Communication Sciences and Disorders Commons^™

In A Right State Of Mind: An Analysis Of Cognitive And Linguistic Function Following A Rare Case Of Atypical Language Dominance In Aphasia, Emily Manton

Undergraduate Review

As the foundation for effective communication, the power of the human brain to create and execute language derives from the ability of its structural components to remain intact. Extensive research has found that in 97% of people worldwide, language is typically carried out by the left hemisphere of the brain. Research for lesions in this area therefore, have been well documented. For the 3% of individuals who fall in the category of "atypical cerebral dominance" however, there is little in the available literature. Therefore, this empirical prospective case study sought to document the cognitive and linguistic functions of a 59 …

The Effects Of Cued Speech On Phonemic Awareness Skills, Jessica M. Phillips

Masters Theses

Research suggests phonemic awareness is enhanced through multimodality training. Cued Speech is a multimodality system that combines hand signs with mouth movements to represent phonemes of the spoken language. This system has been utilized successfully in developing phonological awareness with children with hearing loss. However, no research is available on its effectiveness with children who are not deaf or hard-of-hearing. The efficacy of the use of Cued Speech for the enhancement of phonological skills in typically developing 1st grade students was evaluated in this study. Twenty-six 1^st graders identified as low-achieving readers by their classroom teachers were administered the …

Efficacy Of A Cognitive Training Program For Individuals With Moderate Cognitive Impairment: Evaluating Cognition, Erica Catherine Johnson

All Graduate Theses, Dissertations, and Other Capstone Projects

The purpose of the current study was to evaluate the efficacy of a cognitive training program among those with moderate cognitive impairment. A total of 23 individuals participated in the study and were randomly assigned to a wait-list control group or a cognitive training program that consisted of 24 cognitive classes for a total of 12 weeks. The cognitive training classes aimed to activate the six primary cognitive domains impacted with dementia, reaction time, attention, memory, language, visual-spatial skills, and executive functioning. All participants were evaluated with a battery of neurocognitive assessments pre-and post-treatment. The findings tentatively support the use …

A Combination Of Therapeutic Techniques: Severe Broca's Aphasia, Kimberly Ann Homan

All Graduate Theses, Dissertations, and Other Capstone Projects

The effects of Modified Melodic Intonation Therapy for a fifty-nine year old adult with severe Broca's aphasia were examined. Intervention included inner rehearsal and first sound practice to potentially increase initiation abilities. Pre and post self-assessments were used to evaluate self-awareness. Six target phrases (four three-syllable phrases and two two-syllable phrases) were treated over the course of fifteen weeks with two one-hour sessions per week. Results showed an increase in the participant's ability to produce the target phrase. Inner rehearsal proved to be an initiation strategy that met functional needs of the participant in a timelier manner; on the other …

Caregiver Perceptions Of Speech-Language Pathologist (Slp) Communication: Examining How Slps Talk With Caregivers About Child Language Disorders, Karmen L. Porter

LSU Doctoral Dissertations

The purpose of this study was to identify how SLP communication regarding language disorders was perceived by caregivers. Employing a qualitative methodology, the caregivers of 10 children, identified with a language-based reading impairment, participated in semi-structured interviews concerning their experiences communicating with SLPs. As a whole, the findings showed the value caregivers place on receiving clear, concrete, and timely diagnostic information, the variability and complexity associated with caregivers’ understanding of language disorders, and the reciprocal relationship between key SLP communication practices, caregiver knowledge, and effective collaboration. Some of the key themes emphasized in regard to SLP communication practices included: recognition …

Communication Sciences And Disorders (Csd) Graduate Students' Preparedness To Work With Individuals Who Are Bilingual, Elizabeth M. Harbaugh

Honors Theses

This study addresses the overall competence of Communication Sciences and Disorders (CSD) graduate students working with individuals who are bilingual. It examined the different CSD graduate programs in the United States and identified key variables that lead to students' preparedness. The author surveyed 238 individuals, consisting of first and second year graduate students and individuals working in their clinical fellowship from 30 different graduate programs. The data were collected from both Mississippi and the total population and were compared as an example of possible future research pertaining to SLP preparedness needed when working with individuals who are bilingual. The results …

Eye Movements Of Individuals With Aphasia During Reading And Scene Viewing, Kimberly G. Smith

Theses and Dissertations

Purpose: This project characterized eye movements of individuals with aphasia and age-matched participants during reading and scene viewing.

Methods: Individuals with aphasia (N=24) and age-matched controls participants (N=24) completed three eye tracking studies. Study 1 examined task-related changes in eye movements for scene search, scene memorization, text-reading, and pseudoreading. Ex-Gaussian, analysis of variance, and correlational analyses were used to compare differences in eye movements across tasks and participant groups. Study 2 examined how oculomotor and linguistic processing influence eye movements for textreading and pseudo-reading. In addition to the statistical analyses used in Study 1, four case studies were carried out …

Multi-Modal Communication In School-Age Children With Autism Spectrum Disorders, Lauren Dougherty

Williams Honors College, Honors Research Projects

Children with Autism Spectrum Disorder (ASD) have a difficult time communicating on a daily basis. To help enhance and sometimes substitute speech altogether, they require Augmentative and Alternative Communication (AAC) devices. A review of literature found that school-age children with ASD utilize multiple modes of communication. The observation conducted looked at six school-age children, grades 6-8, with ASD and their use of multimodal communication. Each child was observed throughout their school day in settings such as the classroom, lunch/recess, and the speech therapy room. Data was collected for the number of times a child was given the opportunity to use …

Treatment Outcomes For The Mass Treatment Approach For Adults Who Stutter: A Case Study Assessment, Danielle Reymann

Williams Honors College, Honors Research Projects

No abstract provided.

Survey Of Telepractice In Speech-Language Pathology Graduate Programs, Katie M. Constantine

Williams Honors College, Honors Research Projects

The purpose of this project is to gain knowledge on the rate of telepractice technology used in different speech-language pathology graduate school programs across the country. There is little information known about the training available to graduate students in the field of speech-language pathology. This study examined the current state of graduate level training in telepractice technology in speech-language pathology graduate programs.

Using Visual Scene Displays As Communication Support Options For People With Chronic, Severe Aphasia: A Summary Of Aac Research And Future Research Directions, David R. Beukelman, Karen Hux, Aimee R. Dietz, Miechelle L. Mckelvey, Kristy S.E. Weissling

Department of Special Education and Communication Disorders: Faculty Publications

Research about the effectiveness of communicative supports and advances in photographic technology has prompted changes in the way speech-language pathologists design and implement interventions for people with aphasia. The purpose of this paper is to describe the use of photographic images as a basis for developing communication supports for people with chronic aphasia secondary to sudden-onset events due to cerebrovascular accidents (strokes). Topics include the evolution of AAC-based supports as they relate to people with aphasia, the development and key features of visual scene displays (VSDs), and future directions concerning the incorporation of photographs into communication supports for people with …

Acoustic Realization Of Contrastive Stress In Individuals With Parkinson's Disease, Ana Maria Gaviria

LSU Master's Theses

This study investigated the acoustic correlates of contrastive stress produced by individuals with Parkinson’s disease (PD) to learn more about their ability to modulate acoustic cues to mark contrastive stress. Speech materials from 10 individuals with PD and 10 gender- and age-matched neurologically healthy controls (HC) were recorded and analyzed. The four acoustic measures (peak intensity, peak F0, vowel duration, and acoustic vowel space area) of stressed and unstressed syllables were compared to determine which acoustic parameters are preferentially employed by each group to mark contrastive stress. The results indicated that individuals with PD exhibited significant changes in vowel duration …

Investigating The Effect Of Photographic Representations On Scores Of The Stroke And Aphasia Quality Of Life Scale-39 For People With Moderate To Severe Aphasia, Samantha Studrawa

LSU Master's Theses

Background: The Stroke and Aphasia Quality of Life-39 (SAQOL-39) is a valid and reliable measure of quality of life (QOL) for stroke survivors and people with mild-to-moderate aphasia However, it could not be validated for people with severe aphasia due to their language deficits. Research has shown that combining pictures with written text can support communication effectiveness of people with aphasia. Combining language modalities in this way is a form of alternative or augmentative communication (AAC). The use of AAC has been explored as a possibility to improve communication for people with severe aphasia (Dietz, McKelvey & Beukelman, 2006). Aim: …

Treatment Efficacy Of Manual Therapy On Speech Outcomes In Children With Spastic Cerebral Palsy: A Single-Subject Experimental Design, Chantelle B. Varnado

LSU Doctoral Dissertations

ABSTRACT Objective – The present study aimed to determine if a treatment effect is present on speech outcomes in children with spastic cerebral palsy (CP) given 5 sessions of a manual therapy treatment protocol. Methods – A single-subject experimental design (ABAB) study was devised to establish the treatment efficacy of a manual therapy protocol on speech outcomes in children with spastic CP. The protocol was administered to 5 participants, 4-6 years old. It included five intercostal stretches administered in 15-minute sessions for five sessions. During the withdrawal phase, a sham treatment was administered that included an equal dosage of treatment. …

An Analysis Of Spelling Patterns Produced By Elementary School-Aged Speakers Of African American English, Lindsay Meyer Turner

LSU Doctoral Dissertations

Over the years, less attention is given to students’ spelling skills compared to other areas of literacy achievement like word reading and passage comprehension in relationship to nonmainstream dialect usage. Considering that English spelling is based on the phonological and morphological structures of Mainstream American English (MAE), it is likely that children who speak a nonmainstream dialect such as African American English (AAE) will demonstrate differences in their spelling abilities. The purposes of this study were to explore the relationship between degree of AAE dialect use and spelling for a group of first to third grade children, and to describe …

Interactions Between A Speech Pathologist And People With Aphasia In The First 6 Weeks Post Stroke: A Qualitative Study Of Assessment Experiences, Penelope Judith Wood

Theses : Honours

This study examines clinician and client interactions in the context of an acute care unit in a small urban Western Australian Hospital. The study involved audiovisual recordings and observations of assessment sessions, and in-depth interviews with the assessing Speech Pathologist and her clients. Analysis used Discourse Analysis of assessment sessions and Thematic Analysis of interviews. There is growing evidence as to how less formal non-traditional assessment might be more supportive of people with aphasia—for instance, by using concepts and techniques drawn from Dynamic Assessment and principles of Adult Learning. Surveys of Australian and New Zealand Speech Pathologists reflect a move …

Reliability Of Subjective Endoscopic Parameters In The Differentiation Of Essential Voice Tremor And Adductor Spasmodic Dysphonia Using High-Speed Videoendoscopy, Lindsey A. Parker

LSU Master's Theses

Certain neurogenic voice disorders present with similar or overlapping audio perceptual voice characteristics. Developing reliable and standardized perceptual measures of vocal fold vibratory characteristics for such voice disorders can enable accurate diagnosis and lead to faster, targeted treatment. In this study, subjective perceptual vocal fold vibratory characteristics and the presence and absence of supraglottic events during phonation were investigated to differentiate between Adductor Spasmodic Dysphonia (ADSD) and Essential Vocal Fold Tremor (EVT) using high-speed videoendoscopy (HSV). The specific aims of the study were to 1) assess which subjective endoscopic vocal fold vibratory measures differentiate EVT from AdSD; and 2) assess …

A Comparison Of Maze Frequency And Type Across Language And Speaker: A Look At English And Spanish Narrative Retells, Melissa Silver

Open Access Theses & Dissertations

Background: Mazes, as they are referred to in the language literature, are disfluencies that do not add meaning to an utterance including filled pauses, whole word revisions, part word revisions, part word repetitions and whole word repetitions. Extensive research has been conducted on mazes in monolingual and bilingual children, yet the research has not been extended to adults' narrative retell production.

Aims: The current study analyzes monolingual English, monolingual Spanish, and bilingual English and Spanish narrative retells to compare the percent of maze use and type of maze use amongst groups.

Methods & Procedures: The narrative retells of thirty-nine bilingual …

Problem Solving Of Typically Developing Children On An Adaptation Of The Twenty Questions Task, Janice Carter Smith

Theses and Dissertations--Rehabilitation Sciences

This cross sectional study examined problem solving by typically developing children on the Rapid Assessment of Problem Solving test (RAPS). The RAPS, a modification of Mosher and Hornsby’s 20Q task, requires the examinee to solve three problems. Each problem involves asking yes/no questions to identify a target picture from a 32-picture array with as few questions as possible. Participants were 73 young (ages 7-9), 79 early adolescent (ages 10-13) and 77 adolescent (ages 14-17) children residing in Kentucky. Children were seen in the summer months and administered the RAPS on a single occasion, with 22 of the children being testing …

Perception And Use Of Communication Care Plans By Certified Nursing Assistants In Nursing Homes: The Role Of Professional Support, Christen G. Page

Theses and Dissertations--Rehabilitation Sciences

The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs.

The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care …