Matching Items (4)
Filtering by
- All Subjects: Ultrasound
- Creators: Weinhold, Juliet
Description
The purpose of this study was to examine swallowing patterns using ultrasound technology subsequent to the implementation of two therapeutic interventions. Baseline swallow patterns were compared to swallows after implementation of therapeutic interventions common in both feeding therapy (FT) and orofacial myofunctional therapy (OMT). The interventions consist of stimulation of the tongue by z-vibe and tongue pops. Changes in swallowing patterns are described, and similarities of interventions across the two professions are discussed. Ultrasound research in the realm of swallowing is sparse despite having potential clinical application in both professions. In using ultrasound, this study outlines a protocol for utilization of a hand-held probe and reinforces a particular protocol described in the literature. Real-time ultrasound recordings of swallows for 19 adult female subjects were made. Participants with orofacial myofunctional disorder are compared to a group with typical swallowing and differences in swallowing patterns are described. Three stages of the oral phase of the swallow were assigned based on ultrasonic observation of the tongue shape. Analysis involves total duration of the swallow, duration of the three stages in relation to the total duration of the swallow, and the number of swallows required for the bolus to be cleared from the oral cavity. No significant effects of either intervention were found. Swallowing patterns showed a general trend to become faster in total duration subsequent to each intervention. An unexpected finding showed significant changes in the relationship between the bolus preparation stage and the bolus transportation stage when comparing the group classified as having a single swallow and the group classified as having multiple swallows.
ContributorsMckay, Michelle Diane (Author) / Weinhold, Juliet (Thesis director) / Scherer, Nancy (Committee member) / Department of Speech and Hearing Science (Contributor) / Sanford School of Social and Family Dynamics (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Research on /r/ production previously used formant analysis as the primary acoustic analysis, with particular focus on the low third formant in the speech signal. Prior imaging of speech used X-Ray, MRI, and electromagnetic midsagittal articulometer systems. More recently, the signal processing technique of Mel-log spectral plots has been used to study /r/ production in children and female adults. Ultrasound imaging of the tongue also has been used to image the tongue during speech production in both clinical and research settings. The current study attempts to describe /r/ production in three different allophonic contexts; vocalic, prevocalic, and postvocalic positions. Ultrasound analysis, formant analysis, Mel-log spectral plots, and /r/ duration were measured for /r/ production in 29 adult speakers (10 male, 19 female). A possible relationship between these variables was also explored. Results showed that the amount of superior constriction in the postvocalic /r/ allophone was significantly lower than the other /r/ allophones. Formant two was significantly lower and the distance between formant two and three was significantly higher for the prevocalic /r/ allophone. Vocalic /r/ had the longest average duration, while prevocalic /r/ had the shortest duration. Signal processing results revealed candidate Mel-bin values for accurate /r/ production for each allophone of /r/. The results indicate that allophones of /r/ can be distinguished based the different analyses. However, relationships between these analyses are still unclear. Future research is needed in order to gather more data on /r/ acoustics and articulation in order to find possible relationships between the analyses for /r/ production.
ContributorsHirsch, Megan Elizabeth (Author) / Weinhold, Juliet (Thesis director) / Gardner, Joshua (Committee member) / Department of Speech and Hearing Science (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2017-05
Description
This purpose of this study was to develop reliable methods for ultrasound measurements of skeletal muscle architecture, and to identify which specific quadriceps measurements most closely relate to peak isometric torque of the leg extensors. These data were obtained as part of a larger research study and consist of 9 total subjects (4 males, 5 females; age (30.6 ± 13.6yr). Ultrasound images for muscle thickness and pennation angle were obtained for each subject during two separate testing days (separated by 5-10 days). Images were acquired at various anatomical sites of the quadriceps and each image was analyzed using Image J software. Quadriceps muscles assessed for muscle thickness and pennation angle included the vastus lateralis (VL), and vastus intermedius (VI), while rectus femoris (RF) was assessed only for muscle thickness. Peak isometric torque measurements were obtained at 60 degrees of knee angle for knee extension using an isokinetic dynamometer. Results show that the methods chosen for ultrasound measurement produced reliable inter-day results for muscle thickness and pennation angle. VL muscle thickness and pennation angle obtained at the lateral site corresponding to 39% of leg length was highly related to peak isometric torque for knee extension. The results of this study identify specific measurement sites that are related to muscle function. In addition, these data further validate that ultrasound measurement is reliable to measure muscle thickness and pennation angle in skeletal muscle.
ContributorsSkotak, Nathaniel James (Author) / Dickinson, Jared (Thesis director) / Vidt, Meghan (Committee member) / Luden, Nick (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
A previous study identified a subset of participants who required multiple swallows to clear a single bolus (Weinhold & McKay, 2017). Presence of multiple swallows was positively correlated with orofacial myofunctional disorder (OMD), suggesting that multiple swallows might be a potential screening marker for OMD. Since bolus size was not controlled in the study, reviewers questioned whether multiple swallows might have been a consequence of larger bolus size. In 2018, Pennington and Weinhold replicated this study by using a consistent 5ml bolus and revealed a similar correlation between OMD and multiple swallows. However, the test instrument used in that study to identify OMD yielded an OMD incidence of 60%. Accordingly, a new test instrument was developed to increase specificity of scoring for future studies. The new instrument identified 30% of participants as having OMD, which is more in line with the literature. The current study replicated Weinhold & McKay (2017) by utilizing the new test instrument as well as a predetermined average sip size for each participant. Utilizing both a controlled bolus of 5ml, and a participant-specific bolus size failed to eliminate multiple swallows. Linear regression revealed no significant relationship between size of bolus and number of swallows for either study; therefore, the hypothesis that the size of the unmeasured boluses in Weinhold & McKay caused differences in number of swallows was rejected. The suggestion that multiple swallows are indicative of OMD was strengthened, prompting further investigation into the relationship between number of swallows per bolus and OMD. Ultrasound images of three stages of the oral swallow were compared for the OMD and non-OMD groups. No statistical differences were noted in tongue constriction, which did not support our hypothesis that the OMD participants would display less constriction. However, baseline tongue position of /𝑎/ for participants with OMD was significantly lower than the baseline of participants without OMD. Pertinence of these findings relative to the oral stages of the swallow are addressed, as well as implications of oral stage dysfunction in general.
ContributorsPennington, Amanda Jean (Author) / Weinhold, Juliet (Thesis director) / Gardner, Joshua (Committee member) / Dean, W.P. Carey School of Business (Contributor) / College of Health Solutions (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05