Graeme Clark Collection

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    The effect of language knowledge on speech perception: what are we really assessing?
    Sarant, Julia Z. ; Blamey, Peter J. ; Cowan, Robert S. ; Clark, Graeme M. ( 1997)
    Objective: The authors examined whether open-set speech perception scores are limited by knowledge of vocabulary and syntax and further considered whether remediation of vocabulary and syntax will increase open-set speech perception scores. Study Design: This was a repeated-measures study design in the setting of a primary (elementary) school for the hearing impaired. Patients: The study population was composed of three hearing-impaired children using Nucleus 22-channel cochlear implant. Intervention: Intervention used was language remediation sessions. Main Outcome Measures: The main outcome measures were assessment of auditory-alone speech perception benefit using open-set words and sentences and assessment of syntactic knowledge using the Test of Syntactic Ability. Outcome measures were applied before and after remediation. Results: Child 1 and child 2 showed a significant postremediation improvement in their overall scores on the Test of Syntactic Ability and in their ability to perceive words learned during remediation. Child I and child 2 also showed a significant improvement in their scores on a modified Bamford-Kowal-Bench open-set sentence test, which specifically targeted grammatical constructs trained in remediation sessions. Conclusions: Remediation of language knowledge deficits significantly improved open-set speech perception for two children, suggesting a need to include language remediation in cochlear implant habilitation programs.
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    Within-subject comparison of speech perception benefits with a multiple-channel cochlear implant and tactile device
    Sarant, J. Z. ; Cowan, R. S. C. ; Blamey, P. J. ; Galvin, K. L. ; Clark, Graeme M. ( 1995)
    In order to adequately advise prospective cochlear implant patients and their families, a clinician must have a good knowledge of the potential for particular individuals to benefit from cochlear implants and other alternatives.
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    Development of an advanced electrotactile speech processor [Abstract]
    Cowan, Robert S. C. ; Blamey, Peter J. ; Glavin, K. L. ; Sarant, J. Z. ; Millard, R. ; Clark, Graeme M. ( 1992)
    Initial studies with a multiple channel electrotactile speech processor ('Tickle Talker') showed that profoundly hearing-impaired adults and children could achieve significant improvements on speech perception tests through use of tactual-encoded estimates of fundamental frequency, second formant frequency and amplitude envelope. Results showed that the device provided tactual cues which could be used to discriminate speech features such as vowel length and place, and consonant manner and voicing. However, discrimination of initial consonant voicing was not as consistent as for other features. Accurate discrimination of consonant voicing and manner (particularly high frequency information) is critical, since this Information is generally inaudible through hearing aids, and difficult to lipread.