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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

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
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Description
Spanish-speaking (SS) dual language learners (DLLs) have shown differential developmental profiles of the native language (L1). The current study examined whether or not the Spanish acquisition profile, specifically accusative clitics, in predominantly SS, Latino children continues to develop in an English-language contact situation. This study examined (1) accuracy rates of

Spanish-speaking (SS) dual language learners (DLLs) have shown differential developmental profiles of the native language (L1). The current study examined whether or not the Spanish acquisition profile, specifically accusative clitics, in predominantly SS, Latino children continues to develop in an English-language contact situation. This study examined (1) accuracy rates of clitic production, total substitutions, and total omissions across 5-, 6-, and 7-year-olds; (2) accuracy rates of clitic production, total substitutions, and total omissions across low and high English proficiency groups; and (3) whether or not there was a trend to use the default clitic lo in inappropriate contexts. Seventy-four SS children aged 5;1 to 7;11 participated in a clitic elicitation task. Results indicated non-significant effects of age and proficiency level on the accuracy of clitic production. These results suggest dual language learners are in an environment that does not foster the maintenance of the L1, at least in the accuracy of accusative clitic pronouns.
ContributorsFigueroa, Megan Danielle (Author) / Restrepo, María A (Thesis advisor) / Gelderen, Elly van (Committee member) / Ingram, David (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Identification of primary language impairment (PLI) in sequential bilingual children is challenging because of the interaction between PLI and second language (L2) proficiency. An important step in improving the accurate diagnosis of PLI in bilingual children is to investigate how differences in L2 performance are affected by a length of

Identification of primary language impairment (PLI) in sequential bilingual children is challenging because of the interaction between PLI and second language (L2) proficiency. An important step in improving the accurate diagnosis of PLI in bilingual children is to investigate how differences in L2 performance are affected by a length of L2 exposure and how L2 assessment contributes to differentiation between children with and without PLI at different L2 proficiency levels. Sixty one children with typical language development (TD) ages 5;3-8 years and 12 children with PLI ages 5;5-7;8 years participated. Results revealed that bilingual children with and without PLI, who had between 1 and 3 years of L2 exposure, did not differ in mean length of utterance (MLU), number of different words, percent of maze words, and performance on expressive and receptive grammatical tasks in L2. Performance on a grammaticality judgment task by children with and without PLI demonstrated the largest effect size, indicating that it may potentially contribute to identification of PLI in bilingual populations. In addition, children with PLI did not demonstrate any association between the length of exposure and L2 proficiency, suggesting that they do not develop their L2 proficiency in relation to length of exposure in the same manner as children with TD. Results also indicated that comprehension of grammatical structures and expressive grammatical task in L2 may contribute to differentiation between the language ability groups at the low and intermediate-high proficiency levels. The discriminant analysis with the entire sample of bilingual children with and without PLI revealed that among L2 measures, only MLU contributed to the discrimination between the language ability groups. However, poor classification accuracy suggested that MLU alone is not a sufficient predictor of PLI. There were significant differences among L2 proficiency levels in children with TD in MLU, number of different words, and performance on the expressive and receptive grammatical tasks in L2, indicating that L2 proficiency level may potentially impact the differentiation between language difficulties due to typical L2 acquisition processes and PLI.
ContributorsSmyk, Ekaterina (Author) / Restrepo, Maria Adelaida (Thesis advisor) / Gorin, Joanna (Committee member) / Gray, Shelley (Committee member) / Arizona State University (Publisher)
Created2012
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Description
Minimal information exists concerning dual language acquisition of three-year-old dual language learners (DLLs) during their first school experience and first systematic exposure to English. This study examined the Spanish and early English language development of young DLLs in the context of standardized measures and a story retell task. Participants included

Minimal information exists concerning dual language acquisition of three-year-old dual language learners (DLLs) during their first school experience and first systematic exposure to English. This study examined the Spanish and early English language development of young DLLs in the context of standardized measures and a story retell task. Participants included eight Spanish-English DLLs (7 females, 1 male, M age = 3 years, 8 months) attending Head Start, and their classroom teachers. Outcome measures for the children included composite and scaled scores on the Clinical Evaluation of Language Fundamentals Preschool-2 Spanish (CELF Preschool-2 Spanish; Wiig, Secord & Semel, 2009) and the parallel English measure (CELF Preschool-2; Wiig, Secord & Semel, 2005), and measures of lexical (NVT, NNVT, TNV, NW, NDW, TNW and TTR) and grammatical (MLUw) development. Proportion of classroom teachers' and paraprofessionals' Spanish, English and mixed language use was measured to contextualize the children's learning environment with regard to language exposure. Children's mean standardized Spanish scores at school entry were not significantly different from their mean scores in May; however, an increase in total number of verb types was observed. Children's English receptive, content, and structure mean standardized scores in May were significantly higher than their scores at school entry. Children were exposed to a high proportion of mixed language use and disproportionate amounts of English and Spanish exclusively. Children's performance was highly variable across measures and languages. The findings of the current study provide a reference point for future research regarding language development of three-year-old Spanish-English dual language learners.
ContributorsDubasik, Virginia L (Author) / Wilcox, M J (Thesis advisor) / Ingram, David (Committee member) / Lafferty, Addie (Committee member) / Macswan, Jeff (Committee member) / Arizona State University (Publisher)
Created2011
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Description
Purpose: The present study examined grammatical gender use in child Spanish heritage speakers (HSs) in order to determine whether the differences observed in their grammar, when compared to Spanish monolinguals, stem from an incompletely acquired grammar, in which development stops, or from a restructuring process, in which features from the

Purpose: The present study examined grammatical gender use in child Spanish heritage speakers (HSs) in order to determine whether the differences observed in their grammar, when compared to Spanish monolinguals, stem from an incompletely acquired grammar, in which development stops, or from a restructuring process, in which features from the dominant and the weaker language converge to form a new grammatical system. In addition, this study evaluated whether the differences usually found in comprehension are also present in production. Finally, this study evaluates if HSs differences are the result of the input available to them.

Method: One-hundred and four typically developing children, 48 HSs and 58 monolingual, were selected based on two age groups (Preschool vs. 3rd Grade). Two comprehension and three production experimental tasks were designed for the three different grammatical structures where Spanish expresses gender (determiners, adjectives, and clitic pronouns). Linear mixed-models were used to examine main effects between groups and grammatical structures.

Results: Results from this study showed that HSs scored significantly lower than monolingual speakers in all tasks and structures; however, 3rd-Grade HSs had higher accuracy than PK-HSs. Error patterns were similar between monolinguals and HSs. Moreover, the commonly reported overgeneralization of the masculine form seems to decrease as HSs get older.

Conclusion: These results suggest that HSs’ do not face a case of Incomplete Acquisition or Restructured Grammatical gender system, but instead follow a protracted language development in which grammatical skills continue to develop after preschool years and follow the same developmental patterns as monolingual children
ContributorsMartinez-Nieto, Lourdes (Author) / Restrepo, Maria Adelaida (Thesis advisor) / Renaud, Claire (Thesis advisor) / Pascual y Cabo, Diego (Committee member) / Thompson, Marilyn (Committee member) / Ingram, David (Committee member) / Arizona State University (Publisher)
Created2018
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Description
This thesis investigated the impact of word complexity as measured through the Proportion of Whole Word Proximity (PWP; Ingram 2002) on consonant correctness as measured by the Percentage of Correct Consonants (PCC; Shriberg & Kwiatkowski 1980) on the spoken words of monolingual Spanish-speaking children. The effect of word complexity on

This thesis investigated the impact of word complexity as measured through the Proportion of Whole Word Proximity (PWP; Ingram 2002) on consonant correctness as measured by the Percentage of Correct Consonants (PCC; Shriberg & Kwiatkowski 1980) on the spoken words of monolingual Spanish-speaking children. The effect of word complexity on consonant correctness has previously been studied on English-speaking children (Knodel 2012); the present study extends this line of research to determine if it can be appropriately applied to Spanish. Language samples from a previous study were used (Hase, 2010) in which Spanish-speaking children were given two articulation assessments: Evaluación fonológica del habla infantil (FON; Bosch Galceran, 2004), and the Spanish Test of Articulation for Children Under Three Years of Age (STAR; Bunta, 2002). It was hypothesized that word complexity would affect a Spanish-speaking child’s productions of correct consonants as was seen for the English- speaking children studied. This hypothesis was supported for 10 out of the 14 children. The pattern of word complexity found for Spanish was as follows: CVCV > CVCVC, Tri-syllables no clusters > Disyllable words with clusters.
ContributorsPurinton, Kaitlyn Lisa (Author) / Ingram, David (Thesis director) / Dixon, Dixon (Committee member) / Barlow, Jessica (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor) / School of International Letters and Cultures (Contributor)
Created2013-12
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Description
The objective of this study was to examine the universality of three coarticulatory processes: glide epenthesis, stop epenthesis, and intervocalic voicing of stops. Five contrastive languages were selected to test these processes. These languages included English, Spanish, Mandarin, Arabic, and Navajo. All languages varied in phonemic inventory, stress patterns, phonological

The objective of this study was to examine the universality of three coarticulatory processes: glide epenthesis, stop epenthesis, and intervocalic voicing of stops. Five contrastive languages were selected to test these processes. These languages included English, Spanish, Mandarin, Arabic, and Navajo. All languages varied in phonemic inventory, stress patterns, phonological processes, and syllabic constructs. 16 participants were selected with relatively limited English exposure based on questionnaire responses regarding their language history. The participants went through a series of trainings and tasks to elicit these coarticulatory processes in several phonemic contexts. Part 1 of the study attempted to elicit the processes solely through imitation, while Part 2 attempted to do so through a spontaneous elicitation task. Although the results indicated that a universal use of these processes was not supported, the data suggested that glide epenthesis played a frequent role within English, Spanish, and Arabic. This was expected since glides are often used in the presence of diphthongs in these languages. Additionally, intervocalic voicing of stops was observed in English and Spanish, suggesting a language specific tendency. However, it was only noted when the voiceless stop occurred in the coda of the syllable and not in the onset of the syllable. Lastly, the use of stop epenthesis was not observed in any of the languages tested.
ContributorsVasquez, Dominique Jagelka (Author) / Weinhold, Juliet (Thesis director) / Ingram, David (Committee member) / Department of Speech and Hearing Science (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Description
This study investigates whether children who are Dual Language Learners (DLLs) and who have poor reading comprehension will benefit from participating in the EMBRACE intervention. The reading comprehension program is based on the Theory of Embodied Cognition, which focuses on the embodied nature of language comprehension. Our understanding of language

This study investigates whether children who are Dual Language Learners (DLLs) and who have poor reading comprehension will benefit from participating in the EMBRACE intervention. The reading comprehension program is based on the Theory of Embodied Cognition, which focuses on the embodied nature of language comprehension. Our understanding of language is based on mental representations that we create through experiences and are integrated with according sensorimotor information. Therefore, by engaging the motor and language system through reading stories on an iPad that prompt the children to manipulate images on-screen, we might improve children's reading strategies and comprehension scores. Fifty-six children participated in reading three stories and answering related questions over a period of two weeks. Results showed that the intervention was successful in increasing reading comprehension scores in the physical manipulation condition but not in the imaginary manipulation condition. Although lower motor skill scores positively correlated with lower comprehension skills, the children's motor deficits did not moderate their performance on the intervention.
ContributorsValentin, Andrea Cristina (Author) / Glenberg, Arthur (Thesis director) / Restrepo, Maria Adelaida (Committee member) / Adams, Ashley M. (Committee member) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Description
A substantial amount of research demonstrates that preschoolers' phonological awareness skills are a robust predictor of children's later decoding ability. Several investigators examined performance of children with speech sound impairment (SSI), defined as inaccurate production of speech sounds in the absence of any etiology or communication impairment, on phonological awareness

A substantial amount of research demonstrates that preschoolers' phonological awareness skills are a robust predictor of children's later decoding ability. Several investigators examined performance of children with speech sound impairment (SSI), defined as inaccurate production of speech sounds in the absence of any etiology or communication impairment, on phonological awareness tasks. Investigators found that children with SSI scored below their typically developing peers (TD) on phonological awareness tasks. In contrast, others found no differences between groups. It seems likely that differences in findings regarding phonological awareness skills among children with SSI is the fact that there is considerable heterogeneity among children with SSI (i.e., speech errors can either be a phonological or articulation). Phonology is one component of a child's language system and a phonological impairment (SSI-PI) is evident when patterns of deviations of speech sounds are exhibited in a language system. Children with an articulation impairment (SSI-AI) produce speech sound errors that are affected by the movements of the articulators, not sound patterns. The purpose of the study was to examine whether or not children with SSI-PI are at greater risk for acquiring phonological awareness skills than children with SSI-AI. Furthermore, the phonological awareness skills of children with SSI-PI and SSI-AI were compared to those of their typical peers. In addition, the role of executive function as well as the influence of phonological working memory on phonological awareness task performance was examined.

Findings indicate that the SSI-PI group performed more poorly on an assessment of phonological awareness skills than the SSI-AI and TD groups. The SSI-PI group performed significantly more poorly on tasks of executive function and phonological working memory than the TD group. The results of this study support the hypothesis that children with SSI-PI may be more vulnerable to difficulties in reading than children with SSI-AI and children with TD.
ContributorsFox, Angela Marie (Author) / Wilcox, M. Jeanne (Thesis advisor) / Ingram, David (Committee member) / Gray, Shelley (Committee member) / Connor, Carol (Committee member) / Arizona State University (Publisher)
Created2015
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Description
Purpose: The purpose of this study was to evaluate the efficacy of the EMBRACE Spanish support intervention for at-risk dual language learners and to determine which verbal and nonverbal characteristics of students were related to benefit from the intervention. The first study examined oral language and reading characteristics and the

Purpose: The purpose of this study was to evaluate the efficacy of the EMBRACE Spanish support intervention for at-risk dual language learners and to determine which verbal and nonverbal characteristics of students were related to benefit from the intervention. The first study examined oral language and reading characteristics and the second study examined motor characteristics in predicting the children's outcomes on a reading comprehension intervention.

Method: Fifty-six participants in 2nd-5th grade were randomly assigned to one of two groups: 1) Spanish-support intervention, or 2) Spanish-support control. Outcome measures included performance on comprehension questions related to intervention texts, questions on the final narrative and expository text without strategy instruction, and difference scores on alternate forms of the Gates-MacGinitie (GMRT-4, MacGinitie, MacGinitie, Maria, & Dreyer, 2002) reading comprehension subtest administered pre- post-intervention. Multi-level hierarchical linear models were used to account for nesting of question within child within classroom. Regression models were used to examine the power of motor predictors in predicting Spanish and English language performance.

Results: Results from study 1 indicated that the intervention was most effective for narrative (vs. expository) texts and easy (vs. more difficult) texts. Dual language learners (DLLs) with lower initial English reading comprehension abilities benefitted more from the intervention than those with stronger reading skills. Results from Study 2 indicated that oral fine motor abilities predicted Spanish (but not English) oral language abilities in the expected direction (i.e. faster performance associated with higher language scores). The speed of /pata/ productions predicted reading comprehension during the intervention, but not in the expected direction (i.e. slower speeds associated with higher accuracy). Manual fine motor performance on tapping tasks was not related to language or reading.

Conclusions: The EMBRACE intervention has promise for use with at-risk DLLs. Future research should take care to match text difficulty with child skills so as to maximize benefit from the intervention. Oral fine motor abilities were related to language abilities in DLLs, but only for the native language. Slower oral fine motor performance predicted higher accuracy on intervention questions, suggesting that EMBRACE may be particularly effective for children with weak fine motor skills.
ContributorsAdams, Ashley (Author) / Restrepo, Maria Adelaida (Thesis advisor) / Glenberg, Arthur (Committee member) / Connor, Carol M (Committee member) / Peter, Beate (Committee member) / Arizona State University (Publisher)
Created2017