Speech Pathology and Audiology Commons^™

Audibility As A Predictor Of Speech Recognition And Listening Effort, Ryan W. Mccreery

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Two studies were conducted to evaluate how audibility influences speech recognition and measures of working memory in children with normal hearing. Specifically, audibility limitations related to background noise and limited bandwidth were analyzed, as these factors are characteristic of the listening conditions encountered by children with hearing loss who wear hearing aids.

In the first study, speech recognition was measured for 117 children and 18 adults with normal hearing. Stimulus bandwidth and the level of background noise were varied systematically in order to evaluate predictions of audibility based on the Speech Intelligibility Index. Results suggested that children with normal hearing …

Memory And Language: Evidence Of Relationships From Three Studies Of School-Age Children, Michele A. Anderson

Dissertations

The purpose of this three-paper dissertation was to explore the relationship between performance on verbal memory and language assessment tasks in school-age children. Study one used data from whole-class administration of three language assessment tasks to 2nd, 4th, 6th, and 9th graders (N= 187). Studies two and three used data from individualized administration of language assessment and verbal memory tasks to comparable samples of children between the ages of 6 and 18 years with typical language (TL) and language impairment (LI) (n = 37 per group).

The first study addressed practical and theoretical questions regarding memory and language demands of …

The Neural Underpinnings Of Prosody In Autism, Inge-Marie Eigsti, Jillian Schuh, Einar Mencl, Robert T. Schultz, Rhea Paul

Communication Disorders Faculty Publications

This study examines the processing of prosodic cues to linguistic structure and to affect, drawing on fMRI and behavioral data from 16 high-functioning adolescents with autism spectrum disorders (ASD) and 11 typically developing controls. Stimuli were carefully matched on pitch, intensity, and duration, while varying systematically in conditions of affective prosody (angry versus neutral speech) and grammatical prosody (questions versus statement). To avoid conscious attention to prosody, which normalizes responses in young people with ASD, the implicit comprehension task directed attention to semantic aspects of the stimuli. Results showed that when perceiving prosodic cues, both affective and grammatical, activation of …

Intervention Intensity For Speech Sound Disorders: How Much And For How Long?, Elise Baker, A. Lynn Williams

ETSU Faculty Works

Seminar Outline 1) What is intervention intensity? 2) What do we know about the intensity of intervention for SSD in children? 3) How might SLPs use the evidence on intervention intensity in their everyday management of SSD in children?

/Intɛli/ A Bilingual Computer Software Treatment Program For Apraxia Of Speech, Esnire Abigail Gomez

Open Access Theses & Dissertations

Apraxia of Speech (AOS) is a motor speech disorder characterized as difficulty planning and producing precise and refined movements of the articulators for intelligible speech (CASANA). Purpose: The purpose of this study was to explore the success of /Inteli/, an experimental computer program that incorporates melodic intonation therapy (MIT), modified eight step continuum, visual and auditory cues, and voice recordings for instant feedback to increase speech intelligibility. Method: A single subject multiple-baseline design was used to examine the effects of /Inteli/ on the speech intelligibility of a child diagnosed with severe AOS. Treatment was applied to 30 multisyllabic words in …

Unreported Concussion In High School Football Players, Princess Arcelia Puga

Open Access Theses & Dissertations

Recent research in sport-related concussions has begun to reveal more about the specific hazards of high school football. However, the national reports of incidence/prevalence of concussions in this population appear to be inaccurate, because only emergency department (ED) visits are accounted for in reporting the number of concussions sustained in football. Purpose: The purpose of this study was to investigate whether there is a statistically significant difference between the frequencies of concussion reports by athletic trainers (ATC) versus hospital records on concussion in high school football players in El Paso, Texas. Method: A questionnaire was delivered to athletic trainers through …

Speech-Language Pathologists' Reports Of Interprofessional Collaboration And Exposure During Graduate School, Carly Ruth Robalin

Open Access Theses & Dissertations

ABSTRACT

Although the importance and benefits of interprofessional education (IPE) and interprofessional collaboration (IPC) in healthcare have been well demonstrated, the majority of graduate programs in speech-language pathology (SLP) only offer discipline-specific coursework and related experiences. Purpose: The purpose of this study is to explore SLPs' perceptions of their graduate programs' success at preparing them to be interprofessional team-members in the medical work setting. Method: Medically-based SLPs in five Texas cities responded to a survey addressing IPE and IPC. Responses were collected regarding: 1. Interprofessional exposure to physical therapy (PT) and occupational therapy (OT) during graduate school, 2. IPE opportunities …

Stem Cell Replacement Therapy For The Mammalian Inner Ear: A Systematic Literature Review, Robin Warwick

Dissertations, Theses, and Capstone Projects

Objective: The purpose of this investigation is to review current possible regeneration techniques for damaged hair cells of the inner ear in mammals. The avian has the ability to spontaneously regenerate damaged hair cells, and thus provides an animal model to simulate a similar response in the mammalian inner ear.

Methods: A systematic review of the literature was conducted using a PubMed database search to address the following question What are the current investigations pertaining to regenerating hair cells using stem cell-based research? The articles were analyzed and rated at Level Ia, Ib, IIa, IIb, or III level of evidence. …

Augmentative And Alternative Communication Systems In The Classroom, Helen Angela Mezzomo

Walden Dissertations and Doctoral Studies

Augmentative-alternative communication (AAC) systems are used to give voice to individuals who are nonverbal. As AAC systems become more complex and prevalent in the classroom expectations of school-based professionals expand. However, the roles of those expected to support AAC systems, primarily teachers and speech-language pathologists (SLPs), are not clearly defined. Without clearly defined roles, professionals may not provide needed support to students who use AAC. Dewey's theory of community suggests that role confusion leads to insufficient and ineffective services. The purpose of this cross-sectional quantitative study was to determine how teachers and SLPs view their roles in supporting AAC. The …

Eight Simple Rules For Talking With Preschoolers, Rhea Paul

Communication Disorders Faculty Publications

The article offers eight simple rules that teachers can use to help preschoolers build their vocabularies. It suggests teachers to talk with children to identify topics that interest them. It also recommends teachers to accompany all the routines and activities of the preschool day to enhance the language experience of children. Moreover, it proposes that open-ended questions invites preschoolers to offer lengthier and more detailed responses, thus stimulating their language growth.

22q11.2 Deletion Syndrome: Are Motor Deficits More Than Expected For Iq Level?, Nancy J. Roizen, Anne Marie Higgins, Kevin M. Antshel, Wanda Fremont, Robert J. Shprintzen, Wendy R. Kates

Communication Disorders Faculty Publications

To examine motor function in children with 22q11.2 deletion syndrome (22q11.2) and a Full Scale IQ (FSIQ) comparable control group. This study was part of a prospective study of neuropsychological function in children 9 to 15 years of age with 22q11.2 and community control subjects and included children from these two populations with comparable FSIQs. Verbal IQs on the WISC-R for 40 children with 22q11.2 (88.4) and 24 community control subjects (87.2) were not different (P=.563). However, the performance IQs were (22q11.2; 81.1 vs community controls; 89.3; P

Monitoring Carboplatin Ototoxicity With Distortion-Product Otoacoustic Emissions In Children With Retinoblastoma, Shaum Bhagat, Johnnie Bass, Stephanie White, Ibrahim Qaddoumi, Matthew Wilson, Jianrong Wu, Carlos Rodriguez-Galindo

Faculty Publications

ObjectiveCarboplatin is a common chemotherapy agent with potential ototoxic side effects that is used to treat a variety of pediatric cancers, including retinoblastoma. Retinoblastoma is a malignant tumor of the retina that is usually diagnosed in young children. Distortion-product otoacoustic emission tests offer an effective method of monitoring for ototoxicity in young children. This study was designed to compare measurements of distortion-product otoacoustic emissions obtained before and after several courses of carboplatin chemotherapy in order to examine if (a) mean distortion-product otoacoustic emission levels were significantly different; and (b) if criterion reductions in distortion-product otoacoustic emission levels were observed in …

Intelligibility Of Electrolarynx Speech Using A Novel Actuator, Brian Madden, Mark Nolan, Ted Burke, James Condron, Eugene Coyle

Conference Papers

During voiced speech, the larynx provides quasi-periodic acoustic excitation of the vocal tract. Following a laryngectomy, some people speak using an electrolarynx which replaces the excitatory function of the absent larynx. Drawbacks of conventional electrolarynx designs include the buzzing monotonic sound emitted, the need for a free hand to operate the device, and difficulty experienced by many laryngectomees in adapting to its use. Despite these shortcomings, it remains the preferred method of speech rehabilitation for a substantial minority of laryngectomees. In most electrolarynxes, mechanical vibrations are produced by a linear electromechanical actuator, the armature of which percusses against a metal …

Cervical Vascular And Upper Airway Asymmetry In Velo-Cardio-Facial Syndrome: Correlation Of Nasopharyngoscopy With Mra, Avi G. Oppenheimer, Susan Fulmer, Keivan Shifteh, Ja-Kwei Chang, Allan Brook, Alan L. Shanske, Robert J. Shprintzen

Communication Disorders Faculty Publications

Purpose

Velo-cardio-facial syndrome (VCFS), the most common genetic syndrome causing cleft palate, is associated with internal carotid and vertebral artery anomalies, as well as upper airway asymmetry. Medially displaced internal carotid arteries, often immediately submucosal, present a risk of vascular injury during pharyngeal flap surgery for velopharyngeal insufficiency (VPI). We evaluate the frequency and spectrum of cervical vascular anomalies in a large cohort of VCFS patients correlating MRA with nasopharyngolaryngoscopy in detecting at risk carotid arteries. Furthermore, we assess the relationship with respect to laterality between cervical vascular patterns and the asymmetric abnormalities of these subjects’ upper airways.

Methods

Cervical …

Intervention Progress In Two Case Studies Of Childhood Apraxia Of Speech, Laura Marie Czernik

Honors Scholar Theses

There is a great amount of controversy surrounding childhood apraxia of speech (CAS). The most prominent issue is focused on the diagnostic criteria of which to utilize for this disorder. Because of this debate, assessment methods, along with intervention techniques, are heavily questioned. This study examines the progress children with characteristics of CAS make during intervention. Furthermore, it seeks to determine if another diagnosis is possible for these children by examining the speech sound errors such children make. Two children with characteristics of CAS were the focus of this study. Data for these children was gathered from client files at …

Sound Pressure Levels Measured At Preferred Listening Levels Of Ipod Users Using Knowles Electronic Manikin For Acoustical Research, Ahmad Brandelle Alexander

Doctoral Dissertations

The present study (1) examined the sound pressure levels (SPLs) of iPod users and nonusers at preferred listening levels measured on Knowles Electronic Manikin for Acoustical Research (KEMAR), and (2) determined if those SPLs exceeded the OSHA standards for acceptable hearing levels. Forty subjects, divided into one of the four following groups participated in this study: (1) inexperienced males, (2) experienced males, (3) inexperienced females, or (4) experienced females. Each participant was asked to set the music stimuli to their preferred listening level while in the presence of background noise, simulating a real world listening environment. SPL values were then …

The Effects Of Asymmetric Directional Microphone Fittings On Acceptance Of Background Noise, Jong Sik Kim

Doctoral Dissertations

The present study investigated the effects of asymmetric directional microphone fittings (i.e., an omnidirectional microphone on one ear and a directional microphone on the other) on speech understanding in noise and acceptance of background noise in 15 full-time hearing aid users. Subjects were fitted binaurally with four directional microphone conditions (i.e., binaural omnidirectional, asymmetric right directional, asymmetric left directional and binaural directional microphones) using Siemens Intuis directional behind-the-ear hearing aids and comply earmolds. The results revealed that speech understanding in noise improved when using asymmetric directional microphones compared to binaural omnidirectional microphone fittings and were not significantly hindered compared to …

Acceptable Noise Levels In Children Ages 10 To 11 Years And 14 To 15 Years, Krystal Sullivan Ware

Doctoral Dissertations

The present study measured acceptance of background noise in 35 children (age 10–11 and 14–15 years) with normal hearing sensitivity. Acceptance of background noise was measured using the acceptable noise level (ANL) procedure. To obtain an ANL, participants' MCL was first obtained using a running story. Then a competing stimulus (i.e., speech babble or speech spectrum noise) was introduced, and the listeners were asked to adjust the level of the background noise to the most he/she could put up with and follow the story for a long period of time. This level was called background noise level or BNL. The …

Dichotic Auditory Training In 6 To 15 Year Olds, Chasity M. Mccrum

Doctoral Dissertations

The purpose of this study was to determine if participants with normal auditory processing skills would improve after receiving the Dichotic Auditory Training (DAT) when compared to a group of normal participants who only received pre- and post-testing. Twenty participants, age 6:0 to 15:11 years, participated in this study. A standard audiological evaluation was completed for each participant. Pretest and posttest were completed that included (1) DAT testing, (2) SCAN-C/A, (3) Staggered Spondaic Word test, and (4) Dichotic Digits (Single/Double). The results were analyzed for statistically significant differences between pre- and post-testing results and between groups. Any significant results …

Subjective Versus Objective Hearing Screening Results Of Rural Elementary School-Aged Children, Meagan Chatelain Mcclure

Doctoral Dissertations

The present study compared the pass/refer results of traditional ASHA recommended hearing screenings to transient evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), and screening tympanometry among young students at a rural, medically underserved population at an elementary school. Sixty-seven students (31 boys and 36 girls) from kindergarten to 3rd grade participated in this study. Ten were Hispanic and had English as a second language. Each child had his/her hearing screened at 500 Hz and by the ASHA recommended method for pure tone screenings and by TEOAEs and DPOAEs. Tympanometry was also performed on 53 students. The results revealed …

Cognitive And Psychiatric Predictors To Psychosis In Velocardiofacial Syndrome: A 3-Year Follow-Up Study, Kevin M. Antshel, Robert J. Shprintzen, Wanda Fremont, Anne Marie Higgins, Stephen V. Faraone, Wendy R. Kates

Communication Disorders Faculty Publications

Objective: To predict prodromal psychosis in adolescents with velocardiofacial syndrome (VCFS). Method: 70 youth with VCFS, 27 siblings of youth with VCFS and 25 community controls were followed from childhood (Mean age = 11.8 years) into mid-adolescence (mean age 15.0 years). Psychological tests measuring intelligence, academic achievement, learning/memory, attention and executive functioning as well as measures of parent and clinician ratings of child psychiatric functioning were completed at both time point. Results: Major depressive disorder, oppositional defiant disorder, and generalized anxiety disorder diagnoses increased in the VCFS sample. With very low false positive rates, the best predictor of adolescent prodromal …

Understanding The Role Of Neuroscience In Brain Based Products: A Guide For Educators And Consumers, Lesley Sylvan, Joanna A. Christodoulou

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

The term brain based is often used to describe learning theories, principles, and products. Although there have been calls urging educators to be cautious in interpreting and using such material, consumers may find it challenging to understand the role of the brain and to discriminate among brain based products to determine which would be suitable for specific educational goals. We offer a framework for differentiating the multiple meanings of the brain based label and guidelines for educators and consumers to use when evaluating educational products labeled as brain based. The guidelines include: identifying educational goals and target student populations, aligning …

Age Effect On The Gaze Stabilization Test, Julie A. Honaker

Department of Special Education and Communication Disorders: Faculty Publications

Impairments of the vestibular-ocular reflex (VOR) lead to a decline in visual acuity during head movements. Dynamic visual acuity (DVA) testing is a sensitive assessment tool for detecting VOR impairments. DVA evaluates accuracy of visual acuity during fixed velocity head movements. In contrast, the Gaze Stabilization test (GST) is a new functional evaluation of the VOR that identifies a person’s maximum head velocity (in degrees per second) a person can maintain with stable vision of a target (i.e. optotype). The objective of this study was to evaluate the effect of age on the GST in participants without vestibular disease. The …

Psychometric Properties Of The Pyramids And Palm Trees Test, Gerasimos Fergadiotis, Heather Wright, Gilson Capilouto

Speech and Hearing Sciences Faculty Publications and Presentations

The Pyramids and Palm Trees Test (PPT) is a nonverbal measure of semantic memory that has been frequently used in previous aphasia, agnosia, and dementia research. Very little psychometric information regarding the PPT is available. The purpose of this study was to investigate the psychometric properties of the PPT in a population of healthy college students. Results indicated that the PPT achieved poor test–retest reliability, failed to obtain adequate internal consistency, and demonstrated poor convergent validity, but showed acceptable discriminant validity. The results of this study suggest that the PPT lacks acceptable reliability and validity for use with a college …

Writing Motivation Of Students With Specific Language Impairments, Kyle Lee Brouwer

College of Education and Human Sciences: Dissertations, Theses, and Student Research

This study was designed to compare the writing motivation of students with specific language impairments with their non-disabled peers. Due to the cognitive and linguistic demands of the writing process, students with language impairments face unique difficulties during the writing process. It was hypothesized that students with specific language impairments will be more likely to report lower levels of perceived writing competence and be less autonomously motivated to write. Students in grades 3-5 in 11 schools (33 with specific language impairments, 242 non-disabled peers) completed self-report measures, designed from a Self-Determination Theory perspective, which measured the degree that students are …

Conversational Skills Of An Autistic Teenager : A Pragmatic Analysis., Che An Abdul Ghani

Student Works (2010-2019)

This study aimed to analyze the conversational skills of an autistic teenager. The sample of this study was a 16 year old male autistic boy; and was referred to a Y in this study. He was verbal and had completed primary school education and at the time of the study he was attending a special education program. He speaks English and Malay, able to read and write in both languages fairly and has high cognitive ability. He is considered relatively intelligent by his teachers and his therapists. This study engaged three theories as its framework. They were Grice’s Theory (l975), …

Language, Meaning, Context, And Functional Communication, Elizabeth Armstrong, Alison Ferguson

Research outputs pre 2011

No abstract provided.

Vocabulary Acquisition Of Bilingual Students Through The Implementation Of Dialogic Shared Storybook Reading Techniques, Samantha Kamille Ariaz

Open Access Theses & Dissertations

Children who are learning English as a second language and whose caregivers speak only Spanish were chosen to participate in the study. Parents were trained using Dialogic Shared Storybook Reading (DSSR) techniques (Whitehurst, 1988). The study was a single subject multiple baseline design across behaviors. Reading conditions were counterbalanced to control for acquisition of new vocabulary. There were a total of five participants, three children and two mothers (n=5). The participants were separated into two families. Each family was exposed to three reading book conditions while the parents implemented the specified techniques: 1. Shared reading with an electronic, bilingual Spanish/ …

A Survey Of Variables Influencing Speech-Language Pathologists' Use Of Evidence-Based Practice In Clinical Settings, Ailbhe Tressan Cormack

Open Access Theses & Dissertations

Although the need for evidence-based practice (EBP) in speech-language pathology has been well attested, multiple barriers hamper its implementation. Purpose: The purpose of this study was to compare variables influencing the use of EBP by practicing speech-language pathologists (SLPs). Method: Eighty-five SLPs based out of different primary work settings in El Paso, Texas responded to a survey addressing: 1. attitudes and perceived barriers toward EBP, 2. exposure to EBP, research methodology and statistics in graduate courses, 3. time in practice, 4. practice setting(s), 5. amount and nature of support for EBP in work settings, and 6. use of research literature …

Perception And Identification Of Voice Disorders: A Comparison Study Between Hispanic And Non-Hispanics, Jacqueline Nicole Lopez

Open Access Theses & Dissertations

The extent of public education in the Hispanic population regarding voice disorders has been unidentified thus far, motivating the current study to assess knowledge and perception of functional and organic voice disorders among Hispanic individuals in the El Paso region. The project involved an experimental research design to investigate whether demographic variables influenced the accuracy of knowledge of voice disorders in the general population residing in the Greater El Paso Region. Results indicate that the majority of the participants perceive articulation, fluency, and voice disorders as interchangeable and are unaware of the role of medical and rehabilitation professionals in the …