Search PubMed⌕ Search

Biomedical subjects

R S Cowan

Publications and source records attributed to R S Cowan.

At least 37 records · Page 2Linked to original sources
PubMed1994

Cochlear implants for congenitally deaf adolescents: is open-set speech perception a realistic expectation?

The prognosis for benefit from use of cochlear implants in congenitally deaf adolescents, who have a long duration of profound deafness prior to implantation, has typically been low. Speech perception results for two congenitally deaf patients implanted as adolescents at the University of Melbourne/Royal Victorian Eye and Ear Hospital Clinic show that, after 12 months of experience, both patients had significant open-set speech discrimination scores without lipreading. These results suggest that although benefits may in general be low for congenitally deaf adolescents, individuals may attain significant benefits to speech perception after a short period of experience. Prospective patients from this group should therefore be considered on an individual basis with regard to prognosis for benefit from cochlear implantation.

Adolescent↗
PubMed1993

Factors in the development of a training program for use with tactile devices.

A review of the literature suggests that, in order to maximize the benefits available through a tactile device, it must be accompanied by an effective and adaptive training program. There are a number of factors to consider in the design of such a training program, including the type of tasks and response formats to include, the amount of training, subject motivation and device use, the characteristics of the potential user population, the specific device to be used and the type of information it provides, and the evaluation procedures to be followed. The type and saliency of the information provided by a particular tactile device are highlighted as the most important yet neglected consideration in designing a training program. The training program used with the University of Melbourne's multiple-channel electrotactile device is presented to show how these important factors may be addressed, to indicate the flexibility required in a training program, and to provide a general framework on which researchers may base the development of programs for other tactile devices.

Adolescent↗
PubMed1993

The effect of handedness in tactile speech perception.

This study examined differential performance of normally hearing subjects using a tactile device on the dominant versus non-dominant hand. The study evaluated whether tactual sensitivity for non-speech stimuli was greater for the dominant hand as compared with the non-dominant hand, and secondly, whether there was an advantage for speech presented tactually to the dominant hand, resulting from a preferential pathway to the language processing area in the left cerebral hemisphere. Evaluations of threshold pulse width, dynamic ranges, paired electrode identification, and a closed-set tactual pattern discrimination test battery showed no difference in tactual sensitivity measures between the two hands. Speech perception was assessed with closed sets of vowels and consonants and with open-set Harvey Gardner (HG) words and Arthur Boothroyd (AB) words. Group mean scores were higher in each of the tactually aided conditions as compared with the unaided conditions for speech tests, with the exception of AB words in the tactile plus lip-reading plus audition/lip-reading plus audition condition on the right hand. Overall mean scores on the closed-set vowel test and on open-set HG and AB words were significantly higher for the tactually aided condition as compared with the unaided condition. Comparison of performance between the dominant and non-dominant hand showed a significant advantage for the dominant hand on the closed-set vowel test only. No significant differences between hands in either tactually aided or unaided conditions were evident for any of the other speech perception tests. Factors influencing this result could have been variations in degree of difficulty of the tests, the amount of training subjects received, or the training strategy employed. Although an advantage to presenting speech through the dominant hand may exist, it is unlikely to be great enough to outweigh possible restrictions on everyday use.

Communication Devices for People with Disabilities↗
PubMed1992

Safety studies with the University of Melbourne multichannel electrotactile speech processor.

Results of safety investigations conducted as an integral part of the development of a multichannel electrotactile speech processor (Tickle Talker) are reported. Electrical parameters of the stimulus waveform, design of the electrode handset and cabling, and the electrical circuitry of the speech processor/stimulator and programming interface have been analyzed for potential risks. Constant current biphasic square pulses delivered to electrodes positioned on the skin surface over the digital nerve bundles were chosen to optimize the safety, comfort, and function of the electrotactile stimulus. The device was battery-powered, and the user circuit was isolated from earth-referenced sources. Each electrode was isolated by capacitive coupling, preventing DC leakage of current to the user circuit. Studies of finger temperature showed slight cooling of the skin on the fingers of both stimulated and unstimulated hands for individual subjects following electrotactile stimulation through the Tickle Talker. Subsequent analysis of finger and hand vascular circulation in five subjects showed slight reductions in hand blood flow in some individuals. The results did not demonstrate a significant mean decrease in hand or finger blood flow following electrotactile stimulation. No evidence of sympathetic involvement was found, nor were any changes in vascular structure of the hand such as those associated with Raynaud's disease found. Evidence suggests that the decrease in temperature found in the initial study may be due to a change in the ratio of blood flow between arteriovenous anastomoses and nutritive capillary beds. Studies of: 1) changes in mean threshold and comfortable pulse widths over time; and, 2) changes in tactual sensitivity as measured by hot/cold, sharp/dull, and two-point difference limen discrimination, did not detect any systematic change in peripheral nervous system function following electrotactile stimulation. Analysis of electroencephalogram (EEG) recordings taken during electrotactile stimulation, and after relatively long periods of experience with the device did not show any pathological changes which might be associated with epileptic foci. In summary, no contraindications to long-term use of the Tickle Talker were detected in the studies performed.

Adult↗
PubMed1991

Role of a multichannel electrotactile speech processor in a cochlear implant program for profoundly hearing-impaired adults.

Four profoundly hearing-impaired adults who did not meet current selection criteria for implantation at the University of Melbourne were each fitted with a wearable multichannel electrotactile speech processor (Tickle Talker). The subjects were evaluated with a test battery of speech discrimination tests subsequent to training in use of the device. Thresholds for detection of pure tones were lower for the Tickle Talker than for hearing aids across the frequency range 250 to 4000 Hz. Mean speech detection thresholds for the Ling 5-sound test showed that all sounds were detected by users of the electrotactile device at normal conversational speech intensity levels. Mean speech discrimination scores were significantly higher (p less than 0.05) in the tactually aided condition as compared with the tactually unaided for identification of vowels and consonants, on open-set words, open-set sentences, and on connected discourse tracking. Mean scores increased by 20% for vowels, 19% for consonants, 30% for open-set words, and 25% for open-set sentences when the Tickle Talker was used in a multimodal combination with lipreading or lipreading and hearing aids. Speechtracking rates for three subjects showed increases of from 18 to 28 wpm when the tactile device was used. Comparison of tactually aided versus unaided tracking rates for two subjects with long-term experience shows continuing improvement with additional experience with the device. These results demonstrate that hearing-impaired adults not meeting selection criteria for cochlear implantation may benefit from use of an electrotactile speech processor, and highlight the potential benefits from integration of such devices into cochlear implant programs for profoundly hearing-impaired patients.

Acoustics↗
PubMed1991

Perception of multiple electrode stimulus patterns: implications for design of an electrotactile speech processor.

Identification of multiple-electrode stimulus patterns was evaluated in nine adult subjects, to assess the feasibility of providing additional speech information through the tactual display of an electrotactile speech processor. Absolute identification scores decreased from 97.8% for single electrodes, to 61.9% for electrode pairs, and, to 31.8% for electrode triplets. Although input information increased with paired-and triple-electrode stimuli, information transmission scores were not significantly increased for either electrode pairs (2.99 bits) or triplets (2.84 bits) as compared with single electrodes (2.84 bits). These results suggest that speech coding strategies using stimulus patterns of electrode pairs or triplets would provide little improvement beyond that found for the present single-electrode scheme. However, higher absolute identification scores (73.6%), and an increase in information transmission to 3.88 bits, were recorded for test stimuli containing all combinations of paired and single electrodes. Based on this finding, two stimulus sets using a restricted number of combinations of paired and single electrodes were evaluated. The two stimulus sets simulated the spatial patterns of paired and single electrodes arising from use of alternative speech coding schemes to increase consonant voicing information. Results for the two stimulus sets showed higher electrode identification scores (79.7% and 90.4%), as compared with paired-electrode stimuli. Although electrode identification score was not as high as for single electrodes, information transmission was increased to 3.31 bits for the VF2 stimulus set. Analysis of the responses also showed that scores for identification of simulated voicing information conveyed by the two stimulus sets were 99.4 and 90.4% correct.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1991

Use of a multichannel electrotactile speech processor by profoundly hearing-impaired children in a total communication environment.

As part of a larger subject group, four profoundly hearing-impaired children enrolled in a total communication educational program were fitted with the University of Melbourne's multichannel electrotactile speech processor (Tickle Talker). Sound detection thresholds for pure tones were at lower levels with the tactile device than with hearing aids, especially for high frequency sounds above 2 kHz. Two of the children also detected all speech sounds of the Ling five-sound test at normal conversational levels using only the Tickle Talker. The children were able to use tactile input to achieve higher scores on three speech feature subtests of the PLOTT test when using the Tickle Talker plus hearing aids as compared to hearing aids alone. Mean improvements were 22.4 percent on vowel length, 28 percent on vowel identification, and 35 percent on consonant manner. Improvements were also shown by individual children on the closed-set WIPI and open-set PBK word tests, and on the open-set BKB sentence test, when the Tickle Talker was combined with hearing aids, and with hearing aids and lipreading. Comparisons of these results with those of children using the Tickle Talker in other educational settings show that children in a total communication environment can potentially benefit to a similar degree from use of tactual input. Anecdotal reports from the children and school staff members indicated that daily use of the Tickle Talker did not interfere with the signing aspects of total communication.

Adolescent↗
PubMed1990

A comparison of two training strategies for speech recognition with an electrotactile speech processor.

Seven normally hearing adults were trained in the use of a multiple-channel electrotactile speech processor for 70 hours over a 6-month period. Two training strategies were used on each of the subjects: (1) analytic-plus-synthetic (AS), and (2) synthetic (S). The speech perception abilities of the subjects were assessed with closed sets of vowels and consonants, open sets of words and sentences, and speech tracking, for the tactile-plus-lipreading, tactile, and lipreading conditions. The subjects were tested on three separate occasions: (1) at the beginning of the study, (2) after 35 hours of training, and (3) after a further 35 hours of training. Wilcoxon matched-pair signed-ranks (MPSR) tests showed that improvements observed with both the AS and S strategies were significantly (p less than .05) greater than zero for most tests and conditions. The Wilcoxon MPSR test showed that the difference in improvements between the training strategies was significant for only the vowel and consonant tests in the tactile condition.

Adolescent↗
PubMed1990

Speech feature recognition by profoundly hearing impaired children using a multiple-channel electrotactile speech processor and aided residual hearing.

A group of prelinguistically hearing impaired children, between 7 and 11 years of age, were trained in the perception of vowel duration and place, the fricative /s/, and manner of articulation (/m/ vs /b/ and /s/ vs /t/) distinctions, using information provided by a multiple-channel electrotactile aid (Tickle Talker), and through aided hearing. Training was provided in the tactile-plus-aided hearing (TA) and tactile (T) conditions. Speech feature recognition tests were conducted in the TA, T, and aided hearing (A) conditions, during pretraining, training, and post-training phases. Test scores in the TA and T conditions were significantly greater than scores in the A condition for all tests, suggesting that perception of these features was improved when the tactile aid was worn. Test scores in the training and post-training phases were significantly greater than in the pretraining phase, suggesting that the training provided was responsible for the improvement in feature perception. Statistical analyses demonstrated a significant interaction between the main effects of condition and phase, suggesting that training improved perception in the TA and T conditions, but not in the A condition. Post-training and training test scores were similar suggesting that the perceptual skills acquired during training were retained after the removal of training. Recognition of trained features improved for trained, as well as for untrained words.

Child↗
PubMed1990

Perception of sentences, words, and speech features by profoundly hearing-impaired children using a multichannel electrotactile speech processor.

Fourteen prelinguistically profoundly hearing-impaired children were fitted with the multichannel electrotactile speech processor (Tickle Talker) developed by Cochlear Pty. Ltd. and the University of Melbourne. Each child participated in an ongoing training and evaluation program, which included measures of speech perception and production. Results of speech perception testing demonstrate clear benefits for children fitted with the device. Thresholds for detection of pure tones were lower for the Tickle Talker than for hearing aids across the frequency range 250-4000 Hz, with the greatest tactual advantage in the high-frequency consonant range (above 2000 Hz). Individual and mean speech detection thresholds for the Ling 5-sound test confirmed that speech sounds were detected by the electrotactile device at levels consistent with normal conversational speech. Results for three speech feature tests showed significant improvement when the Tickle Talker was used in combination with hearing aids (TA) as compared with hearing aids along (A). Mean scores in the TA condition increased by 11% for vowel duration, 20% for vowel formant, and 25% for consonant manner as compared with hearing aids alone. Mean TA score on a closed-set word test (WIPI) was 48%, as compared with 32% for hearing aids alone. Similarly, mean WIPI score for the combination of Tickle Talker, lipreading, and hearing aids (TLA) increased by 6% as compared with combined lipreading and hearing aid (LA) scores. Mean scores on open-set sentences (BKB) showed a significant increase of 21% for the tactually aided condition (TLA) as compared with unaided (LA). These results indicate that, given sufficient training, children can utilize speech feature information provided through the Tickle Talker to improve discrimination of words and sentences. These results indicate that, given sufficient training, children can utilize speech feature information provided through the Tickle Talker to improve discrimination of words and sentences. These results are consistent with improvement in speech discrimination previously reported for normally hearing and hearing-impaired adults using the device. Anecdotal evidence also indicates some improvements in speech production for children fitted with the Tickle Talker.

Adolescent↗
PubMed1990

Perception of amplitude envelope variations of pulsatile electrotactile stimuli.

Gross variations of the speech amplitude envelope, such as the duration of different segments and the gaps between them, carry information about prosody and some segmental features of vowels and consonants. The amplitude envelope is one parameter encoded by the Tickle Talker, an electrotactile speech processor for the hearing impaired which stimulates the digital nerve bundles with a pulsatile electric current. Psychophysical experiments measuring the duration discrimination and identification, gap detection, and integration times for pulsatile electrical stimulation are described and compared with similar auditory measures for normal and impaired hearing and electrical stimulation via a cochlear implant. The tactile duration limen of 15% for a 300-ms standard was similar to auditory measures. Tactile gap detection thresholds of 9 to 20 ms were larger than for normal-hearing but shorter than for some hearing-impaired listeners and cochlear implant users. The electrotactile integration time of about 250 ms was shorter than previously measured tactile values but longer than auditory integration times. The results indicate that the gross amplitude envelope variations should be conveyed well by the Tickle Talker. Short bursts of low amplitude are the features most likely to be poorly perceived.

Adult↗
PubMed1989

Speech perception studies using a multichannel electrotactile speech processor, residual hearing, and lipreading.

Three studies are reported on the speech perception of normally hearing and hearing-impaired adults using combinations of visual, auditory, and tactile input. In study 1, mean scores for four normally hearing subjects showed that addition of tactile information, provided through the multichannel electrotactile speech processor, to either audition alone (300-Hz low-pass-filtered speech) or lipreading plus audition resulted in significant improvements in phoneme and word discrimination scores. Information transmission analyses demonstrated the effectiveness of the tactile aid in providing cues to duration, F1 and F2 features for vowels, and manner of articulation features for consonants, especially features requiring detection and discrimination of high-frequency information. In study 2, six different cutoff frequencies were used for a low-pass-filtered auditory signal. Mean scores for vowel and consonant identification were significantly higher with the addition of tactile input to audition alone at each cutoff frequency up to 1500 Hz. The mean speechtracking rate was also significantly increased by the additional tactile input up to 1500 Hz. Study 3 examined speech discrimination of three hearing-impaired adults. Additional information available through the tactile aid was shown to improve speech discrimination scores; however, the degree of increase was inversely related to the level of residual hearing. Results indicate that the electrotactile aid may be useful for patients with little residual hearing and for the severely to profoundly hearing impaired, who could benefit from the high-frequency information presented through the tactile modality, but unavailable through hearing aids.

Adult↗
PubMed1989

Speech perception using combinations of auditory, visual, and tactile information.

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. The speech perception of the subjects was assessed with closed sets of vowels, consonants, and multisyllabic words; with open sets of words and sentences, and with speech tracking. 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 addition of the tactile input did produce significant improvements for vowel recognition in the auditory-tactile condition, for consonant recognition in the auditory-tactile and visual-tactile conditions, and in open-set word recognition in the visual-tactile condition. Information transmission analysis of the features of vowels and consonants indicated that the information from auditory and visual inputs were integrated much more effectively than information from the tactile input. 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.

Adult↗
PubMed1988

Phonemic information transmitted by a multichannel electrotactile speech processor.

A wearable electrotactile speech processor was evaluated in a study with seven normally hearing and four hearing-impaired subjects. The processor estimated the fundamental frequency, the second-formant frequency, and amplitude of the acoustic speech signal. These parameters were presented as a pattern of electrical pulses applied to eight electrodes positioned over the digital nerve bundles on one hand. The device was shown to provide useful information for the recognition of phonemes in closed sets of words using tactile information alone. The device also supplemented lipreading to improve the recognition of open-set words. The recognition of duration and first- and second-formant frequencies of vowels and the recognition of voicing and manner of consonants were improved over recognition with lipreading alone. Recognition of final consonants was improved more than recognition of initial consonants. These results indicate that the device may be useful to both severely and profoundly hearing-impaired people.

Adult↗
PubMed1988

Preliminary evaluation of a multichannel electrotactile speech processor.

Speech discrimination testing, using both open- and closed-set materials, was carried out with four severely to profoundly hearing impaired adults and seven normally hearing subjects to assess performance of a wearable eight-channel electrotactile aid (Tickle Talker). Significant increases in speechtracking rates were noted for all subjects when using the electrotactile aid. After 70 h of training, mean tracking rate in the tactile plus lipreading condition was 55 words per minute (wpm), as compared with 36 wpm for lipreading alone, for the normally hearing group. For the hearing impaired group, the mean tracking rate in the aided condition was 37 wpm, as compared with 24 wpm for lipreading alone, following 35 h of training. Performance scores on Central Institute for the Deaf (CID) everyday sentences, Consonant Nucleus Consonant (CNC) words, and closed-set vowel and consonant identification were significantly improved when using the electrotactile aid. Performance scores, using the aid without lipreading, were well above chance on consonant and vowel identification and on elements of the Minimal Auditory Capabilities Battery. Two hearing impaired subjects have used the device satisfactorily in the home environment.

Adult↗