Graeme Clark Collection

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    Short-term auditory memory in children using cochlear implants and its relevance to receptive language
    Dawson, P. W. ; Busby, P. A. ; McKay, C. M. ; Clark, Graeme M. ( 2002)
    The aim of this study was to assess auditory sequential, short-term memory (SSTM) performance in young children using cochlear implants (CI group) and to examine the relationship of this performance to receptive language performance. Twenty-four children, 5 to 11 years old, using the Nucleus 22-electrode cochlear implant, were tested on a number of auditory and visual tasks of SSTM. The auditory memory tasks were designed to minimize the effect of auditory discrimination ability. Stimuli were chosen that children with cochlear implants could accurately identify with a reaction time similar to that of a control group of children with normal hearing (NH group). All children were also assessed on a receptive language test and on a nonverbal intelligence scale. As expected, children using cochlear implants demonstrated poorer auditory and visual SSTM skills than their hearing peers when the stimuli were verbal or were pictures that could be readily labelled. They did not differ from their peers with normal hearing on tasks where the stimuli were less likely to be verbally encoded. An important finding was that the CI group did not appear to have a sequential memory deficit specific to the auditory modality. The difference scores (auditory minus visual memory performance) for the CI group were not significantly different from those for the NH group. SSTM performance accounted for significant variance in the receptive language performance of the CI group. However, a forward stepwise regression analysis revealed that visual spatial memory (one of the subtests of the nonverbal IQ test) was the main predictor of variance in the language scores of the children using cochlear implants.
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    The relationship between speech perception and electrode discrimination in cochlear implantees
    Henry, Belinda A. ; McKay, Colette M. ; McDermott, Hugh J. ; Clark, Graeme M. ( 2000)
    Abstract not available due to copyright.
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    Electrode discrimination and speech perception in young children using cochlear implants
    Dawson, P. W. ; McKay, C. M. ; Busby, P. A. ; Grayden, D. B. ; Clark, Graeme M. ( 2000)
    Objective: The aim was to determine the efficacy of a child-appropriate procedure to assess electrode discrimination ability in young children using cochlear implants and to investigate the relationship of electrode discrimination ability and speech perception performance in children implanted at a young age. Design: An adaptation of the play audiometry procedure was used to assess electrode discrimination in seventeen 4- to 10-yr-old children. The children were required to respond with a game-like motor response when a repeating stimulation on a reference electrode “changed” to a different electrode. They were also assessed on a speech feature discrimination test, a closed-set word recognition test and a nonverbal intelligence task. Results: Sixty-five percent of subjects demonstrated ability to discriminate adjacent electrodes in mid and apical regions of the cochlea, whilst the remaining subjects needed electrode separations of between two and nine electrodes for successful discrimination. In a forward stepwise regression analysis electrode discrimination ability was found to be the strongest factor in accounting for variance in the speech perception scores. Subject variables such as duration of deafness, nonverbal intelligence and implant experience did not significantly account for further variance in the speech perception scores for this group of children. Conclusions: Electrode discrimination ability was the strongest factor in predicting performance on speech perception measures in a group of children using cochlear implants.
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    A frequency importance function for a new monosyllabic word test
    Henry, Belinda A. ; McDermott, Hugh J. ; McKay, Colette M. ; James, Chris J. ; Clark, Graeme M. ( 1998)
    A frequency importance function, characterising the relative contribution of different frequency bands to speech intelligibility, was determined for a CNC monosyllabic word test designed for Australian usage at the University of Melbourne. The importance function was derived from the phoneme scores of 12 normally-hearing listeners who were tested under various conditions of low-and high-pass filtering presented at signal-to-noise ratios of -8 to +6 dB, using noise which was shaped across frequency 10 match the speech spectrum. The importance function showed a dominant peak at approximately 2000 Hz, which is consistent with previously published word test importance functions. The word test, along with the importance function, will be useful in advanced hearing-aid fitting procedures and research aimed at improving speech perception.
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    The perceptual dimensions of single-electrode and nonsimultaneous dual-electrode stimuli in cochlear implantees
    McKay, Colette M. ; McDermott, Hugh J. ; Clark, Graeme M. ( 1996)
    Abstract not available due to copyright.
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    Loudness summation for two channels of stimulation in cochlear implants: effects of spatial and temporal separation
    McKay, C. M. ; McDermott, H. J. ; Clark, Graeme M. ( 1995)
    An experiment with four implantees with the Mini System 22 device was undertaken to measure the loudness summation across two channels of stimulation, with stimuli in which the current pulses were delivered alternately to each channel. The effects of varying spatial separation, temporal separation, and extent of stimulation were investigated. It was found that the absolute amount of summation varied among subjects, and was in general independent of electrode separation, except for a reduction at zero separation. Widening of the spatial extent of the stimulation did not have a consistent effect. There was a reduction in summation for all subjects at zero electrode separation when the time between the two pulses was increased from less than I millisecond to 2 milliseconds. In conclusion, loudness summation did not appear to be highly dependent on parameters that affect the spatial current spread in the cochlea. Further study of the effect of temporal parameters on loudness may help to quantify interaction between stimulation channels.
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    Pitch matching of amplitude-modulated current pulse trains by cochlear implantees: the effect of modulation depth
    McKay, Colette M. ; McDermott, Hugh J. ; Clark, Graeme M. ( 1995)
    Abstract not available due to copyright.
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    Pitch ranking with nonsimultaneous dual-electrode electrical stimulation of the cochlea
    McDermott, Hugh J. ; McKay, Colette M. ( 1994)
    Abstract not available due to copyright.
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    Speech processing for multichannel cochlear implants: variations of the Spectral Maxima Sound Processor strategy
    McKay, Colette M. ; Vandali, Andrew E. ; McDermott, Hugh J. ; Clark, Graeme M. ( 1994)
    The Spectral Maxima Sound Processor (SMSP) incorporates a bank of 16 band-pass filters which are assigned to 16 intracochlear electrodes. In each stimulation period 6 electrodes are activated, based on the outputs of the filters with the largest amplitudes. The SMSP has previously been compared with the present MSP (MULTIPEAK) processor and found to improve speech comprehension results. The SMSP speech processing scheme has recently been implemented successfully in a new speech processor, also developed at the University of Melbourne, which utilises digital signal processing techniques. The programming flexibility of this processor has facilitated the investigation of variations of the SMSP strategy which might provide further enhancement of speech perception. Three variations have been investigated: firstly, increasing the constant pulse rate from the usual 250 Hz to 400 Hz; secondly, changing the number of electrodes selected in each stimulation period from 6 to numbers between 4 and 8; thirdly, sharpening the spectral peaks prior to selection of the active electrodes. The results of these studies showed that all three variations had minimal effect on speech perception in quiet, but that increasing the number of electrodes selected for stimulation to 8, or increasing the rate of stimulation, was advantageous for some subjects when listening in background noise.
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    Pitch percepts associated with amplitude-modulated current pulse trains in cochlear implantees
    McKay, Colette M. ; McDermott, Hugh J. ; Clark, Graeme M. ( 1994)
    Abstract not available due to copyright.