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Biomedical subjects

P A Busby

Publications and source records attributed to P A Busby.

At least 19 recordsLinked to original sources
PubMed2000

Electrode discrimination by early-deafened subjects using the cochlear limited multiple-electrode cochlear implant.

OBJECTIVE: The aims of this study were to determine whether electrode discrimination by early-deafened subjects using the Cochlear Limited prosthesis varied at different locations on the electrode array, was influenced by the effects of auditory deprivation and experience with electric stimulation, and was related to speech perception. DESIGN: Difference limens for electrode discrimination were measured in 16 early-deafened subjects at three positions on the array: electrodes 18 (apical), 14 (mid), and 8 (basal). Electrodes were stimulated using random variations in current level to minimize the influence of loudness cues. Assessed were correlations between the difference limens, subject variables related to auditory deprivation (age at onset of deafness, duration of deafness, and age at implantation) and auditory experience (duration of implant use and the total time period of auditory experience), and speech perception scores from two closed-set and two open-set tests. RESULTS: The average difference limens across the three positions were less than two electrodes for 75% of subjects, with average limens between 2 and 6.5 electrodes for the remaining 25% of subjects. Significant differences across the three positions were found for 69% of subjects. The average limens and those at the basal position positively correlated with variables related to auditory deprivation, with larger limens for subjects implanted at a later age and with a longer duration of deafness. The average limens and those at the apical position negatively correlated with closed-set speech perception scores, with lower scores for subjects with larger limens, but not with open-set scores. Speech scores also negatively correlated with variables related to auditory deprivation. CONCLUSIONS: These findings showed that early-deafened subjects were generally successful in electrode discrimination although performance varied across the array for over half the subjects. Discrimination performance was influenced by the effects of auditory deprivation, and both electrode discrimination and variables related to auditory deprivation influenced closed-set speech perception.

Age Factors↗
PubMed2000

Pitch estimation by early-deafened subjects using a multiple-electrode cochlear implant.

Numerical estimates of pitch for stimulation of electrodes along the 22-electrode array of the Cochlear Limited cochlear implant were obtained from 18 subjects who became deaf very early in life. Examined were the relationships between subject differences in pitch estimation, subject variables related to auditory deprivation and experience, and speech-perception scores for closed-set monosyllabic words and open-set Bamford-Kowal-Bench (BKB) sentences. Reliability in the estimation procedure was examined by comparing subject performance in pitch estimation with that for loudness estimation for current levels between hearing threshold and comfortable listening level. For 56% of subjects, a tonotopic order of pitch percepts for electrodes on the array was found. A deviant but reliable order of pitch percepts was found for 22% of subjects, and essentially no pitch order was found for the remaining 22% of subjects. Subject differences in pitch estimation were significantly related to the duration of auditory deprivation prior to implantation, with the poorest performance for subjects who had a longer duration of deafness and a later age at implantation. Subjects with no tonotopic order of pitch percepts had the lowest scores for the BKB sentence test, but there were no differences across subjects for monosyllabic words. Performance in pitch estimation for electrodes did not appear to be related to performance in the estimation procedure, as all subjects were successful in loudness estimation for current level.

Adolescent↗
PubMed1999

Gap detection by early-deafened cochlear-implant subjects.

Two studies investigating gap-detection thresholds were conducted with cochlear-implant subjects whose onset of profound hearing loss was very early in life. The Cochlear Limited multiple-electrode prosthesis was used. The first study investigated the effects of pulse rate (200, 500, and 1000 pulses/s) and stimulus duration (500 and 1000 ms) on gap thresholds in 15 subjects. Average gap thresholds were 1.8 to 32.1 ms. There was essentially no effect of pulse rate and for almost all subjects, no effect of stimulus duration. For two subjects, performance was poorer for the 1000-ms stimulus duration. The second study investigated the relationships between gap thresholds, subject variables, and speech-perception scores. Data from the first study were combined with those from previous studies [Busby et al., Audiology 31, 95-111 (1992); Tong et al., J. Acoust. Soc. Am. 84, 951-962 (1988)], providing data from 27 subjects. A significant negative correlation was found between age at onset of deafness and gap thresholds and most variability in gap thresholds was for the congenitally deaf subjects. Significant negative correlations were found between gap thresholds and word scores for open-set Bamford-Kowal-Bench (BKB) sentences in the auditory-visual condition and lipreading enhancement scores for the same test.

Adolescent↗
PubMed1998

Modulation detection interference in cochlear implant subjects.

The aim of this study was to determine whether detection thresholds for amplitude modulated signals on a single electrode were influenced by a masking modulation on a second electrode in cochlear implant users. Data were collected from four post-linguistically deafened subjects using the Cochlear Limited prosthesis. Investigated were the effects of the spatial separation between test and masker electrodes, 0 to 5 electrodes (0 to 3.75 mm), and the amount of masking modulation: 24%, 48%, 72%, and 96% above detection thresholds. Initially, modulation detection thresholds for stimulation on a single electrode without masking modulation were obtained for a set of six electrodes in the middle of the array. Modulation detection thresholds on a fixed test electrode were then obtained with unmodulated and modulated masking on a second electrode, which was one of the six electrodes in the initial study. In both studies, thresholds were measured for modulated pulse duration at the modulation frequencies of 10-200 Hz. In the first study, the shape of the detection thresholds as a function of modulation frequency, the temporal modulation transfer function, generally resembled a low-pass filter for two subjects. For the other two subjects, the functions were relatively flat across modulation frequencies. In the second study, unmodulated masking resulted in a small elevation in detection thresholds across electrodes. Modulation detection interference (MDI), the difference between thresholds for the modulated maskers and the unmodulated masker, was greater for larger amounts of masking modulation than for smaller amounts of masking modulation. For three of the four subjects, MDI was higher for smaller spatial separations between the two electrodes than for larger spatial separations suggesting that a portion of MDI may be due to overlap of neural excitation distributions produced by stimulation on two electrodes in close proximity on the array.

Auditory Threshold↗
PubMed1997

Pitch and loudness estimation for single and multiple pulse per period electric pulse rates by cochlear implant patients.

Numerical estimates of loudness and pitch for electric pulse rates were obtained from 14 patients using the 22 electrode cochlear implant manufactured by Cochlear Limited. Six patients were postlinguistically deafened adults, and eight patients were adults and children who became deaf very early in life. Comparisons were made between two types of pulse rate patterns. The SPP pulse pattern presented a single pulse every period, the inverse of the pulse rate. The MPP pulse pattern presented multiple pulses in the first half of the period, using a rate of 1000 pulses/s, with no stimulation in the second half of the period. The pulse rates used for the SPP and MPP pulse patterns were 71.4-500 pulses/s, which corresponded to periods of 14-2 ms. For the SPP pulse pattern, the total number of pulses over the duration of the stimulus increased with increases in pulse rate, while for the MPP pulse pattern, the total number of pulses remained constant. Pitch and loudness estimates were obtained from the postlinguistically deafened patients for the SPP and MPP pulse patterns, and from the early-deafened patients for the MPP pulse pattern. Loudness estimates for the SPP pulse pattern increased with increases in pulse rate for all postlinguistically deafened patients. Loudness estimates for the MPP pulse pattern decreased with increases in pulse rate for three of the six postlinguistically deafened patients and for six of the eight early-deafened patients. For the other patients (three postlinguistically deafened and two early-deafened), loudness estimates marginally increased with increases in pulse rate. Pitch estimates for the SPP and MPP pulse patterns increased with increases in pulse rate for the six postlinguistically deafened patients. For the early-deafened patients, pitch estimates for the MPP pulse patterns increased with increases in pulse rate for only five of the eight patients. For the other three early-deafened patients, pitch estimates were similar to the loudness estimates and decreased with increases in pulse rate.

Adolescent↗
PubMed1995

A clinical report on speech production of cochlear implant users.

OBJECTIVE: The aim was to assess articulation and speech intelligibility over time in a group of cochlear implant users implanted at 8 yr or over. The hypothesis was that the postoperative speech production performance would be greater than the preoperative performance. DESIGN: A test of intelligibility using sentences and an articulation test measuring non-imitative elicited speech were administered to 11 and 10 subjects, respectively, who were implanted with the 22-electrode cochlear implant. Nine subjects received both tests. Age at implantation ranged from 8 yr to 20 yr and implant use ranged from 1 yr to 4 yr 5 mo. RESULTS: For both the intelligibility and articulation tests roughly half of the subjects showed significant improvements over time and group mean postoperative performance significantly exceeded preoperative performance. Improvements occurred for front, middle, and back consonants; for stops, fricatives, and glides and for voiceless and voiced consonants. CONCLUSIONS: Despite being deprived of acoustic speech information for many childhood years, roughly half of the patients assessed showed significant gains in speech intelligibility and articulation postimplantation. The lack of a control group of non-implanted patients means that we cannot separate out the influence of the implant on speech production from other influences such as training and tactile-kinaesthetic feedback.

Adolescent↗
PubMed1995

Formant frequency values of vowels produced by preadolescent boys and girls.

The fundamental frequency (F0) and the first three formant frequency (F1, F2, and F3) values of vowels produced by 40 preadolescents were measured. There were five boys and five girls in each of four age groups: 5, 7, 9, and 11 years old. The 11 nondiphthong vowels of Australian English which can be produced in a stressed syllable were used. The F0 values decreased with increases in age, but there was no difference between boys and girls. In general, the F1, F2, and F3 values decreased with increases in age, and the values for girls were higher than those for boys.

Age Factors↗
PubMed1994

Pitch perception for different modes of stimulation using the cochlear multiple-electrode prosthesis.

Numerical estimations of pitch were obtained from nine postlinguistically deafened adults using the 22-electrode cochlear implant manufactured by Cochlear Pty. Limited. A series of electrodes on the array were stimulated using three modes of stimulation: Bipolar (BP), common ground (CG), and monopolar (MONO). In BP stimulation, an electric current was passed between two electrodes separated by one electrode for eight patients and two electrodes for one patient. In CG stimulation, a single electrode was activated and the other electrodes on the array were connected together to serve as the return path for the current. In MONO stimulation, an electric current was passed between a single electrode and the most basal electrode on the array. Pitch estimations were generally consistent with the tonotopic organization of the cochlea. There was a marked reversal in pitch for electrodes in the middle of the array using CG stimulation for three patients. A reduced range of pitch using MONO stimulation was recorded for patients where the most basal electrode was internal to the cochlea. There were also individual differences in pitch estimations between the three modes of stimulation for most patients. The current levels required to elicit threshold (T) and comfortable listening (C) levels were, in general, higher for BP stimulation than for CG stimulation and were lowest for MONO stimulation. For CG stimulation, there was a tendency for T and C levels to be higher for electrodes in the middle of the array than at the basal or apical ends. For MONO stimulation, T and C levels uniformly increased in an apical to basal direction for the majority of patients. There was no consistent pattern in T and C levels for BP stimulation. The size of the range of usable hearing using CG stimulation tended to be similar to that using BP stimulation and was usually higher than that using MONO stimulation.

Acoustic Stimulation↗
PubMed1993

The effects of auditory feedback from the nucleus cochlear implant on the vowel formant frequencies produced by children and adults.

Cochlear implants provide an auditory signal with which profoundly deaf users may monitor their own speech production. The vowel production of two adults and three children who used the Nucleus multiple-electrode cochlear implant was examined to assess the effect of altered auditory feedback. Productions of words were recorded under conditions where the talkers received auditory feedback (speech processor turned on) and where no auditory feedback was provided (speech processor turned off). Data were collected over 3 days at weekly intervals. First and second formant frequencies were measured and the data were analysed to assess significant differences between auditory feedback conditions, vowel context, and data collection points. Overall, the results varied across talkers, across the data collection days, and depended on the consonant environment of the vowel. However, two effects of auditory feedback were noted. First, there was a generalized shift in first formant frequencies between the processor on and processor off conditions across three of the five subjects, but the shift differed in direction for each subject. Second, for three of the five talkers, the two front vowels /epsilon/ and /i/ were more neutralised in the absence of auditory feedback. However, this effect was less pronounced than that noted by previous studies.

Aged↗
PubMed1993

Electrode position, repetition rate, and speech perception by early- and late-deafened cochlear implant patients.

Psychophysical and speech perception studies were conducted on eight patients using the 22-electrode cochlear implant manufactured by Cochlear Pty. Ltd. Four early-deafened patients became deafened at 1-3 years of age and were implanted at 5-14 years of age. Four late-deafened (postlingual adult) patients became deafened at 38-47 years of age and were implanted at 42-68 years of age. Psychophysical studies measured the discrimination of trajectories with time-varying electrode positions and repetition rates. Speech perception studies measured performance using two speech coding strategies: a multi-electrode strategy which coded the first and second formant frequencies, the amplitudes of the two formants, and the fundamental frequency; and a single-electrode strategy which coded the amplitudes of the first and second formants, and the fundamental frequency. In general, the four late-deafened patients and one early-deafened patient were more successful than the other three early-deafened patients in the discrimination of electrode position trajectories and in speech perception using the multi-electrode strategy. Three of the four late-deafened patients were more successful than the early-deafened patients in the discrimination of repetition rate trajectories. Speech perception performance in the single-electrode strategy was closely related to performance in repetition rate discrimination. The improvement in speech perception performance from the single-electrode to multi-electrode strategy was consistent with successful performance in electrode discrimination.

Acoustic Stimulation↗
PubMed1993

The perception of temporal modulations by cochlear implant patients.

The perception of temporal modulations of pulsatile electric stimuli was measured in seven cochlear implant patients using the Cochlear Pty. Limited prosthesis. Four patients were postlingually deafened adults and three patients were young adults who were deafened very early in life. The first study measured detection thresholds for modulated pulse duration for a series of modulation frequencies and pulse rates. The shape of the detection thresholds as a function of modulation frequency, the temporal modulation transfer function, often resembled a low-pass filter with a 50-100-Hz cut-off frequency. Thresholds did not markedly vary across the different pulse rates for most patients. Thresholds were less than 10%-20% of the range of usable hearing for most patients. The second study compared detection thresholds for modulated pulse durations around different reference pulse durations: 50, 100, and 300 microseconds. Detection thresholds were generally proportional to the different reference pulse durations. The third study measured difference limens for the discrimination of modulation depth. The difference limens were similar to the detection thresholds for the same reference pulse duration and pulse rate. The three patients deafened very early in life showed more within-group variation in performance, and their overall levels of performance were poorer than those of the postlingually deafened adults.

Acoustic Stimulation↗
PubMed1992

Cochlear implants in children, adolescents, and prelinguistically deafened adults: speech perception.

A group of 10 children, adolescents, and prelinguistically deafened adults were implanted with the 22-electrode cochlear implant (Cochlear Pty Ltd) at the University of Melbourne Cochlear Implant Clinic and have used the prosthesis for periods from 12 to 65 months. Postoperative performance on the majority of closed-set speech perception tests was significantly greater than chance, and significantly better than preoperative performance for all of the patients. Five of the children have achieved substantial scores on open-set speech tests using hearing without lipreading. Phoneme scores in monosyllabic words ranged from 30% to 72%; word scores in sentences ranged from 26% to 74%. Four of these 5 children were implanted during preadolescence (aged 5:5 to 10:2 years) and the fifth, who had a progressive loss, was implanted during adolescence (aged 14:8 years). The duration of profound deafness before implantation varied from 2 to 8 years. Improvements were also noted over postoperative data collection times for the younger children. The remaining 5 patients who did not demonstrate open-set recognition were implanted after a longer duration of profound deafness (aged 13:11 to 20:1 years). The results are discussed with reference to variables that may affect implant performance, such as age at onset of loss, duration of profound loss, age at implantation, and duration of implantation. They are compared with results for similar groups of children using hearing aids and cochlear implants.

Adolescent↗
PubMed1992

Psychophysical studies using a multiple-electrode cochlear implant in patients who were deafened early in life.

Psychophysical studies were conducted on 10 cochlear implant patients, between 5 and 23 years of age at the time of surgery, who were deafened prior to 4 years of age. The multiple-electrode prosthesis manufactured by Cochlear Ltd. was used. Identification studies, the recognition of 2-4 stimuli after some training, were conducted on 3 of the 10 patients. For current level and repetition rate identification, performance was comparable to that observed for postlingual adult patients. For electrode position identification, however, performance was much poorer than that observed for postlingual adults. In general, the difference limens for current level, repetition rate and duration, and the gap detection thresholds were similar to those observed for postlingual adults. For 3 patients whose etiology was Usher's syndrome, the repetition rate limens at higher rates were larger than those of the other patients. The limens for electrode position, measured in a discrimination task, were 1-3 electrodes for most patients. However, for 3 patients, limens of 6-10 electrodes were recorded. For numerosity judgements, the counting of stimuli in a temporal series as a function of the rate of presentation, the patients were less successful at counting for rates of 3-8/s than for lower rates (1-2/s).

Adolescent↗
PubMed1991

Results of speech perception and speech production training for three prelingually deaf patients using a multiple-electrode cochlear implant.

Five studies were conducted to measure changes in the perception and production of selected speech targets, with training, in three prelingually deaf patients. The two adults and one adolescent were implanted with the Cochlear (Nucleus) multiple-electrode prosthesis. The studies were perception and production of nasal consonants; perception of syllable-final consonants; perception and production of alveolar consonants; auditory-visual perception of alveolar consonants; and perception and production of vowels. Perceptual data were collected in the audition (implant)-alone condition, except for the auditory-visual perception of alveolar consonants where the audition-alone, vision-alone, and auditory-visual conditions were used. Speech perception data in the audition-alone condition were also collected from four postlingually deaf adult implant patients, without training, to indicate differences between the two classes of patients. The three prelingually deaf patients generally showed some improvements in speech production. In perception, improvements were recorded only for individual patients in some studies. The performance of the adolescent was better than that of the two adults in all cases. The perceptual performance of the postlingually deaf patients was superior to that of the prelingually deaf patients in all cases.

Adolescent↗
PubMed1989

Results for two children using a multiple-electrode intracochlear implant.

Assessments in speech perception, speech production, and language skills were conducted on two children, 5 and 10 years old at the time of surgery, using the Nucleus multiple-electrode cochlear implant. Data were collected pre- and post-operatively to measure changes in performance over time. For closed-set speech perception tests in the audition alone condition, post-operative performance was generally better than pre-operative performance and performance improved post-operatively for both patients. In closed-set vowel and consonant identification and open-set sentence perception for the older patient, post-operative improvements from the vision alone to the auditory-visual condition were recorded and performance improved post-operatively in both conditions. In all measures of speech production for both patients, post-operative scores were higher than pre-operative scores and performance improved post-operatively. In language skills, post-operative scores were higher than pre-operative scores and scores improved post-operatively in all measures for both patients.

Child↗
PubMed1988

Underlying structure of auditory-visual consonant perception by hearing-impaired children and the influences of syllabic compression.

The identification of consonants in (a)-C-(a) nonsense syllables, using a fourteen-alternative forced-choice procedure, was examined in 4 profoundly hearing-impaired children under five conditions: audition alone using hearing aids in free-field (A), vision alone (V), auditory-visual using hearing aids in free-field (AV1), auditory-visual with linear amplification (AV2), and auditory-visual with syllabic compression (AV3). In the AV2 and AV3 conditions, acoustic signals were binaurally presented by magnetic or acoustic coupling to the subjects' hearing aids. The syllabic compressor had a compression ratio of 10:1, and attack and release times were 1.2 ms and 60 ms. The confusion matrices were subjected to two analysis methods: hierarchical clustering and information transmission analysis using articulatory features. The same general conclusions were drawn on the basis of results obtained from either analysis method. The results indicated better performance in the V condition than in the A condition. In the three AV conditions, the subjects predominantly combined the acoustic parameter of voicing with the visual signal. No consistent differences were recorded across the three AV conditions. Syllabic compression did not, therefore, appear to have a significant influence on AV perception for these children. A high degree of subject variability was recorded for the A and three AV conditions, but not for the V condition.

Adolescent↗
PubMed1988

Perceptual studies on cochlear implant patients with early onset of profound hearing impairment prior to normal development of auditory, speech, and language skills.

Psychophysical studies were conducted on three prelingual and two postlingual cochlear implant patients. Auditory sensations were produced by electrical stimulation of the residual nerve fibers of the auditory nerve by means of a multiple-electrode cochlear implant. The psychophysical performance of the prelinguals was, in general, poorer than that of the postlinguals; prelingual performance was poorer for repetition rate and electrode position identification, gap detection, and durational and numerosity judgments. Improved performance with time, however, was consistently observed for the prelinguals in the above-mentioned psychophysical tasks. There were significant individual differences in the amount of improvement among the three prelinguals. Speech perception studies were also conducted on the three prelingual patients. The speech perception performance of the three prelingual patients was much poorer than that of postlingual patients in general, and was consistent with their poorer psychophysical performance described above.

Adolescent↗