Graeme Clark Collection

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Author: Cowan, Robert × End date: 1999 × Type: Journal Item × Subject: audiology × Subject: otolaryngology ×

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    Preoperative residual hearing as a predictor of postoperative speech scores for adult cochlear implant users [Abstract]
    COWAN, ROBERT ; HOLLOW, RODNEY ; DOWELL, RICHARD ; PYMAN, BRIAN ; Clark, Graeme M. ( 1994)
    The development of multiple channel cochlear implants has been a significant advance in the rehabilitation of profound hearing loss. Speech perception benefits have been particularly evident for postlinguistically deafened adults, who as a group have shown not only supplementation of lipreading scores but also significant comprehension of words and sentences using an implant alone, without the aid of lipreading. In many cases, patients are able to use their implant for telephone conversation. Speech perception benefits for adult users have increased with advances in speech processing and improved means of habilitation. These improvements in open-set speech benefits for adult users have resulted in a steady increase in group mean scores and a reevaluation of selection criteria for cochlear implantation. In the initial development of cochlear implants, only those with little or no residual hearing were considered as candidates. Current selection criteria now include those with substantial residual hearing, who may score up to 40% in the best-aided condition on word and sentence speech perception tests. In order to provide realistic expectations for prospective cochlear implant patients, it is important to establish the relationship of many preimplant factors to postimplant speech perception benefits. For severely hearing impaired adults, the relationship between preoperative residual hearing, as measured by aided word and sentence speech perception test scores, and postoperative speech perception benefits is of significant interest. Analysis of data collected over a 15 year period for adult patients is presented. The rationale for conducting full speech perception assessments for all potential cochlear implant patients is stressed.
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    Evaluation of training strategies with an electrotactile speech processor [Abstract]
    Alcantara, J. I. ; Cowan, R. S. ; Blamey, P. J. ; Whitford, L. W. ; Clark, Graeme M. ( 1988)
    During 1986, seven normally-hearing subjects were trained in the use of an electrotactile speech processor ("Tickle Talker"). Two training methods were used: (a) a combined strategy. in which a variety of training materials ranging from analytic to synthetic level were employed; and (b) a synthetic alone training strategy, in which only synthetic level training materials were used. All seven subjects received 70 hours of training, 35 hours in each training strategy. Subjects were evaluated in the tactile-lipreading (TL) and lipreading alone (L) conditions at: (I) 0 hours training; (2) 35 hours training; and (3) after 70 hours of training. An evaluation test battery was constructed which contained both closed-set and open-set materials. Results indicated differences in performance on the evaluation tests which were dependent upon the training strategy. The differences in performance were greater in some evaluation tests than others. Subsequently; seven severe-profoundly hearing-impaired children (aged 7-11) have been fitted with the Tickle Talker and are presently participating in an ongoing training programme. Evaluation of their performance will help to assess the suitability of the device for young children.