Here is approximate location of posters:

Transcription

1 Group 1: 11:30-12:15 ODD NUMBERED POSTER BOARDS (PB) PB1. Elizabeth Ancel Audiovisual Word- Matching in School Age Children: An ERP Study This study tracks the development of neural processes underlying the ability to match visuallyobserved articulatory movements with corresponding auditory words. It also relates neural measurements to behavioral speech perception skills, such as lip-reading and listening to speech in noise. We report findings for 3 groups of participants 8-9-year olds, year olds, and adults and show that neural processes underlying visual-auditory phonemic correspondences remain surprisingly immature during mid-childhood. PB3. Rachel Arkenberg Touch Screen Assessment of At-Risk Infant Comprehension Young children are at risk for speech and language disorders due to genetics, preterm birth, demographic factors, and/or poor speech perception. If a speech or language disorder develops, it can significantly impact a child s academic growth. Comprehension could be a predictor of later speech and language development, and few efficient measures exist to productively measure infant comprehension. The current study reports on the performance of 11 atrisk infants on the Computerized Comprehension Task (CCT) as compared to 11 infants who are not at risk, and the effectiveness of the CCT as compared to standardized measures of comprehension, with 6-month follow up data. PB5. Lucia Corvalan Effect of Screen Media on Infants Two and Under in the U.S. The first five years of life are considered critical for the development of speech and language skills. During this period, the brain is actively establishing neural connections for the development of speech and language. Research shows a strong link between the degree of exposure to spoken language and the rate of language development. It has been shown that verbal interactions are critical for developing language skills, and that children with reduced social interactions are more likely to have language delays. One increasingly important factor that can cause reduced social interactions and thus affect language development is exposure to screenbased media. The focus of this study is to examine the influence of screen media on speech and language development for infants 0-2 years of age. PB7. Adalyn K. Dilger Benefits of Bottlefeeding Positions: Is the Side-lying Position Effective for Preterm Infants? Preterm infants (<37 weeks) account for 11.4% of births in the United States. These infants may require temporary supportive positioning techniques to overcome the challenge of receiving adequate nutrition through oral feeding. Unlike the traditional semi-upright position during bottle-feeding, the side-lying position involves turning the infant s head and body to the side. The focus of this project was to examine how the sidelying position compares to the semi- upright position in improving bottle-feeding quality and performance in preterm infants. A literature review of the research suggests benefits in utilizing the side-lying position, including greater physiological stability. PB9. Ashley McAtee The Effect of Music on Expressive Language in Young Children with Developmental Delays and Disabilities Expressive language impairment affects approximately 5% of young children. Expressive language may be hindered by various developmental delays and disabilities including but not limited to: autism spectrum disorders, Down syndrome, cognitive impairment, and cerebral palsy. Speech-language pathologists use an array of therapy techniques to target expressive language skills. Music has been a prevalent tool used to target language. Overall, music provides a structured medium to accentuate the prosody or meaning of language in the context of an enjoyable, motivating stimulus. For individuals with autism, music increases joint attention and may engage the mirror neuron system, which is believed to be dysfunctional in

2 individuals with ASD. PB11. Ellen Platt Choosing a language for therapeutic home reading in bilingual and language minority families Many children speak a different language at home than at school. These children are often at increased risk for language impairment and related academic and social-emotional difficulties. Shared adult-child reading of storybooks through highly participatory dialogic reading" is a flexible and trainable language intervention. It can be conducted by parents or teachers, can target a variety of skills, and leads to language gains for monolingual and multilingual children. This project asks in which language home-based dialogic reading should be conducted in order to maximize vocabulary gains in the school language. PB13. Rebecca Sidock Effectiveness of Routines-Based Early Intervention It is estimated that approximately 13% of children under the age of 3 have delays that would make them eligible for early intervention. Routines- Based Early Intervention (RBEI) is a method, pioneered by R.A. McWilliams, that focuses on improving children s functional status in naturally occurring environments and daily routines that occur at regular intervals in the child s daily schedule. This project seeks to compare which intervention approach, Routines-Based Early Intervention or Traditional Home Visiting, is more effective for young children with language delays. Various factors impact a clinician s decision in choosing an intervention approach, including a review of the available literature, potential obstacles, and the needs of the client and family. Once these factors are considered, a clinician can choose which intervention approach will be effective for the child, develop effective goals, and evaluate the effectiveness ofthe approach for the individual child and their family. PB15. Kayla N. Unkirch Parent input involving recasts and language developing in children with SLI Recasting is an intervention strategy in which an adult repeats the fundamental meaning of amessage expressed by a child but adds/modifies information. The child notes the difference between the language productions, and this recognition leads to acquisition of the correct language form. Current literature reveals that children with specific language impairment (SLI) show robust learning outcomes in response interventions which incorporate recasting. Parent participation in therapy allows for extended focus on the child s therapy goals in a naturalistic setting. Consequently, the current project explores the correlation between parent input involving recasts and language development in children with SLI. PB17. Katelyn S. Warner Comparing social narratives and video modeling therapy approaches in children with autism to improve social skills Core deficits of autism include social communication as well as restricted and repetitive behaviors. As the prevalence of autism increases, many therapy approaches have been introduced to target social communication skills. Due to the relative strength of visual processing in individuals with autism, many of these interventions establish a strong visual support system. Two of which include social narratives and video modeling. My aim is to compare treatment outcomes of social narratives and video modeling in children with autism to improve social skills PB19. Brooke E. Flesher Empathy in the Field of Audiology Empathy is recognized as an essential professional skill across many medical fields. Ample evidence exists demonstrating that empathy levels of practitioners tend to decline with increased years of practice in multiple medical fields. However, empathy has not been assessed in the field of audiology. Empathy is especially relevant to pediatric audiology because audiologists must often share sensitive life-altering information with families. This study is designed to determine how audiologists perceive their own levels of empathy and whether these perceived levels are correlated with number of years of practice, reflective capacity, or mindfulness. To address these

3 questions, audiologists completed survey questions that included the Davis Interpersonal Reactivity Index (DIRI) questionnaire, questions from Spector s Job Satisfaction Survey, and questions concerning reflective well being. Survey data will be summarized and presented. Implications for pre-service preparation and training, as well as potential covariates that may support empathy levels over time will be discussed. PB21. Alexis S. Holt Establishing the Efficacy of Cochlear Implantation in Adults with Single- Sided Deafness: Binaural Perception Current treatment options for Single-Sided Deafness (SSD) include routing the signal to the better ear via a Contralateral Routing of Signals (CROS) hearing aid or an osseointegrated device. While these options allow for detection of signals presented on the impaired side, neither device restores binaural perception, including localization abilities and speech perception in noise. A cochlear implant is the only device that allows for binaural perception, but it is not currently approved by the FDA for this population. Recent studies have found that adults with SSD show significantly improved localization abilities and speech perception in noise when utilizing a cochlear implant compared to their current treatment options. Based on these findings, it is recommended that patients with SSD complete a CROS trial, as it is the least invasive option, but if there is limited benefit, a cochlear implant should be strongly considered. Additionally, cochlear implantation for this population should be pushed for FDA approval. PB23. Elizabeth K. Marler Vestibular Evoked Myogenic Potential (VEMP) Test-Retest Reliability in Children Vestibular evoked myogenic potentials (VEMPs) are short-latency muscle potentials measured from the neck (cervical, cvemp) or under the eyes (ocular, ovemp), which provide information regarding function of the the saccule and utricle, respectively. VEMPs are reliably performed in adults; however, research has not been done to assess whether VEMPs are reliable in children. Therefore, the purpose of the study was to determine the test-retest reliability of c- and ovemp testing in children. C- and ovemp testing were completed across two test sessions in response to air conduction and reflex hammer stimuli. Additionally, ovemp was completed in eyes open and eyes closed conditions. Results suggest that when using air conduction stimuli, c- and ovemp amplitudes are reliable across test sessions in both children and adults. With reflex hammer stimuli, cvemp amplitudes showed high reliability; however, ovemp amplitudes showed low reliability in both conditions (eyes open and closed). Comparison between ovemp conditions revealed shorter latencies and higher peak-topeak amplitudes in the eyes open condition. In conclusion, cvemps are reliable in children using air conduction and reflex hammer stimuli; ovemps are reliable using air conduction stimuli in the eyes open condition PB25. Margaret J. Foutch Effects of EMST (Expiratory Muscle Strenght Training) in patients with a History of Stroke Each year 795,000 people in the United States are affected by strokes. This can lead to a variety of medical complications including swallowing disorders, also known as dysphagia. Current treatment methods of dysphagia consist of compensatory and rehabilitative strategies. An additional method of rehabilitative treatment used in the field of speech-language pathology is expiratory muscle strength training (EMST) which has been shown to strengthen respiratory muscles, improve cough function, and increase muscle strength in adult individuals with Parkinson s disease, Huntington s disease, and multiple sclerosis. The literature suggests that EMST in combination with traditional swallowing exercises may be beneficial in improving cough and swallow function in some individuals who have suffered a stroke, although adverse effects can occur. PB27. Kara Janella V. Garcia "Efficacy of Non- Speech Oral Motor Exercises on Velopharyngeal Closure" Velopharyngeal dysfunction (VPD) is

4 predominantly a result of cleft palate, one of the most common birth defects in the world. VPD can result in speech characterized by hypernasality, nasal emissions, and poor intelligibility resulting from structural or learned etiologies. Non-speech oral motor exercises (NSOMEs) have been used in the past to treat VPD, but currently its use is controversial. This project examines the efficacy of non-speech oral motor exercises on velopharyngeal closure compared to traditional speech therapy. PB29. Kelsey E. Olsen Improving Vocal Loudness in PD Patients: A Comparison of LSVT Loud and SPEAK OUT! Almost 90% of the 1 million individuals in the U.S. with Parkinson s disease (PD) experience a form of speech disruption, most commonly reduced vocal loudness. This project focused on a comparison of two behavioral treatments to improve vocal loudness in PD patients: Lee Silverman Voice Treatment (LSVT Loud) and SPEAK OUT! Overall, findings report both treatments led to significant increases in vocal loudness, with slightly better results from SPEAK OUT! When considering additional factors such as cost, group therapy options, and certification requirements, I chose SPEAK OUT! as my preferred option to improve vocal loudness in individuals with PD. PB31. Amber M. Shepher Impact of SpeechEasy on Fluency and Quality of Life for Adults Who Stutter The exploration of technological interventions in stuttering management led to the development of a portable device called SpeechEasy in SpeechEasy uses two forms of altered auditory feedback (AAF). Both forms of AAF monopolize on the choral speech effect, where people who stutter demonstrate a short-term reduction in stuttering when speaking in tandem with another person. Preliminary studies indicated that SpeechEasy was effective in improving fluency for short intervals of time. A review of the literature was conducted to explore whether SpeechEasy had any long-term effects on fluency and quality of life for adults who stutter. PB33. Paayal K. Surani Efficacy of Computer Assisted vs. Traditional Language Treatment for People with Aphasia Aphasia is a language disorder that is a frequent and often chronic consequence of stroke. It can affect the person s speech production, comprehension, reading, and writing. Due to these challenges, aphasia requires long-term intervention. However, long-term intervention is not always feasible under the current healthcare system. Computerized treatment may improve cost effectiveness of language intervention for persons with aphasia. In the present study, I compared treatment outcomes of computerassisted vs. traditional clinician delivered language therapy for persons with aphasia. PB35 Natalie M. Tomerlin Percutaneous Endoscopic Gastrostomy (PEG) use in Head and Neck Cancer Patients: Swallowing and Quality of Life Outcomes It is estimated that over 63,000 incident cases of head and neck cancer (HNC) were diagnosed in the United States in A common practice in patients who undergo radiation therapy (RT) or chemoradiation therapy (CRT) is prophylactic placement of percutaneous endoscopic gastrostomy (PEG). It is important to understand the effects PEG placement may have on swallowing and quality of life outcomes to best serve patients. The purpose of this study was to examine whether patients treated with RT or CRT have better swallowing and quality of life outcomes if they receive nutrition from prophylactic PEG alone or partial to full oral diets. The literature generally supports that prophylactic PEG placement leads to advantageous outcomes. Group 2: 1:15-2:00 EVEN NUMBERED POSTER BOARDS (PB) PB2. Marren Brooks Change in Communicative Participation in Children With Speech Sound Disorders Perceived by Parents & Graduate Students The aim of this project is to understand the

5 differences in the perception of change between the parents and clinicians of children with speech sound disorders. In the summer of 2017, seven children participated in an intensive phonology program at Purdue University s M.D. Steer Speech, Language, and Hearing Clinic. The parent and clinician of each child competed the FOCUS-34 questionnaire at the beginning and end of the program. The results of the questionnaires were compared and analyzed. PB4. Amanda M. Burdick Treatment Plan for Children with Childhood Apraxia of Speech Childhood apraxia of speech (CAS) is a speech sound disorder characterized by difficulty in planning the motor movements for speech. Speech-language pathologists must consider several aspects of a child s plan of care including: treatment protocol, dosage, delivery method, and treatment provider. The purpose of this presentation is to identify which treatment protocol, based on principles of motor learning, will demonstrate positive treatment, maintenance, and generalization effects in children with CAS. Based on a review of the literature, the Rapid Syllable Treatment protocol (ReST) presented in clinician-led sessions at a high-dosage via telehealth and face-to- face is an evidence-based plan of care. PB6. Kelsey A. Delacroix The impact of voice therapy on teacher attitudes of children with dysphonia Voice disorders in children are defined by a change in quality, resonance, pitch, loudness, or effort that can have a negative impact on communicative effectiveness, social development, scholastic performance, and self-esteem. Dysphonia, or hoarseness, is the most common voice disorder in children. Voice therapy has been shown to be effective in reducing hoarseness and improving the voice for lasting effects. If not treated, dysphonia in children may worsen. However, few children are placed in voice therapy because either the voice disorder was not considered severe enough or the school SLPs did not consider these children to have a high priority for placement on the active caseload. Not including children with dysphonia on a school SLP s caseload puts a child at risk for worsening dysphonia, but it may indicate continued negative attitudes towards a child with dysphonia. There is much research to suggest teachers have negative attitudes towards children with dysphonia. This investigation looked at if voice therapy improved teacher perceptions of children with dysphonia. While more research is needed, the existing literature suggests an improvement in attitudes. This may have implications for academic success as well. PB8. Katherine E. Isbell Treatment of specific language impairment in children: Comparing conversational language therapies with drillbased language therapies Specific language impairment (SLI) is prevalent in approximately 7% of children. It is typically recommended that these individuals receive language therapy due to the potential difficulties they may face academically, socially, and/or economically across their lifespan. A variety of treatment approaches exist to improve expressive language skills of children with SLI. The focus of this project is to compare the effectiveness of conversational language therapies with drill-based language therapies. A review of the literature revealed children with SLI learn grammatical targets more efficiently and effectively using conversational language therapies. PB10. Morgan M. McCarthy Parent Training Interventions and the Effect on Language Development in Young Children with Autism With the prevalence of Autism Spectrum Disorder (ASD) on the rise, an increase in awareness and early intervention services is occurring. One of the developmental areas that is affected in ASD is the language domain. Since we know that language development is built on experience, it is important to encourage language input across a variety of settings. Parents and caregivers are the adults that interact with their children the most on a daily basis, thus leaving them with the most opportunities to provide language input. Could they play a key role in ensuring maximal language

6 outcomes for their children? This project assesses the efficacy of interventions that incorporate parent training on language development in young children with ASD. PB12. Michael Schramm Is parent-training an effective tool for improving receptive and expressive vocabulary in young bilingual (English-Spanish) children who are at risk of developing language impairment? Young children in low SES families are considered at-risk for Language Impairment (LI) due to a relatively impoverished language environment. Children in linguistic minorities represent a disproportionately large percentage of low SES individuals. This project reviewed relevant literature to determine if parent-training in parent-child interaction strategies is an effective method for improving the receptive and expressive vocabularies of young bilingual (English-Spanish) children. The literature provided clinical support for this method, with improvements noted across both languages regardless of the language used by the parent. PB14. Erin K. Siefker Actions Speak Louder Than Words for Children with Autism One of the hallmark features seen in individuals with autism is limited or delayed language expression. Yet those children, to whom verbal expression does not come naturally, still have thoughts and opinions that can be expressed using augmentative and alternative communication. Two frequently used AAC strategies include manual sign language and the Picture Exchange Communication System (PECS); the purpose of this study was to evaluate current research to determine if signing or PECS is shown to be preferential in the development of expressive language. Results showed positive increases for both therapeutic approaches for children with ASD, and the interpretation of these results point to other possible hidden variables or individual differences that could affect progress. PB16. Alyssa M. Begle Types of Thickeners Used in Infants with Dysphagia Premature infants, infants with low birth weight, and infants with complex medical conditions often have difficulty swallowing and are diagnosed with pediatric dysphagia. Dysphagia management varies for each child but may include positioning, nipple flow rate, external pacing, and thickening. Thickening an infant s liquid is suspected to provide increased control of bolus flow and is suggested to reduce the risk of penetration and aspiration. Two popular thickening options include natural-based thickeners and gum-based thickeners. A review of the literature suggests many adverse effects of both thickening options, however, natural-based thickeners may be preferred for children under the age of one. PB 18. Eric L. Brown Developing a Procedure to Screen for Vestibular Impairment in pediatric Patients at the Purdue University Audiology Clinic Balance is reliant on sensory inputs, including vestibular inputs from the inner ear. As the inner ear s vestibular portion adjoins its auditory portion, there is increased risk for comorbidity of vestibular and auditory disorders. In fact, children with a vestibular impairment are much more likely to have sensorineural hearing loss (SNHL). Therefore, children with SNHL should be evaluated for possible vestibular impairment. Unfortunately, this is rarely done. It is proposed that a vestibular function screener, including the Clinical Test for the Sensory Interaction of Balance and the Dynamic Visual Acuity Test, be part of auditory assessments for children with SNHL. PB20. Clarice M. Hauschildt A Case Study: Is the LEVO tinnitus trearment more effective than hearing aids at reducing the perceptual effects of tinnitus? Jonathon served two tours in Iraq and experienced significant noise exposure from M4 Carbines and M252 Mortar guns. Following this noise exposure, he experienced significant and debilitating tinnitus. His tinnitus was so severe that he contemplated suicide. He was unable to have conversations or sleep due to the severity of his tinnitus. After seeing first-hand the negative

7 psychological impact tinnitus can have on a patient, the main goal of this analysis was to determine the best course of action to help provide relief for patients who experience debilitating tinnitus. This research aims to determine if the LEVO treatment is more effective than hearing aid treatments at reducing the perceptual effects of tinnitus for Jonathon. PB22. Jessica E. Lorenz What is the effect of cochlear implantation on vestibular function Dizziness is one of the most common complications after cochlear implantation. The aim of the study was to quantify the effect of cochlear implantation on the vestibular system by examining data available pre- and postoperatively for four common vestibular assessments: VEMPs, calorics, rotational chair testing, and the Dizziness Handicap Inventory (DHI). Results confirmed that VEMPs and calorics were affected by cochlear implantation, but results on the DHI and rotary chair were insignificant. This study reinforces the importance of counseling patients prior to cochlear implant surgery on the possibility of post-operative dizziness. If vestibular symptoms occur, patients should be appropriately referred for rehabilitation therapy. PB24. Breeanna Sawyer Speech Recognition Outcomes Following Cochlear Reimplantation Cochlear implantation is becoming more common as awareness of technology increases and candidacy criteria expands. However, various complications necessitate cochlear reimplantation surgery in order to improve patient outcomes. Current cochlear reimplantation research is limited by a small number of subjects within individual studies. By combining data in this quantitative meta-analysis, a stronger, clinically significant improvement was found in speech recognition following reimplantation. Audiologists can use this evidence-based information during preoperative counseling to reassure patients that it is very unlikely speech recognition outcomes will get worse. PB26. Jennifer K. Fredrick Is Group Therapy Effective for Individuals with Aphasia? Traditional speech and language therapy for persons with aphasia (PWA) has mostly consisted of one-on-one interaction between the client and the clinician during weekly sessions. However, less-traditional group therapy has several merits of its own including better generalization, decreased cost, and increased patient enjoyment. Although there are benefits, the effectiveness of group therapy on communicative ability is less known to practicing clinicians. The aim of the present literature review is to determine the efficacy of group therapy as measured by changes in communication skills in PWA. PB28. Paige M. Homeier Evaluating Quality of Life Changes in Treatment of Refractory Chronic Cough: Speech Therapy Versus Gabapentin Use It s estimated that 18% of the U.S. population experiences chronic cough and 42% remain refractory or resistant to medical treatment. Refractory chronic cough patients cite significant quality of life reductions when left untreated. With recent refractory cough research supporting increased central nervous system activity, speech therapy and Gabapentin have emerged as treatments with potential to alleviate hypersensitivity to tussive and nontussive stimuli. A literature review was conducted and findings demonstrated significant effectiveness of both speech therapy and Gabapentin treatment in improving patients quality of life and perceived improvements of refractory cough symptoms. PB30. Katherine C. Pepping Prophylactic Swallowing Exercises for Head and Neck Cancer Patients: Short-Term and Long-Term Outcomes Dysphagia often occurs following treatment for head and neck cancer (HNC), as cancer treatments, such as radiotherapy (RT) and chemoradiotherapy (CRT) can significantly impact swallowing function and airway protection. The prevalence of cancer of the oral cavity, pharynx, and larynx is rising, and due to recent medical

8 advancements, an unprecedented number of patients are living with long-term effects of radiation-induced dysphagia secondary to HNC. Research suggests that the completion of swallowing exercises before the commencement of cancer treatment can improve patient prognosis. The purpose of this project was to examine the efficacy of prophylactic swallowing exercises in treating dysphagia in HNC patients. PB32 Lauren M. Rovner Quality of Life for Adults Who Stutter: A Combined Therapy Approach Stuttering can have a substantial impact on the emotional, social, and vocational aspects of life for adults who stutter. Therapy for adults who stutter should consider the multidimensional aspects of the disorder by addressing attitudes and emotions related to stuttering in addition to overt stuttering behaviors. Current clinical research was reviewed to determine the effectiveness of using a combined therapy approevaluating treatment using quality of life measurements. PB36. Sarah K. Young Bilingual Adults with Aphasia: The Meaning of Treatment Bilingual aphasia is defined as a loss of at least one language in bilingual individuals. Word-retrieval deficits are a common result of aphasia. A treatment for word-retrieval deficits is Semantic Feature Analysis (SFA). Within this population, it is important to consider the treatment language that will result in the best possible treatment outcome. The purpose of this project was to analyze within- and between-language generalization in semantic naming treatment in Spanish-English bilingual adults with aphasia. PB34 Valerie A. Steinhauser Use of Expiratory Muscle Strength Training for Speech Function in Patients with Amyotrophic Lateral Sclerosis Amyotrophic lateral sclerosis (ALS) is a progressive, terminal, neurodegenerative disease of the central nervous system. Speech impairments commonly associated with ALS include reduced stress, audible inspirations, nasal emissions, reduced loudness, slowed speech rate, imprecise consonants, hypernasality, harsh vocal quality, slurred speech, and low pitch. One developing area of interest is the use of expiratory muscle strength training (EMST) as a means of slowing degeneration and preserving muscle control and strength in people effected by ALS. Based on a review of the current literature, it is plausible that EMST could be used to improve speech function; however, there is not enough research focused on the speech subsystems to widely recommend this for maintenance of speech intelligibility and communication effectiveness in people effected by ALS.