Graeme Clark Collection

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    Current trends in speech perception performance in adult cochlear implant patients [Abstract]
    Hollow, Rod ; Plant, Kerrie ; Whitford, Lesley ; Skok, Marisa ; DOWELL, RICHARD ; Clark, Graeme M. ( 1996)
    In 1994, Cochlear Pty. Ltd. (Now Cochlear Limited) released a new speech processor, the Spectra 22, for use with the Nucleus 22-channel cochlear implant. The Spectra 22 speech processor incorporates a new speech processing strategy called SPEAK, which is based upon research conducted by the University of Melbourne. This paper reports post-operative scores on open-set word and sentence materials for adult patients in the Melbourne Cochlear Implant Clinic who have been started up with the Spectra 22 speech processor.
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    Speech perception in people with a severe hearing loss: preliminary results [Abstract]
    Flynn, Mark C. ; Dowell, Richard C. ; Clark, Graeme M. ( 1996)
    Recent improvements in multichannel cochlear implants have led to improved speech perception for people with profound hearing impairments. Given this improvement, it has been suggested that some people with severe hearing impairments would be more successful with a cochlear implant than a hearing aid. Unfortunately little research exists to support the suitability of cochlear implants for these individuals. In order to determine this, a detailed investigation of the aided performance of people with severe hearing losses is being conducted at The University of Melbourne (School of Audiology). Severe hearing loss was defined as a pure tone average of greater than 60dBHL, but no worse that 100dBSPL in the better ear. At present, 15 participants have taken part in this study and their results will be discussed. Each participant took part in a standard audiometric assessment which included an audiogram, AB words, tympanometry with acoustic reflexes and an ABR. Each participant’s hearing aids were assessed to make sure that they were optimally aided. Following the hearing aid evaluation the participants took part in a series of traditional speech perception tests which included 24 consonant recognition, 11 vowel recognition, CNC words, CUNY sentences, and the Connected Speech Test (CSTv2). Other tests of speech perception were conducted which looked at the effects of different types of background noise, amounts of reverberation, rates of speech and amount of available context. The aim of this was to better simulate “real-life” listening conditions. Consequently, a range of results for both traditional assessments of speech perception and simulated listening conditions will be presented and compared.
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    Speech perception for hearing aid users versus cochlear implantees [Abstract]
    Flynn, Mark C. ; Dowell, Richard C. ; Clark, Graeme M. ( 1996)
    Abstract not available due to copyright.
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    Speech perception differences between adults with a substantial hearing impairment and users of multiple-channel cochlear implant [Abstract]
    Flynn, Mark C. ; Dowell, Richard C. ; Clark, Graeme M. ( 1998)
    Decent improvements in the performance of users of multiple-channel cochlear implants has led to speculation that people with a severe or severe-to-profound hearing impairment, may achieve better speech perception with a cochlear implant than with conventional hearing aids. In order to investigate this possibility a detailed investigation of the aided performance of adults with a severe or severe-to-profound hearing impairment was conducted in the Department of Otolaryngology (University of Melbourne). In total thirty-four adults took part in the speech perception tests. To aid statistical analysis and to facilitate discussion, the participants were divided into a severe group (61-80 dB HL) (n = 20) and a severe-to-profound group (81-100 dB HL,) (n = 14). All participants took part in a range of speech perception measures including closed-set vowel and consonant tests, open-set word (CNC) tests, and open-set sentence (CUNY) tests (in quiet conditions and in presence of +10 dB SNR background noise). Comparisons of mean scores were made between the adults with a severe or severe-to profound hearing impairment and a comparable group of multiple channel cochlear implant users. The results indicated that there were significant differences between the groups and that many of these differences were dependent on the types of tests used. Additional discussion will take place regarding the issues involved in providing multiple-channel cochlear implants to adults with a severe or severe-to-profound hearing impairment.