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Department of Otolaryngology

Department of Otolaryngology

Julie Barkmeier-Kraemer, Ph.D., CCC-SLP



Julie Barkmeier-Kraemer, Ph.D., CCC-SLP
Professor, ASHA Fellow
Voice & Swallowing Center
UC Davis Health System
Department of Otolaryngology
2521 Stockton Blvd, Suite 7200
Sacramento, CA 95817

Contact:
Phone: (916)734-1589

Dr. Barkmeier-Kraemer’s clinical focus is on voice and swallowing disorders with expertise in neurogenic voice problems such as vocal tremor and vocal fold paralysis/paresis and functional voice problems that arise due to overuse or misuse of the voice.  Dr. Barkmeier-Kraemer is a member of the Voice and Swallowing Center team consisting of speech-language pathologists, otolaryngologists, nursing, and dietary consultants. 

Research Focus

Dr. Barkmeier-Kraemer’s research interests include anatomical and physiologic investigation of the nerve to the voice box, or larynx to determine causes of nerve damage related to surgery, or currently unknown causes that may be associated with age-related changes to nerve tissues.  In addition, Dr. Barkmeier-Kraemer is studying clinical patterns in onset and progression of vocal tremor and the link between acoustic measures during speech production and speech structures exhibiting tremor.  This information will be used to study the treatment response to behavioral management of individuals with vocal tremor.

Undergraduate Education

The University of Iowa, B.S. in Psychology, 1985

Graduate Education

  • The University of Iowa, M.A. in Speech Pathology & Audiology, 1988
     (Thesis: Intelligibility of Dysarthric Speakers Using Audio- and Audio-Visual Presentations, Donald A. Robin and Linda S. Jordan, Co-Advisors)
  • The University of Iowa, Ph.D. in Speech Pathology & Audiology, 1994
     (Dissertation:  Quantitative Analysis of the Anatomy of the Epineurium of the Canine Recurrent Laryngeal Nerve, Erich S. Luschei, Advisor)
  • National Institute on Deafness and Other Communication Disorders, The National Institutes of Health, Postdoctoral research in Neurolaryngology (Sponsor:  Christy Ludlow, PhD), 1994-1997

Professional Certification

American Speech-Language-Hearing Association (ASHA), 1989

Professional Societies

  • American Speech-Language-Hearing Association
  • Arizona Speech-Language-Hearing Association
  • Society for Neuroscience
  • Voice Foundation

Professional Editorial Service

  • Associate Editor for the Journal of Speech-Language-Hearing Research, 2003-2006
  • Associate Editor for the American Journal of Speech-Language Pathology, 2006–2008
  • Editorial Board Member for the Journal of Voice, 2008-Present
  • Guest Associate Editor for the American Journal of Speech-Language Pathology, 2005, 2011
  • Guest Associate Editor for the Journal of Speech-Language Hearing Research, 2007, 2010
  • Guest Editor for the Journal of Speech-Language Hearing Research, 2007

Research Review Service

American Speech-Language-Hearing Foundation

  • Scientific Reviewer for Research Grants for New Investigators, 2002, 2003, 2005
  • Scientific Reviewer for the Research and Scientific Affairs Committee Grant Reviews, 2008, 2009, 2010
  • Scientific Reviewer for the Clinical Research in Communication Disorders Grant Review, 2008

United States Department of Veterans Affairs

  • Ad hoc Scientific Reviewer for the Research & Development Service Scientific Proposals, Communication/Speech-Language Pathology panel, 2004 (Fall), 2005 (Fall & Spring), 2006 (Spring), 2007 (Fall)
  • Ad hoc Scientific Reviewer, Department of Veteran Affairs Scientific Merit Review, Sensory-Communications panel, 2007 (Fall), 2008 (Spring), 2009 (Fall)

National Institutes of Health

  • Ad hoc Scientific Reviewer for the National Institutes of Health, National Institute on Deafness and Other Communication Disorders, National Research Service Award for Individual Predoctoral Fellows (F31), 2003
  • Ad hoc Scientific Reviewer, Motor Function, Speech and Rehabilitation Study Section (MFSR), National Institutes of Health, 2005 (Spring), 2008 (Fall & Spring), 2009 (Fall)
  • Ad hoc Scientific Reviewer, Loan Repayment Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, 2005, 2006
  • Ad hoc Scientific Reviewer, Special Emphasis Panel, Motor Function, Speech and Rehabilitation Study Section (ZRG1 BBBP-E), National Institutes of Health, 2006 (Spring)
  • Ad hoc Scientific Reviewer, Special Emphasis Panel, Translational Research Grant applications (PAR-05-023), National Institutes of Health, 2006 (Spring)
  • Ad hoc Scientific Reviewer, Sensorimotor Integration Study Section, National Institutes of Health, 2007 (Fall)
  • Ad hoc Scientific Reviewer, Neuroscience of Aging Study Section (NIA-N), National Institutes of Health, 2009 (Spring)
  • Ad hoc Scientific Reviewer, NIH Challenge Grants, National Institutes of Health, 2009  (Summer)
  • Ad hoc Scientific Reviewer, Rehabilitation Research and Development (RR&D) Service, National Institutes of Health, Spring

TBI Intramural Program Reviewer, Scientific Peer Advisory and Review Services, American Institute of Biological Sciences, November panel, 2007

Austrian Science Fund (FWF), 2002, 2007

Publications

  • Tye-Murray, N., Barkmeier, J. & Folkins, J.W. (1991).  Scaling and transcription measures of intelligibility for populations with disordered speech.  Journal of Speech and Hearing Research, 34: 697-699.
  • Arcuri, M.R., Perlman, A.L., Philippbar, S.A. & Barkmeier, J.M. (1991).  The effects of a maxillary speech-aid prosthesis for the combined tongue and mandibular resection patient.  The Journal of Prosthetic Dentistry, 65: 816-822.
  • Gray, S.D., Barkmeier, J., Jones, D., Titze, I., & Druker, D. (1992).  Vocal evaluation of thyroplastic surgery in the treatment of unilateral vocal fold paralysis.  Laryngoscope, 102: 415-421.Peterson, K.L., Verdolini-Marston, K., Barkmeier, J. & Hoffman, H.T. (1994).  Comparison of aerodynamic and electroglottographic parameters in evaluating clinically relevant voicing patterns.  Annals of Otology Rhinology Laryngology, 103(5 Pt 1): 335-46.
  • Finnegan, E.M., Luschei, E.S., Barkmeier, J.M., & Hoffman, H.H. (1996).  Sources of error in estimation of laryngeal airway resistance in persons with spasmodic dysphonia.   Journal of Speech, Language, and Hearing Research, 39(1): 105-113.
  • Smith, E.S., Verdolini, K., Gray, S., Nichols, S., Lemke, J., Barkmeier, J.,Dove, H., & Hoffman, H. (1996).  Effect of voice disorders on quality of life.  Journal of Medical Speech-Language Pathology, 4(4): 223-244.
  • Smith, E.S., Taylor, M. Mendoza, M., Barkmeier, J., Lemke, J., & Hoffman, H. (1998).  Spasmodic dysphonia and vocal fold paralysis: Outcomes of voice problems on work-related functioning.  Journal of Voice, 12(2): 223-32.
  • Mann, E.A., McClean, M.D., Gurevich-Uvena, J., Barkmeier, J., McKenzie-Garner, P., Paffrath, J., & Patow, C. (1999).  The effects of excessive vocalization on acoustic and videostroboscopic measures of vocal fold condition.  Journal of Voice, 13(2): 294-302.
  • Finnegan, E.M., Luschei, E.S., Gordon, J.D., Barkmeier, J.M., & Hoffman, H.T. (1999).  Increased stability of airflow following botulinum toxin injection. Laryngoscope, 109: 1300-1306.
  • Stager, S., Bielamowicz, S., Regnell, J.R., Gupta, A., & Barkmeier, J. (2000).  Supraglottic activity:  Evidence of vocal hyperfunction or laryngeal articulation?  Journal of Speech, Language, and Hearing Research, 43(1): 229-238.
  • Barkmeier, J. & Luschei, E. (2000).  Quantitative analysis of the anatomy of the epineurium of the canine recurrent laryngeal nerve.  Journal of Anatomy, 196: 85-101.
  • Barkmeier, J., Bielamowicz, S., Takeda, N., & Ludlow, C.L. (2000).  Modulation of laryngeal responses to superior laryngeal nerve stimulation by volitional swallowing in awake humans.  Journal of Neurophysiology, 83(3): 1264-1272.
  • Barkmeier, J. & Case, J. (2000).  Differential diagnosis of adductor-type spasmodic dysphonia, vocal tremor, and muscle tension dysphonia.  Current Opinion in Otolaryngology, 8(3): 174-179.
  • Barkmeier, J., Case, J., & Ludlow, C. (2001).  Identification and evaluation of symptoms for spasmodic dysphonia, vocal tremor, and muscle tension dysphonia: A  comparison of expert and non-expert judges.  Journal of Communication Disorders, 34(1/2): 21-37.
  • Stager, S.V., Bielamowicz, S., Gupta, A., Marullo, S., Regnell, J.R., & Barkmeier, J.M.  (2001).  Quantification of static and dynamic supraglottic activity.  Journal of Speech, Language, and Hearing Research, 44(6): 1245-1256.
  • Barkmeier, J., Bielamowicz, S., Takeda, N., & Ludlow, C.L. (2002).  Laryngeal muscle activation patterns during upright and supine swallowing.  Journal of Applied Physiology, 93: 740-745.
  • Barkmeier-Kraemer, J. (2002). Dysphagia educational program at the university of arizona.  In:  ASHA's Division 13 Perspectives in Swallowing and Swallowing Disorders, 11(3):  5-9.
  • Finnegan, E., Luschei, E.S., Barkmeier, J.M., & Hoffman, H.T. (2003).  Synchrony of laryngeal muscle activity in persons with vocal tremor.  Archives of Otolaryngology - Head and Neck Surgery, 129(3): 313-8. 
  • Barkmeier-Kraemer, J.M. (2007).  Genetics and Neuroscience Applied to Communication Disorders: Translating Research into Treatment Efficacy.  The ASHA Leader, 12(12).
  • Lowell, S.Y., Barkmeier-Kraemer, J.M., Hoit, J.D., & Story, B.H. (2008).  Respiratory and laryngeal function during spontaneous speaking in teachers with voice disorders.  Journal of Speech Language Hearing Research, 51:  333-349.
  • Ciucci, M.R., Barkmeier-Kraemer, J.M., & Sherman, S. (2008). The effects of  subthalamic nucleus deep brain stimulation on deglutition in Parkinson Disease.  Movement Disorder, 23(5):676-83.
  • Kempster, G.B., Gerratt, B.R., Verdolini, K., Barkmeier-Kraemer, J.M., Hillman, R.E. (2009).  Consensus auditory perceptual evaluation of voice.  American Journal of Speech Language Pathology, 18(2):124-32. 
  • Fass, R., Noelck, N., Willis, M.R., Navarro-Rodriquez, T, Wilson, K, Powers, J., & Barkmeier-Kraemer, J.  (2010). The Effect of Esomeprazole 20 mg Twice Daily on Acoustic and Perception Parameters of the Voice in Patients Diagnosed with GERD-related Laryngopharyngeal Reflux.  Neurogastroenterology and Motility, 22(2):134-41, e44-5. Epub 2009 Sep 9.
  • Alexander, M.J., Barkmeier-Kraemer, J.M., Vande Geest, J.P. (2010).  Biomechanical properties of recurrent laryngeal nerve in the piglet.  Ann Biomed Engineering, 38(8):2553-2562.  Epub 2010 Apr 6.
  • Barkmeier-Kraemer, J.M., Ryals, B.M. (2010).  Preface to the 19th annual ASHA-NIH-NIDCD Research Symposium: Neural regeneration and communication processes.  Journal of Communication Disorders, 43(4):251-4.
  • Barkmeier-Kraemer, J.M., Story, B. (invited paper for the 2010, November issue).  Conceptual and Clinical Updates on Vocal Tremor.  The ASHA Leader.
  • Barkmeier-Kraemer, J.M., Lato, A., Wiley, K. (2011).  Development of a speech treatment program for a client with essential tremor.  Invited paper for a special issue of Seminars in Speech & Language  Sciences dedicated to the memory of Thomas Hixon, PhD., 32(1):43-57.
  • Lederle, A., Hoit, J., & Barkmeier-Kraemer, J.M. (in revision with provisional acceptance).  Effects of sequential swallowing tasks on ventilation and perception of dyspnea.  Dysphagia.
  • Campbell, E.O., Samlan, R.A. McMullen, N.T., Cook, S. & Barkmeier-Kraemer, J.M.  (in revision).  Changes in the Porcine Recurrent Laryngeal Nerve Epineurium associated with aging.  Journal of Anatomy.

Book Chapters and Book Contributions

  • Barkmeier, J., Jordan, L.S., Robin, D.A. & Schum. R.L. (1991).  Inexperienced listener  ratings of dysarthric speaker intelligibility and physical appearance.  In: Moore, Yorkston and Beukelman, Eds.  Dysarthria and Apraxia of Speech:  Perspectives on Management  (pp. 65-75).  Baltimore:  Paul H. Brookes Publishing Co., Inc.
  • Barkmeier, J.M.  Disorders of Voice and Swallowing.  (1999) In: Plante & Beeson, Eds.  Communication and Communication Disorders: A Clinical Introduction (pp. 255-274).  Boston:  Allyn & Bacon.
  • Barkmeier, J.M. Disorders of the voice and swallowing disorders.  (2004)  In:  Plante & Beeson, Eds.  Communication and Communication Disorders: A Clinical Introduction, 2nd Edition.  Needham Heights: Allyn and Bacon. 
  • Barkmeier, J.M. & Lyon, M.  Vascular supply in the vocal folds (2004).  In:  Sapienza  & Casper, Eds.  For Clinicians by Clinicians: Vocal Rehabilitation in Medical Speech-Language Pathology.  Austin:  Pro Ed.
  • Contributing author to:  Verdolini, K., Rosen, C.A., & Branski, R.C. (2005).  Classification Manual for Voice Disorders I.  Lawrence Erlbaum Associates
  • Barkmeier, J.M. Disorders of the voice and swallowing disorders.  (2008)  In:  Plante & Beeson, Eds.  Communication and Communication Disorders: A Clinical Introduction, 3rd Edition.  Needham Heights: Allyn and Bacon. 
  • Barkmeier-Kraemer, J.M.  Case Study:  Voice therapy for management of muscle tension dysphonia in an individual with unilateral vocal fold paralysis.  (2009)  In:  Voice Therapy: Clinical Studies, 3rd ed. Editor(s): Joseph C. Stemple and Lisa B. Thomas.  San Diego:  Plural Publishing, Inc.
  • Samlan, R.A. & Barkmeier-Kraemer, J.  Voice Evaluation. (2010)  In: Cummings’ Otolaryngology: Head and Neck Surgery, 5th Edition.  St. Louis:  Elsevier.

Presentations (* = invited presentations)

Colloquia

  • Barkmeier, J.  (October, 1999).  Differential diagnosis of spasmodic dysphonia, vocal tremor, and muscle tension dysphonia. Presented at the Department of Speech and Hearing Sciences Colloquium, Tucson, AZ.
  • *Barkmeier, J. (February, 2000).  Quantitative analysis of the anatomy of the epineurium of the canine recurrent laryngeal nerve.  Presented at The University of Pittsburgh Department of Communication Science and Disorders Colloquium, Pittsburgh, PA.
  • *Barkmeier, J. (April, 2000).  Mechanisms for vocal fold paralysis.  Presented to the Motor Control Colloquium (SPH 695a).  The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J. (February, 2003).  Central pattern generation of swallowing.  Presented to the Motor Control Colloquium (SPH 695a).  The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J.M. (February, 2010). Vocal Tremor: Conceptual and Management Updates.  Presented to the Department of Otolaryngology – Head and Neck Surgery Grand Rounds, Boston University Medical Center, Boston, MA.
  • *Barkmeier-Kraemer, J.M. (February, 2010).  Is Translational Research a Two-Way Street?  The Journey Toward Developing a Conceptual Model of Vocal Tremor.  Presented to the Department of Speech, Language, & Hearing Sciences in Sargeant College at Boston University, Boston, MA.
  • *Barkmeier-Kraemer, J.M. (May, 2010).  Vocal Tremor:  Conceptual and Management Updates.  Presented to the Department of Otolaryngology – Head and Neck Surgery Grand Rounds, UC-Davis, Sacramento, CA.
  • *Barkmeier-Kraemer, J.M. (February, 2011).  Shake, rattle, and roll:  Updates in vocal tremor.  Presented to the Department of Speech, Language, and Hearing Sciences Colloquium, Tucson, AZ.

Seminars

  • *Barkmeier, J.  (October, 1997).  Modulation of laryngeal responses to superior laryngeal nerve stimulation by volitional swallowing in awake humans.  Paper presented at the Doings in Motor Control Group Meeting, The University of Arizona, Tucson, AZ.
  • *Barkmeier, J. (October, 1997).  Modulation of laryngeal responses to superior laryngeal nerve stimulation by volitional swallowing in awake humans.  Paper presented to the Sensational Science Group Meeting, The University of Arizona, Tucson, AZ.
  • *Barkmeier, J. (April, 1999).  Survival skills and academia:  How did I get here?  Presented as part of a discussion panel, Survival Skills and Ethics course (SPH 649), The University of Arizona, Tucson, AZ.
  • Barkmeier, J. (October, 2000).  Laryngeal muscle histochemistry.  Motor Bytes Presentation, Doings in Motor Control Group meeting, The University of Arizona, Tucson, AZ.
  • Barkmeier, J. (February, 2001).  Laryngeal onset during swallowing:  Upright vs. supine.  Paper presented at the Neuroscience Data Blitz, The University of Arizona, Tucson, AZ.
  • Barkmeier, J. (September, 2001).  Laryngeal onset during swallowing:  Upright vs. supine.  Paper presented in the Speech Physiology Laboratory Meeting.  The University of Arizona, Tucson, AZ.
  • Barkmeier-Kraemer, J., Lowell, S., and Ciucci, M.  (October, 2002).  Neurolaryngology at the University of Arizona.  Presented at the Doings in Motor Control Group meeting.  The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J. (February, 2005).  The possible role of nerve "packaging" in laryngeal function.  Presented to the College of Applied Life Sciences, University of Illinois at Champaign-Urbana, Champaign, IL.
  • *Barkmeier-Kraemer, J., Xia, G., Li, K., & Ciucci, M.  (December, 2006).  Has the RLN gone postal?  Presented at the Doings in Motor Control Group meeting.  The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J.M.  (August, 2007).  Recurrent Laryngeal Nerve Epineurium Patterns in Elderly compared to Younger Humans:  Preliminary Comparisons.  Presented at the Neuroscience Data Blitz, The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J.M. (October, 2009).  Investigation of recurrent laryngeal nerve connective tissues as a factor in onset and recovery from vocal fold paralysis.  Paper presented at the Neuroscience Data Blitz, The University of Arizona, Tucson, AZ.
  • *Barkmeier-Kraemer, J.M. & Kiernan, Barbara (November, 2010).  A classroom-based vocal hygiene program for use in preschool and kindergarten classrooms.  Will be presented to Speech-Language Pathologists in the Tucson Unified School District, Tucson, AZ.

Symposia

  • Barkmeier, J. & Fox, C.  (June, 1998).  Application of Lee Silverman Voice Treatment for treatment of hyperfunctional voice patterns with vocal fold lesions.  Presented at the Voice Foundation’s 27th Annual Symposium: Care of the Professional Voice, Philadelphia, PA.
  • *Barkmeier, J.  (June, 2001).  Integrative Medicine:  The use of reiki for management of voice problems in performers.  Presented at the Voice Foundation’s 30th Annual Symposium: Care of the Professional Voice, Philadelphia, PA.
  • Samlan, R., McMullen, N., Cook, S., Xia, G., & Barkmeier-Kraemer, J.M. (June, 2007).  Recurrent Laryngeal Nerve Epineurium in the Piglet.  Presented at the Voice Foundation's 36th Annual Symposium: Care of the Professional Voice, Philadelphia, PA.
  • Lederle, A., Barkmeier-Kraemer, J.M.,& Finnegan, E.M. (June, 2007).  Perceptual Judgment of Vocal Tremor in Voice-loaded and Voiceless-loaded Speech Contexts.  Presented at the Voice Foundation's 36th Annual Symposium: Care of the Professional Voice, Philadelphia, PA.

Location:

Department of Otolaryngology - Head and Neck Surgery

Mailing address:

2521 Stockton Blvd., Suite 5200
Sacramento, CA 95817

Cleft Lip/Palate:

(916) 734-2452

Audiology & Speech Appointments:

(916) 734-5400

Facial Plastic Surgery Appointments:

(916) 734-2347

Dental Appointments:

(916) 734-5429

Academic Office:

(916) 734-2801

Clinic Appointments:

(916) 734-5400