Speech Pathology and Audiology Commons^™

Phonological Awareness In Deaf/Hard Of Hearing Children, Cindy Stetler

Honors Projects

Children who are deaf or hard of hearing (DHH) in America may learn American Sign Language (ASL) or English as their first language and may early-on or eventually be bilingual in ASL and English. In school, however, they will need to learn how to read English since ASL does not have a written system. An aspect of reading that can be particularly difficult for children who are DHH is phonological awareness (PA). Something that seems to be missing from the literature is looking at the relation between sign PA, spoken PA, and reading literacy in ASL and English. This will …

Articulation And Phonological Disorders: Resource List, Amy M. Glaspey

Open Educational Resources (OER) at University of Montana

List of open and free resources used in a course on articulation and phonological disorders. This class covers theoretical perspectives on phonological and articulation disorders with an emphasis on application to clinical management including evaluation, assessment techniques, and intervention strategies.

A PDF and an EPUB version are available using the Download links above.

A Literature Review Examining The Effects Of Bilingualism In Individuals Who Stutter, Cheyenne Hofmann

Honors College Theses

This thesis will analyze the current research involving the impact of bilingualism in individuals who stutter through a literature review. There is currently no known etiology of stuttering, however, there are multiple theories regarding the onset of stutter. This thesis will explore the Cerebral Dominance theory of stuttering and its applicability to neuroimaging and bilingualism. Furthermore, this thesis will determine the presence and extent of the impact of bilingualism on people who stutter. The cultural, gender, language and neurological influences on stuttering for those who are bilingual will also be examined. Through this analysis, the positive and negative impact of …

Comparison Of Motor-Enhanced And Visual-Enhanced Interventions For Grammar In Young Children With Developmental Language Disorder, Alisha P. Springle

Communication Disorders & Special Education Theses & Dissertations

Up to 7.6% of children demonstrate a developmental language disorder (DLD), which can persist through adulthood, causing difficulty with academic achievement, social relationships, and financial stability. Grammar development, as a hallmark of DLD, is an important area of need for these children. Existing grammar interventions do not clearly distinguish the sensory input techniques that meet these children’s neurobiological instructional needs. This adapted alternating treatment design study implemented intervention using systematic paired visual and verbal and systematic paired motor, i.e. standardized gestures, and verbal sensory input techniques. A moderate-strong functional relation between intervention techniques using motor supports on grammatical outcomes in …

Auditory Perception And Neural Encoding Of Spectral Modulation, Sittiprapa Isarangura

USF Tampa Graduate Theses and Dissertations

Most natural acoustic sounds consist of multiple frequencies. An important auditory perceptual ability to resolve such acoustic properties is referred to as spectral processing and includes frequency resolution, frequency selectivity and spectral envelope perception. Frequency resolution, as demonstrated by masking techniques, indicates that our auditory system functions as an auditory filter bank with overlapping bandpass filters. These filters allow for the effective separation of sounds into different frequency bands or channels. Acoustic components that fall within a given filter or passband are considered to be processed “within channel” and are perceptually resolved using “local” spectral cues, whereas components in different …

Speech Exemplar And Evaluation Database (Seed) For Clinical Training In Articulatory Phonetics And Speech Science, Marisha Speights Atkins, Dallin J. Bailey, Suzanne E. Boyce

Faculty Publications

One challenge faced by teachers of phonetics, speech science, and clinical speech disorders courses is providing meaningful instruction that closes the theory to practice gap. One barrier to providing this type of deep learning experience is the lack of publicly available examples of speech recordings that illustrate comparisons between typical and disordered speech production across a broad range of disorder populations. Data of this type exist, but are typically collected for specific research projects under narrowly written IRB protocols that do not allow for release of even de-identified speech recordings to other investigators or teachers. As a partial corrective to …

Acoustic Characteristics Of Word-Final American English Liquids Produced By L2 Adult Speakers, Judith A. Espinal

LSU Master's Theses

In this study, the acoustic differences between native English speakers’ (L1) and native-Korean speakers’ (L2) production of American English liquids /ɹ/, /l/ and /ɹl/ were examined among 14 Korean speakers and 13 English speakers. Temporal measures included (1) relative timing of maximum constriction and (2) duration of vocalic nuclei. Spectral measures included (1) Euclidean distance between /ɹ/ and /l/ and (2) frequency difference between F2 and F3. The results indicated a significant interaction between speaker group and phonetic stimuli. That is, L2 speakers produced a similar degree of constriction across semivowels, whereas L1 speakers produced varying degrees of F2-F3 constrictions …

Improving Hearing Screenings With Tele-Otology, Ryan J. Miller, Joshua George-Lopez, Robert S. Hong Md, Phd

Medical Student Research Symposium

Introduction: The Lions Hearing Center of Michigan (LHC-MI) is an assistance program in Detroit that provides hearing aids to individuals in need. LHC-MI has provided thousands of hearing aids, but such efforts have been costly, requiring patients to make multiple appointments at multiple locations. To streamline this process, the LHC-MI is piloting a new program, titled “Hear Now! Detroit!”, that uses telemedicine to reach patients at community sites.

Purpose: To evaluate the feasibility of a hearing screening program that uses telemedicine to reduce the number of visits required to acquire hearing aids.

Methods: Teams of community volunteers were deployed to …

Research To Practice- Implementing Sign-Infused Intervention As A Novice Clinician, Loren Stoller

LSU Master's Theses

Speech-Language Pathologists often infuse manual signs into oral language interventions for children with various communication disorders. The current study was designed to learn more about sign-infused language intervention by examining one novice clinician’s use of signs during oral language intervention with a child diagnosed as a late talker. The researcher was the clinician, and while a novice interventionist, she was proficient in American Sign Language (ASL) and had five years of experience using ASL with others. The child was 26 months of age at the start of the study, and data collection included three pre-intervention sessions, 12 intervention sessions, and …

Comparison Of Eye Gaze Behaviors Across Samples Of 8- And 9-Month-Old Infants At-Risk For Autism, Aaron Borcyk, Sarah Schmidt, Hannah Lopez, Shari Deveney, Anastasia Kyvelidou

UNO Student Research and Creative Activity Fair

Though a precise etiology for autism remains unknown, two infant populations present with particularly high risk: younger siblings of children diagnosed with autism and infants born prematurely with low birth weight. The aim of the present exploratory study was to determine differences in social and nonsocial eye gaze behaviors between two samples of 8­ and 9­-month infants from high ­risk groups.

Telemedicine In Pediatric Speech Therapy: Characteristics Of Child, Mother, And Speech-Language Pathologist Vocal Interaction., Abigail L Betts

College of Arts & Sciences Senior Theses

Telemedicine is a potential solution to provide distant or underserved clients with access to their clinician. The purpose of this thesis is to examine how the use of telemedicine affects the vocal characteristics of children who received cochlear implants (CI), their mother, and a speech-language pathologist (SLP) as they engage in a speech-language therapy intervention. The children (n = 5), her caregiver, and the SLP engaged in one 30 minute in person session and one 30 minute telemedicine session in a counterbalanced order. The frequency of vocalizations, vocal turns, and between-speaker pause (BSP) duration in both sessions were examined. The …

Effects Of Speech Cues In French-Speaking Children With Dysarthria, Erika S. Levy, Gemma Moya-Galé, Younghwa Michelle Chang, Luca Campanelli, Andrea A. N. Macleod, Sergio Escorial, Christelle Maillart

Publications and Research

Background: Articulatory excursion and vocal intensity are reduced in many children with dysarthria due to cerebral palsy (CP), contributing to the children’s intelligibility deficits and negatively affecting their social participation. However, the effects of speech-treatment strategies for improving intelligibility in this population are understudied, especially for children who speak languages other than English. In a cueing study on English-speaking children with dysarthria, acoustic variables and intelligibility improved when the children were provided with cues aimed to increase articulatory excursion and vocal intensity. While French is among the top 20 most spoken languages in the world, dysarthria and its management in …

Pills And Spills: An Assessment Of Medications And Fall Risk In Older Patients, Kelly L. Covert, Courtney D. Hall

ETSU Faculty Works

No abstract provided.

Protocol For Correcting Residual Errors With Spectral, Ultrasound, Traditional Speech Therapy Randomized Controlled Trial (C-Results Rct), Tara Mcallister, Jonathan L. Preston, Elaine R. Hitchcock, Jennifer Hill

Department of Communication Sciences and Disorders Faculty Scholarship and Creative Works

Background: Speech sound disorder in childhood poses a barrier to academic and social participation, with potentially lifelong consequences for educational and occupational outcomes. While most speech errors resolve by the late school-age years, between 2 and 5% of speakers exhibit residual speech errors (RSE) that persist through adolescence or even adulthood. Previous findings from small-scale studies suggest that interventions incorporating visual biofeedback can outperform traditional motor-based treatment approaches for children with RSE, but this question has not been investigated in a well-powered randomized controlled trial. Methods/design: This project, Correcting Residual Errors with Spectral, ULtrasound, Traditional Speech therapy Randomized Controlled Trial …

From Their Perspective: A Qualitative Analysis Of Stroke Survivor’S Motivation To Participate In Rehabilitation, Katie Tinsley, Rachel Johnson

Undergraduate Research Symposium

Introduction: It is common practice for healthcare professionals to make judgments about a patient's motivation based on their demeanor and compliance with therapy. Motivation is one of the predictors used to determine a stroke survivor's rehabilitation potential. There are several theories and constructs for motivation; however, there is limited research applying these concepts in stroke rehabilitation. Rehabilitation clinicians primarily rely on their clinical judgment and consult the evidence from related fields to identify the motivational needs of a stroke survivor. The objective of this study was to understand specific barriers to participation and identify motivational needs to sustain engagement in …

A Comparison Of Face-To-Face Versus Online Instruction In The Correct Pronunciation Of Anatomical Terms In Communication Sciences And Disorders. An Initial Investigation, Ann L. Cralidis, Shannon W. Salley

Teaching and Learning in Communication Sciences & Disorders

Accurate pronunciation of anatomical terms in the clinical practice of speech-language pathology (SLP) and audiology (AUD) enables a clinician to express and comprehend a conversation with peers and other professionals. It is also an important component of ensuring patient safety and in providing quality, patient-centered care. To date, no studies have explored whether differences may exist between the pronunciation skills of students who elect to complete a human anatomy and physiology course online versus in a face-to-face (FTF) format. This pilot study explored the ability of 98 undergraduate student participants to correctly pronounce 20 identical key terms that were a …

Student Learning Of Perceptual Skills Related To Differentiating Motor Speech Disorders, Johanna Boult, Jessica Brownell

Teaching and Learning in Communication Sciences & Disorders

Purpose: This study aimed to determine if Speech-Language Pathology (SLP) graduate students’ perceptual skills improved after taking an MSD course by comparing pre- and posttest performance. The potential relationship between posttest perceptual-skills performance and academic performance was also investigated.Method: Before beginning instruction in MSD course content, students in a Master’s program in SLP were given a pretest (The Baseline & Post Learning Assessment of Listening & Diagnostics Skills (BPLALDS; Duffy, n.d.a)). Throughout the semester, students were exposed to didactic learning in the classroom supplemented by audio and video modules. At the end of the course, the BPLALDS was used …

Graduate Student Retention Of Prerequisite Course Content, Carol A. Tessel, Vikas Grover

Teaching and Learning in Communication Sciences & Disorders

Although most graduate schools for Speech-Language Pathology require the same core prerequisite classes, there is still variation in class requirements as well as variation in course content. Sixty-one instructors completed a survey regarding what they felt was essential course content from their prerequisite communication sciences and disorders (CSD) classes. This information was used to create a student survey that consisted of 55 multiple choice questions chosen to assess knowledge from eight typically required prerequisite courses. Students preparing to enter their first year of their master’s program were asked to take the survey. Instructors that reported teaching a course in audiology …

Direct And Indirect Treatment Effects In Multilingual People With Aphasia, Aviva Lerman

Dissertations, Theses, and Capstone Projects

Background: Successfully assessing and treating aphasia in multilingual people requires a detailed understanding of the mechanisms underlying language processing in the multilingual population, and the potential impairments to those mechanisms. The balance between spreading activation of language processes via treatment and controlling interference of competing items within the lexico-semantic networks appears to be a key factor in determining whether treatment effects generalise within and across languages in multilingual people with aphasia (Kiran, Sandberg, Gray, Ascenso, & Kester, 2013).

This balance can be exploited through treatment, which, if carefully chosen, should maximise potential within- and cross-language generalisation. One treatment that has …

An Experimental Analysis Of Voice Volume For Children With Autism Spectrum Disorder, Arturo Garcia

Thesis Projects

Inappropriate prosodic production is an often observed, but rarely treated, communication skill deficit for individuals with autism. Expanding on previous literature, we conducted a functional analysis on the voice volume responses (VVR) of two children with ASD utilizing similar procedures to those from Edgerton and Wine (2017). Further, we evaluated the efficacy of using visual feedback from an app and a function-based treatment to decrease inappropriate VVR and increase appropriate VVR. Results of the functional analysis indicated loud VVR was maintained by social negative reinforcement (escape from demands) for one participant and by both social negative and automatic reinforcement for …

Working Memory And Executive Function In Young Adults: Hearing, What Is It Good For?, Addison Lentz

2020 Honors Symposium

Little is understood about how hearing loss impacts cognition in young adults. This presentation discusses the results of an experimental study that examined these constructs in young adults with a simulated hearing loss.

Hearing Loss And Working Memory In Young Adults, Ashton Robbins

2020 Honors Symposium

This study examined the relationship between hearing loss and working memory in young adults with normal hearing (ages 18-35) through the analysis of two NIH toolbox assessments completed by participants when exposed to moderate hearing loss using an atraumatic methodology. This study is relevant for a variety of health professions.

Qualitative Case Review Of A Male With Down Syndrome, Mary Josephine Hoyer

Mahurin Honors College Capstone Experience/Thesis Projects

Down syndrome is the most common chromosomal condition in the United States. In the United States, about one of every 700 babies is diagnosed with Down syndrome. The purpose of this study was to assess pre-existing data on a 13-year-old male with a diagnosis of Down syndrome to contribute to research on this chromosomal abnormality. The individual received speech and language related services at Western Kentucky University beginning in 2007. Through analysis of previously collected data, the researcher created a qualitative case review that identified the progress of an individual with Down syndrome and emphasized what attributed to his progress. …

Speech Language Pathology Graduate Handbook - 2019-2020, Department Of Audiology And Speech-Language Pathology, East Tennessee State University

Speech-Language Pathology Handbooks

No abstract provided.

A Study Of Kindergarten Language Screening Performance Across Schools With Variable Demographic Compositions, Baylee Lackey

Mahurin Honors College Capstone Experience/Thesis Projects

The Quick Interactive Language Screener (QUILS) for language impairment was designed and normed for children of diverse backgrounds. This study examined the utility of the QUILS in a diverse school district by comparing failure rates across five elementary schools. Schools varied in racial composition (non-White range: 20.45 – 80%) and socioeconomic status (free/reduced lunch qualified range: 35.35 – 100%). Among 321 currently-enrolled kindergartners, 272 completed the QUILS. Using author recommendations for kindergarten-aged cutoff scores, the district-wide screening failure rate for primarily monolingual English speakers (n = 212; via parent questionnaire) was 16.51% (range: 7.69 – 34.29% per school). Failure rates …

Parametric Study Of Short Latency Vestibular Evoked Potentials In Healthy Young Adults, Sabahet Fatima Rizvi

Wayne State University Dissertations

The purpose of this study was to evaluate the feasibility of developing a novel approach of otolith assessment in humans. This approach used vestibular short-latency evoked potentials (VsEP) to evaluate some fundamental characteristics of VsEP responses in healthy young adults. Currently, measures for direct assessment of the otoliths are non-existent, as vestibular evoked myogenic potentials (VEMPs) rely on neck muscle contraction for cVEMPs or are a reflection of the vestibulo-ocular reflex (VOR) for oVEMPs, rather than the otoliths themselves (Fujimoto, Suzuki, Kinoshita, Egami, Sugasawa, & Iwasaki, 2018).

Stimuli consisted of bone-conducted vibrations elicited by a specialized vibrator (Bruel & Kjaer, …

Release: A Protocol For A Systematic Review Based, Individual Participant Data, Meta- And Network Meta-Analysis, Of Complex Speech-Language Therapy Interventions For Stroke-Related Aphasia, Marian C. Brady, Myzoon Ali, Kathryn Vandenberg, Linda J. Williams, Louise R. Williams, Masahiro Abo, Frank Becker, Audrey Bowen, Caitlin Brandenburg, Caterina Breitenstein, Stefanie Bruehl, David A. Copeland, Tamara B. Cranfill, Marie Di Pietro-Bachmann, Pamela Enderby, Joanne Fillingham, Federica Lucia Galli, Marialuisa Gandolfi, Bertrand Glize, Erin Godecke, Neil Hawkins, Katerina Hilari, Jackie Hinckley, Simon Horton, David Howard, Petra Jaecks, Elizabeth Jefferies, Luis M. T. Jesus, Maria Kambanaros, Eun Kyoung Kang, Eman M. Khedr, Anthony Pak Hin Kong, Tarja Kukkonen, Marina Laganaro, Matthew A. Lambon Ralph, Ann Charlotte Laska, Beatrice Leemann, Alexander P. Leff, Roxele R. Lima, Antje Lorenz, Brian Macwhinney, Rebecca Shisler Marshall, Flavia Mattioli, Ilknur Mavis, Marcus Meinzer, Reza Nilipour, Enrique Noe, Nam-Jong Paik, Rebecca Palmer, Ilias Papathanasiou, Brigida F. Patricio, Isabel Pavão Martins, Cathy Price, Tatjana Prizl Jakovac, Elizabeth Rochon, Miranda L. Rose, Charlotte Rosso, Ilona Rubi-Fessen, Marina B. Ruiter, Claerwen Snell, Benjamin Stahl, Jerzy P. Szaflarski, Shirley A. Thomas, Mieke Van De Sandt-Koenderman, Ineke Van Der Meulen, Evy Visch-Brink, Linda Worrall, Heather Harris Wright

HPD Articles

Background: Speech and language therapy (SLT) benefits people with aphasia following stroke. Group level summary statistics from randomised controlled trials hinder exploration of highly complex SLT interventions and a clinically relevant heterogeneous population. Creating a database of individual participant data (IPD) for people with aphasia aims to allow exploration of individual and therapy-related predictors of recovery and prognosis.

Aim: To explore the contribution that individual participant characteristics (including stroke and aphasia profiles) and SLT intervention components make to language recovery following stroke.

Methods and procedures: We will identify eligible IPD datasets (including randomised controlled trials, non-randomised comparison …

Communicative Function And Diversity In Provider, Deaf And Hard-Of-Hearing Child, And Caregiver Speech During Telepractice, Rebekah G. O'Bryan, Jessica M. Julian, Maria V. Kondaurova

Undergraduate Arts and Research Showcase

How does the use of telepractice during speech language therapy affect the communicative function and communicative diversity of provider, deaf and hard-of-hearing (DHH) pediatric patient, and caregiver speech? This study examined communicative functions and diversity in the provider, DHH children with cochlear implants (n = 7, mean age = 4.9 years, range = 3.5-6.75 years), and caregiver utterances during one 30-minute in-person and one sequential tele session, order counterbalanced. To measure communicative function, each utterance was classified into 16 mutually exclusive categories for the child and into 15 categories for the adults. Communicative diversity was calculated as the number of …

Similarities And Differences Of Equine Assisted Speech Therapy And Traditional Speech Therapy: A Retrospective Study, Anna Schulz, Kristy Weissling, Josie Zimmel

UCARE: Research Products

Equine assisted speech therapy (EAST) utilizes horses for therapy while speech-language pathologists conduct the sessions (Thrall and Moser, 2015). Few studies show the effects EAST has on clients’ speech, communication, & language. This research study aims to identify strategies, progress, & objectives of EAST & traditional speech therapy (TST) to determine the similarities & differences of the therapies.

Preliminary Investigation Of An Aphasia-Friendly Version Of The Patient Health Questionnaire – 8 (Phq-8) Compared To Other Patient And Proxy Reported Outcome Measures Of Depression, Kaylee Marie Walter

Graduate Student Theses, Dissertations, & Professional Papers

Persons with aphasia (PWA) experience post-stroke depression more frequently than stroke survivors who do not have aphasia. Currently, no patient reported outcome measures that screen for depression have been created specifically for PWA or modified to be aphasia friendly for PWA. The purpose of this preliminary study is to modify the Patient Health Questionnaire- 8 (PHQ-8) to an aphasia friendly format and to assess the feasibility of administering the modified assessment compared to other patient-reported and proxy-reported outcome measures used to screen depression. This retrospective analysis examined pre- and post-treatment outcome measures of depression for seven stroke-survivors with aphasia. The …