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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 in the last decade has indicated that collaboration between speech-language pathologists (SLP) and general education teachers is a necessary component for effective instruction. Students that have language difficulties should have the necessary support to help them succeed in the general education classroom. Despite the overwhelming evidence that supports that collaboration is the best practice, it does not take place due to lack of training, time, and funding. My creative project includes a template and website that allows SLPs and teachers to collaborate to enrich instruction targeted towards third grade students diagnosed with a language disorder. This template is designed for the SLP to contribute specific language-based strategies that they implement during their therapy sessions. In turn, the general educator can access the template and easily integrate those strategies into her lessons to support the language skills of her students so that the student has more opportunities to generalize their skills. The template is formatted around the IEP goals of the students and aligned to the Common Core standards. The purpose of the template is to provide SLPs and general education teachers a means to collaborate without having to take additional time from each other's limited schedules and eliminates the need for in-person training to implement these strategies to effectively support students with language disabilities struggling in the general education classroom.
ContributorsJagelka, Daniella (Author) / Weinhold, Juliet (Thesis director) / Mitchell, Jennifer (Committee member) / Division of Teacher Preparation (Contributor) / Department of Speech and Hearing Science (Contributor) / Barrett, The Honors College (Contributor)
Created2018-12
Description
The purpose of this paper is to evaluate the effectiveness of a craft book used for stimulation therapy on the phonetic sounds /ŋ/, /r/, /s/, /ʃ/, /tʃ/, and /θ/. The book is specifically geared toward children who do not qualify for speech remediation services but who may be at risk of a speech sound disorder. Four children participated in the study with ages ranging from 4;3-7;6. The study lasted for four weeks in which data was collected on a weekly basis via Likert Scale surveys in accordance with two conversational speech samples. The speech samples were phonetically transcribed with minimal differences pre and post use of the craft book. Data from the surveys give insight to the children’s favorite crafts, the level of difficulty of each craft, and the likelihood of the craft book to be used as part of a remediation program. The study had limitations in sample size, duration, and number of craft activities. Future revisions should include increasing the number of crafts available per chapter and incorporating into the introduction an educational component for parents.
ContributorsKolaz, Chloe Ann (Author) / Weinhold, Juliet (Thesis director) / Azuma, Tamiko (Committee member) / Barrett, The Honors College (Contributor) / Department of Speech and Hearing Science (Contributor) / T. Denny Sanford School of Social and Family Dynamics (Contributor)
Created2014-05
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
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
Description
The purpose of this study was to identify acoustic markers that correlate with accurate and inaccurate /r/ production in children ages 5-8 using signal processing. In addition, the researcher aimed to identify predictive acoustic markers that relate to changes in /r/ accuracy. A total of 35 children (23 accurate, 12 inaccurate, 8 longitudinal) were recorded. Computerized stimuli were presented on a PC laptop computer and the children were asked to do five tasks to elicit spontaneous and imitated /r/ production in all positions. Files were edited and analyzed using a filter bank approach centered at 40 frequencies based on the Mel-scale. T-tests were used to compare spectral energy of tokens between accurate and inaccurate groups and additional t-tests were used to compare duration of accurate and inaccurate files. Results included significant differences between the accurate and inaccurate productions of /r/, notable differences in the 24-26 mel bin range, and longer duration of inaccurate /r/ than accurate. Signal processing successfully identified acoustic features of accurate and inaccurate production of /r/ and candidate predictive markers that may be associated with acquisition of /r/.
ContributorsBecvar, Brittany Patricia (Author) / Azuma, Tamiko (Thesis advisor) / Weinhold, Juliet (Committee member) / Berisha, Visar (Committee member) / Arizona State University (Publisher)
Created2017
Description
The purpose of this longitudinal study was to predict /r/ acquisition using acoustic signal processing. 19 children, aged 5-7 with inaccurate /r/, were followed until they turned 8 or acquired /r/, whichever came first. Acoustic and descriptive data from 14 participants were analyzed. The remaining 5 children continued to be followed. The study analyzed differences in spectral energy at the baseline acoustic signals of participants who eventually acquired /r/ compared to that of those who did not acquire /r/. Results indicated significant differences between groups in the baseline signals for vocalic and postvocalic /r/, suggesting that the acquisition of certain allophones may be predictable. Participants’ articulatory changes made during the progression of acquisition were also analyzed spectrally. A retrospective analysis described the pattern in which /r/ allophones were acquired, proposing that vocalic /r/ and the postvocalic variant of consonantal /r/ may be acquired prior to prevocalic /r/, and /r/ followed by low vowels may be acquired before /r/ followed by high vowels, although individual variations exist.
ContributorsConger, Sarah Grace (Author) / Weinhold, Juliet (Thesis director) / Daliri, Ayoub (Committee member) / Bruce, Laurel (Committee member) / College of Health Solutions (Contributor, Contributor, Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
Description
This study was originally designed to assess the relationship between central executive function and the symptoms of ADHD. To quantify this relationship, the performance of two second graders with typical development (TD) who were also diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) were to be compared to peers with TD but no ADHD. Due to recruitment difficulties, only two participants with ADHD were enrolled. Participants completed four executive function tasks from the Comprehensive Assessment Battery for Children-Working Memory (CABC-WM; Alt, Brinkley, Cabbage, Cowan, Gray, Green, Hogan & Kuo, 2017) including repetition detection auditory and visual and number updating auditory and visual. No concrete results could be made for this study due to only having two participants, however, there are many considerations that can be made due to the completion of this study. The discussion considers how children with ADHD may struggle in school and at home. This study was unable to reach the number of desired participants (5), however, a discussion can be had about the importance of the study and what was learned regarding the research study from this study as well.
ContributorsMcgrath, Celia (Author, Co-author) / Gray, Shelley (Thesis director) / Weinhold, Juliet (Committee member) / Barrett, The Honors College (Contributor) / College of Health Solutions (Contributor)
Created2022-05
Description
Speech sound disorders (SSDs) are the most prevalent type of communication disorder in children. Clinically, speech-language pathologists (SLPs) rely on behavioral methods for assessing and treating SSDs. Though clients typically experience improved speech outcomes as a result of therapy, there is evidence that underlying deficits may persist even in individuals who have completed treatment for surface-level speech behaviors. Advances in the field of genetics have created the opportunity to investigate the contribution of genes to human communication. Due to the heterogeneity of many communication disorders, the manner in which specific genetic changes influence neural mechanisms, and thereby behavioral phenotypes, remains largely unknown. The purpose of this study was to identify genotype-phenotype associations, along with perceptual, and motor-related biomarkers within families displaying SSDs. Five parent-child trios participated in genetic testing, and five families participated in a combination of genetic and behavioral testing to help elucidate biomarkers related to SSDs. All of the affected individuals had a history of childhood apraxia of speech (CAS) except for one family that displayed a phonological disorder. Genetic investigation yielded several genes of interest relevant for an SSD phenotype: CNTNAP2, CYFIP1, GPR56, HERC1, KIAA0556, LAMA5, LAMB1, MDGA2, MECP2, NBEA, SHANK3, TENM3, and ZNF142. All of these genes showed at least some expression in the developing brain. Gene ontology analysis yielded terms supporting a genetic influence on central nervous system development. Behavioral testing revealed evidence of a sequential processing biomarker for all individuals with CAS, with many showing deficits in sequential motor skills in addition to speech deficits. In some families, participants also showed evidence of a co-occurring perceptual processing biomarker. The family displaying a phonological phenotype showed milder sequential processing deficits compared to CAS families. Overall, this study supports the presence of a sequential processing biomarker for CAS and shows that relevant genes of interest may be influencing a CAS phenotype via sequential processing. Knowledge of these biomarkers can help strengthen precision of clinical assessment and motivate development of novel interventions for individuals with SSDs.
ContributorsBruce, Laurel (Author) / Peter, Beate (Thesis advisor) / Daliri, Ayoub (Committee member) / Liu, Li (Committee member) / Scherer, Nancy (Committee member) / Weinhold, Juliet (Committee member) / Arizona State University (Publisher)
Created2020
Description
This longitudinal study aimed to determine whether significant differences existed between the baseline inaccurate signals of the /r/ phoneme for children that eventually acquire or do not acquire /r/. Seventeen participants ages 5-8 who had not acquired /r/ in any of its allophonic contexts were recorded approximately every 3 months from the age of recruitment until they either acquired /r/ in conversation (80% accuracy) or turned eight years old. The recorded audio files were trimmed and labelled using Praat, and signal processing was used to compare initial and final recordings of three allophonic variations of /r/ (vocalic, prevocalic, postvocalic) for each participant. Differences were described using Mel-log Spectral plots. For each age group, initial recordings of participants that eventually acquired /r/ were compared to those of participants that did not acquire /r/. Participants that had not acquired /r/ and had yet to turn eight years old were compared by whether they were perceived to be improving or perceived not to be improving. Significant differences in Mel-log spectral plots will be discussed, and the implications of baseline differences will be highlighted, specifically with respect to the feasibility of identifying predictive markers for acquisition
on-acquisition of the difficult /r/ phoneme.
on-acquisition of the difficult /r/ phoneme.
ContributorsHom, Rachel (Author) / Weinhold, Juliet (Thesis director) / Daliri, Ayoub (Committee member) / College of Health Solutions (Contributor) / School of International Letters and Cultures (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05