Theses and Dissertations
This collection includes both ASU Theses and Dissertations, submitted by graduate students, and the Barrett, Honors College theses submitted by undergraduate students.
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- All Subjects: Speech therapy
Description
Concussion, a subset of mild traumatic brain injury (mTBI), has recently been brought to the forefront of the media due to a large lawsuit filed against the National Football League. Concussion resulting from injury varies in severity, duration, and type, based on many characteristics about the individual that research does not presently understand. Chronic fatigue, poor working memory, impaired self-awareness, and lack of attention to task are symptoms commonly present post-concussion. Currently, there is not a standard method of assessing concussion, nor is there a way to track an individual's recovery, resulting in misguided treatment for better prognosis. The aim of the following study was to determine patient specific higher-order cognitive processing deficits for clinical diagnosis and prognosis of concussion. Six individuals (N=6) were seen during the acute phase of concussion, two of whom were seen subsequently when their symptoms were deemed clinically resolved. Subjective information was collected from both the patient and from neurology testing. Each individual completed a task, in which they were presented with degraded speech, taxing their higher-order cognitive processing. Patient specific behavioral patterns are noted, creating a unique paradigm for mapping subjective and objective data for each patient's strategy to compensate for deficits and understand speech in a difficult listening situation. Keywords: concussion, cognitive processing
ContributorsBerg, Dena (Author) / Liss, Julie M (Committee member) / Azuma, Tamiko (Committee member) / Caviness, John (Committee member) / Arizona State University (Publisher)
Created2013
Description
A multitude of individuals across the globe suffer from hearing loss and that number continues to grow. Cochlear implants, while having limitations, provide electrical input for users enabling them to "hear" and more fully interact socially with their environment. There has been a clinical shift to the bilateral placement of implants in both ears and to bimodal placement of a hearing aid in the contralateral ear if residual hearing is present. However, there is potentially more to subsequent speech perception for bilateral and bimodal cochlear implant users than the electric and acoustic input being received via these modalities. For normal listeners vision plays a role and Rosenblum (2005) points out it is a key feature of an integrated perceptual process. Logically, cochlear implant users should also benefit from integrated visual input. The question is how exactly does vision provide benefit to bilateral and bimodal users. Eight (8) bilateral and 5 bimodal participants received randomized experimental phrases previously generated by Liss et al. (1998) in auditory and audiovisual conditions. The participants recorded their perception of the input. Data were consequently analyzed for percent words correct, consonant errors, and lexical boundary error types. Overall, vision was found to improve speech perception for bilateral and bimodal cochlear implant participants. Each group experienced a significant increase in percent words correct when visual input was added. With vision bilateral participants reduced consonant place errors and demonstrated increased use of syllabic stress cues used in lexical segmentation. Therefore, results suggest vision might provide perceptual benefits for bilateral cochlear implant users by granting access to place information and by augmenting cues for syllabic stress in the absence of acoustic input. On the other hand vision did not provide the bimodal participants significantly increased access to place and stress cues. Therefore the exact mechanism by which bimodal implant users improved speech perception with the addition of vision is unknown. These results point to the complexities of audiovisual integration during speech perception and the need for continued research regarding the benefit vision provides to bilateral and bimodal cochlear implant users.
ContributorsLudwig, Cimarron (Author) / Liss, Julie (Thesis advisor) / Dorman, Michael (Committee member) / Azuma, Tamiko (Committee member) / Arizona State University (Publisher)
Created2015
Description
In the noise and commotion of daily life, people achieve effective communication partly because spoken messages are replete with redundant information. Listeners exploit available contextual, linguistic, phonemic, and prosodic cues to decipher degraded speech. When other cues are absent or ambiguous, phonemic and prosodic cues are particularly important because they help identify word boundaries, a process known as lexical segmentation. Individuals vary in the degree to which they rely on phonemic or prosodic cues for lexical segmentation in degraded conditions.
Deafened individuals who use a cochlear implant have diminished access to fine frequency information in the speech signal, and show resulting difficulty perceiving phonemic and prosodic cues. Auditory training on phonemic elements improves word recognition for some listeners. Little is known, however, about the potential benefits of prosodic training, or the degree to which individual differences in cue use affect outcomes.
The present study used simulated cochlear implant stimulation to examine the effects of phonemic and prosodic training on lexical segmentation. Participants completed targeted training with either phonemic or prosodic cues, and received passive exposure to the non-targeted cue. Results show that acuity to the targeted cue improved after training. In addition, both targeted attention and passive exposure to prosodic features led to increased use of these cues for lexical segmentation. Individual differences in degree and source of benefit point to the importance of personalizing clinical intervention to increase flexible use of a range of perceptual strategies for understanding speech.
Deafened individuals who use a cochlear implant have diminished access to fine frequency information in the speech signal, and show resulting difficulty perceiving phonemic and prosodic cues. Auditory training on phonemic elements improves word recognition for some listeners. Little is known, however, about the potential benefits of prosodic training, or the degree to which individual differences in cue use affect outcomes.
The present study used simulated cochlear implant stimulation to examine the effects of phonemic and prosodic training on lexical segmentation. Participants completed targeted training with either phonemic or prosodic cues, and received passive exposure to the non-targeted cue. Results show that acuity to the targeted cue improved after training. In addition, both targeted attention and passive exposure to prosodic features led to increased use of these cues for lexical segmentation. Individual differences in degree and source of benefit point to the importance of personalizing clinical intervention to increase flexible use of a range of perceptual strategies for understanding speech.
ContributorsHelms Tillery, Augusta Katherine (Author) / Liss, Julie M. (Thesis advisor) / Azuma, Tamiko (Committee member) / Brown, Christopher A. (Committee member) / Dorman, Michael F. (Committee member) / Utianski, Rene L. (Committee member) / Arizona State University (Publisher)
Created2015
Description
Often termed the "gold standard" in the differential diagnosis of dysarthria, the etiology-based Mayo Clinic classification approach has been used nearly exclusively by clinicians since the early 1970s. However, the current descriptive method results in a distinct overlap of perceptual features across various etiologies, thus limiting the clinical utility of such a system for differential diagnosis. Acoustic analysis may provide a more objective measure for improvement in overall reliability (Guerra & Lovely, 2003) of classification. The following paper investigates the potential use of a taxonomical approach to dysarthria. The purpose of this study was to identify a set of acoustic correlates of perceptual dimensions used to group similarly sounding speakers with dysarthria, irrespective of disease etiology. The present study utilized a free classification auditory perceptual task in order to identify a set of salient speech characteristics displayed by speakers with varying dysarthria types and perceived by listeners, which was then analyzed using multidimensional scaling (MDS), correlation analysis, and cluster analysis. In addition, discriminant function analysis (DFA) was conducted to establish the feasibility of using the dimensions underlying perceptual similarity in dysarthria to classify speakers into both listener-derived clusters and etiology-based categories. The following hypothesis was identified: Because of the presumed predictive link between the acoustic correlates and listener-derived clusters, the DFA classification results should resemble the perceptual clusters more closely than the etiology-based (Mayo System) classifications. Results of the present investigation's MDS revealed three dimensions, which were significantly correlated with 1) metrics capturing rate and rhythm, 2) intelligibility, and 3) all of the long-term average spectrum metrics in the 8000 Hz band, which has been linked to degree of phonemic distinctiveness (Utianski et al., February 2012). A qualitative examination of listener notes supported the MDS and correlation results, with listeners overwhelmingly making reference to speaking rate/rhythm, intelligibility, and articulatory precision while participating in the free classification task. Additionally, acoustic correlates revealed by the MDS and subjected to DFA indeed predicted listener group classification. These results beget acoustic measurement as representative of listener perception, and represent the first phase in supporting the use of a perceptually relevant taxonomy of dysarthria.
ContributorsNorton, Rebecca (Author) / Liss, Julie (Thesis advisor) / Azuma, Tamiko (Committee member) / Ingram, David (Committee member) / Arizona State University (Publisher)
Created2012
Description
Distorted vowel production is a hallmark characteristic of dysarthric speech, irrespective of the underlying neurological condition or dysarthria diagnosis. A variety of acoustic metrics have been used to study the nature of vowel production deficits in dysarthria; however, not all demonstrate sensitivity to the exhibited deficits. Less attention has been paid to quantifying the vowel production deficits associated with the specific dysarthrias. Attempts to characterize the relationship between naturally degraded vowel production in dysarthria with overall intelligibility have met with mixed results, leading some to question the nature of this relationship. It has been suggested that aberrant vowel acoustics may be an index of overall severity of the impairment and not an "integral component" of the intelligibility deficit. A limitation of previous work detailing perceptual consequences of disordered vowel acoustics is that overall intelligibility, not vowel identification accuracy, has been the perceptual measure of interest. A series of three experiments were conducted to address the problems outlined herein. The goals of the first experiment were to identify subsets of vowel metrics that reliably distinguish speakers with dysarthria from non-disordered speakers and differentiate the dysarthria subtypes. Vowel metrics that capture vowel centralization and reduced spectral distinctiveness among vowels differentiated dysarthric from non-disordered speakers. Vowel metrics generally failed to differentiate speakers according to their dysarthria diagnosis. The second and third experiments were conducted to evaluate the relationship between degraded vowel acoustics and the resulting percept. In the second experiment, correlation and regression analyses revealed vowel metrics that capture vowel centralization and distinctiveness and movement of the second formant frequency were most predictive of vowel identification accuracy and overall intelligibility. The third experiment was conducted to evaluate the extent to which the nature of the acoustic degradation predicts the resulting percept. Results suggest distinctive vowel tokens are better identified and, likewise, better-identified tokens are more distinctive. Further, an above-chance level agreement between nature of vowel misclassification and misidentification errors was demonstrated for all vowels, suggesting degraded vowel acoustics are not merely an index of severity in dysarthria, but rather are an integral component of the resultant intelligibility disorder.
ContributorsLansford, Kaitlin L (Author) / Liss, Julie M (Thesis advisor) / Dorman, Michael F. (Committee member) / Azuma, Tamiko (Committee member) / Lotto, Andrew J (Committee member) / Arizona State University (Publisher)
Created2012
Description
With a growing number of adults with autism spectrum disorder (ASD), more and more research has been conducted on majority male cohorts with ASD from young, adolescence, and some older age. Currently, males make up the majority of individuals diagnosed with ASD, however, recent research states that the gender gap is closing due to more advanced screening and a better understanding of how females with ASD present their symptoms. Little research has been published on the neurocognitive differences that exist between older adults with ASD compared to neurotypical (NT) counterparts, and nothing has specifically addressed older women with ASD. This study utilized neuroimaging and neuropsychological tests to examine differences between diagnosis and sex of four distinct groups: older men with ASD, older women with ASD, older NT men, and older NT women. In each group, hippocampal size (via FreeSurfer) was analyzed for differences as well as correlations with neuropsychological tests. Participants (ASD Female, n = 12; NT Female, n = 14; ASD Male, n = 30; NT Male = 22), were similar according to age, IQ, and education. The results of the study indicated that the ASD Group as a whole performed worse on executive functioning tasks (Wisconsin Card Sorting Test, Trails Making Test) and memory-related tasks (Rey Auditory Verbal Learning Test, Weschler Memory Scale: Visual Reproduction) compared to the NT Group. Interactions of sex by diagnosis approached significance only within the WCST non-perseverative errors, with the women with ASD performing worse than NT women, but no group differences between men. Effect sizes between the female groups (ASD female vs. NT female) showed more than double that of the male groups (ASD male vs. NT male) for all WCST and AVLT measures. Participants with ASD had significantly smaller right hippocampal volumes than NT participants. In addition, all older women showed larger hippocampal volumes when corrected for total intracranial volume (TIV) compared to all older men. Overall, NT Females had significant correlations across all neuropsychological tests and their hippocampal volumes whereas no other group had significant correlations. These results suggest a tighter coupling between hippocampal size and cognition in NT Females than NT Males and both sexes with ASD. This study promotes further understanding of the neuropsychological differences between older men and women, both with and without ASD. Further research is needed on a larger sample of older women with and without ASD.
ContributorsWebb, Christen Len (Author) / Braden, B. Blair (Thesis advisor) / Azuma, Tamiko (Committee member) / Dixon, Maria (Committee member) / Arizona State University (Publisher)
Created2019
Description
Cognitive deficits often accompany language impairments post-stroke. Past research has focused on working memory in aphasia, but attention is largely underexplored. Therefore, this dissertation will first quantify attention deficits post-stroke before investigating whether preserved cognitive abilities, including attention, can improve auditory sentence comprehension post-stroke. In Experiment 1a, three components of attention (alerting, orienting, executive control) were measured in persons with aphasia and matched-controls using visual and auditory versions of the well-studied Attention Network Test. Experiment 1b then explored the neural resources supporting each component of attention in the visual and auditory modalities in chronic stroke participants. The results from Experiment 1a indicate that alerting, orienting, and executive control are uniquely affected by presentation modality. The lesion-symptom mapping results from Experiment 1b associated the left angular gyrus with visual executive control, the left supramarginal gyrus with auditory alerting, and Broca’s area (pars opercularis) with auditory orienting attention post-stroke. Overall, these findings indicate that perceptual modality may impact the lateralization of some aspects of attention, thus auditory attention may be more susceptible to impairment after a left hemisphere stroke.
Prosody, rhythm and pitch changes associated with spoken language may improve spoken language comprehension in persons with aphasia by recruiting intact cognitive abilities (e.g., attention and working memory) and their associated non-lesioned brain regions post-stroke. Therefore, Experiment 2 explored the relationship between cognition, two unique prosody manipulations, lesion location, and auditory sentence comprehension in persons with chronic stroke and matched-controls. The combined results from Experiment 2a and 2b indicate that stroke participants with better auditory orienting attention and a specific left fronto-parietal network intact had greater comprehension of sentences spoken with sentence prosody. For list prosody, participants with deficits in auditory executive control and/or short-term memory and the left angular gyrus and globus pallidus relatively intact, demonstrated better comprehension of sentences spoken with list prosody. Overall, the results from Experiment 2 indicate that following a left hemisphere stroke, individuals need good auditory attention and an intact left fronto-parietal network to benefit from typical sentence prosody, yet when cognitive deficits are present and this fronto-parietal network is damaged, list prosody may be more beneficial.
Prosody, rhythm and pitch changes associated with spoken language may improve spoken language comprehension in persons with aphasia by recruiting intact cognitive abilities (e.g., attention and working memory) and their associated non-lesioned brain regions post-stroke. Therefore, Experiment 2 explored the relationship between cognition, two unique prosody manipulations, lesion location, and auditory sentence comprehension in persons with chronic stroke and matched-controls. The combined results from Experiment 2a and 2b indicate that stroke participants with better auditory orienting attention and a specific left fronto-parietal network intact had greater comprehension of sentences spoken with sentence prosody. For list prosody, participants with deficits in auditory executive control and/or short-term memory and the left angular gyrus and globus pallidus relatively intact, demonstrated better comprehension of sentences spoken with list prosody. Overall, the results from Experiment 2 indicate that following a left hemisphere stroke, individuals need good auditory attention and an intact left fronto-parietal network to benefit from typical sentence prosody, yet when cognitive deficits are present and this fronto-parietal network is damaged, list prosody may be more beneficial.
ContributorsLaCroix, Arianna (Author) / Rogalsky, Corianne (Thesis advisor) / Azuma, Tamiko (Committee member) / Braden, B. Blair (Committee member) / Liss, Julie (Committee member) / Arizona State University (Publisher)
Created2019
Description
Glottal fry is a vocal register characterized by low frequency and increased signal perturbation, and is perceptually identified by its popping, creaky quality. Recently, the use of the glottal fry vocal register has received growing awareness and attention in popular culture and media in the United States. The creaky quality that was originally associated with vocal pathologies is indeed becoming “trendy,” particularly among young women across the United States. But while existing studies have defined, quantified, and attempted to explain the use of glottal fry in conversational speech, there is currently no explanation for the increasing prevalence of the use of glottal fry amongst American women. This thesis, however, proposes that conversational entrainment—a communication phenomenon which describes the propensity to modify one’s behavior to align more closely with one’s communication partner—may provide a theoretical framework to explain the growing trend in the use of glottal fry amongst college-aged women in the United States. Female participants (n = 30) between the ages of 18 and 29 years (M = 20.6, SD = 2.95) had conversations with two conversation partners, one who used quantifiably more glottal fry than the other. The study utilized perceptual and quantifiable acoustic information to address the following key question: Does the amount of habitual glottal fry in a conversational partner influence one’s use of glottal fry in their own speech? Results yielded the following two findings: (1) according to perceptual annotations, the participants used a greater amount of glottal fry when speaking with the Fry conversation partner than with the Non Fry partner, (2) statistically significant differences were found in the acoustics of the participants’ vocal qualities based on conversation partner. While the current study demonstrates that young women are indeed speaking in glottal fry in everyday conversations, and that its use can be attributed in part to conversational entrainment, we still lack a clear explanation of the deeper motivations for women to speak in a lower vocal register. The current study opens avenues for continued analysis of the sociolinguistic functions of the glottal fry register.
ContributorsDelfino, Christine R (Author) / Liss, Julie M (Thesis advisor) / Borrie, Stephanie A (Thesis advisor) / Azuma, Tamiko (Committee member) / Berisha, Visar (Committee member) / Arizona State University (Publisher)
Created2015
Description
Dementia is a syndrome resulting from an acquired brain disease that affects many domains of cognitive impairment. The progressive disorder generally affects memory, attention, executive functions, communication, and other cognitive domains that significantly alter everyday function (Quinn, 2014). The purpose of this research was to gather a systematic review of cognitive-communication assessments and screeners used in assessing dementia to assist in early prognosis. From this review, there is potential in developing a new test to address the areas that people with dementia often have deficits in 1) Memory, 2) Attention, 3) Executive Functions, 4) Language, and 5) Visuospatial Skills. In the field of speech-language pathology, or medicine in general, there is no one assessment that can diagnose dementia. Additionally, this review will explore identifying speech and language characteristics of dementia through speech analytics to theoretically help clinicians identify early signs of dementia.
ContributorsMiller, Marissa (Author) / Liss, Julie M (Thesis advisor) / Berisha, Visar (Thesis advisor) / Azuma, Tamiko (Committee member) / Arizona State University (Publisher)
Created2019
Description
Previous research of impulse control disorders, common in adults with a diagnosis of Parkinson’s, were reviewed to determine possible links between impulse control
disorders in in adults with aphasia. Aphasia is a disorder often caused by a stroke that can
impact speech and language both receptively and expressively. Impulse control disorders
(ICDs) (i.e., pathological gambling, hypersexuality, compulsive eating and shopping, etc.)
have drastic consequences and can cause harm to the individual affected as well as their
caregivers and family. This study sought to identify if symptoms of ICDs are prevalent in
adults with aphasia by utilizing self-report surveys and a Go/No-Go impulsivity computer
task. The findings of this study indicate that some impulsive factors are significantly
heightened in adults who have had a stroke when compared to healthy same-age peers
and that these differences are perhaps best captured by the self-report surveys. Despite a
large amount of literature on the impact of stroke and quality of life, this area of impulse
control has remained largely unexplored. Further investigation is warranted for the
prevalence of impulse control disorders in adults with aphasia, however, this study is a
step forward into understanding how aphasia and stroke affect the quality of life of those
impacted.
ContributorsMajors, Madilyn (Author) / Rogalsky, Corianne (Thesis advisor) / Trueba, Elizabeth (Committee member) / Azuma, Tamiko (Committee member) / Arizona State University (Publisher)
Created2023