Graeme Clark Collection
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ItemSpeech perception in children using the advanced Speak speech-processing strategy( 1995)The Speak speech-processing strategy, developed by the University of Melbourne and commercialized by Cochlear Pty Limited for use in the new Spectra 22 speech processor, has been shown to provide improved speech perception for adults in both quiet and noisy situations. The present study evaluated the ability of children experienced in the use of the Multipeak (Mpeak) speech-processing strategy (implemented in the Nucleus Minisystem-22 cochlear implant) to adapt to and benefit from the advanced Speak speech-processing strategy (implemented in the Nucleus Spectra 22 speech processor). Twelve children were assessed using Mpeak and Speak over a period of 8 months. All of the children had over 1 year's previous experience with Mpeak, and all were able to score significantly on open-set word and sentence tests using the cochlear implant alone. Children were assessed with both live-voice and recorded speech materials, including Consonant-Nucleus-Consonant monosyllabic words and Speech Intelligibility Test sentences. Assessments were made in both quiet and in noise. Assessments were made at 3-week intervals to investigate the ability of the children to adapt to the new speech-processing strategy. For most of the children, a significant advantage was evident when using the Speak strategy as compared with Mpeak. For 4 of the children, there was no decrement in speech perception scores immediately following fitting with Speak. Eight of the children showed a small (10% to 20%) decrement in speech perception scores for between 3 and 6 weeks following the changeover to Speak. After 24 weeks' experience with Speak, 11 of the children had shown a steady increase in speech perception scores, with final Speak scores higher than for Mpeak. Only 1 child showed a significant decrement in speech perception with Speak, which did not recover to original Mpeak levels.
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ItemInitial results for six patients with a multiple-channel cochlear prosthesis(Monash University Press, 1983)A total of eight patients have been assessed with the multi-channel cochlear prosthesis at the University of Melbourne. The first two patients were implanted with a prototype device in 1978 and 1979, and their results with various speech evaluation procedures have been reported and summarized in detail elsewhere (Clark & Tong, 1982). Briefly, these results indicated that some very significant benefit could be obtained for these patients when using the cochlear prosthesis with external speech processing, particularly when using the device in conjunction with lipreading. It was also shown that some significant understanding of speech was possible without lipreading (open-set) for both patients, although this was fairly limited.
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ItemAn extension of the Multipeak speech processing strategy for the MSP/MINI 22 cochlear implant system( 1992)The speech perception of three post-linguistically deaf adults using the Nucleus MSP/Mini System 22 cochlear implant system programmed with a new speech processing strategy, MPEAK+AO. was evaluated. The MPEAK+AO strategy retains all the information of the standard Multipeak speech processing strategy and additionally presents acoustic components below 400Hz to the most-apical electrode. This extra spectral Information may help implantees understand speech, particularly in noise. Since the estimated fundamental frequency is presented as the rate of stimulation at a fixed intracochlear site and is thereby potentially perceived more easily. and the amplitude of the stimulation on the apical electrode, associated with the voice fundamental, Is directly determined from the estimated energy in the relevant spectral region. these coding factors may provide a better representation ot the prosodic information in speech and a more complete auditory feedback signal. The comparison between Multipeak and MPEAK+AO included tests of vowel, consonant and CNC word recognition. Speech materials were presented with both a male and female speaker. Sentence material. presented with background masking noise (four-speaker babble) was also used. The results showed that the new strategy significantly improved the ability of these MSP users to recognise words in open-set sentences in noisy conditions.