The purpose of this study was to compare the speechreading abilities of elementary school-age children with mild to severe articulation disorders with those of children with normal articulation. Speechreading ability, as determined by a speechreading test, indicates how well a person recognizes the visual cues of speech. Speech sounds that have similar visual characteristics have been defined as visemes by Jackson in 1988 and can be categorized into distinct groups based on their place of articulation. A relationship between recognition of these visemes and correct articulation was first proposed by Woodward and Barber in 1960. Dodd, in 1983, noted that speechread information shows a child how to produce a sound, while aural input simply offers a target at which to aim.

The acoustic reflex refers to the contraction of a middle ear muscle in response to sound. The contraction causes a stiffening of the middle ear system and, consequently, the flow of acoustic energy to the cochlea is impeded. By measuring the change in admittance in the auditory system during sound stimulation it is possible to indirectly monitor the middle ear muscle contractions. Such measurements provide useful information regarding the integrity of the auditory system and the location of the auditory pathology.

Word retrieval difficulties are experienced by almost all aphasic adults. Consequently, these problems receive a substantial amount of attention in aphasia treatment. Because of the methodological difficulties, few studies have examined WRBs in conversational speech, focusing instead on confrontational naming tasks in which the client is asked to retrieve a specific word. These studies have left unanswered questions about the WRB processes. The purposes of this study were to: (1) develop profiles of WRB for moderately impaired aphasic adult clients and examine these profiles for evidence that reflects the level of breakdown in the word retrieval process, and (2) determine potential treatment applications derived from the study of WRBs of moderately aphasic speakers.

The purpose of this study was to examine and compare inferential abilities on a reading comprehension task in two groups of adults who had suffered cerebrovascular accidents (CVA). Sixteen subjects with a CVA to the right hemisphere of the brain were compared to an equal number of left hemisphere damaged subjects. Subjects were selected after they had demonstrated an adequate level of functioning on the Short Porch Index of Communicative Ability (SPICA), a test which measures communicative efficiency, to perform the tasks required in this study. All subjects were administered the revised version of the Nelson Reading Skills Test (NRST). On the NRST, test questions can be grouped into three categories representing literal, translational and high levels of inference. Subjects were presented five reading paragraphs. They were asked to answer thirty-three questions pertaining to the reading material by pointing to the correct answer out of four choices. Subjects were allowed to refer back to the paragraphs when trying to answer the questions. Results revealed total NRST performance to be significantly better for RBD subjects. RBD subjects also performed significantly better than LBD subjects on translational inference items. The research data did not reflect the expected error pattern with most errors on questions requiring high inferential abilities followed by translational items and fewest errors on literal inferences for either group of subjects.

Speech reception threshold testing by bone conduction is very useful in diagnostic audiometry. However, there are little data regarding the CID W-1 spondee word lists used with the Radioear B-71 and B-72 and Pracitronic KH 70 bone conduction vibrators at higher presentation levels for testing hearing impaired clients. Data are needed in order that results of speech reception thresholds using the CID W-1 word lists via these three bone conduction vibrators at higher intensity levels can be used confidently in the clinic. More data are available for speech reception thresholds using the CID W-1 word lists via earphones. This study compared speech intelligibility presented via bone conduction at higher intensity levels to that presented via earphone at higher intensity levels. Twelve normal hearing adults, with thresholds artificially elevated by binaural speech noise masking to simulate a hearing impairment, were used as subjects. Recorded CID W-1 spondee word lists were presented via four transducers: Radioear B-71, Radioear B-72, and Pracitronic KR 70 bone vibrators, and a TDH-39 earphone. Investigation of each bone conduction vibrator was accomplished by using forehead placement and using binaural speech noise masking via earphones. Investigation of the earphone was accomplished by simultaneously presenting binaural speech stimuli and speech noise masking. Spondees from the CID W-1 word lists were presented to the subject via a transducer. A bracketing technique was used to estimate the speech reception threshold. Using the intensity level of the predetermined SRT as 0 dB, each list was presented at one of the following levels: +4, +2, O, -2, -4, and -6. Performance-intensity functions, the percentage of correctly identified spondees as a function of presentation level, were obtained for each transducer. The percentage of spondees correctly identified increased with the stimulus level for all transducers. Using linear regression, the line of best fit was calculated for each subject's data under each transducer condition. A one way analysis of variance indicated that there was a significant difference in the slopes of the performance-intensity functions of the transducers. A follow-up test for the one way analysis of variance indicated that there was a signficant difference between the TDH-39 earphone and each of the bone conduction vibrators. There were no significant differences among the bone conduction vibrators. Results of the study suggested that CID W-1 word lists and the 50 percent criterion may be inappropriate for use with these bone conduction vibrators at higher intensity levels. Given that there was a preponderance of data points below 50 percent for the bone vibrators, a criterion of less than 50 percent might be more appropriate. Because presentation levels might be elevated for sensorineural hearing impaired listeners, their SRT performances could be affected. Consequently, the results of speech reception threshold testing via bone conduction at higher intensity levels should be interpreted with caution in clinics.

The purpose of this study was to determine whether the compression circuit of a hearing aid could be activated by a high frequency biasing tone such that its output for a transient stimulus could be made to approximate that of a continuous tone alone. Sufficient compression activation by a transient stimulus would mean that this type of hearing aid could be used in obtaining aided ABR measurements, since transient stimuli are commonly used for this procedure. Four hearing aids were used, and transient or continuous stimuli were introduced either alone or in combination with an 8 or 10 kHz biasing tone. The biasing tone was either held at one constant level or varied in intensity along with the transient or continuous signal.

This study investigated the advisability of utilizing parents to provide treatment for their dysfluent preschoolers. It involved the development, implementation and evaluation of a specific treatment program involving indirect language stimulation techniques. The primary question asked was whether or not parents can be successful in significantly reducing or eliminating dysfluent speech in their children. The secondary question was whether or not parents can be trained successfully to provide treatment.

The purpose of this study was to investigate the reading comprehension abilities of those with mild and moderate dementia of the Alzheimer's type (DAT) and compare their performance to that of a sample of non-demented elderly. Thirty-eight male subjects were used, 20 non-demented elderly, nine mild DAT and nine moderate DAT. All were administered level B of the NRST. This test contains questions requiring three levels of inference: literal, translational, and high-level inference.

The purpose of this study was to examine the relationship between verbal and nonverbal indices of intelligence from an infant development scale given at approximately two years of age with scores on an expressive language test administered to the same children two years later. The questions this study sought to answer were: (1) is there a difference between the number of verbal and nonverbal items passed at 18-34 months by a group of normal children and a group of late talkers, (2) is there a significant relationship between correct verbal and nonverbal responses on an inf ant development test and scores on an expressive language test two years later in normal children and late talkers, (3) is there a significant relationship between correct verbal receptive items on an infant development test and scores on an expressive language test two years later in normal children and late talkers, and (4) is there a significant relationship between correct expressive responses on an infant development test and expressive scores two years later in the normal children and the group of later talkers.

The purpose of this study was to determine whether language-disordered four-year-old children and those with a history of language delay but currently normal functioning would have acquired a significantly lower percentage of 13 grammatical morphemes than children of the same age with normal language skills. Research has shown that there is a consistency of order in which these morphemes are acquired in children with normal language ability. studies have also shown that while language disordered children acquire these grammatical morphemes in a similar order, the process is slowed down. Language disordered children have difficulty with grammatical morpheme development. Not found in the research is information regarding grammatical morpheme development for children with normal language skills but a history of language delay. Does grammatical morpheme development still pose a problem for these children? Is grammatical morpheme development for this population consistent in terms of order of acquisition with normal and language disordered children? Does acquisition of these morphemes still show deficiencies when language skills have progressed into the normal range? Do patterns of grammatical morpheme development demonstrate distinct features for these children? These are the questions that the present investigation sought to answer.