessment of executive functions (EFs) for 9 – 12 year old children. Although EFs are necessary for effective social communication and positive social interactions, currently, most EF assessments focus on impersonal activities. Little research exists that incorporates real-time processing using ecologically valid social scenarios. The current study aims to develop realistic scenarios that children could encounter in daily life. Ethnographic interviews were conducted with six participants, who worked in a school with 9-12 year old children, to gain their perspective on social …

Relations Between Oral Pharyngeal Size And Kinematic Measures Of Tongue Related Swallowing Movements, Danielle Monast

Honors Theses

Background: Though the tongue plays a critical role during the oral phase of swallowing, studies have found that the size and shape of tongue movements during swallowing can vary greatly among individuals. One factor that may contribute to this movement variability is oral-pharyngeal cavity geometry. A cavity with a different size and shape may require different movements for efficient swallowing. While there are a number of studies that have attempted to relate the oral-pharyngeal anatomy with features of orofacial movement, these studies focused on speech movements and no studies have directly evaluated the relation between swallowing related tongue movements and …

Audiology Services At Remote Area Medical Expeditions In Southern Appalachia, Marc A. Fagelson

ETSU Faculty Works

This presentation summarizes the preparation for, and execution of, audiology series provided by East Tennessee State University's Audiology, Program at Remote Area Medical (RAM) expeditiors in the Southern Appalachian region. In 2010 and 2012, ETSU audiology faculty and students evaluatd 281 patients and subsequently fit 178 hearing aids.

Effects Of Noise On Cognitive Function During Dual Tasks Across Normally Aging Adults, Jennine Harvey

Theses and Dissertations (ETD)

This study expands upon methods used to investigate cognition and speech perception which have been limited by lack of (a) pre-screening of cognitive function in participants, (b) reporting visual or auditory accuracy and reaction time measures across experimental conditions that examine reaction times, and (c) comprehensive test battery that includes performance across multiple levels of dual task paradigms (DTPs). This study aims to examine group performance on dual tasks (DT) increasing in cognitive (task difficulty) and perceptual load (noise) with age. Participants were divided into two groups based upon age. Group 1 consisted of 14 listeners (Female=11) who were 40-59 …