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E Agelfors

Publications and source records attributed to E Agelfors.

5 recordsLinked to original sources

A hand held two-channel vibro-tactile speech communication aid for the deaf: characteristics and results.

The OSCAR-project (Optimal Speech Communication Assistance for Residual Abilities) within the TIDE frame is aiming at processing the speech signal in such a way so that it can be more effectively aurally perceived than with an ordinary hearing aid in case of a very small residual hearing. In case of total deafness the code will be tactile and in some cases a multi modal approach will be tried. One of the sub-results of the OSCAR-project is a hand held vibro-tactile speech communication aid for profoundly hard of hearing and deaf persons. The main idea of the aid is that it should not be a general tactile hearing aid, but rather give optimum tactile support to lip-reading in a close communication situation. It should be used when speech communication is necessary and other methods of communication i.e. sign language, lip-reading, reading and writing etc. does not work. The aid conveys two types of information via its two vibro-tactile transducers; the syllabic rhythm and frication. This paper describes some characteristics of the aid and some results.

Correction of Hearing Impairment↗

Electrophonic hearing and cochlear implants.

It has been difficult to explain the good speech understanding obtained by some cochlear implant patients fitted with a single-channel electrode and analog transmissions of the speech signal (Vienna/3M implant). It has also been difficult to explain the variation in results reported by different groups using the same implant. One hypothesis asserts that the above differences can be explained by the observation that electric stimulation with an implanted electrode might result in two different auditory sensations, the first resulting from the stimulation of the remaining hair cells (electrophonic component) and the second from the electric stimulation of the auditory nerve (electro-neural component). The two sensations are very different. As a result of different definitions of total deafness (functional or threshold definition), patients with remaining hair cells are operated on by some groups, but not by other groups. Some published results from different studies are discussed with reference to the above hypothesis and the possible consequences for the selection of the patients, the use of extra- or intracochlear electrodes, and the selection of the speech coding strategy are discussed.

Audiometry, Pure-Tone↗

A case material with post lingual severe hearing loss and communication handicap.

The analyses have given some general clues to the therapeutic handling of these patient categories: 1. The A and B groups can be labelled "hearing" with clearly useful residual hearing. 2. The patients in the C group, as a rule, are utilizing very little from acoustic speech stimulation, mostly the prosodic information. Several patients in this group are possible implant candidates, and it is reasonable to expect that (with a suitable stimulus device and a suitable application of this) the patients could get an additional support during speech reading, so that they function as the B group. Tactile devices are also an alternative or a supplement for this group, and a pilot study on six patients is in progress in the department in cooperation with the Department of Speech Communication at the Royal Institute of Technology. 3. The patients within the A and B groups will in the first place be offered additional functional training programmes (prosodic training, audio-visual training and possibly vibration training) and, as an ultimate alternative a social activation in group therapy may be considered. Some patients in these groups might also be candidates in the future for an extra cochlear implant.

Hearing Aids↗