Overview: The ability to process spoken-language effectively/efficiently is impacted by one's hearing acuity but also engages other processes. These include the intertwining of (a) central auditory nervous system pathways; (b) various cognitive aspects- such as attention, memory & sequencing, heavily influenced by the central executive system; (c) language; (d) arousal level/ emotional state; and (e) speechreading. The goal of this lab is to better understand the engagement of these various mechanisms on the successful processing of spoken language. This will be accomplished by developing/ examining various assessment and intervention measures to: identify specific deficits, their impact on spoken-language processing, and the beneficial aspects of different intervention approaches.

There are a number of central themes underlying this research. Some of these include examining: (a) the influence of acoustic parameters on spoken language perception (such as talker gender, types of competing stimuli, Signal-to-Competition ratio) both in individuals with hearing loss or suspected processing related deficits; (b) various psychoacoustic variables and establish which most closely associate with auditory processing speech deficits; in addition, these will be examined relative to their association with electrophysiologic measures (such as speech ABR); (c) the derivation of a test battery to assess spoken-language capabilities in individuals with hearing loss; (d) the impact of acquisition of English as a second language on an individuals' ability to process English relative to native English speakers; and (e) the benefits of speech-reading ability in spoken-language processing among individuals with normal hearing but identified spoken-language processing deficits.

Facilities: Audiometric equipment, double-walled test suite, video and audio recording equipment, Speech ABR equipment

People: The laboratory is directed by Larry Medwetsky, Ph.D. Projects will engage both internal/external collaborators depending on areas of mutual interest and expertise, as well as student research assistants. A number of students have crafted their AuD projects based on their interests being compatible with the research being conducted in this lab or who wished to work on one of the project concepts of interest to this researcher.

Selected Publications and Presentations

Medwetsky, L. (April, 2015). The Spoken-Language Processing Approach: Broadening our Conceptualization of Central Auditory Processing. Presentation at the Maryland Academy of Audiology, Linthecum, MD.

Medwetsky, L. (November 2014). Disentangling Central Auditory Processing Test Findings: A Road to Greater Clarity. Presentation at the American, Speech, Language, and Hearing Association Convention, Orlando Florida.

Medwetsky L (2013). Utilizing Computer Software as a Management Tool for Addressing CAPD. In: Geffner D and Swain D, eds. Auditory Processing Disorders: Assessment, Management and Treatment, 2nd edition. San Diego: Plural Publishing

Moncrieff, D., Bellis, TJ, Lucker, JR, and Medwetsky, L. (October, 2013). Grand Rounds on Auditory Processing. Online Presentation for American Academy of Audiology.

Medwetsky L (2011). Spoken language processing: Bridging auditory and language processing to guide diagnosis and intervention. Language, Speech, and Hearing Services in Schools; 42(3): 286-296.

Musiek FE, Baran JA, Bellis TJ, Chermak GD, Hall III JW, Keith RW, Medwetsky L, West KL, Young M (2010.) Guidelines for the diagnosis, treatment and management of children and adults with central auditory processing disorder. http://audiology-web.s3.amazonaws.com/migrated/CAPD%20Guidelines%208-2010.pdf_539952af956c79.73897613.pdf

Medwetsky L (2009). Mechanisms underlying central auditory processing. In: Katz J, ed. Handbook of Clinical Audiology, 6th edition. Philadelphia: Lippincott Williams and Wilkins.

Medwetsky L, Riddle L, Katz J (2009). Management of central auditory processing disorders. In: Katz J, ed. Handbook of Clinical Audiology, 6th edition. Philadelphia: Lippincott Williams and Wilkins.

Medwetsky, L. (November, 2008). Spoken Language Processing: A Convergent Approach to Diagnosing and Managing CAPD. Presentation at the American Speech-Language Hearing Association Convention, Chicago Illinois.

Medwetsky, L. and Riddle, L. (November, 2008). An Interdisciplinary Approach to Assessing/Managing CAPD. Presentation at the American Speech-Language Hearing Association Convention, Chicago Illinois

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