Graeme Clark Collection

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http://hdl.handle.net/11343/375

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1992 - 1997 4
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Type: Conference Paper × Subject: speech perception × Subject: otology ×

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    Rehabilitation strategies for adult cochlear implant users
    Dowell, R. C. ; Blamey, P. J. ; Clark, Graeme M. (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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    Factors affecting outcomes in children with cochlear implants
    Dowell, R. C. ; Blamey, P. J. ; Clark, Graeme M. (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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    Speech perception in implanted children: effects of speech processing strategy and residual hearing
    Meskin, T. ; Rance, G. ; Cody, K. ; Sarant, J. ; Larratt, M. ; Latus, K. ; Hollow, R. ; Rehn, C. ; Dowell, R.C. ; Pyman, B. ; Gibson, W.P.R. ; Clark, Graeme M. ; Cowan, Robert S. C. ; Barker, E. J. ; Pegg, P. ; Dettman, S. ; Rennie, M. ; Galvin, K. (Mendoza Editor, 1997)
    The ability of implanted children to adapt to different speech processing strategies has been demonstrated for the Nucleus implant system. Children previously experienced with the Multipeak speech processing strategy. were able to gain significant improvements in consonant, word and sentence perception using the Speak speech processing strategy. suggesting some degree of neural plasticity in neural-auditory coding. Of 192 implanted children with different degrees of preoperative residual hearing, 65% were found to obtain significant scores on open-set speech materials using electrical stimulation alone. Those children with more residual hearing had a greater probability of achieving open-set understanding and at a minimum level, perceived high frequency consonant information which would not have been available through conventional hearing aids.
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    An extension of the Multipeak speech processing strategy for the MSP/MINI 22 cochlear implant system
    Jones, P. A. ; McDermott, H. J. ; Sellgman, P. M. ; Millar, J. B. ( 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.