Graeme Clark Collection
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ItemSpeech perception and spoken language in children with impaired hearing( 1998)Fifty seven children with impaired hearing aged 4-12 years were evaluated with speech perception and language measures as the first stage of a longitudinal study. The Clinical Evaluation of Language Fundamentals (CELF) and Peabody Picture Vocabulary Test (PPVT) were used to evaluate the children's spoken language. Regression analyses indicated that scores on both tests were significantly correlated with chronological age, but delayed relative to children with normal hearing. Performance increased at 45% of the rate expected for children with normal hearing for the CELF, and 62% for the PPVT. Perception scores were not significantly correlated with chronological age, but were highly correlated with results on the PPVT and CELF. The data suggest a complex relationship whereby hearing impairment reduces speech perception, which slows language development, which has a further adverse effect on speech perception.
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ItemRehabilitation strategies for adult cochlear implant users(Monduzzi Editore, 1997)This paper summarizes open-set speech perception results using audition alone for a large group of adult Nucleus cochlear implant users in Melbourne. The results show wide variation in performance but significant improvement over the years from 1982 to 1995. Analysis of these results shows that speech processor developments have made the major contribution to this improvement over this time. Recent results for patients using the SPECTRA-SPEAK processor show !hat most subjects obtain good speech perception within six months of implantation and the need for intensive auditory training is minimal for many of these patients. Postoperative care should encourage consistent device use by providing opportunities for success and providing long term technical support for implant users. In some cases, including elderly patients, those with long term profound deafness, and those with special needs, there will still be a need for additional rehabilitation and auditory training support.
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ItemFactors affecting outcomes in children with cochlear implants(Monduzzi Editore, 1997)Open-set speech perception tests were completed for a group of 52 children and adolescents who were long-term users of the Nucleus multiple channel cochlear prosthesis. Results showed mean scores for the group of 32.4% for open-set BKE sentences and 48.1% for phonemes in open-set monosyllabic words. Over 80% of the group performed significantly on these tas1cs. Age at implantation was identified as a significant factor affecting speech perception performance with improved scores for children implanted early. This factor was evident in the results at least down to the age of three years. Duration.. of profound hearing loss, progressive hearing loss, educational program and preoperative residual hearing were also identified as significant factors that may affect speech perception performance.
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ItemPitch and vowel perception in cochlear implant users( 1994)Two methods of determining the pitch or timbre of electrical stimuli in comparison with acoustic stimuli are described. In the first experiment, the pitch of pure tones and electrical stimuli were compared directly by implant users who have residual hearing in the non-implanted ear. This resulted in a relationship between frequency in the non-implanted ear and position of the best-matched electrode in the implanted ear. In the second experiment, one- and two-formant synthetic vowels, with formant frequencies covering the range from 200 to 4000 Hz, were presented to the same implant users through their implant or through their hearing aid. The listeners categorised each stimulus according to the closest vowel from a set of eleven possibilities, and a vowel centre was calculated for each response category for each ear. Assuming that stimuli at the vowel centres in each ear sound alike, a second relationship between frequency and electrode position was derived. Both experiments showed that electrically-evoked pitch is much lower than that produced by pure tones at the corresponding cochlear location in normally-hearing listeners. This helps to explain why cochlear implants with electrode arrays that rarely extend beyond the basal turn of the cochlea have achieved high levels of speech recognition in postlinguistically deafened adults without major retraining or adaptation by the users. The techniques described also have potential for optimising speech recognition for individual implant users.
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ItemMultisensory speech perception: integration of speech information( 1994)Speech perception usually occurs in the context of more than one source of sensory information. The effectiveness of speech perception in these multisensory situations depends on how successfully two or more sources of information are combined. An analysis of auditory-visual (AV) speech perception suggests a model of multisensory integration which argues that the extent of integration depends on the physical and cognitive characteristics of the signals which are combined. It is proposed that such a model can explain observed differences between AV, auditory-tactile (AT) and visual-tactile (VT) combination.
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ItemSpeech perception, production and language results in a group of children using the 22-electrode cochlear implant( 1989)Paper presented at the 118th Meeting of the Acoustical Society of America
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ItemCombining tactile, auditory and visual information for speech perception( 1988)Four normally hearing subjects were trained and tested with all combinations of a highly degraded auditory input, a visual input via lipreading, and a tactile input using a multichannel electrotactile speech processor. When the visual input was added to any combination of other inputs, a significant improvement occurred for every test. Similarly, the auditory input produced a significant improvement for all tests except closed-set vowel recognition. The tactile input produced scores that were significantly greater than chance in isolation, but combined less effectively with the other modalities. The less effective combination might be due to lack of training with the tactile input, or to more fundamental limitations in the processing of multimodal stimuli.