Graeme Clark Collection
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ItemA multiple-channel cochlear implant: an evaluation using nonsense syllables( 1981)A study using nonsense syllables has shown that a multiple-channel cochlear implant with speech processor is effective in providing information about, voicing and manner and to a lesser extent place distinctions. These distinctions supplement lipreading cues. Furthermore, the average percentage improvements in overall identification scores for multiple-channel electrical stimulation and lipreading compared to lipreading alone were 71% for a laboratory-based speech processor and 122 % for a wearable unit.
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ItemRecent developments with the Nucleus 22-electrode cochlear implant: a new two formant speech coding strategy and its performance in background noise( 1987)A clinical evaluation of speech processing strategies for the Nucleus 22-electrode cochlear implant showed improvements in understanding speech using the new F0F1F2 speech coding strategy instead of the F0F2 strategy. Significant improvement in closed-set speech recognition in the presence of background noise was an additional advantage of the new speech processing strategy.
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ItemEvaluation of a two-formant speech-processing strategy for a multichannel cochlear prosthesis( 1987)Initial results with the two-formant speech-processing strategy (F0FIF2) confirm the advantage of a multichannel cochlear prosthesis capable of stimulating at different sites within the cochlea. The successful presentation of two spectral components by varying the place of stimulation leads to the possibility of presenting further spectral information in this manner. Because virtually all multichannel implant patients demonstrate good "place" (electrode site) discrimination, these more refined coding strategies should lead to benefits for the majority of implantees. Already, with the F0FIF2 strategy, we have a system that appears to provide some effective auditory-alone communication ability for the average patient.
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ItemA multiple-electrode intracochlear implant for children( 1987)A multiple-electrode intracochlear implant that provides 21 stimulus channels has been designed for use in young children. It is smaller than the adult version and has magnets to facilitate the attachment of the headset. It has been implanted in two children aged 5 and 10 years. The two children both lost hearing in their third year, when they were still learning language. Following implantation, it was possible to determine threshold and comfortable listening levels for each electrode pair. This was facilitated in the younger child by prior training in scaling visual and electrotactile stimuli. Both children are regular users of the implant, and a training and assessment program has been commenced.
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ItemAudiological assessment of profoundly hearing-impaired children( 1987)The design of an audiological assessment protocol for profoundly hearing-impaired children may be divided into three areas. First, accurate estimation of hearing loss includes the behavioral measures of unaided and aided thresholds and the objective measures of electrocochleography and auditory brain stem response. The reliability of these measures for the accurate diagnosis of a profound to total hearing loss is discussed. Second, speech perception includes the measure of perception in the audition alone, vision alone, and audition plus vision conditions. Test material should include speech features, words, and sentences. Factors influencing the choice of material are the developmental age of the child, the method of educational instruction, speech and language skills, and vocabulary limits. Third, psychophysical properties of residual auditory skills include measures such as frequency, intensity, and duration difference limens. These skills may be compared to those elicited through other sensory channels, such as visual and tactile. Other important factors that should be considered are the psychological well-being of the child and family, family motivations and expectations, and educational requirements.
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ItemClinical results for postlingually deaf patients implanted with multichannel cochlear prostheses( 1987)Clinical results for 24 patients using the Nucleus 22-channel cochlear prosthesis have shown the device to be successful in presenting amplitude, fundamental frequency, and second formant information to patients with acquired hearing loss. For all patients, this has meant a significant improvement in their communication ability when using lipreading and some ability to understand unknown speech without lipreading or contextual cues. Approximately 40% of patients are able to understand running speech in a limited fashion without lipreading, and this ability has been evaluated using the speech-tracking technique for a number of patients. Many patients are able to have limited conversations on the telephone without using a special code. Although the prosthesis has been designed with the presentation of speech signals in mind, recognition and discrimination of environmental sounds has also been very encouraging with patients scoring 70% to 80% correct for closed set environmental sound testing. Follow-up testing has indicated that the ability to understand open set speech without lipreading continues to improve up to at least 12 months postoperatively. Open set sentence test results improved from an average of 20% at 3 months to 40% at 12 months.
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ItemAcoustic parameters measured by a formant-estimating speech processor for a multiple-channel cochlear implant( 1987)Abstract not available due to copyright.
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ItemVowel and consonant recognition of cochlear implant patients using formant-estimating speech processors( 1987)Abstract not available due to copyright.
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ItemA formant-estimating speech processor for cochlear implant patients( 1987)A simple formant-estimating speech processor has been developed to make use of the “hearing” produced by electrical stimulation of the auditory nerve with a multiple-channel cochlear implant. Thirteen implant patients were trained and evaluated with a processor that presented the second formant frequency, fundamental frequency, and amplitude envelope of the speech (F0F2). Nine patients were trained and evaluated with a processor that presented the first and second formant frequencies, fundamental frequency, and first and second formant amplitudes (F0F1F2). The most common use of the speech processor was in conjunction with lipreading, so the patients were trained in lipreading plus hearing, as well as hearing alone. The F0F1F2 group performed significantly better in discrimination tasks and word and sentence recognition through hearing alone. The F0F1F2 group also showed a significantly greater improvement when hearing and lipreading was compared with lipreading alone in a speech tracking task. A study of spondee recognition in noise with hearing alone indicated that the added first formant information produced an improvement that was equivalent to a 5 dB increase in the signal-to-noise ratio.
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ItemSpeech recognition for 40 patients receiving multichannel cochlear implants( 1986)We collected data on 40 patients who received the Nucleus multichannel cochlear implant. Results were reviewed to determine if the coding strategy is effective in transmitting the intended speech features and to assess patient benefit in terms of communication skills. All patients demonstrated significant improvement over preoperative results with a hearing aid for both lipreading enhancement and speech recognition without lipreading. Of the patients, 50% demonstrated ability to understand connected discourse with auditory input only. For the 23 patients who were tested 12 months postoperatively, there was substantial improvement in open-set speech recognition.