Speech Pathology and Audiology Commons^™

3d Mri Investigations Of The Musculus Uvulae In Children With 22q11.2 Deletion Syndrome, Riley Cashon

Honors Undergraduate Theses

22q11.2 Deletion Syndrome (22q) is the most common genetic cause for velopharyngeal dysfunction. Several velopharyngeal muscles in children with 22q have been shown to be hypoplastic, but no studies to date have examined the musculus uvulae in children with 22q. This study aimed to investigate the presence and characteristics of the musculus uvulae in children with 22q using3D modeling software MRI scans of 13 children (8 with 22q and 5 control participants) were used to measure the musculus uvulae using Amira 6 visualization modeling software. The muscle was segmented by selecting voxels displaying the musculus uvulae on successive oblique coronal …

Remote Supported Communication For Adults With Chronic Aphasia: A Serendipitous Study, Allie Hopper

Theses and Dissertations--Communication Sciences and Disorders

Supported communication is defined as anything that improves access to or participation in communication events or activities (King, Simmons-Mackie, & Beukelman, 2012). This thesis describes the results of a study that took place when a training program to provide graduate students in Communication Sciences and Disorders (CSD) with “hands on” experience in providing supported communication to persons with chronic aphasia (PWA) was interrupted by the outbreak of Coronavirus-19 and switched to a remote delivery format to fulfil service and training obligations to the PWA and the CSD graduate students respectively. The study (1) describes the actions taken to covert a …

A Workbook Presenting Fluency Shaping And Narrative Therapy Strategies For School-Age Children Who Stutter, Bailey Nicole Rustad

Honors Program Theses

Stuttering occurs when there are frequent and effortful disfluencies in speech. People who stutter may have individual difficulties with particular sounds, but the research showed that some commonalities exist. Fluency shaping may be a helpful strategy for those who stutter to reduce the occurrence and frequency of and tension in stuttering. The majority of struggles that people who stutter have are related to negative thoughts and feelings about their stuttering, so this is also important to be targeted in therapy. Narrative therapy is a possible option to reduce these negative thoughts and feelings.

In order to provide a resource for …

Pre-Service Students Understanding Of Professional Roles, Anne Whalen Gradoville

Honors Program Theses

This study aims to begin understanding how well pre-service speech-language pathologists and teachers understand their roles in collaboration in the schools. Data were collected from a survey completed by undergraduate and graduate students in the Communication Sciences and Disorders and Education departments at one middle-sized university in the Midwest. Results indicated a wide range of understanding and preparedness. Several themes emerged as to what students feel confident about in terms of collaboration, as well as what they believe they still need to learn before they can be confident in collaborating in the schools. The data provides insight into what pre-service …

Stepping Up And Taking The Lead: School-Based Slps' Perceptions And Attitudes Of Leadership, Millie Newport, Gabrielle Saliba, Mary C. Smith, Brenda Louw

ETSU Faculty Works

This research explores the personal perspectives of school-based SLPs regarding their training in, perceptions of, and experiences regarding leadership. Survey research was conducted, and school based SLPs acted as respondents. Results may inform education in leadership, both in student training and in continuing education. Leadership in the field of speech-language pathology is essential to not only advocate for better outcomes of clients and patients, but also to foster an environment for change and understanding for future generations of SLPs.

Identifying Molecular Pathways Underlying Noise-Induced Tinnitus, Mckenzie Rice

Williams Honors College, Honors Research Projects

Tinnitus is a serious neurological condition effecting 10-15% of adults, and can lead to other symptoms such as difficulty concentrating and sleeping, anxiety, and depression. Currently there are no FDA approved drugs to prevent or treat tinnitus, mainly due to a lack of understanding of its cellular and molecular pathways. T- and L- type calcium channels have been implicated in the modulation of tinnitus, as well as the dysfunction of gamma-aminobutyric acid (GABA) neurons. This study used the sound-based avoidance detection (SBAD) method in order to detect tinnitus and determine whether pharmacological treatments had an effect in mediating tinnitus. T-type …

Musicians Who Use Cochlear Implants Proposal, Leanne Bunnell

Williams Honors College, Honors Research Projects

The purpose of this scoping review was to provide information about the current research related to audiological practices regarding the population of musicians who use cochlear implants technology. This scoping review included studies that investigated post implantation therapy/activities designed to assist users who were also musicians. A scoping review identifies trends and gaps in available evidence. This information can be used to inform on practices currently being used in the audiologic field and identify areas for further research. A scoping review was conducted in April 2021 to identify English-language peer-reviewed journal articles published from 2010 to March 2021. Thematic analysis …

Qualitative Analysis Of An Interdisciplinary Team’S Treatment Of Velocardiofacial Syndrome, Marissa Meredith

Williams Honors College, Honors Research Projects

In this project two members of the 22q center from Nationwide Children’s Hospital will be interviewed to collect qualitative data about the operations and functions of the clinic. These interviews will provide information about which types of professionals are necessary for the operation of the team, how the team conducts research, how the team treats patients, how research is used to advance treatment, and why such a diverse team is necessary in the treatment of Velocardiofacial Syndrome. Upon completion of data collection, this information will be analyzed to determine the different perspectives of team members and how they interact with …

Perspectives Of Individuals With Acquired Neurogenic Communication Disorders And Co-Survivors On Person-Centered Care Within Speech-Language Therapy, Logan Macrae Ellis

Online Theses and Dissertations

Main Argument: Acquired brain injury impacts 2.8 million individuals each year in the United States (Taylor et al., 2017). Stroke, traumatic brain injury, tumor, infection, and other conditions cause life-altering changes to the way humans interact with each other. Social interaction and communication are important in many aspects of life, including but not limited to work, community, relationships, and mental health, etc. Damage to the brain often changes the ability to communicate drastically, which can impact all of the aforementioned aspects of life (Ardila & Rubilo, 2018). Speech-language pathologists (SLPs) address the acquired neurogenic communication disorders associated with brain injury …

Implementation Of Dual System Hypothesis In Speech-Language Pathology, Kelsey Hyde

Master's Theses and Doctoral Dissertations

Over the course of the past few decades, dual system hypothesis has become the prevailing model of bilingual language development. This replaced the previously accepted unitary system hypothesis after decades of debate and research. It has also had an impact on the understanding of bilingual literacy development in children. This qualitative study investigates how this hypothesis influences and informs the work of speech-language pathologists (SLPs) who work with bilingual children. For this study, four bilingual SLPs who work with bilingual children in various settings were interviewed regarding their views and education on bilingual language development for the purpose of understanding …

The Struggle Of Differential Diagnosis For Childhood Apraxia Of Speech: A Qualitative Case Study, Laken Cummins, Stephanie M. Schaaf, Megan Smetana, Jennifer Gaylord

Murray State Theses and Dissertations

This study addresses the controversial diagnosis of childhood apraxia of speech (CAS) and the struggle many clinicians face with differential diagnosis through a retrospective qualitative case study following a participant who received the diagnosis of CAS. Research questions targeted the characteristics the participant presented with, whether they were consistent or not, as well as if they were unique to CAS or evidence of a phonological disorder, and the treatment approaches that were implemented throughout the participant’s history of receiving speech-language services and the effectiveness of those approaches. These research questions were answered through the records and documents obtained from the …

The Effects Of Singing Vs. Speech On Joint Engagement In A Young Child With Phelan-Mcdermid Syndrome, Marllys Banks, Hannah Kinney, Bridget Valla, Maura Jones Moyle

Speech Pathology and Audiology Faculty Research and Publications

Phelan-McDermid syndrome (PMS) is a rare genetic disorder typically caused by loss or disruption of the distal long arm of chromosome 22. Children with PMS exhibit severe to profound communication deficits, and the majority meet the criteria for Autism Spectrum Disorder (ASD). To date, no language or communication intervention studies focused on children with PMS exist in the literature despite a steady increase in diagnosed cases. Anecdotally, it has been reported that music facilitates learning and engagement in children with PMS. The purpose of this clinical case study is to investigate the effects of singing vs. speaking on joint engagement, …

Qualitative Study Of Collaboration Between Independent Reading Specialists And Elementary Classroom Teachers, Lindsay Lee Hawbaker

Electronic Theses and Dissertations

Abstract

The failure of educators to meet the needs of elementary students who require separated, differentiated, and intensive reading interventions (Tier 3) has been attributed to the scarcity of administrative resources and a lack of effective collaboration between reading specialists and classroom teachers. Experts opine that common barriers to effective collegial collaboration between institutional reading specialists, who are employed by the school, and classroom teachers include: an unsupportive school culture, the classroom teachers’ fear of losing pedagogical autonomy, the absence of mutual trust and interdependence between the reading specialists and their students’ classroom teachers, and the inability of reading specialists …

Adolescents' Production Of Clausal Structures In Written Narrative, Expository, And Persuasive Genres, Lauren Elizabeth Myers

Graduate Theses, Dissertations, and Problem Reports (ETD)

The aim of this study was to analyze written language samples across different genres and age groups to provide information about the production of complex syntax emergence as time progresses across tasks. Complex syntax is both a socially and academically relevant language skill that is observed to advance well into later life. In order to analyze language samples as a way to identify language abilities, we must first understand syntactic emergence across genres with adolescents who are identified as having typical language development. In this study, written narrative, expository, and persuasive language samples were elicited from sixty typical adolescents in …

The Effect Of Bilingual Proficiency In Indian English On Bilabial Plosive, Taniya Chawla

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Bilingual speech production studies have highlighted that level of proficiency influences the acoustic-phonetic representation of phonemes in both languages (MacKay, Flege, Piske, & Schirru 2001; Zárate-Sández, 2015). The results for bilingual speech production reveal that proficient/early bilinguals produce distinct acoustic properties for the same phoneme in each language, whereas less proficient/late bilinguals produce acoustic properties for a phoneme that is closer to the native language (Flege et al., 2003; Fowler et al., 2008). Acoustic-phonetic studies for Hindi (L1) and Indian English (L2) for bilingual speakers have been understudied, and the level of proficiency has not been considered in Hindi …

A Case Study Investigating Therapy Methods Used By Speech Language Pathologists Working With Children With Autism Spectrum Disorders, Julia Byers Van Volkenburg

Graduate Theses, Dissertations, and Problem Reports (ETD)

This study was an in-depth examination of the experiences of five speech language pathologists (SLPs) working with children with Autism Spectrum Disorders (ASD) during language therapy sessions. This case study aimed to better understand the various therapy techniques being used by the SLPs through interviews and a reflective journal kept by the researcher. It also sought to examine the ways those therapy techniques may have included creative dramatics. Through thematic analysis, major and minor themes emerged from the interviews. The main theme of the study was the importance of individualizing therapy for students with ASD. Individualizing therapy was supported by …

Serving Culturally And Linguistic Students Identified With A Communication Disability In The K-12 Educational Environments, Lashell Dauterman

Theses and Dissertations

As more and more students enter public schools with culturally and linguistically diverse backgrounds that require services under the Individuals with Disabilities Education Act, facilitators must be more sensitive to the needs, especially in the area of communication. Augmentative and alternative communication devices and other assistive technology are required by law to be utilized with individuals identified as disabled. However, due to the challenges that exist in properly identifying and implementing intervention plans for children who require services as English language learners and special education, communication needs are often misidentified or not provided. Another issue that exists is the lack …

Exploring The Diagnostic Journey Of A Preschool-Aged Female: A Retrospective Case Study, Lindsay Nicole Crafton

Murray State Theses and Dissertations

The purpose of this case study was to investigate the diagnostic route of a preschool-aged female initially suspected of having ASD with communication deficits and explore her journey to seek and receive services. In any diagnostic experience, it is imperative that caregivers understand the steps to seek appropriate evaluations and receive necessary services to improve their child’s quality of life. While there are some systemic procedures in place aimed to identify children with communication disorders or other developmental concerns such as ASD early; the ultimate responsibility falls on the caregiver to follow up and follow through. Although diagnostic criteria for …

Lifting The Heavy Vocal Load: Slps And Their Vocal Habits, Sydney Sedlock

Murray State Theses and Dissertations

Novice speech-language pathologists (SLPs) are a vulnerable population that is at-risk for dysphonia. Previous literature has highlighted the high vocal-demand occupations of teaching and entertaining but there is minimal research to understand the prevalence of dysphonia in SLPs. The purpose of this investigation was to determine the prevalence of vocal fatigue and vocal loading in novice SLPs in western Kentucky to increase awareness of the vulnerability for dysphonia in this population. This investigation was descriptive in nature using a survey format and was sent to SLPs in the western Kentucky region. A total of 21 SLPs responded to the survey. …

Pathogenesis And Onset Of Tinnitus And Use Of Holistic And Traditional Audiological Approaches For Management, Christy Mahrt, Antony Joseph

AuD Capstone Projects - Communication Sciences and Disorders

Introduction: Tinnitus is the subjective sensation of noise perceived at the peripheral or central level. Occasionally, tinnitus perception may be severe enough to present debilitating effects on daily activities. The occurrence of tinnitus can be related to occupational or non-occupational hazardous noise exposure. Case Presentation: A 60-year-old male presented with bilateral tinnitus with an initial onset at age 21. The progression of his tinnitus has caused disruptions in sleeping patterns and concentration. His history included extensive occupational and non-occupational noise exposure. Discussion: Hearing conservation is an important aspect of facilitating tinnitus management for individuals who have noise-related tinnitus. Hearing aids, …

Explicit Learning Of Auditory Categories In Preschoolers With And Without Developmental Language Disorder, Lauren Casey

University Honors Theses

This study a part of a broader study including Quam et al. (2020) and Yu (2020) with the aim of understanding how children with and without developmental language disorder learn language. With a better understanding of the underlying learning mechanisms affected in DLD, better interventions can be implemented. The current study investigates explicit language learning in preschoolers with and without developmental language disorder (DLD). This was done by observing sound discrimination and explicit sound-meaning mapping. One child with DLD and 29 children with typical language development (TLD) participated in this study. Inclusion in each group was determined by a hearing …

The Examination Of Morpho-Syntactic Production In Bahamian Children Exposed To Bahamian Creole English And English, Danielle Moss

Dissertations, 2020-current

Purpose. Information on the morpho-syntax development of children who speak varieties of Bahamian English, such as Bahamian Creole English (BCE), remains understudied. Therefore, speech-language pathologists (SLPs) assessing the expressive language of children who speak BCE encounter challenges in making clinical judgments of language difference, developmental errors, and language disorder because they are unable to judge the morpho-syntactic features of this creole to the rules of another variety of Bahamian English, standard English (SE¹), as both varieties, BCE and SE, are independently rule-governed. This dissertation study investigated the morpho-syntax of typically developing four and six-year-old Bahamian children who speak …

Exploring Accessibility And Social Inclusion For Deaf And Hard Of Hearing Children In Residential Camps Through The Occupational Therapy Lens, Tiffany Coles, Susan Macdermott, Becki Cohill

Fall 2020 Virtual OTD Capstone Symposium

Children engage in various play, leisure, and social participation activities to enhance the development of life skills, independence, and social skills. Residential camps provide an opportunity to engage in leisure activities while learning to become independent and self-confident while socializing and making new friends. However, having a disability such as deafness and hearing loss may impact the camper’s experience.

This digital guidebook offers videos, pop-in information, and links to valuable resources for working with and understanding the Deaf and Hard of Hearing culture. The guidebook incorporates inclusionary strategies to help the campers and the staff develop inclusive mindsets and social …

Effect Of Sound Source Location And Spatial Hearing On The Vestibulo-Ocular Reflex (Vor), Mary Easterday

Theses and Dissertations (ETD)

Accurate measurement of the vestibulo-ocular reflex (VOR) is imperative in differential diagnosis of vestibular disorders and balance function. However, the assessment protocol faces a number of limitations, including the need to control for extra- vestibular sensory factors such as hearing. Previous research has shown that the use of an auditory stimulus can have a significant effect on functional measures of balance, and many have contributed effects to be the result of spatial hearing. However, no studies have directly assessed the effect of speaker location on the VOR nor investigated correlations of functional spatial hearing with the VOR. Therefore, the aims …

Effects Of A Telerehabilitation Group On Continuing Language Treatment After Participation In An Intensive Comprehensive Aphasia Program (Icap), Alexis Missel

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

Aphasia is an acquired neurogenic language disorder encompassing oral and/or written language expression and comprehension affecting an estimated two- to two to four million people in the United States, (Simmons-Mackie, 2018; National Aphasia Association, 2016). The primary aim of the current study was to investigate an option for targeted intervention as a follow-up to an Intensive Comprehensive Aphasia Program (ICAP). There is little research assessing maintenance of communication profile gains following conclusion of the ICAPs, and there are few options that exist as tailored ICAP follow-up programs or continued intervention guided by the ICAP principle features. To address this, a …

Diagnosing And Managing Post-Stroke Aphasia, Shannon M. Sheppard, Rajani Sebastian

Communication Sciences and Disorders Faculty Articles and Research

Introduction: Aphasia is a debilitating language disorder and even mild forms of aphasia can negatively affect functional outcomes, mood, quality of life, social participation, and the ability to return to work. Language deficits after post-stroke aphasia are heterogeneous.

Areas covered: The first part of this manuscript reviews the traditional syndrome-based classification approach as well as recent advances in aphasia classification that incorporate automatic speech recognition for aphasia classification. The second part of this manuscript reviews the behavioral approaches to aphasia treatment and recent advances such as noninvasive brain stimulation techniques and pharmacotherapy options to augment the effectiveness of …

Inclusion For Speech-Language Pathology Minority Graduate Students, Teresa Michelle Roberts

Dissertations and Theses

Speech-language pathologists provide assessment and intervention for communication, cognition, and swallowing disorders for individuals across the lifespan in educational, medical, and private practice settings. The demographics of professionals in the field do not reflect those of the general public in regard to race and ethnicity, gender, socioeconomic status, LGBTQ+, and disability. Lack of representation of minorities limits research, policy, and services designed to serve diverse populations. Although initiatives have sought to address lack of diversity of speech-language pathologists, limited research on the graduate training experience for minority students is available. Since a master's degree is required to become a speech-language …

Hearing Aid Acclimatization In The Context Of Central Gain Mechanisms, Peter J. Hutchison

USF Tampa Graduate Theses and Dissertations

The primary goals of this dissertation were to 1) identify markers of central gain in the auditory system following short-term acoustic attenuation via earplugging and acoustic enhancement via sound generators, and 2) determine if acoustic enhancement is effective in modulating central gain in older adults with age-related hearing loss, and if so, to what extent. Additionally, a further goal of this dissertation was to explore the possibility that central gain is related hearing aid acclimatization. The results described in Chapter 2 are further evidence that altering acoustic input to the peripheral auditory system modulates central auditory plasticity and is evident …

Audiovisual Integration During Novel Word Learning Among School-Aged Children With Cochlear Implants, Kristen Elizabeth Thompson Thornton

Theses and Dissertations (ETD)

Objective. It is well established that being able to see someone’s mouth move as they speak boosts speech perception for children with cochlear implants (CIs). Thus, children with CIs are often instructed to orient themselves toward the person they are listening to, to gain access to visual speech cues. Children with CIs who are better “audiovisual integrators,” or those who experience an auditory-visual (AV) enhancement effect (higher performance for AV information than auditory-alone (AO) or visual-alone (VO)), are more likely to have better speech and language outcomes after receiving their CI than children with poorer AV integration skills. While AV …

Pathway To Amplification In Children Who Passed Their Universal Newborn Hearing Screening Bilaterally, Derek J. Stiles, Kathryn Broughton, Jane Rose, Emily Trittschuh

Journal of Early Hearing Detection and Intervention

Purpose: The aim of this study was to investigate the pathway to amplification technologies for children who passed their universal newborn hearing screening (UNHS) bilaterally with the intent of revealing effective strategies to identify children with acquired or progressive hearing losses. Additionally, the degrees, types, and causes of hearing loss, as well as the types of amplification used by the patients were investigated. Methodology: Medical records were reviewed for 102 children who passed their UNHS bilaterally and who are enrolled in the Boston Children’s Hospital Amplification or Cochlear Implant Programs. Of the 204 total ears, 177 ears were identified with …