Graeme Clark Collection
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ItemImproved sound processing for cochlear implants( 2002)Four signal processing schemes currently under development aim to improve the perception of sounds/ especially speech, for children and adults using the Nucleus cochlear implant system. The schemes are (1) fast-acting input-signal compression, (2) Adaptive Dynamic Range Optimisation (ADRO), (3) TESM, a scheme that emphasises transients in signals, and (4) DRSP, a strategy that applies different stimulation rates to selected sets of electrodes.
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ItemWhat factors contribute to successful outcomes for children using cochlear implants( 2000)Long term speech perception data has been collected for 100 children using the Nucleus multichannel cochlear prosthesis in Melbourne. Scores on a number of different assessments are available at approximately six month intervals following implantation for these children. The group represents an unselected sample of cochlear implant users, as all children were included if they had sufficient developmental skills to perform formal speech perception tests. Information was also collected on each child regarding type of hearing loss, age of onset of profound hearing loss, duration of profound hearing loss, age at implantation, pre and post-implant communication mode, developmental delay, speech processing strategy and length of experience with implant use.
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ItemThe auditory cortex and auditory deprivation: experience with cochlear implants in the congenitally deaf [Abstract]( 1995)The primary auditory cortex (AI) exhibits a topographic representation of the organ of Corti in normal hearing animals. Plasticity studies have shown that this orderly representation of frequency can be modified following a restricted hearing loss or by behavioural trainingl,2. Little is known, however, of the effects of a profound hearing loss on AI, although a number of early studies have suggested an enhancement of activity from other modalities3. Knowledge of the functional status of the central auditory pathway in the profoundly deaf, and the ability of these structures to undergo reorganization particularly following long periods of auditory deprivation - are important issues for the clinical management of cochlear implant patients. In this paper we review our recent clinical and experimental experience with cochlear implants in the congenitally deaf.
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ItemEffects of rate and pulse manipulations of the spectral maxima speech processor upon speech production( 1993)Postlingually deafened adults experience many changes in their speech as a consequence of late-onset deafness. Previous studies have indicated changes in fundamental frequency, duration, intensity, and vowel formant frequencies in postlingually deafened adults. Postlingually deafened adults who receive multichannel cochlear implants demonstrate improved control of fundamental frequency and intensity. Shifts in formant frequencies to values similar to normal hearing. speakers also appears in some adult implant users. In order to examine how adult implant users adjust their vowel production in response to map changes, we examined vowel production following manipulations to the processing strategy of the Spectral Maxima Speech Processor. This processor uses a speech processing scheme in which six spectral maxima from the outputss of 16 bandpass filters stimulate the cochlea on a place basis at a constant rate. The rate of sampling of the filterbank output is 250 Hz, so six biphasic pulses are presented every 4 msec and there is no attempt to extract fundamental frequency or to find the formant peaks in the speech signal. Two manipulations to the scheme were examined. In the first condition, the rate of sampling remained at 250Hz but eight biphasic pulses were presented rather than six. In the second condition, six biphasic pulses were presented but the rate of sampling of the filterbank output was increased to 400 Hz. Speech samples also were acquired using the standard spectral maxima processor .and with no auditory feedback when the processor was turned off. Speech samples from three �subjects were acquired immediately after receiving the manipulated speech processors and after two weeks experience with the various processors. Preliminary data indicate one subject experienced increased fundamental frequencies while using the 400 Hz high rate strategy. No significant changes were observed in fundamental frequency between the normal SMSP processor and the eight pulse variation. Elimination of feedback resulted in significantly lower fundamental frequencies. The high rate and eight pulse variations resulted in significantly higher first formant frequencies. Second formant frequencies also appear to be influenced by the processing strategies. Comparisons of values produced immediately after receiving a new strategy versus those produced after two weeks use show shifts in primarily first formant values. Data will be presented for all three subjects and discussed in regard to sensitivity to variations in speech processing schemes and the influence of experience with manipulated schemes. (Work supported by the N1H-NIDCD).
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ItemComparative performance of children using the cochlear 22-channel implant and 8-channel 'Tickle Talker'( 1992)Direct comparison of "Tickle Talker" and Cochlear Implant users is problematic, due to difficulties in matching groups of children for hearing loss, age, duration of deafness, speech perception and language skills, and educational placement. However, two studies were undertaken to compare and contrast potential benefits available from these two devices. In the first study, a number of children from one educational setting were evaluated over a six month period. Half of the children used the multiple channel cochlear implant, while the other half used the multiple channel "Tickle Talker". The number of training sessions, clinicians involved, type of training provided, and overall management philosophy were identical for both devices. Comparison of progress of these two groups of children demonstrates that both devices are effective in improving' communication. However, differences were found with the tactile device being more limited in information provided and speech perception benefits. In the second study, two children who have used both devices were evaluated. These two children initially used the ''Tickle Talker" for periods up to two years, and subsequently had a multiple-channel cochlear implant. Similar habilitation was provided to these children with both devices, and measures of speech perception were taken at similar time periods. Results for one of the children, a prelinguistically deafened adolescent, already show similar benefits in terms of supplementation of lipreading for both devices. However, this patient has also shown some open-set word and sentence perception using the implant-alone. To date, this level of performance has not been achieved with the ''Tickle Talker". The results of these studies suggest a role for a multiple channel tactile device in a cochlear implant clinic as a training device for evaluating the ability of adults or children to integrate speech information presented through different sensory modalities. This could facilitate pre-implant evaluation of the potential for children to benefit from added speech information, which is often difficult to evaluate in congenitally deaf children.