Communication Sciences and Disorders Commons^™

An Investigation Of Motor Speech And Motor Limb Movements Following A Sport-Related Concussion-An Extension Study, Linda Phan

Open Access Theses & Dissertations

Background: Minimal research is available regarding the effects on motor speech and motor limb movements following a sport-related concussion (SRC). A sensitive measure is necessary to detect subtle deficits in motor speech, as it may provide diagnostic insight involving return-to- play decisions.

Purpose: This research aimed at replicating and extending a previous research study, Hewitt (2015), conducted at the University of Texas at El Paso. The Hewitt (2015) study examined motor speech tasks and motor limb tasks which included the following: oral diadochokinetics (DDK): sequential motion rate (SMR)(i.e. /puh-tuh-kuh/) and alternating motion rate (AMR) (i.e. /puhpuhpuh/, /tuhtuhtuh/, /kuhkuhkuh/); speech rate …

Factors That Influence Device Selection By Parents Of Pediatric Cochlear Implant Candidates, Zachary W. Moore

Senior Independent Study Theses

The purpose of this study was to investigate factors/variables and the importance of those factors during cochlear implant (CI) device selection by parents of recent pediatric CI recipients in the United States. The researcher created an electronic survey and asked audiologists and hearing-related professionals at various hospitals and CI centers across the United States to distribute the survey link to the parents of any of their pediatric CI patients who received CI surgery within the past two years under the age of five years. The survey included both Likert-type and open-ended questions regarding the importance of various factors/variables to the …

Speech-Language Pathologists' Knowledge Of Treatments Used To Remediate The Vocal Symptoms Of Parkinson's Disease, Angela M. Wiley

Senior Independent Study Theses

The purpose of this study was to examine speech-language pathologists’ general knowledge of four voice treatments (traditional speech therapy, the Lombard effect, SPEAK OUT!®, and the Lee Silverman Voice Treatment) used to remediate the vocal symptoms of Parkinson’s disease. Parkinson’s disease is the second most common neurodegenerative disorder therefore, it is important for clinicians to be educated about the voice treatments that can used to decrease the vocal symptoms of Parkinson’s disease. This study was conducted by having members of the American Speech-Language-Hearing Association fill out an online survey. The results indicated that speech-language pathologists who considered themselves to be …

Suicide Prevention: The Professional And Moral Responsibilities Of The Speech-Language Pathologist, Madelyn Anderson

Williams Honors College, Honors Research Projects

The purpose of this paper is to explore the possible connection between suicide and stuttering, identify warning signs and risk factors of suicide as they apply to our clients, and examine the moral implications and professional responsibilities of speech-language pathologists as they pertain to suicide prevention. From the research I conducted, I found that, as a whole, the national community of speech-language pathologists does not recognize any correlation between stuttering and suicide. However, as dictated by the American Speech-Language-Hearing Association’s (ASHA) Code of Ethics, we as speech-language pathologists are obligated to make referrals outside of our profession as the need …

Recovering With Acquired Apraxia Of Speech: The First 2 Years, Tyson G. Harmon, Katarina L. Haley, Jennifer N. Shafer, Adam Jacks

Faculty Publications

This study was intended to document speech recovery for 1 person with acquired apraxia of speech quantitatively and on the basis of her lived experience. The second author sustained a traumatic brain injury that resulted in acquired apraxia of speech. Over a 2-year period, she documented her recovery through 22 video-recorded monologues. We analyzed these monologues using a combination of auditory perceptual, acoustic, and qualitative methods. Recovery was evident for all quantitative variables examined. For speech sound production, the recovery was most prominent during the first 3 months, but slower improvement was evident for many months. Measures of speaking rate, …

Laryngeal Desiccation Challenge And Nebulized Isotonic Saline In Healthy Male Singers And Nonsingers: Effects On Acoustic, Aerodynamic, And Self-Perceived Effort And Dryness Measures, Christopher Dromey, Kristine Tanner, Robert B. Fujiki, Ray M. Merrill, Whitney Robb, Katherine A. Kendall, J Arden Hopkin, Ron W. Channell, M Preeti Sivasankar

Faculty Publications

Summary: Objectives. This study examined the effects of a laryngeal desiccation challenge and nebulized isotonic saline on voice production in young, healthy male singers and nonsingers. Study design. This is a prospective, double-blind, within-subjects experimental design. Methods. Participants included 10 male university-trained singers and 10 age-matched nonsingers (mean age, 21.8 years; range, 18–26 years) who underwent a 30-minute oral breathing laryngeal desiccation challenge using medical grade dry air (<1% relative humidity) on two occasions in consecutive weeks. After the challenge, participants received either 3 mL or 9 mL of nebulized isotonic saline (0.9% Na+ Cl); order of administration was counterbalanced. Phonation threshold pressure (PTP), the cepstral spectral index of dysphonia (CSID) for sustained vowels and connected speech, and self-perceived vocal effort, mouth dryness, and throat dryness were measured at each recording (baseline, after challenge, and at 5, 35, and 65 minutes after treatment). Results. Self-perceived effort and dryness measures increased (worsened) after desiccation challenge and decreased (improved) after nebulized treatment (P < 0.05). No consistent changes were observed for PTP or CSID over time. Overall, singers demonstrated significantly lower vocal effort and CSID as compared with nonsingers. Conclusions. Young, vocally healthy men may not experience physiologic changes in voice production associated with laryngeal desiccation and nebulized saline treatments; however, self-reported increases in vocal effort which are associated with dryness symptoms might improve with nebulized treatments. Future hydration research should consider age and sex variables

The Effects Of Noise On Speech Movements In Young, Middle- Aged, And Older Adults. Speech, Language And Hearing, Christopher Dromey, Sarah Scott

Faculty Publications

People often talk in noisy environments, which can influence the effectiveness of communication. This study examined the impact of several types of noise on speech production by measuring lip movements during a sentence repetition task. Sixty participants in three age groups ranging from 20 to 70 repeated a sentence under five noise conditions (silence, one person reading aloud, two readers, six readers, and pink noise).A head-mounted strain gauge system tracked vertical lip movements. With the presentation of noise during a speaking task, the intensity increased due to the Lombard effect in all of the noise conditions. The utterance duration for …

Lingual Pressure Generation In Relation To Saliva And Water Swallowing In Healthy Young Adults, Anna Joerger

Dissertations and Theses @ UNI

Lingual strength and swallowing pressures have been studied extensively in dysphagia rehabilitation literature; however, little research has considered how lingual pressure generation may relate to parameters of swallowing speed and endurance. Additionally, little is known about the ability of the tongue to generate pressure to a given target, known as lingual control. This project collected measures of lingual pressure and measures of swallowing speed and endurance in 10 healthy, young adults. Specifically it explored if lingual strength or control of the anterior and posterior tongue correlate with endurance or speed during saliva and water swallowing tasks. Significant relations among lingual …

Aphasia Rehabilitation Service Delivery In A Stroke Rehabilitation Unit In Australia: A Clinical Audit Of Speech Pathology Practices, Laleh Rej, Sebastian Doeltgen, Amy Rodriguez, Willem Van Steenbrugge

Internet Journal of Allied Health Sciences and Practice

Purpose: To investigate service delivery of aphasia rehabilitation in a metropolitan rehabilitation hospital by speech pathologists and assess adherence to both the National Stroke Foundation (NSF) Clinical Guidelines and the Australasian Rehabilitation Outcomes Centre (AROC) database of benchmarks. Method: A retrospective audit of 34 discharged patients was conducted within a dedicated stroke rehabilitation unit from March 2012 to July 2013 in Australia. Discharge reports, Functional Independence Measure (FIM) scores and clinical time statistics derived from the organization’s electronic database were studied and compared with NSF’s Clinical Guidelines for best practice recommendations and AROC benchmarks. Results: Patients with aphasia were admitted …

Listener Perceptions Of Simulated Fluent Speech In Nonfluent Aphasia, Tyson G. Harmon, Adam Jacks, Katarina L. Haley, Richard A. Faldowski

Faculty Publications

Background: People with aphasia (PWA) are frequently perceived less favorably by listeners than their peers. These perceptions include incorrect assumptions that can prevent successful social interactions. While communication partner training has been shown to improve social outcomes related to the listener (see e.g., Kagan, Black, Duchan, Simmons-Mackie, & Square, 2001), changing the verbal output of PWA may also yield more favorable listener perceptions about the speech, speaker, and their own affective response. We investigated the effects of artificially altered fluency (i.e., simulated fluency) on listeners’ subjective impressions.

Aims: The purpose of the study was to (1) confirm that listeners perceive …

Parent Perception Of Technology On Children’S Language Development, Lindsey E. Hanna

Honors Theses and Capstones

No abstract provided.

A Thematic Analysis Of Bilingual Speech-Language Pathologists In Southern New England, Taylor Collins

Honors Theses and Capstones

No abstract provided.

Comparing Methods For Assessing The English Grammatical Development Of Spanish-Speaking English Learners, Lisa A. Fitton Ph.D., Mary Claire Wofford, Kristina N. Bustamante, Natasha De Novi, Bibiana Nuñez, Carla L. Wood

Faculty Publications

Identifying valid and informative approaches for assessing young English learners (ELs) is essential for school-based speech-language pathologists (SLPs). The present paper focuses on two distinct approaches for assessing English grammatical development, a key component and indicator of language development for ELs. The approaches addressed are standardized normreferenced assessment and grammatical feature coding from story retell narratives. The authors review the utility of these approaches for evaluating the English grammatical development of Spanish-speaking ELs. A research example is provided to illustrate how a small sample (n = 18) of ELs performed on each of these English-based tasks. Findings reveal that children …

Dysphagia Management And Research In An Acute-Care Military Treatment Facility: The Role Of Applied Informatics, Nancy Pearl Solomon, Angela M. Dietsch, Katie E. Dietrich-Burns, Edda L. Styrmisdottir, Christopher S. Armao

Department of Special Education and Communication Disorders: Faculty Publications

Purpose: This report describes the development and preliminary analysis of a database for traumatically injured military service members with dysphagia.

Methods: A multidimensional database was developed to capture clinical variables related to swallowing. Data were derived from clinical records and instrumental swallow studies, and ranged from demographics, injury characteristics, swallowing biomechanics, medications, and standardized tools (e.g.. Glasgow Coma Scale, Penetration-Aspiration Scale). Bayesian Belief Network modeling was used to analyze the data at intermediate points, guide data collection, and predict outcomes. Predictive models were validated with independent data via receiver operating characteristic curves.

Results: The first iteration of …

Working Memory And Interference Control In Children With Specific Language Impairment, Klara Marton, Naomi Eichorn, Luca Campanelli, Lilla Zakarias

Publications and Research

Language and communication disorders are often associated with deficits in working memory (WM) and interference control. WM studies involving children with specific language impairment (SLI) have traditionally been framed using either resource theories or decay accounts, particularly Baddeley's model. Although significant interference problems in children with SLI are apparent in error analysis data from WM and language tasks, interference theories and paradigms have not been widely used in the SLI literature. A primary goal of the present paper is to provide an overview of interference deficits in children with SLI. Review of the extant literature on interference control shows deficits …

Learning By Doing: Students From Three Disciplines Work Together To Help People With Dementia With Their Communication And Physical Challenges., Tyson G. Harmon, Brenda Everett Mitchell, Anna Weinberg

Faculty Publications

None

Infant-Driven Feeding Vs. Scheduled Feeding: The Effect On Hospital Length Of Stay, Lori L. Messer

Walden Dissertations and Doctoral Studies

Developmental delays related to feeding dysfunction in premature infants can lead to lengthy hospitalizations and increased healthcare costs initially and throughout the first year of the child's life. The purpose of this project was to use readiness-to-feed assessments to evaluate the impact of an infant-driven feeding protocol on length of stay. The project compared the length of stay of 2 groups of infants: a demand fed according to a readiness-to-feed protocol (protocol group, n = 14) and a traditionally fed according to scheduled, volume-driven feedings (traditional group, n = 15). The logic model served as the change management framework and …

Patient-Reported Variables Associated With The Success Of Behavioral Intervention For Patients With Chronic Cough, Bridget Loomis

Graduate Student Theses, Dissertations, & Professional Papers

Purpose: To determine if patient-related variables exist that can potentially discriminate patients with refractory chronic cough (RCC) that are reasonable candidates for behavioral cough therapy (BCT). This study is a small sub-set of a larger, ongoing study, which aims to create and validate a screening tool that primary care physicians can use in order to refer patients early and appropriately for medical or behavioral intervention.

Methods: In this prospective, exploratory study, 20 adult participants, aged 29-68 years of age, answered a bank of questions developed by an expert panel, and the Leicester Cough Questionnaire (LCQ), before and after BCT. Questions …

A Brief But Intensive Language-Literacy Intervention For An Adolescent, Minako I. May

Graduate Student Theses, Dissertations, & Professional Papers

The current service delivery model most frequently used in a school setting involves short, infrequent sessions over a 180-day school year. To date, there is no research that supports the current service delivery model as being the most effective and efficient model of intervention. As students transition from elementary to middle school, this model is particularly problematic for the adolescent student because of a rotating school schedule, increasing language demands of the academic curriculum, and development of self-perception and academic self-concept. A brief but intensive language-literacy intervention that takes place outside of the school year may be an effective and …

The Effect Of A Fluent Signing Narrator On Children's Behavior During Technology-Enhanced Shared Reading With Children With Hearing Loss And Their Parents, Gabriela Itzel Rodriguez

Open Access Theses & Dissertations

Shared reading plays an essential role in the language and literacy development of children who are at risk of future problems in those areas. Children with hearing loss (CHL) are a group who usually experience limited and poor quality activities that foster literacy development such as shared reading (SR). Researchers examining high quality interactions have rated child behaviors, primarily attention and initiation, during shared reading and play based activities finding positive correlations between these behaviors and the overall development in typically developing children as well as in children with other impairments such as Autism Spectrum Disorder and Down syndrome (Kim …