Graeme Clark Collection

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Author: Clark, Graeme × End date: 1997 × Start date: 1997 × Type: Conference Paper × Subject: cochlear implants × Subject: otology ×

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    Preliminary results on spectral shape perception and discrimination of musical sounds by normal hearing subjects and cochlear implantees
    Stainsby, Thomas H. ; McDermott, Hugh J. ; McKay, Colette M. ; Clark, Graeme M. ( 1997)
    This paper presents an overview of an ongoing research project investigating the perception of musical timbre by people with normal hearing, impaired hearing, and cochlear implants. The investigation of musical timbre has been limited to the perception of steady-state frequency spectra from 10 different sources, including sampled acoustic instruments, sung vowels, and synthetic waveforms. Subjects were tested in three different tasks: I) the discrimination of spectra when presented in all possible pairs; 2) the measurement of the internally-perceived frequency spectra using a forward-masking paradigm; and 3) the identification of the spectra by name with the restricted set of sound sources from which they were sampled. Preliminary results from the normally hearing subjects show the spectra to be 99.8% distinguishable, and that significant detail is evident in the internal spectral envelopes from different sounds. There was around 50%-correct identification of stimuli by name with the original sound sources from which they were sampled. The experimental work with hearing impaired and cochlear implant subjects has commenced.
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    Rehabilitation strategies for adult cochlear implant users
    Dowell, R. C. ; Blamey, P. J. ; Clark, Graeme M. (Monduzzi Editore, 1997)
    This paper summarizes open-set speech perception results using audition alone for a large group of adult Nucleus cochlear implant users in Melbourne. The results show wide variation in performance but significant improvement over the years from 1982 to 1995. Analysis of these results shows that speech processor developments have made the major contribution to this improvement over this time. Recent results for patients using the SPECTRA-SPEAK processor show !hat most subjects obtain good speech perception within six months of implantation and the need for intensive auditory training is minimal for many of these patients. Postoperative care should encourage consistent device use by providing opportunities for success and providing long term technical support for implant users. In some cases, including elderly patients, those with long term profound deafness, and those with special needs, there will still be a need for additional rehabilitation and auditory training support.
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    Factors affecting outcomes in children with cochlear implants
    Dowell, R. C. ; Blamey, P. J. ; Clark, Graeme M. (Monduzzi Editore, 1997)
    Open-set speech perception tests were completed for a group of 52 children and adolescents who were long-term users of the Nucleus multiple channel cochlear prosthesis. Results showed mean scores for the group of 32.4% for open-set BKE sentences and 48.1% for phonemes in open-set monosyllabic words. Over 80% of the group performed significantly on these tas1cs. Age at implantation was identified as a significant factor affecting speech perception performance with improved scores for children implanted early. This factor was evident in the results at least down to the age of three years. Duration.. of profound hearing loss, progressive hearing loss, educational program and preoperative residual hearing were also identified as significant factors that may affect speech perception performance.