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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

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
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Description
The recent spotlight on concussion has illuminated deficits in the current standard of care with regard to addressing acute and persistent cognitive signs and symptoms of mild brain injury. This stems, in part, from the diffuse nature of the injury, which tends not to produce focal cognitive or behavioral deficits

The recent spotlight on concussion has illuminated deficits in the current standard of care with regard to addressing acute and persistent cognitive signs and symptoms of mild brain injury. This stems, in part, from the diffuse nature of the injury, which tends not to produce focal cognitive or behavioral deficits that are easily identified or tracked. Indeed it has been shown that patients with enduring symptoms have difficulty describing their problems; therefore, there is an urgent need for a sensitive measure of brain activity that corresponds with higher order cognitive processing. The development of a neurophysiological metric that maps to clinical resolution would inform decisions about diagnosis and prognosis, including the need for clinical intervention to address cognitive deficits. The literature suggests the need for assessment of concussion under cognitively demanding tasks. Here, a joint behavioral- high-density electroencephalography (EEG) paradigm was employed. This allows for the examination of cortical activity patterns during speech comprehension at various levels of degradation in a sentence verification task, imposing the need for higher-order cognitive processes. Eight participants with concussion listened to true-false sentences produced with either moderately to highly intelligible noise-vocoders. Behavioral data were simultaneously collected. The analysis of cortical activation patterns included 1) the examination of event-related potentials, including latency and source localization, and 2) measures of frequency spectra and associated power. Individual performance patterns were assessed during acute injury and a return visit several months following injury. Results demonstrate a combination of task-related electrophysiology measures correspond to changes in task performance during the course of recovery. Further, a discriminant function analysis suggests EEG measures are more sensitive than behavioral measures in distinguishing between individuals with concussion and healthy controls at both injury and recovery, suggesting the robustness of neurophysiological measures during a cognitively demanding task to both injury and persisting pathophysiology.
ContributorsUtianski, Rene (Author) / Liss, Julie M (Thesis advisor) / Berisha, Visar (Committee member) / Caviness, John N (Committee member) / Dorman, Michael (Committee member) / Arizona State University (Publisher)
Created2014
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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

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