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A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn McClure 2018 University of Louisville

A New Surgical Approach For O-C2 Fusion, Solving The Problem Of Dysphagia., M. Kathryn Mcclure

Electronic Theses and Dissertations

The fusion of the second cervical vertebrae to the occipital bone (O-C2 fusion) for head stabilization can result in postoperative dysphagia and dyspnea, negatively impacting the patient’s quality of life. Currently, the O-C2 angle is used for head placement, which may not place the head neutrally. We hypothesize that aligning the external auditory meatus with midline of the C2 will reduce oropharyngeal stenosis, reducing dysphagia. One male patient with poor swallow quality of life who required a revision of a previous O-C2 surgery was evaluated via videofluoroscopy and completed the standard swallow quality of life questionnaire (SWAL-QOL) before and after …


Family Dynamics And Auditory Verbal Therapy, Casey Baldwin 2018 University of Arkansas, Fayetteville

Family Dynamics And Auditory Verbal Therapy, Casey Baldwin

Rehabilitation, Human Resources and Communication Disorders Undergraduate Honors Theses

Auditory Verbal Therapy (AVT) is an intervention approach that is structured around caregiver involvement. While this model emphasizes the need for interventions to occur throughout the week within activities of daily living, many families have different dynamics and are drifting away from the “standard” two-parent structure. This study aims to explore the different family structures and dynamics of children who are receiving AVT services. Findings demonstrated that AVT does not seem to interfere with participation in extracurricular activities, it may be beneficial for families to have different people in the family taking the child to therapy and facilitating therapy at …


Autism Spectrum Disorder : Investigating Predictive Diagnostic Relationships In Children Three Years-Of-Age And Younger., Kaitlin Juergensen 2018 University of Louisville

Autism Spectrum Disorder : Investigating Predictive Diagnostic Relationships In Children Three Years-Of-Age And Younger., Kaitlin Juergensen

Electronic Theses and Dissertations

Autism spectrum disorder (ASD) is a heterogeneous neurodevelopmental disorder whose symptoms may involve deficits across three domains: communication, socialization, and atypical behaviors or interests. With a high prevalence across populations and a tendency to impact males more so than females, early and accurate diagnosis appears critical. The most current literature on ASD provides a myriad of difficulties associated with diagnosis under the age of three years. The purpose of this study was to determine if a predictive relationship exists between a child’s individual developmental domain standard deviation (SD) subscale scores (motor, language, cognitive, social-emotional, and adaptive skills) on the Bayley …


Sensorimotor Modulations By Cognitive Processes During Accurate Speech Discrimination: An Eeg Investigation Of Dorsal Stream Processing, David E. Jenson 2018 University of Tennessee Health Science Center

Sensorimotor Modulations By Cognitive Processes During Accurate Speech Discrimination: An Eeg Investigation Of Dorsal Stream Processing, David E. Jenson

Theses and Dissertations (ETD)

Internal models mediate the transmission of information between anterior and posterior regions of the dorsal stream in support of speech perception, though it remains unclear how this mechanism responds to cognitive processes in service of task demands. The purpose of the current study was to identify the influences of attention and working memory on sensorimotor activity across the dorsal stream during speech discrimination, with set size and signal clarity employed to modulate stimulus predictability and the time course of increased task demands, respectively. Independent Component Analysis of 64–channel EEG data identified bilateral sensorimotor mu and auditory alpha components from a …


Ethnographic Insight Into The Developmentally Diverse Worlds Of Twins: “L & J”, Allison Gallant 2018 University of Rhode Island

Ethnographic Insight Into The Developmentally Diverse Worlds Of Twins: “L & J”, Allison Gallant

Senior Honors Projects

According to the National Institute of Deafness and Other Communication Disorders (2016), approximately 3 of every 1000 infants are born with a detectable level of hearing loss in one or both ears: with 90% of these infants being born to hearing parents. Immediately following the birth of a deaf child, parents are often bombarded with decisions regarding interventions to “fix” their child’s “disability”. This decision can impact how their child will experience the world and others. The situation is a very different stressor when a hearing child is born to deaf parents. Embracing one’s deaf identity and engaging in “deaf …


Increasing Awareness Of Autism Spectrum Disorders In Law Enforcement In Hispanic Communities, Annette M. Cano 2018 The University of Texas Rio Grande Valley

Increasing Awareness Of Autism Spectrum Disorders In Law Enforcement In Hispanic Communities, Annette M. Cano

Theses and Dissertations

The aim of the present study was to study autism awareness amongst law enforcement officers (LEO) and first responders (FR) serving the Rio Grande Valley (RGV). A 17-question survey was conducted to collect demographic data, knowledge, and level of training that officers and responders have when serving individuals with Autism Spectrum Disorder (ASD).


The Ush2a Gene: An Analysis Of Ultrasonic Vocalizations In A Mouse Model Of Usher Syndrome Type 2, Kiana R. Akhundzadeh 2018 University of Connecticut

The Ush2a Gene: An Analysis Of Ultrasonic Vocalizations In A Mouse Model Of Usher Syndrome Type 2, Kiana R. Akhundzadeh

Honors Scholar Theses

Usher syndrome type 2 is a complex autosomal recessive genetic disorder that is characterized by moderate to severe congenital sensorineural hearing loss, the onset of retinitis pigmentosa in the second decade of life, and in some cases, vestibular dysfunction. Mutations in the USH2A gene account for 85% of cases of type 2. The USH2A gene is responsible for encoding the protein usherin, which has an important role in the development and function of inner ear hair cells and retinal photoreceptors. Until recently, it has been believed that carriers of the USH2A mutation were phenotype free. However, recent data has suggested …


Transitioning Adults From A Tube-Feeding To An Oral Feeding In Long-Term Care Facilities, Patricia D. Mejorado 2018 The University of Texas Rio Grande Valley

Transitioning Adults From A Tube-Feeding To An Oral Feeding In Long-Term Care Facilities, Patricia D. Mejorado

Theses and Dissertations

The objective of this investigation is to gain information regarding the transition of adults from a tube feeding to an oral feeding in long-term care facilities. Twelve surveys were administered to the speech language pathologist population from the UTRGV and UTPA communication sciences and disorders alumni via email invitation. The survey consisted of questions regarding: years practiced in long-term care facilities, interdisciplinary collaboration, protocol and/or algorithms for transitioning patients from a tube feeding to an oral feeding, documentation programs, access to meal intakes, the SLP’s role in the transition to oral feedings, and areas of concerns regarding the transition from …


Vocal Health: Awareness And Perceptions In Undergraduate Vocal Music And Theatre Majors, Heather Smith 2018 East Tennessee State University

Vocal Health: Awareness And Perceptions In Undergraduate Vocal Music And Theatre Majors, Heather Smith

Electronic Theses and Dissertations

Objective: The purpose of this study was to identify the perceptions of students majoring in vocal music and theatre regarding the instruction they receive in their undergraduate curricula on voice health education.

Methods: A survey was adapted from a previous study, Beeman (2016), with permission by the author. The survey was disseminated to undergraduate vocal music and theatre majors across the United States via SurveyMonkey®, an online survey tool.

Results: Students perceived receiving knowledge on vocal health from their voice teachers, however they reported low levels of vocal hygiene compliance. Additionally, students recognized the connection between the singing and speaking …


Speech-Language Pathologist's Perspectives On The Efficacy Of Bilingual Education Programs In South Texas Public Schools For English As A Second Language Learners, Alexandra Rosas 2018 The University of Texas Rio Grande Valley

Speech-Language Pathologist's Perspectives On The Efficacy Of Bilingual Education Programs In South Texas Public Schools For English As A Second Language Learners, Alexandra Rosas

Theses and Dissertations

Current research in regard to the assessment and treatment of ESLs is limited. Other problems found within the school setting, is that fact that SLPs have very limited resources and large caseloads. Hence, the fact that previous studies have found that SLPS working the school setting do not feel competent in serving ESL students.

The aim of this study is to investigate the efficacy of bilingual programs and explore the factors that impact English as a second language learners (ESLs), in public schools across the Rio Grande Valley. School based speech-language pathologists were surveyed for information concerning their perceptions and …


The Effects Of Dance Therapy On Voice In Patients With Parkinson's Disease In A Multicultural Population, Ivon N. Ramirez 2018 The University of Texas Rio Grande Valley

The Effects Of Dance Therapy On Voice In Patients With Parkinson's Disease In A Multicultural Population, Ivon N. Ramirez

Theses and Dissertations

Current literature suggests that dance therapy in individuals with Parkinson’s disease shows noticeable improvement in motor functions, for example gait and balance improvement. Additionally, patients with Parkinson’s disease who participate in dance therapy may perceive positive benefits on their quality of life. Therefore, it is believed that increases in core support and improvements in posture, as a result of dance therapy, will have effects on the voice in patients with PD.

This thesis pulls from literature supporting treatment approaches in the field of speech-language pathology for voice patients with Parkinson’s disease. The aim of this study was to evaluate the …


Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel 2018 University of Louisville

Swallow And Breathing Coordination Following Suprahyoid Muscle Injury., Bradley Kimbel

Electronic Theses and Dissertations

Swallowing motility disorders (dysphagia) are a major complication following radiation treatment for head and neck cancer, affecting ~50% of those treated. One reason for this is that radiation causes muscle damage, provoking sensorimotor pathologies. Previous work has suggested that injury may cause discoordination between breathing and swallowing behaviors. We sought to determine if muscle injury provokes changes in this behavior. We hypothesized that acute suprahyoid muscle damage would alter cross-behavior excitability, causing destabilization of the respiratory-swallow pattern. Swallowing was evoked in anesthetized spontaneously breathing cats via injection of a 3cc bolus of water into the oropharyngeal cavity. A suprahyoid injury …


Judgments Of Intelligence And Likability For Young Adult Female Speakers Of American English: The Influence Of Vocal Fry And The Surrounding Acoustic-Prosodic Context, Michelle Parker 2018 Utah State University

Judgments Of Intelligence And Likability For Young Adult Female Speakers Of American English: The Influence Of Vocal Fry And The Surrounding Acoustic-Prosodic Context, Michelle Parker

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

Objective: There is little consensus about how the use of the voice quality feature, vocal fry, in the speech of college-aged American women influences listener judgements of the speaker. This study investigates how vocal fry influences the judgement of speaker intelligence and likeability in this population, while taking into account the surrounding acoustic-prosodic context, specifically speech rate and voice pitch.

Method: Speech samples were obtained from eight American English speaking females who presented with different combinations of voice pitch (low or high), speech rate (slow or fast), and vocal fry (presence or absence). Listener judgements from 463 adults (262 males; …


The Relationship Between Narrative Proficiency And Syntactic Complexity Of Spontaneously Generated Stories Elicited From Children With Autism Spectrum Disorder (Asd), Megan Israelsen 2018 Utah State University

The Relationship Between Narrative Proficiency And Syntactic Complexity Of Spontaneously Generated Stories Elicited From Children With Autism Spectrum Disorder (Asd), Megan Israelsen

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

Purpose: The purpose of this study was to determine whether a narrative program designed to increase narrative language proficiency was associated with improved syntactic complexity for 5, school-aged children with Autism Spectrum Disorder (ASD).

Method: A multiple-baseline across participants design was employed. Children participated in a narrative intervention for 45 minutes, twice weekly for a period of time ranging from 19 to 33 sessions. Spontaneously generated narratives were collected after every other intervention session and analyzed for narrative and syntactic complexity.

Results: Results indicated that during baseline, three of the student’s spontaneous stories contained syntactically complex utterances that were comparable …


Associations Of The Medial Olivocochlear Reflex And Speech-In-Noise Abilities In Normal Hearing Adult Listeners: A Systematic Review, Imari J. Greaves 2018 CUNY Graduate Center

Associations Of The Medial Olivocochlear Reflex And Speech-In-Noise Abilities In Normal Hearing Adult Listeners: A Systematic Review, Imari J. Greaves

Dissertations, Theses, and Capstone Projects

This systematic review analyzed the research concerning the medial olivocochlear reflex (MOCR) and speech-in-noise abilities in normal hearing adult listeners. In an attempt to understand the underlying difficulties in this population, the following research questions were proposed: 1) Does the research indicate that the magnitude of MOC suppression measured via OAEs is related to a normal hearing subject’s ability to recognize speech-in-noise? 2) Are MOC effects measured via OAEs lateralized? Is there a right ear advantage as suggested by Khalfa, Morlet, Micheyl, Morgon & Collet (1997)? Ten studies met the standards for inclusion for this review. Analysis of the research …


The Effect Of Hearing Aid Use On Cognition In Older Adults With Adult Onset Hearing Loss: A Systematic Review, Jona Cano 2018 CUNY Graduate Center

The Effect Of Hearing Aid Use On Cognition In Older Adults With Adult Onset Hearing Loss: A Systematic Review, Jona Cano

Dissertations, Theses, and Capstone Projects

The goal of this paper was to systematically review literature in order to investigate whether the use of amplification in the form of hearing aids by older adults positively impacts cognitive status. If the results of this review uncover a positive association between hearing-aid use and cognition, then hearing aids can be recommended as an intervention method for the mitigation of cognitive decline. The eight studies included in this paper were reviewed based on the research design and the cognitive outcome measures employed. Additionally, the secondary measures of health utilized by study investigators were also evaluated. Of the eight studies …


Development Of Realistic Stimuli For The Evaluation Of Listening Effort Using Auditory Evoked Potentials, Christie Hoo Yee Leung 2018 CUNY Graduate Center

Development Of Realistic Stimuli For The Evaluation Of Listening Effort Using Auditory Evoked Potentials, Christie Hoo Yee Leung

Dissertations, Theses, and Capstone Projects

Purpose – Listeners often report difficulty perceiving speech in background noise, such as when listening in a restaurant. A common complaint of difficulty perceiving speech in noisy restaurants leads to the development of the present study, where audio recordings of connected discourse mixed with restaurant noise at different signal-to-noise ratios were made to determine the effect of restaurant noise on listening effort. Listening effort has previously been examined with psychophysiological measures, a dual-task paradigm, and qualitative measures using a variety of auditory stimuli ranging from simple tonal stimuli to complex speech stimuli, such as consonant-vowel syllables, words, and full sentences, …


Audiometric Status, Self-Perception Of Hearing Disorders, And Noise Dose In Audio Post-Production Engineers, Laura M. Sinnott 2018 CUNY Graduate Center

Audiometric Status, Self-Perception Of Hearing Disorders, And Noise Dose In Audio Post-Production Engineers, Laura M. Sinnott

Dissertations, Theses, and Capstone Projects

Numerous studies have assessed the risk of hearing injury for musicians and other sound professionals due to excessive sound exposure, however no studies have investigated whether audio post-production engineers have this same risk. This preliminary study first measured 23 participants’ hearing thresholds and prevalence of audiometric notches. Second, a questionnaire, the Questionnaire for Sound Professionals (QUSP), was designed and administered to determine whether correlations between audiometric status and self-perception of hearing loss and hearing disorders existed. Third, sound dosimetry measurements were conducted at film audio post-production studios to assess whether this population is at risk for permanent hearing loss due …


Individual Differences In Stimulus Frequency Otoacoustic Emission Phase, Joshua J. Hajicek 2018 CUNY Graduate Center

Individual Differences In Stimulus Frequency Otoacoustic Emission Phase, Joshua J. Hajicek

Dissertations, Theses, and Capstone Projects

Otoacoustic emissions (OAEs) are sounds that originate in the cochlea and are measured in the ear canal. OAEs provide a noninvasive tool for investigating cochlear mechanics. Stimulus-frequency OAEs (SFOAEs) are evoked by presenting a single frequency tone, called a probe tone, which have an advantage over other OAEs because they are the least influenced by cochlear nonlinearities. However, because the SFOAE are generated in the cochlea with the same frequency as the stimulus, additional techniques, such as the use of suppressor tones are needed to enable separation of the probe tone from the SFOAE.

The primary goal of this investigation …


Development Of A Journaling Application To Track Progress Of Adaptation To Amplification For Adult Patients: Deardiary, Nicole C. Snider 2018 CUNY Graduate Center

Development Of A Journaling Application To Track Progress Of Adaptation To Amplification For Adult Patients: Deardiary, Nicole C. Snider

Dissertations, Theses, and Capstone Projects

The DEar Diary application is an illustration of concept of an Apple iOS (operating system) application designed as a tool for supporting compliance and satisfaction with the use of amplification. The audiologist’s main purpose is to counsel, support and to provide rehabilitative counseling to their patients. Helping a patient succeed while using hearing devices for the first time is a complicated task which can be accomplished with the proper counseling and helpful tools in place.

The use of a journal to write down experiences and providing written support material the patient can refer to once they are out of the …


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