Misericordia University Speech-Language Pathology Newsletter Articulator www.misericordia.edu/slp Fall 2013

In this newsletter, you will learn first- Letter hand from our student writers about the WHO Needs FROM growth of our program, groundbreaking Research ANYWAY? THE Editor student and faculty research, thriving advocacy programs, innovative ’15 AMANDA TOMASELLI BY HILARY HOOVER, CLASS OF 2015 technologies, and our vibrant chapter of We do! The field of Speech-Language the National Student Speech Language Pathology (SLP) is continuing to expand When I was asked to work on the Hearing Association (NSSLHA). Without and we are responsible for providing Articulator, I could not turn down this the hard work and the collaboration of therapy to clients with various disorders. amazing opportunity to tell you about faculty, staff, and students, this We all need to be involved in evidence- the new and exciting developments newsletter would not be possible. based practice, not only to provide the happening in our department. Being a most appropriate therapy based on part of a program where you not only As you peruse through these pages, you objective scientific data, but also to gain have a cutting-edge curriculum but also will be amazed when you read about the credibility in our discipline. I was fortunate a great support system is a truly passion and the determination of our to have the opportunity to be involved wonderful feeling. Having small, students, the commitment of our staff in research from my freshmen year in specialized classes and the ability to and faculty, and the accomplishments college and soon realized how crucial meet one-on-one with professors that they have achieved. You will begin research is to enhancing our profession. manifests our school’s motto, “Learn to to understand what makes our program In the past three years, I have presented Succeed.” Our Speech Language so successful. We are driven by our at numerous state, national, and Pathology program is designed in a way personal commitment to furthering our international conferences and have to challenge you every day, but it is by education and the promise of each day relished the opportunity to share the overcoming these challenges that we can bringing a new opportunity to help make results of my research with other see what we have truly accomplished. a positive difference in someone’s life. I professionals. I was pleasantly surprised We are provided with many opportunities hope you enjoy this edition of the with the interest that these professionals in our program to participate in research, Articulator. had for how our research could be launch meaningful service projects, give applied to improve current practice. back to our community, and learn from Very Respectfully, specialists in our field by travelling to After three years of conducting research, and presenting at conferences and I decided to survey my classmates to seminars around the world. Hilary Hoover, Class of 2015 determine whether they too shared my enthusiasm for research. It was In This Issue: interesting to note that out of the 34 students in my class, 100% believed that • LETTER FROM THE EDITOR, P.1 • GIVING OUR STUDENTS AN research is beneficial; however, 50% UNPARALLELED CLINICAL EXPERIENCE, P.7 • WHO NEEDS RESEARCH ANYWAY, P.1, P.2 were uncertain if they would like to • CATCHING UP WITH KELLY DEHAVEN, P.8 • ISCAN TECHNOLOGY, P.3 conduct research themselves. From the • MOTION CAPTURE TECHNOLOGY, P.9 • NSSLHA YEAR IN REVIEW, P.4 50% of students who indicated • LETTER FROM THE CHAIR, P.10 uncertainty, 41.1% mentioned that they • STUTTERING SUPPORT GROUP, P.5 • EXCEPTIONAL ART-EXCEPTIONAL ARTISTS were scared to conduct research. • MANAGING CLUTTERING: A PHOTOS, P.11 Through my experience, I believe that if COMPREHENSIVE GUIDEBOOK OF ACTIVITIES, P.6 • MAKE A GIFT TO THE SLP STUDENT FUND, given the opportunity, students will P.12 realize that research is not to be feared • AN INTRODUCTION TO NEUROGENIC COMMUNICATION DISORDERS, P.6 ...continued on page 2 Who Needs Research Anyway? continued from page 1

from the University of Pennsylvania. They are using Diffuse Correlation Spectroscopy (DCS) and Near-Infrared Spectroscopy (NIRS) to measure brain blood flow (DCS) and hemoglobin concentration (NIRS) in people who stutter compared to people who are normally fluent. Their work has been featured on TV and in local and national media. Their roles in this project are to help fine-tune the study, find and match participants, run the experiments, input data into a spreadsheet, and analyze results. One would think that this work is enough to keep them busy, but not for Gulotta and Cellary. They are currently working on an additional NIRS study here at Misericordia. They, along with but is important for the advancement of perspective. Maria Kidron, one of our their faculty mentor Dr. Glen Tellis who our discipline. It requires attention to recent graduates commented, “Doing leads the study, are testing 100 typically detail, observation, analysis, and other research has opened my eyes to an fluent speakers to determine abilities. These seem daunting to many, entirely different aspect of our field. The hemoglobin concentration changes in and I too experienced this fear initially. reward for conducting research and the brain while participants perform After a few hours in the lab and through spending long hours in the lab is the several speech and non-speech tasks. trial and error, however, I know it is opportunity to present at international, Once they obtain these results, they will possible to become competent at national, and state conferences.” Maria then be able to test persons with research. My interest grows when I says, “It is at these conferences that we communicative disorders and compare realize that research often provides get to present our work and converse the results of typically fluent individuals answers to many clinical questions. with other intellectuals and researchers with those with disordered from around the world.” She mentioned communication. Gulotta says, “This is In our department, about 40% of our to me that she became a more confident something that does not already exist, graduate students have conducted clinician by participating in research so it is exciting to be involved in such research. I recently interviewed many because she could apply her findings to groundbreaking work! Hopefully, it will students and alumni who have clinical practice and provide her clients result in more robust assessment and conducted research to get their with the highest quality of service. treatment procedures in the future.”

Mary Gulotta, a Many students may be intimidated second year when they walk through the fast-paced graduate student, setting of the SLP department; however, began doing if interested in doing research, all they research in her need to do is ask a professor or a sophomore year. fellow student who is conducting She cherishes the research with a professor. I asked opportunity to during my freshmen year and have no present at regrets. Research has opened many conferences as well. doors for me that I did not know even Mary along with existed. Gulotta says, “If there is an another student, area of interest that you would like to Claire Cellary, is pursue, ask the professor who specializes conducting in that area.” We at Misericordia firmly groundbreaking believe that research is well worth the research with a team extra time and commitment.

2 ISCAN TECHNOLOGY BY ‘15 SARAH NELSON

In the field of Speech-Language information to a computer, which in the participant’s eye-contact during Pathology, maintaining eye-contact has subsequently analyzes the incoming conversational speech. There have been long been seen as a vital part of videos and provides data about the several previous studies conducted to conversation. In our research lab, we are amount of eye-contact during obtain normative data on eye currently working with novel technology conversation. movement; however, to our knowledge, to determine how much eye-contact is no research has focused on the ISCAN made during conversation with persons What makes the ISCAN unique is that as a therapy tool. Also, most research who have communicative disorders, the investigator gets a mirror-image and investigates only static images, but Dr. including auditory processing disorders, the same angle and view as what the Scaler Scott’s current study involves autism and stuttering. We are excited participant experiences during dynamic scenes. Heather says, “Our about this technology because we can conversation. Once the device is preliminary research appears very now track in real-time what the subject is calibrated to the participant’s eye, the promising but we cannot generalize our doing while engaged in conversation. computer program indicates where the results because of the small sample size. We are conducting pilot studies with eye is focusing at all times. The ISCAN I know that as we obtain more data, we ISCAN to quantify the amount of eye- has been programmed to produce a will be able to reach more definite contact that occurs during speech. The tone when a participant looks into the conclusions.” After seeing the ISCAN is a non-invasive eye-gaze eyes of the listener. Dr. Kathleen Scaler researchers in action, I am impressed tracking device that maps eye Scott and her graduate assistants with their use of this cutting-edge movement using infra-red technology. Heather Arnold and Tori Flormann would technology, which is just emerging as a The device itself consists of a hat with an like to determine whether the new line of research in our discipline. attached camera and lens that sends biofeedback tone results in an increase

3 NSSLHA YEAR IN Review

‘16 SARAH RIZZOLO

The activities of The Misericordia Chapter of the National Student Speech-Language Hearing Association (NSSLHA) have been many and diverse this year. Once elected, the officers immediately began generating ideas and planning events. Our members were engaged in many fundraisers including selling bracelets and clothing sales. We participated in a run to support Cougars for Kids 5k for the Wyoming Valley Children’s Association. We continued our mentoring program for speech- language pathology freshmen and We continue to work with Mercy Alzheimer’s Association, UNICEF, and sophomores by holding a panel Center in Dallas, Pennsylvania, and the Victims Resource Center. We also discussion led by junior and senior provide different cards or decorations were able to donate to the American mentors. For National Stuttering that our members created. For Speech-Language Hearing Association Awareness Day, we educated peers Halloween, we created paper (ASHA) Annual Giving Campaign. Our and the public about stuttering and pumpkins as a donation for the graduate students presented at the cluttering by giving out organizational residents of Mercy Center. The International Fluency Conference in packets and playing a video about freshmen service project involved Paris and we were able to help cover fluency disorders. We collected and creating cards and ornaments for part of their travel expenses to the donated ten shoeboxes for Operation Mercy Center for the holiday season. conference. Christmas Child. These shoeboxes The junior class service project was to were filled with different gifts that raise money for the Catherine Our NSSLHA Chapter was recognized help put a smile on the faces of less McAuley House for the “Adopt a by receiving ASHA Silver Chapter fortunate children around the world Family” program during the holiday Honors for our service activities. For during the holiday season. season. The outcome of the service the sixth year in a row, at the state project gave the mothers of the house convention in Lancaster, Pennsylvania, an opportunity to purchase presents the Misericordia University Chapter of for their children that they would not NSSLHA received the Pennsylvania otherwise have been able to provide. Speech-Language Hearing Association As a club, we collected and donated (PSHA) Membership Award for 100% forty pounds of food to the local food membership participation. bank in Dallas, Pennsylvania, to support hungry families in our area. Misericordia’s NSSLHA officers and all the members of the club are always With the tremendous amount of willing to take the time to help others participation from our members, we in need and are ready to find new were able to make many donations. ways to help the community. Through Apart from the service that was our efforts of volunteering and mentioned previously, we donated to providing service within and outside Operation Smile, NSSLHA Loves, we believe that we in some small way, Make-A-Wish Foundation, Muscular have made an indelible impact on the Dystrophy Association, Autism Society lives of others. of America, American Cancer Society,

4 Stuttering SUPPORT Terry Murgallis, the student who began the original support group, Group explained to me that he wants to get persons who stutter together to feel ’14 MICHELLE BRUNO like they belong—that they are not alone. He was especially interested in No one should have to endure starting the group because many stuttering alone. Stuttering affects persons who stutter do not know over 3 million Americans and many many other people who stutter. who stutter have no avenue to Midori Rodriguez a graduate student discuss their stuttering with others in our program co-founded the who experience the negative support group and is very involved in attitudes and opinions of others. it. She organizes and helps promote geared specifically to children. Terry Now, a new addition to the many the group in addition to monitoring and Midori are very pleased with the outlets of support that Misericordia the Facebook page and e-mail increase in their group membership University offers began as the account. The group is advertised from their original meeting. They are through flyers, local newspapers, particularly happy to see the changes other media, and rehabilitation in the quality of lives of many who centers. Midori also serves as the attend the group meetings and who liaison between the group members now have a safe environment to and our department chair, Dr. Glen discuss their stuttering with others. Tellis, a Board-Recognized Fluency Specialist and Mentor.

Anyone who wishes to attend a group The meetings are informal and group meeting is welcome to just show up! members are encouraged to come The group can be reached by e-mail and talk freely about good and/or ([email protected]), bad situations they have experienced Facebook (Northeast Pennsylvania or anything else that they wish to Chapter of the National Stuttering share. This group is open to all ages. Association), or phone (570-674-6724). Stuttering Support Group. Recently, Children are welcome and strongly it has been recognized as the encouraged to attend. As the group Northeast Pennsylvania Chapter of grows, Terry explained the possibility the National Stuttering Association. of starting another support group As explained on their Facebook page, the mission of this group is to “reach out to all those affected by stuttering. Together we can help each other undo emotional damage and provide a comfortable place to ensure that we are not alone in our struggles with stuttering.” The group began meeting informally in October 2012. Now, however, the coordinators of the group follow a set schedule for meeting dates. The group meets every 1st and 3rd Tuesday of the month at 6:30 PM in Room 212 of Passan Hall in the Department of Speech-Language Pathology. There is no time limit on how long each meeting will last; meetings last until everyone feels comfortable with leaving.

5 MANAGING Cluttering: focuses on how to assess and treat dealing with cluttering. A resource was children and adults with cluttering. definitely needed. A Comprehensive There is also information about how to treat cluttering along with other JP: What kind of research did you Guidebook disorders, such as ADHD. conduct to write the book? OF Activities KSS: Prior to the book, my co-author, JP: What is Cluttering? Dr. David Ward, and I edited a textbook ‘17 JULIE PAPORELLO KSS: Cluttering is a Fluency Disorder. that was published in 2011. People such People with cluttering will sound fast to as ourselves were recruited from all I had the opportunity to sit down to the listener and are often unintelligible. over the world to write chapters on interview Dr. Scaler Scott about her In layman’s terms, cluttering sounds like their latest research findings. When it latest book, Managing Cluttering: A “mushy speech;” the words get came time to write Managing Comprehensive Guidebook of jumbled together and are unclear. Cluttering, we used a lot of that Activities. Dr. Scaler Scott specializes in research along with things we had cluttering and is one of the top JP: Why was it important to write this learned from our combined clinical researchers in this field. This is her book? experience. second book. KSS: I’ve always wanted to write a book about cluttering because it’s very JP: Who is this book geared toward? JP: What is your misunderstood. In 2007, the International KSS: The book is geared more toward book about? Cluttering Association was formed and clinicians, but can also be used by KSS: It’s a therapy set out to inform the world about adults who are savvy at their own manual meant for cluttering. Still, cluttering is misdiagnosed therapy as a self-learning tool. clinicians. It is a as stuttering. Sometimes clutterers tool to help them seeking help can be dismissed and told JP: Where can this book be purchased? assess their there is nothing wrong. Even therapists KSS: It can be bought online at clients. The book say that they receive little training in PROEDInc.com for $35.

of the nervous system. Mostly it focuses HH: What kind of research did you AN Introduction TO on adult disorders but some relevant conduct to write the book? pediatric problems are discussed. HM: Gauged by weight, probably Neurogenic upwards of one hundred and fifty to Communication HH: Why was it important to write this two hundred pounds of research was book? pulled and reviewed. Though, not all Disorders HM: I looked for about three years for a was actually used for the book since neurology book that actually presented my goal was to keep it at the ‘15 HILARY HOOVER information at the undergraduate level undergraduate level. and in a way that matched my teaching Dr. Manasco specializes in style (lots of anecdotes and videos). I HH: Your book includes Author’s Notes neuroanatomy, aphasia, motor speech never could find one. So, I wrote this about some of your own experiences disorders, dysphagia, traumatic brain book out of necessity because I really with specific disorders. Do you have a injury, dementia, and autism. This is his like teaching undergraduate neuro favorite story? third book. classes but was frustrated because all HM: Well, as may be expected, the the supposedly “intro” level books right hemisphere chapter certainly is a HH: What is your were overly technical for undergraduates. heavy hitter when it comes to personal book about? Most of my undergraduate students anecdotes. HM: It is an never even opened the books. This was undergraduate my attempt to write an unabashedly HH: Where can this book be purchased? textbook undergraduate level book packaged HM: Amazon.com, college bookstores, covering with videos and with primary text and of course my publisher Jones communication broken up and illustrated by clinical and Bartlett Learning. disorders that anecdotes. It is a book that is written occur along with to be accessible, engaging, and to damage, degeneration, or degradation facilitate learning.

6 Giving OUR Students AN Unparalleled CLINICAL Experience

’15 HILARY HOOVER

Misericordia University offers graduate Speech Language Pathology students the opportunity to complete an off campus clinical rotation during the first year of graduate school. This clinical experience gives our students real world experience with a diverse and challenging case load. Many of our graduate students attend clinic off-campus at several placements including Wyoming Valley Children’s Association (WVCA), a site sponsored by the Hazelton Area School District’s Office of Special Education Early Intervention Program, Bear Creek Community Charter School, and Riverside Rehabilitation in Mountaintop, Pennsylvania. According to our Clinical Director, Lori Cimino, these sites provide our students with unique real-life clinical experiences where our graduate students conduct therapy sessions either in the classrooms or in treatment rooms. does not pertain to hypothetical communication disorders but they Our students concurrently learn billing situations, but to actual clients. also learn to work closely with and paperwork that is required by teachers, administrators, parents, and state and federal agencies. They also Not only do our students assess and TSS workers. Ms. Cimino says, “It is take responsibility for IEP writing that treat children and adults with severe great for students to have the opportunity to be off campus before their fieldwork.” Being off campus provides a sense of independence; however, the students are closely supervised by experienced licensed clinicians. The early-intervention centers train our students to provide individually tailored sessions for many children with special needs to ensure that each child’s specific needs are met. The rehabilitation setting provides our students with the opportunity to experience an outpatient center that also offers OT and PT. We believe that exposure to these sites early in the graduate program provides students with confidence and experience to tackle the most difficult cases once they begin their fieldwork rotations and full time jobs.

7 Pathologist (SLP) in a rehabilitation hospital, Kelly once again felt the urge to go back to school. She was particularly interested in working with post-secondary adolescents with special needs and decided to enroll in a Ph.D. program in Special Education at Arcadia University.

Kelly attended Arcadia in part because the department allowed her to complete her doctoral studies and keep her job as a SLP. Presently, she is completing her dissertation on video modeling to observe generalization of social skills in the adolescent special needs group. Kelly stated that she is engaged in scholarly writing and that her current work for her doctorate is not as clinically- centered; however, she believes that the fieldwork placements that she completed while at Misericordia were enriching and shaped her future career.

Kelly’s advice to budding students who intend to pursue a doctoral degree is to have a plan and be organized. The because she was very interested in doctoral student said, “It is much harder Catching Up research. Kelly told me that “the to complete your WITH research class that she took in our Ph.D. while department instilled in her the desire to having a family Kelly DeHaven conduct research and pursue a doctoral because children take up a large BY ‘15 ASHLEY ZIMMERMAN degree.” She said, “Observing our professors engaged in research as well part of your life, When Kelly DeHaven was completing as their encouragement to conduct but you need to her graduate education in our research sparked my desire to advance persevere and department, she mentioned to the my knowledge in the discipline.” A few keep your end faculty that she intended to continue her years after graduating from our program goal in mind and studies and complete a doctorate and after working as a Speech-Language you will succeed.”

We would like to acknowledge THE FOLLOWING FOR providing grants TO THE SLP Department: FIRST NATIONAL COMMUNITY BANK, FRONTIER COMMUNICATIONS, LANDMARK BANK, MEDICO INDUSTRIES, AMERICAN WATER COMPANY, PNC BANK, SUSQUEHANNA BANK, WILKES-BARRE GENERAL HOSPITAL AUXILIARY FUND OF THE LUZERNE FOUNDATION We would like to thank THE FOLLOWING FOR giving generously TO THE SLP Student Fund: DR. KELLEY MORAN, EMMA MULHERN, JOANN NEWELL, SYLVIA MASS

8 MCT uses infrared optical motion- examine the interaction between facial Motion capture cameras to track and record movement and speech-language Capture movements in three dimensions. We development in children with cerebral are using MCT to determine subtle and palsy. Still, the current use of MCT in the Technology minute changes in facial movement field of speech disorders is limited. Our during speech. The infrared light emitted group, therefore, is interested in using ‘15 MOLLY O’CONNOR from these cameras is mirrored off MCT to establish norms for facial move- reflective markers worn on the skin of ment for typical speakers to compare Motion Capture Technology (MCT), in the individual whose movement is being to those with movement disorders and simple terms, is a process that digitally recorded. In our study, markers are motor diseases such as Paskinson’s. We records movement. MCT has been used placed on the lips and the mandible. are currently collecting normative data in the US military to rehabilitate injured The cameras receive the light reflected on velocity and range of motion of soldiers, to teach dancers to refine and off the markers, and computers track mandibular and labial movements. perfect movement, and to educate the movement of the markers to create athletes to fine-tune muscle movement three-dimensional images. Computers Our initial results have been very positive to improve performance. It has been use these data to measure velocity and and we have presented our findings at used in motion pictures, scientific range of motion of the recorded state and national conferences. Though research, robotics, biomedical analysis, movements. the work is painstaking and requires acute engineering, education, virtual reality, attention to detail, we hope that the and other fields. Now, our group, led by In several fields, this technology has results will eventually provide a basis for Dr. Hunter Manasco, is using MCT in our advanced significantly in the last decade. future studies and improvements in lab to establish norms for facial Specifically for communication disorders, assessment and treatment of movement for typical speakers and it has been used to understand gesture- communication disorders. those with Parkinson’s disease. based communication, as well as to

9 cumulative GPA received the Elite 89 In 2013, the SLP department co- Letter award at the 2012 NCAA Division III sponsored with the Luzerne FROM Women’s Soccer Championship in San Intermediate Unit 18, a full-day iPad THE Chair Antonio, Texas. This award is presented seminar that was to the student athlete who participates presented by 2009 GLEN TELLIS, Ph.D. in the finals for each of the NCAA’s alumnus Erik X. Raj. PROFESSOR AND DEPARTMENT CHAIR championships and has the highest He is currently cumulative GPA. Maria Kidron our completing his This is the seventh year of our recent graduate was the Misericordia doctorate at Wayne newsletter and our student editor has 2013 valedictorian. She graduated with State University in solicited many interesting articles for a perfect cumulative GPA of 4.0. Detroit, Michigan. this edition. I look forward to receiving His workshop was the finished product each fall because I Many of our students also presented very well attended. get the opportunity to read about all numerous papers with faculty members In 2013, for May is the wonderful things that have at state, national, and international Better Speech and happened in our program during the conferences. In July, 2013 four students Hearing Month, our department hosted past year. Our relatively new were invited to present two seminars at the third Exceptional Art Exceptional department is only in its 11th year of the National Stuttering Association’s Artists event to showcase artwork existence, and I am amazed at the annual convention in Scottsdale, created by many of our clients with growth of this program as well as the Arizona. In August, 2013, four other disabilities. The event was a success quality of each cohort of students. students and faculty were invited to with over 150 people in attendance. I present seminars at the Estill World would like to thank all our benefactors Our incoming freshmen class has Voice Symposium at Harvard University. and sponsors for continuing to students who were again in the top We are also equally pleased that five of generously support this event. 10% of their high school graduating our alumni have either completed their class. Other students in the program research doctorates and are now faculty The Speech-Language and Hearing have also excelled. For example, in members at universities or are in the Center continues to provide a valuable April 2013, at the Pennsylvania Speech- process of completing their doctorates. service to the community. We continue Language Hearing Association (PSHA) our partnerships with numerous convention in Harrisburg, Pennsylvania, The faculty have presented at numerous agencies including the Hazelton Area our National Student Speech-Language conferences, published papers, and School District’s Office of Special Hearing Association (NSSLHA) Chapter written books. Faculty also served as Education Early Intervention Program, once again received the PSHA reviewers and editorial consultants for the Office of Vocational Rehabilitation, Membership Award. At the convention, premier journals in our discipline. Our and the Bureau of Disabilities. Our for the sixth year in succession, one of faculty received several grants in 2012- department also was featured in several our students, Mary Gulotta received the 2013. Funding from various sources, newspaper articles and radio and Von Drach Memorial Scholarship that is including, First National Community television interviews—raising the profile awarded to the outstanding graduate Bank, Frontier Communications, of the program locally and nationally. student from the entire state of Landmark Bank, Medico Industries, This publicity has increased the Pennsylvania. Erin Roberts one of our American Water Company, PNC Bank, awareness of the department in the sophomores with a perfect 4.0 Susquehanna Bank, and the Wilkes- community and has resulted in a Barre General Hospital significant increase in the number of Auxiliary Fund of the clients who receive services in our Luzerne Foundation has Speech-Language and Hearing Center. allowed us to provide cutting-edge services and I hope you enjoy this edition of our maintain state-of-the art newsletter. Please take a moment to clinic and research facilities. browse through our department On our department website, website (www.misericordia.edu/slp) and we now have a virtual tour learn more about our program. that showcases our technology, labs, clinics, and other aspects of our program. Glen Tellis, Ph.D. Professor and Department Chair

10 EXCEPTIONAL Art- EXCEPTIONAL Artists

MAY 2013

11 Department of Speech-Language Pathology

301 Lake Street, Dallas, Pennsylvania 18612-1090

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